Alcohol Production, Prevention Strategies, and Inmate Knowledge About the Risk for Botulism From Pruno Consumption in a Correctional Facility--Arizona, 2013.
During July to November 2012, two botulism outbreaks (12 cases total) occurred in one all-male prison; both were associated with illicitly brewed alcohol (pruno) consumption. Inmate surveys were conducted to evaluate and develop prevention and education strategies. Qualitative surveys with open-ended questions were performed among inmates from rooms where outbreaks occurred to learn about pruno consumption. Quantitative surveys assessed knowledge gained after the outbreaks and preferred information sources. For the quantitative surveys, 250 inmates were randomly selected by bed from across the correctional facility and 164 inmates were interviewed. Only 24% of inmates reported any botulism knowledge before the outbreaks and education outreach, whereas 73% reported knowledge after the outbreaks (p < .01). Preferred information sources included handouts/fliers (52%) and the prison television channel (32%).
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA Arizona Department of Health Services, Phoenix, AZ, USA Maricopa County Department of Public Health, Phoenix, AZ, USA laura.adams@azdhs.gov.
Laura E
LE
Adams
Epidemic Intelligence Service, Centers for Disease Control and Prevention, Atlanta, GA, USA Arizona Department of Health Services, Phoenix, AZ, USA Maricopa County Department of Public Health, Phoenix, AZ, USA.
Seema
S
Yasmin
Pinal County Public Health Services District, Florence, AZ, USA.
Graham
G
Briggs
Pinal County Public Health Services District, Florence, AZ, USA.
Kore
K
Redden
Pinal County Public Health Services District, Florence, AZ, USA.
Suzanne
S
Silvas
Arizona Department of Health Services, Phoenix, AZ, USA.
Shoana
S
Anderson
Arizona Department of Health Services, Phoenix, AZ, USA.
Joli
J
Weiss
Arizona Department of Health Services, Phoenix, AZ, USA.
Clarisse A
CA
Tsang
Arizona Department of Health Services, Phoenix, AZ, USA.
Evan
E
Henke
Arizona Department of Health Services, Phoenix, AZ, USA Public Health Associate Program, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Jessica
J
Francies
Arizona Department of Health Services, Phoenix, AZ, USA.
Kristen
K
Herrick
Arizona Department of Health Services, Phoenix, AZ, USA Public Health Associate Program, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Rosa
R
Lira
Arizona Department of Health Services, Phoenix, AZ, USA.
Eugene
E
Livar
Arizona Department of Corrections, Florence, AZ, USA.
Gerald
G
Thompson
Maricopa County Department of Public Health, Phoenix, AZ, USA Office of Public Health Preparedness and Response, Centers for Disease Control and Prevention, GA, USA.
Rebecca
R
Sunenshine
Epidemiology Workforce Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Byron F
BF
Robinson
Epidemiology Workforce Branch, Centers for Disease Control and Prevention, Atlanta, GA, USA.
Kristine M
KM
Bisgard
Arizona Department of Health Services, Phoenix, AZ, USA.
Kenneth K
KK
Komatsu
D000328:Adult; D000434:Alcoholic Beverages / Q000633:toxicity*; D001130:Arizona; D001904:Botulinum Antitoxin / Q000627:therapeutic use; D019274:Botulinum Toxins, Type A / Q000302:isolation & purification; D001906:Botulism / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D054626:Consumer Health Information; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011330:Prisons; D012121:Respiration, Artificial; D012959:Socioeconomic Factors; D011198:Solanum tuberosum
D001904:Botulinum Antitoxin; D019274:Botulinum Toxins, Type A
alcohol drinking; botulism; drinking behavior; health education; prisons