Tuberculosis trends in California correctional facilities, 1993–2013
- 1 August 2017
- journal article
- Published by International Union Against Tuberculosis and Lung Disease in The International Journal of Tuberculosis and Lung Disease
- Vol. 21 (8), 922-929
- https://doi.org/10.5588/ijtld.16.0855
Abstract
BACKGROUND: Incarcerated persons are disproportionately diagnosed with tuberculosis (TB). California has the second highest inmate population in the United States, but reports the highest number of cases. OBJECTIVE: To describe the TB epidemiology among incarcerated patients in California. METHODS: Trends in incidence were assessed using Poisson regression, and trends in percentage were assessed using weighted linear regression. Demographic and clinical characteristics were compared using χ2 or Mann-Whitney U tests. RESULTS: During 1993–2013, of the 64 090 TB cases reported, 2323 (4%) were correctional facility residents. Incidence in correctional facilities decreased until 2006 (annual per cent change [APC] –12.3%, 95%CI –14.4 to –10.1), but has since stabilized (APC 4.4%, 95%CI –2.1 to 11.4). Compared with state prisoners, federal prisoners were more likely to be male (98%, P = 0.03), persons arriving in the United States within 5 years of diagnosis (62%, P P = 0.02), whereas local jail inmates were more likely to have a history of substance use (75%, P P CONCLUSIONS: TB incidence in correctional facilities had steadily declined over the last two decades, but has recently leveled out. To promote further reduction in incidence among diverse incarcerated populations, health departments and correctional facilities should strengthen collaboration by conducting TB risk-based assessments.This publication has 19 references indexed in Scilit:
- Screening for Latent Tuberculosis Infection in AdultsJAMA, 2016
- Completion Rate and Side-Effect Profile of Three-Month Isoniazid and Rifapentine Treatment for Latent Tuberculosis Infection in an Urban County JailOpen Forum Infectious Diseases, 2016
- Faculty Opinions recommendation of Recommendations for use of an isoniazid-rifapentine regimen with direct observation to treat latent Mycobacterium tuberculosis infection.Published by H1 Connect ,2012
- Faculty Opinions recommendation of Updated guidelines for the use of nucleic acid amplification tests in the diagnosis of tuberculosis.Published by H1 Connect ,2009
- Reduction in turnaround time for laboratory diagnosis of pulmonary tuberculosis by routine use of a nucleic acid amplification testDiagnostic Microbiology and Infectious Disease, 2005
- Evaluation of an extensive tuberculosis contact investigation in an urban community and jail.2003
- Increased Incidence of the Outbreak Strain of Mycobacterium tuberculosis in the Surrounding Community after an Outbreak in a JailSouthern Medical Journal, 2003
- Tuberculosis Outbreak in a Housing Unit for Human Immunodeficiency Virus--Infected Patients in a Correctional Facility: Transmission Risk Factors and Effective Outbreak ControlClinical Infectious Diseases, 2002
- Tuberculosis outbreaks in prison housing units for HIV-infected inmates--California, 1995-1996.1999
- Outbreak of Multi-Drug-resistant Tuberculosis in a New York State Prison, 1991American Journal of Epidemiology, 1994