title: Tuberculosis control in prisons, from research to action: the Rio de Janeiro, Brazil, experience.
abstract: The high tuberculosis (TB) rates observed in the Brazilian prison population highlights the need for more efficient TB control measures in this population, especially in the state of Rio de Janeiro where detection rates are 30 times higher than in the general population. We present results of epidemiological, biomathematics modelling, molecular biology, psychosocological, architectural and juridical studies carried out in this state in order to assess the situation and to develop TB control strategies adapted to the specificities of the prison context. The implementation of these strategies implies to take into account the day-to-day realty of prison life and to turn more effective the supervision of the prison health system by instances in charge of monitoring the fulfillment of sentences, so as to guarantee access of prisoners to health in conformity with international and national laws.
authors.affiliation: Centro de Referência Professor Hélio Fraga, Escola Nacional de Saúde Pública Sérgio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. alexandra.sanchez@ensp.fiocruz.br.
authors.forename: Alexandra
authors.initials: A
authors.lastname: Sánchez
authors.affiliation: Sorbonne Universités, UMPC Univ Paris 6, INSERM, IPLESP UMRS 1136, Equipe de Recherche en Epidémiologie Sociale. Paris France.
authors.forename: Bernard
authors.initials: B
authors.lastname: Larouzé
mesh_terms: D001938:Brazil; D006801:Humans; D011330:Prisons; D012106:Research; D014376:Tuberculosis / Q000517:prevention & control*; D014504:Urban Health