Search Results (6)

Drug-resistant tuberculosis (DR-TB) represents a major public health threat, particularly in the prisons of Latin America and the Caribbean, where rates are up to 40 times higher than those observed in the general population. These facilities act as community amplifiers due to overcrowding, poor ventilation, diagnostic delays, and treatment discontinuity. This study offers a critical reflection on the magnitude, determinants, and implications of DR-TB in regional penitentiary contexts. A reflective analytical review was conducted in PubMed, Scopus, Web of Science, SciELO, and LILACS, complemented by WHO and PAHO reports, prioritising studies from 2019 to 2024. The findings reveal MDR-TB and pre-extensively drug-resistant (pre-XDR) outbreaks in Peru, Paraguay, and the Dominican Republic, as well as community transmission linked to prisons in Brazil and Colombia. Persistent gaps remain in systematic screening, drug susceptibility testing coverage, and post-release follow-up. Scientific production continues to be uneven and predominantly biomedical, with limited consideration of social and human rights determinants. DR-TB in prisons reflects the structural deficiencies of health and justice systems; its control requires intersectoral policies, genomic surveillance, and strategies that ensure early diagnosis, treatment continuity, and dignified detention conditions. Full article

Religious freedom and the right to practice a religion by persons deprived of their liberty do not cause controversy in democratic states. The challenge, not easily met, is to exercise guaranteed religious rights in penitentiary facilities. This study aimed to compare legal regulations and the level of protection of religious freedom that they impose with the real possibility of the voluntary performance of religious practices. In other words, this study sought to answer the question of whether prisoners in Polish penitentiary facilities are free to practise the religion of their choice and are not forced to participate in religious practices against their will. This article presents the general results of a survey on religious practices carried out in the Polish penitentiary facilities that were examined. The data were supplemented by prisoners’ comments about freedom to practice religion. This article includes the comments of both believers (assessing the availability of practices) and non-believers (assessing the compulsion to participate in the practices of the dominant religion). Opinions about practising a religion given by the penitentiary staff will serve as a specific counterpoint. The presented study results allowed the formulation of basic conclusions of a general nature, which can contribute to further discussions on religious freedom in post-criminal isolation units. The survey was carried out from March to October 2022 based on a prepared questionnaire. It was completed by 556 prisoners, including 34 females and 444 males (68 respondents did not indicate their gender). In total, prisoners incarcerated in 35 penitentiary facilities located throughout Poland were surveyed. Simultaneously, a survey was carried out among educators and teachers in all the above penitentiary facilities, who completed, in total, 164 questionnaires. An analysis of the replies to the questions and the free comments of all the respondents and their comparison with the current regulations make it possible to conclude that Poland—on a constitutional and statutory level—adequately safeguards prisoners’ religious rights, but their practical application must be assessed as unsatisfactory. Prisoners do not always have the possibility to observe rites or manifest their religion. Problems are encountered by both followers of the strongly dominant religion in Poland (Roman Catholicism) and minority denominations. Despite the reported difficulties, Roman Catholics are indisputably in a much more favourable position. Freedom from religion is also not fully respected—prisoners involuntarily participate in certain practices and take part in the religious observance of church festivals. Full article

The renewed growth of immersive “faith-unit” programs operating inside U.S. maximum-security prisons has brought with it a heightened emphasis on the practice of religion in correctional settings. Modeled from a prototype Christian seminary planted inside Louisiana State Penitentiary Angola, newer programs utilize outside religious educators for the credentialing of inmates into work assignments on behalf of prisons. As resource-challenged wardens deploy religiously credentialed inmates for leading new forms of prison ministry inside state facilities, research has not kept pace with the rapid growth of programs. Based on previous research, this article offers a retrospective account of the establishment of “offender ministries” at the Angola prison seminary planted at Louisiana State Penitentiary in 1994. While correctional leaders are obliged to accommodate the diverse religious identities of prisoners, private sponsors of immersive religious programs must balance doctrinal fealty with religious pluralism. Drawing from fieldnotes and on-site interviews in previous research, lessons from the history of Angola’s ecumenical prison seminary and “inmate ministry” programs are discussed while strengths and weaknesses are also highlighted. Full article

