Tuberculosis in the Prisons in the Republic of Macedonia, 2008-2017

  • Biljana Ilievska-Poposka Institute for Lung Diseases and Tuberculosis, Skopje
  • Maja Zakoska Institute for Lung Diseases and Tuberculosis, Skopje
  • Karolina Pilovska-Spasovska Institute for Lung Diseases and Tuberculosis, Skopje
  • Ljiljana Simonovska Institute for Lung Diseases and Tuberculosis, Skopje
  • Vladimir Mitreski Institute for Lung Diseases and Tuberculosis, Skopje
Keywords: Tuberculosis (TB), prisons, prevalence

Abstract

BACKGROUND: Tuberculosis (TB) is a major health problem in penitentiary institutions (prisons), and its prevalence was reported to be multiple times higher compared to that of the general population. Conditions such as overcrowding, malnutrition and limited access to medical care which often exist in prisons increase the risk of reactivation, transmission and poor prognosis of tuberculosis disease among inmates.

AIM: The main objective of this study was to present the epidemiological situation of TB in the prisons from 2008 till 2017 in the Republic of Macedonia (RM).

PATIENTS AND METHODS: There are 13 different penitentiary institutions in the RM with a total capacity to house 2600 prisons inmates. Management of TB in the prisons is part of the National TB program in RM, and the Institute for Lung Diseases and Tuberculosis in Skopje is in charge of it. All prisoners with TB in the RM are registered in the Central Register for TB within this Institute. We use the data from the Central Register, and with the method of description, we present the epidemiological data and clinical characteristics of the prisoners about TB in prisons in RM for 10 years’ period.

RESULTS: From 2008 till 2017 there were 58 TB cases registered in prisons in total. The absolute number of TB cases in the prisons is not big, but the incidence rate is higher than 100/100,000 population, or several times bigger than in the general population (except in 2012 and 2016). In 2017 there were 10 TB cases registered in the prisons with an incidence rate of 323.9/100,000 population which is many times higher than in the general population in RM. The majority of inmates with TB were young men with risk factors for TB infection or TB disease before incarceration such as drug abuse, alcohol, smoking, but there was no association with HIV infection. The most of the patients diagnosed in prison were new cases (54), secondary TB due to reactivation from the latent TB infection or secondary TB due to the environment. From 2008-2017 there were 82.75% successfully treated TB cases in the prisons, and there were no cases of multi-drug resistant tuberculosis (MDR-TB).

CONCLUSION: The results from our study showed that the TB control in the prisons in RM is good with satisfactory treatment outcome. On the other hand, the high incidence rate showed that the prisons in RM provide conditions for TB transmission and with other additional risk factors present place for high TB prevalence. The study findings can be used for planning more effective TB control interventions for the prison population in RM.

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References

World Health Organization. Tuberculosis in prisons. Geneva, Switzerland: WHO. http://www.who.int/tb/challenges/prisons/ story_1/en/index.html Accessed February 2011.

Reyes H, Coninx R. Pitfalls of tuberculosis programmes in prisons. BMJ. 1997; 315:1447–1450. https://doi.org/10.1136/bmj.315.7120.1447 PMid:9418098 PMCid:PMC2127886

Habeenzu C, Mitarai S, Lubasi D, Mudenda V, Kantenga T, Mwansa J, et al. Tuberculosis and multidrug resistance in Zambian prisons, 2000–2001. Int J Tuberc Lung Dis. 2007; 11:1216–1220. PMid:17958984

Baussano I, Williams BG, Nunn P, Beggiato M, Fedeli U, Scano F. Tuberculosis Incidence in Prisons: A Systematic Review. PLoS Med. 2010; 7(12):e1000381. https://doi.org/10.1371/journal.pmed.1000381 PMid:21203587 PMCid:PMC3006353

Sacchi FPC, Praca RM, Tatara MB, Simosen V, Ferrazoli L, Croda MG. Prisons as reservoir for community transmission of tuberculosis, Brazil. Emerg Infect Dis. 2015; 21:452–5. https://doi.org/10.3201/eid2103.140896 PMid:25642998 PMCid:PMC4344267

Tuberculosis in prisons: a growing public health challenge. USAID, 2013.

Niveau G. Prevention of infectious disease transmission in correctional settings: a review. Public Health. 2006; 120:33–41. https://doi.org/10.1016/j.puhe.2005.03.017 PMid:16129465

Central Register for tuberculosis. Institute for lung diseases and tuberculosis, Macedonia.

Systematic Screening for Active Tuberculosis: Principles and Recommendations. Geneva: World Health Organization. 2, Definition of screening for active TB in risk groups, 2013.

