Tuberculosis in a prison population in Mwanza, Tanzania (1994–1997)
Abstract:SETTING: Bugando Medical Centre, a referral consultant hospital in the lake zone to which all inmates from Butimba prison are admitted and treated.
OBJECTIVE: To determine the extent of open (smear-positive) tuberculosis and other types of tuberculosis among prisoners with tuberculosis.
DESIGN: A retrospective cohort study. Case notes of 501 prisoners from January 1994 to December 1997 were retrieved and reviewed.
RESULTS: The proportion of open tuberculosis in this study was high, with 204 prisoners (40.7%) having smear-positive tuberculosis. Co-infection was recorded in the majority of patients; HIV/AIDS was recorded in 25.9% of cases. The mean length of imprisonment at the time of diagnosis was 19 months.
CONCLUSION: The proportion of open, smear-positive tuberculosis among prisoners admitted with tuberculosis is high. Intervention measures specifically targeting this population are urgently needed in order to contain tuberculosis disease in the prison population.
Document Type: Regular Paper
Affiliations: 1: Department of Community Health, Bugando Medical Centre, Mwanza, Tanzania 2: Bugando Medical Centre, Mwanza, Tanzania and Department of Community Health, University of Calgary, Calgary, Alberta, Canada 3: Muhimbi Medical Centre, Dar es Salaam, Tanzania and Centre for International Health, University of Bergen, Norway
Publication date: August 1, 2001
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