Controlling tuberculosis in prisons against confinement conditions: a lost case? Experience from Cameroon
OBJECTIVE: To assess the effectiveness of routine TB control activities in a prison population by determining the prevalence of undetected pulmonary tuberculosis (PTB).
METHODS: In 2009, a PTB case-finding survey was undertaken at the Central Prison of Yaounde (CPY), Cameroon. All prisoners with cough of ≥1 week's duration were screened by sputum smear microscopy. Smears were sent to the national reference laboratory for culture and drug susceptibility testing (DST). Voluntary testing for human immunodeficiency virus (HIV) was offered to all inmates.
RESULTS: Among 3219 inmates screened, 40 (1.2%) identified with PTB had been missed by the prison TB control programme. Missed PTB was positively associated with severe crowding, low body mass index and previous TB treatment. Of the 40 inmates, four (10%) were TB-HIV co-infected. The DST of three inmates revealed resistance to anti-tuberculosis drugs.
CONCLUSION: Despite a well-performing TB control programme in the CPY, the number of undetected PTB cases remains unacceptably high. It is doubtful whether TB transmission can be controlled under conditions of confinement, such as the CPY.
Document Type: Regular Paper
Publication date: 2011-02-01
The International Journal of Tuberculosis and Lung Disease publishes articles on all aspects of lung health, including public health-related issues such as training programmes, cost-benefit analysis, legislation, epidemiology, intervention studies and health systems research. The IJTLD is dedicated to the continuing education of physicians and health personnel and the dissemination of information on tuberculosis and lung health world-wide.
Certain IJTLD articles are selected for translation into French, Spanish, Chinese or Russian. They are available on the Union website
- Editorial Board
- Information for Authors
- Subscribe to this Title
- International Journal of Tuberculosis and Lung Disease
- Public Health Action
- Ingenta Connect is not responsible for the content or availability of external websites