Aerts A, Hauer B, Wanlin M, Veen J. Tuberculosis and tuberculosis control in European prisons. Int J Tuberc Lung Dis. 2006; 10:1215-1223. PMid:17131779

Jittimanee SX, Ngamtrairai N, White MC, Jittimanee S. A prevalence survey for smear-positive tuberculosis in Thai prisons. Int J Tuberc Lung Dis. 2007; 11:556-561. PMid:17439681

Chiang CY, Hsu CJ, Hsu PK, Suo J, Lin TP. Pulmonary tuberculosis in the Taiwanese prison population. J Formos Med Assoc. 2002; 101:537-541. PMid:12440082

Banu S, Hossain A, Uddin MK, Uddin MR, Ahmed T, Khatun R, et al. Pulmonary tuberculosis and drug resistance in Dhaka central jail, the largest prison in Bangladesh. PLoS One. 2010; 5:e10759. https://doi.org/10.1371/journal.pone.0010759 PMid:20505826 PMCid:PMC2874010

United Nations. Millennium Development Goals Indicators. The official United Nations site for the MDG Indicators. Available at: http://mdgs.un.org/undsd/mdg/SeriesDetail.aspx?srid=617 (accessed June 11, 2014).

Abebe D.S, Bjune G, Ameni G, Biffa D, Abebe F. Prevalence of pulmonary tuberculosis and associated risk factors in Eastern Ethiopian prisons. Int J Tuberc Lung Dis. 2011; 15:668-673. https://doi.org/10.5588/ijtld.10.0363 PMid:21756520

Henostroza G, Topp SM, Hatwiinda S, Maggard KR, Phiri W, Harris J B, Krüüner A, Kapata N, Ayles H, Chileshe C, Reid SE. The High Burden of Tuberculosis (TB) and Human Immunodeficiency Virus (HIV) in a Large Zambian Prison: A Public Health Alert. Plos. 2013; 2013. PMCid:PMC3743881

Bellad AA, Naik VA, Mallapur VD. Morbidity Pattern Among Prisoners of Central Jail, Hindalga, Belgaum Karnataka. Indian J Community Med. 2007; 32-307. https://doi.org/10.4103/0970-0218.37707

Dara M, Chadha SS, Vinkeles Melchers NV, et al. Time to act to prevent and control tuberculosis among inmates. Int J Tuberc Lung Dis. 2013; 17:4–5. https://doi.org/10.5588/ijtld.12.0909 PMid:23231999

Vinkeles Melchers NV, van Elsland SL, Lange JM, Borgdorff MW, van den Hombergh J. State of affairs of tuberculosis in prison facilities: a systematic review of screening practices and recommendations for best TB control. PLoS One. 2013; 8:e53644. https://doi.org/10.1371/journal.pone.0053644 PMid:23372662 PMCid:PMC3556085

Abrahão RM, Nogueira PA, Malucelli MI. Tuberculosis in county jail prisoners in the western sector of the city of São Paulo, Brazil. Int J Tuberc Lung Dis. 2006; 10:203-208. PMid:16499262

Bick JA. Infection control in jails and prisons. Clin Infect Dis. 2007; 45:1047-1055. https://doi.org/10.1086/521910 PMid:17879924

Baussano I, Williams BG, Nunn P, Beggiato M, Fedeli U, and Scano F. Tuberculosis Incidence in Prisons: A Systematic Review. PLoS Med. 2010; 7(12): e1000381. https://doi.org/10.1371/journal.pmed.1000381 PMid:21203587 PMCid:PMC3006353

United Nations Office on Drugs and Crime, WHO Europe. Good governance for prison health in the 21 st century. A policy brief on the organization of prison health. Copenhagen: WHO Regional Office for Europe, 2013.

Sanchez A, Larouzé B, Espinola A.B, Pires J, Capone D, Gerhardt G, et al. Screening for tuberculosis on admission to highly endemic prisons? The case of Rio de Janeiro State prisons. Int J Tuberc Lung Dis. 2009; 13:1247-1252. PMid:19793429

O'Grady J, Hoelscher M, Atun R, Betes M, Mwaba P, Kapata N, et al. Tuberculosis in prisons in sub-Saharan Africa - the need for improved health. Tuberculosis. 2011; 91(2):173–178. https://doi.org/10.1016/j.tube.2010.12.002 PMid:21251881

Published
2018-06-22
How to Cite
1.
Ilievska-Poposka B, Zakoska M, Pilovska-Spasovska K, Simonovska L, Mitreski V. Tuberculosis in the Prisons in the Republic of Macedonia, 2008-2017. Open Access Maced J Med Sci [Internet]. 2018Jun.22 [cited 2020Nov.27];6(7):1300-4. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2018.281
Section
E - Public Health