The escalating tuberculosis crisis in central and South American prisons.

Autor:	Walter KS; Division of Infectious Diseases & Geographic Medicine, School of Medicine, Stanford University, Stanford, CA, USA. Electronic address: kwalter@stanford.edu., Martinez L; Division of Infectious Diseases & Geographic Medicine, School of Medicine, Stanford University, Stanford, CA, USA., Arakaki-Sanchez D; Ministry of Health of Brazil, Brasília, Brazil., Sequera VG; ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Department of Health Surveillance, Asunción, Paraguay., Estigarribia Sanabria G; Instituto Regional de Investigación en Salud, Universidad Nacional de Caaguazú, Coronel Oviedo, Paraguay., Cohen T; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA., Ko AI; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA; Oswaldo Cruz Foundation, Salvador, Brazil., García-Basteiro AL; ISGlobal, Hospital Clínic, Universitat de Barcelona, Barcelona, Spain; Centro de Investigação em Saude de Manhiça (CISM), Maputo, Mozambique., Rueda ZV; Universidad Pontificia Bolivariana, Medellín, Colombia; University of Manitoba, Winnipeg, Canada., López-Olarte RA; Pan American Health Organization, Communicable Diseases and Environmental Determinants of Health, Washington, DC, USA., Espinal MA; Pan American Health Organization, Communicable Diseases and Environmental Determinants of Health, Washington, DC, USA., Croda J; Department of Epidemiology of Microbial Diseases, Yale School of Public Health, New Haven, CT, USA; School of Medicine, Federal University of Mato Grosso do Sul, Campo Grande, Brazil; Oswaldo Cruz Foundation, Mato Grosso do Sul, Brazil., Andrews JR; Division of Infectious Diseases & Geographic Medicine, School of Medicine, Stanford University, Stanford, CA, USA.
Jazyk:	angličtina
Zdroj:	Lancet (London, England) [Lancet] 2021 Apr 24; Vol. 397 (10284), pp. 1591-1596. Date of Electronic Publication: 2021 Apr 08.
DOI:	10.1016/S0140-6736(20)32578-2
Abstrakt:	In the past decade, tuberculosis incidence has declined in much of the world, but has risen in central and South America. It is not yet clear what is driving this reversal of progress in tuberculosis control. Since 2000, the incarcerated population in central and South America has grown by 206%, the greatest increase in the world. Over the same period, notified tuberculosis cases among the incarcerated population (hereinafter termed persons deprived of their liberty [PDL], following the Inter-American Commission on Human Rights) have risen by 269%. In both central and South America, the rise of disease among PDL more than offsets tuberculosis control gains in the general population. Tuberculosis is increasingly concentrated among PDL; currently, 11% of all notified tuberculosis cases in central and South America occur among PDL who comprise less than 1% of the population. The extraordinarily high risk of acquiring tuberculosis within prisons creates a health and human rights crisis for PDL that also undermines wider tuberculosis control efforts. Controlling tuberculosis in this region will require countries to take urgent measures to prioritise the health of PDL. Competing Interests: Declaration of interests RAL-O serves as Tuberculosis Prevention, Control and Elimination Advisor at the HIV, Hepatitis, Tuberculosis and Sexually Transmitted Infections Unit of the PAHO. MAE is Director of the Department of Communicable Diseases and Environmental Determinants of Health at the PAHO. All other authors declare no competing interests. (Copyright © 2021 Elsevier Ltd. All rights reserved.)
Databáze:	MEDLINE
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