Author:
HUTCHINSON S. J.,GOLDBERG D. J.,GORE S. M.,CAMERON S.,McGREGOR J.,McMENAMIN J.,McGAVIGAN J.
Abstract
This data linkage study examined the extent of hepatitis B transmission
and co-infection with
HIV among 636 former inmates of Glenochil prison, Scotland, during an outbreak
of
bloodborne diseases in 1993 which was related to needle sharing. Eleven
inmates imprisoned
during the first half of 1993 presented with hepatitis B infection, of
whom co-infection with
HIV was detected in six. Based on dates of test results in relation to
time of imprisonment,
seven definitely acquired their hepatitis B infection within the
prison. Only two infections were
reported to Scotland's hepatitis B register and neither could be
prison-linked. This outbreak of
hepatitis B is the first of its kind to be reported but not the
first to have occurred. It not only
highlights the urgency for measures to prevent further spread of infection
among prisoners but
also illustrates the need for comprehensive surveillance of hepatitis B
infection, and the need
for a protocol on how to manage such outbreaks and on how to establish
the extent of
transmissions when acute hepatitis B occurs in prison.
Publisher
Cambridge University Press (CUP)
Subject
Infectious Diseases,Epidemiology
Cited by
32 articles.
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