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Prisoners’ health
By :Azza soliman
soliman
Under supervision of
Prof Dr. Mona Aboserea
Prisons’ healthcare
is the medical specialty in
which healthcare providers
care for people in prisons
and jails.
Why prisoner health
International law recognizes the right of everyone,
including people deprived of their liberty, to the
enjoyment of the highest attainable standard of
physical and mental health.
Many prisoners receive healthcare far inferior
standard to that available outside in the community.
Prisoners with existing healthcare conditions may
have their health needs ignored or neglected.
Risk factors affecting prisoners’
health:
Unhealthy and unhygienic prison environment
Over crowding
Bad nutrition
Poor control of infectious diseases.
Limited access to health care resulting in delay diagnosis and
treatment
Risky behavior (drug abuse, unprotected sex, needle-sharing
among injecting drug users, tattooing and piercing)
Preexisting medical problem
Common health problems
among prisoners:
I-Infectious diseases
Measles, mumps and rubella
Viral hepatitis (A, B,C)
Tetanus: contamination of wounds
Diphtheria
TB: 81 81 times higher in prisons than among the general population
HIV
Influenza: may cause out breaks
Ecto-parasites: scabies, lice
Methicillin resistant staph.
Sexual transmitted diseases
II-Mental health problem
Depression,
suicide especially among adolescence and young
age
Violence
For women
reproductive health problems
pre- and post-natal healthcare
III-Non communicable diseases:
Pre existing
Newly developed due to risk factors
(smoking, physical inactivity, nutrition)
Dental problem
How to improve prisoner health?
A)Primary prevention
1. Regular access to toilets, water, soap and clean
laundry.
2. Sanitary waste disposal
3. Sanitary water supply
4. Prober nutrition
5. Insect control
How to improve prisoners’
health?
Health education to all prisoners
about:
The importance of personal hygiene
The importance of wound care
Universal precautions against blood
borne viruses
Vaccination
Seasonal influenza All prisoners or risk groups (October–
December)
Tetanus/diphtheria All incoming prisoners without a
reliable vaccination history
Measles, mumps,
rubella
All incoming prisoners without a
reliable vaccination history and women
of childbearing
Hepatitis A All incoming non-immune prisoners
Hepatitis B All incoming prisoners without a
reliable vaccination history
Pneumococcal Age > 65 years old
B) Secondary prevention:
Equal access to health care
Early diagnosis and treatment
Care of prisoners with non-communicable
diseases
Diagnosis and treatment on mental health
problems
Screening
HIV,
TB,
non-communicable
C) Tertiary prevention:
Treatment of complication and rehabilitation
THANK YOU

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Prisoners' health

  • 1. Prisoners’ health By :Azza soliman soliman Under supervision of Prof Dr. Mona Aboserea
  • 2. Prisons’ healthcare is the medical specialty in which healthcare providers care for people in prisons and jails.
  • 3. Why prisoner health International law recognizes the right of everyone, including people deprived of their liberty, to the enjoyment of the highest attainable standard of physical and mental health. Many prisoners receive healthcare far inferior standard to that available outside in the community. Prisoners with existing healthcare conditions may have their health needs ignored or neglected.
  • 4. Risk factors affecting prisoners’ health: Unhealthy and unhygienic prison environment Over crowding Bad nutrition Poor control of infectious diseases. Limited access to health care resulting in delay diagnosis and treatment Risky behavior (drug abuse, unprotected sex, needle-sharing among injecting drug users, tattooing and piercing) Preexisting medical problem
  • 5. Common health problems among prisoners: I-Infectious diseases Measles, mumps and rubella Viral hepatitis (A, B,C) Tetanus: contamination of wounds Diphtheria TB: 81 81 times higher in prisons than among the general population HIV Influenza: may cause out breaks
  • 6. Ecto-parasites: scabies, lice Methicillin resistant staph. Sexual transmitted diseases
  • 7. II-Mental health problem Depression, suicide especially among adolescence and young age Violence
  • 8. For women reproductive health problems pre- and post-natal healthcare
  • 9. III-Non communicable diseases: Pre existing Newly developed due to risk factors (smoking, physical inactivity, nutrition) Dental problem
  • 10. How to improve prisoner health? A)Primary prevention 1. Regular access to toilets, water, soap and clean laundry. 2. Sanitary waste disposal 3. Sanitary water supply 4. Prober nutrition 5. Insect control
  • 11. How to improve prisoners’ health? Health education to all prisoners about: The importance of personal hygiene The importance of wound care Universal precautions against blood borne viruses
  • 12. Vaccination Seasonal influenza All prisoners or risk groups (October– December) Tetanus/diphtheria All incoming prisoners without a reliable vaccination history Measles, mumps, rubella All incoming prisoners without a reliable vaccination history and women of childbearing Hepatitis A All incoming non-immune prisoners Hepatitis B All incoming prisoners without a reliable vaccination history Pneumococcal Age > 65 years old
  • 13. B) Secondary prevention: Equal access to health care Early diagnosis and treatment Care of prisoners with non-communicable diseases Diagnosis and treatment on mental health problems
  • 15. C) Tertiary prevention: Treatment of complication and rehabilitation