Aim: The aim of the study was to assess the access of prisoners to healthcare services, as well as the level of satisfaction with the provided services and health assessment among prisoners. Methods: The research was conducted in one of the penitentiary centers in Poland among people jailed between 1 January to 31 January 2020. The response rate of the self-administrated questionnaire was 52.05% (469/901) participants. There were 389 men and 77 women. Results: Prisoners assessed access to health services including GP doctors, specialist doctors, dentists, and hospitals in 3 categories: “bad” ranged: 27.03–67.60%; “medium” ranged: 22.54–53.57%; “good” ranged: 7.02–33.96% depending on the type of arrest, but no statistical significance was demonstrated. Satisfaction with the health services defined as “bad” ranged: 25.00–61.11%; “medium” ranged: 18.97–55.56%; “good” ranged: 5.56–34.62% depending on the type of arrest but no statistical significance was demonstrated. Of 469 prisoners, 215 prisoners (45.84%) declared no addictions. The frequency of addiction does not differ depending on the place/type of punishment served (p = 0.9). In turn, 317 prisoners (68%) declared no chronic diseases. Conclusions: Most of the prisoners described access to health services as “bad”, except female prisoners from a semi-open facility. In turn, satisfaction with healthcare services was most often assessed as “bad”, except for temporarily arrested men and female prisoners from a semi-open facility. Full article

Latent Mycobacterium tuberculosis infection (LTBI) and active tuberculosis in prisoners are higher than the general population and are two public health concerns, especially in low- and middle-income countries. We conducted a cross-sectional study to determine the prevalence and the factors associated with LTBI among the inmate population detained in three Southern Italian penitentiaries. Tuberculin intradermal reaction skin test was performed on the inmates who agreed to participate in the study. In case of positivity, the QuantiFERON-TB test was performed. In those positive to QuantiFERON, chest X-ray films were performed, and treatment initiated. A total of 381 inmates accepted to participate. The prevalence of LTBI was 4.2%. In the analysis, LTBI was associated with no self-reported contact with active tuberculosis patients within the prisons, and 10% of subjects admitted the use of inhaled drugs. No HIV coinfections were found. No cases of active symptomatic tuberculosis were identified during the study period. Our results confirm that incarceration increases the risk of tuberculous infection. Non-EU nationality and a history of drug addiction appear to be major risk factors for tuberculosis infection in the penitentiary setting. Reinforcing tuberculosis control is essential to prevent its transmission in prisons. Full article

(1) Background: The emergency linked to the spread of COVID-19 in Italy has led to inevitable consequences on the penitentiary system. The risks of this emergency in prisons is mainly related to the problem of persistent overcrowding that makes social distancing difficult and the isolation of any contagion hard to arrange. The Department of Protection for Adults and Minors of the ASL Salerno Criminal Area has taken steps in order to perform screening operations and minimize the risks for prisoners and operators. (2) Methods: We conducted a two-phase observational study. In the first phase, we offered and then executed serum COVID-19 screening to all the convicted inmates. For those who had a doubtful or positive result, a swab was executed in the shortest time possible. In the second phase, a pharyngeal swab was offered and executed to all the police officers, the penitentiary administrative staff and the medical personnel working in the prison. (3) Results: In the first phase, we executed 485 COVID-19 blood tests on prisoners, 3 (0.61%) of which were positive. The three positive inmates underwent nasopharyngeal swabbing, which ultimately were negative. After that, we executed 276 nasopharyngeal swabs on the prison personnel, penitentiary administrative staff and medical personnel—all were negative. (4) Conclusion: All tests (blood tests and swabs) that were carried out on the prisoners and on the staff were negative for COVID-19. We believe that all prisons in Italy and in the world should take action to ensure preventive and control measures in order to safeguard the health of the prison population and of all the people who work there. Full article