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Health Surveillance and Disease Prevention and Control / Communicable Diseases / Tuberculosis

Fourth Regional Meeting on TB and TB/HIV in Prisons

(San José, Costa Rica, 4–5 November 2008)

TB/HIV in prisons Alto a la TB

Presentations |  Report |  Links

Introduction: Since societies established practice of depriving individuals of their freedom and setting them apart as a means of punishing lawbreaking and transgressions to established standards, prisons have been inevitably been related to disease. Thus, penitentiaries can pose a serious public health problem. There are currently more than 9.25 million people deprived of liberty who live in penitentiaries around the world, and this number is increasing. Many of them leave prison after a short period of time, which yields nearly equivalent rates of admission and release. Consequently, this means that the real population going through the penal system every year is potentially 4 to 6 times higher than what is recognized. To the foregoing should be added a basic human rights approach stipulating that the loss of freedom should not represent the loss of the right to health, which can easily affirm that this problem should not be overlooked and requires an urgent and effective approach. .

Meeting Objectives

  • Review progress in implementing the Stop TB strategy.
  • Present new directions for tuberculosis control.
  • Discuss TB/HIV collaborative activities in penal institutions.

Participants: Heads of both National TB Programs (NTPs) and National HIV Programs in Latin American countries as well as those in charge of this area in prisons from each country.

Guía para el control de la TB en poblaciones privadas en libertad en ALC: Guide for TB control in populations deprived of liberty in LAC

Current Situation: It is evident that great progress has taken place in implementing the Stop TB strategy in prisons. It was also observed that coverage of control activities has been expanded to a greater number of correctional facilities. However, there is still insufficient coordination among the prison system and the ministries of health (control programs for TB and HIV).

In penitentiaries, conditions exist that bring about an increased risk developing TB and HIV.

New Handbook: PAHO presented its Guide for Tuberculosis Control in Populations Deprived of Liberty in Latin America & the Caribbean, which will help guide National TB Programs in improving their comprehensive response to TB/HIV and MDR-TB (multidrug-resistant tuberculosis).

Implementation: The approach towards TB and HIV in penitentiaries should be incorporated into multisectoral strategic health plans as well as into the health plans of prison systems.

Presentations (in Spanish unless otherwise indicated; language shown in original title with link; PPT PDF; titles translated for user orientation)

- Orientation: Objectives, Agenda, Logistics, Introducing the Participants [Orientación: Objetivos, agenda, aspectos logísticos, presentación de participantes]
- Status of Tuberculosis Control in the Prison System of the Americas [Situación del control de la tuberculosis en el sistema penitenciario de las Américas]
- Key Recommendations from the Third Regional Meeting on TB Control in Prisons [Recomendaciones clave: III Taller Regional, Control de TB en Centros Penitenciarios]
- Status of HIV in Prisons (UNODC) [Situación del control del VIH en los centros penitenciarios (ONUDD)]
- Infection Control in Prisons [Control de Infecciones en centros penitenciarios]

Country and Guest Presentations
- Spain: TB Control in Spanish Prisons: Inter- and Extra-Prison Coordination [Control de la TB en las prisiones españolas: Coordinación intra y extrapenitenciaria]
- Belize | español
- Brazil: National Health Plan in the Prison System [Plano Nacional de Saúde no Sistema Penitenciário (in Portuguese]
- Costa Rica: National Program for Tuberculosis Surveillance and Control [Programa Nacional para la Vigilancia y el Control de la Tuberculosis]
- Paraguay: Experience with TB in Prisons (ACSM) [Experiencia de la TB en prisiones (ACSM)]
- Peru: Infection Control in Prisons: The Peruvian Experience [Control de Infecciones en Centros Penitenciarios: Experiencia de Perú]

Guide for Tuberculosis Control in Populations Deprived of Liberty in Latin America and the Caribbean: An Approach for Vulnerable Populations [Guía para el control de la tuberculosis en poblaciones privadas de libertad de América Latina y el Caribe: Abordaje a poblaciones vulnerables]
Group Work by Countries (all in Spanish)
1: Brazil, Chile, Colombia, Mexico, Peru
2: Argentina, Ecuador, Paraguay, Uruguay, Venezuela
3: Costa Rica, Dominican Republic, Panama
4: El Salvador, Guatemala, Honduras

TB/HIV Collaborative Activities and Their Implementation in Populations Deprived of Liberty [Actividades de colaboración TB-VIH y oportunidades para su implementación en poblaciones privadas de libertad]
Group Work by Countries (all in Spanish only except for No. 5)
1: Brazil, Chile, Colombia, Field Office US-Mexican Border, Mexico, Peru
2: Argentina, Ecuador, Paraguay, Uruguay, Venezuela
3: Costa Rica, Dominican Republic Panama
4: Cuba, El Salvador, Guatemala, Honduras, Nicaragua
5: Belize, Guyana, Haiti |  español

Final Report (in Spanish, PDF, 26 pp, 823 Kb; chapter headings translated below for user orientation)

Acronyms | Summary (text translated to right)
Background | Opening | Objectives
Session of Tuesday, 4 November
- Situation of TB in Prisons
- Successful Experiences in Controlling TB in Prisons
- Fair for Exchange of Experiences
Session of Wednesday, 5 November
- New Directions for Controlling TB in Prisons
- Implementing the Guide for Tuberculosis Control in Populations Deprived of Liberty in Latin America & the Caribbean in the Countries
- Facilitating Aspects
- Obstacles to Implementing the Guide
- Strategies that Could Be Successful for Implementing the Guide
Committments by Groups of Countries
Group 1: Colombia, Peru, Brazil, Chile, & Mexico
Group 2: Argentina, Ecuador, Paraguay, Uruguay, & Venezuela
Group 3: Costa Rica, Panama, & the Dominican Republic
Group 4: Guatemala, El Salvador, & Honduras
TB/HIV Collaborative Activities in Prisons - Implementing TB/HIV Collaborative Activities in Prisons in the Countries
- Responsibility & Training Process
- Acquiring Supplies for Diagnostics & Treatment of TB & HIV
- Organizing a Reference and Counter-Reference Network for Coinfected Patients
- Component for TB in Prisons
- Component for TB/HIV in Prisons
Annex 1: Agenda
Annex 2: List of Participants

PAHO Links
- Guide for TB/HIV Counselling and Testing in Tuberculosis Programs
- Workshops on TB/HIV:
2008 | 8/2006 |  | 4/2006 | 2004 | 2003
- Guide for Tuberculosis Control in Populations Deprived of Liberty in Latin America and the Caribbean
- Workshops on TB in prisons:
2008 | 2006 | 2004 | 2003
Tuberculosis Page |  AIDS Page

WHO Links
Joint HIV/Tuberculosis Interventions

Stop TB Partnership

Regional Office for the Americas of the World Health Organization
525 Twenty-third Street, N.W., Washington, D.C. 20037, United States of America
Tel.: +1 (202) 974-3000 Fax: +1 (202) 974-3663

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