BMED 271 Lecture Notes - Lecture 3: Tomsk Oblast, Kemerovo Oblast, Multi-Drug-Resistant Tuberculosis
Document Summary
Multi-drug resistant tuberculosis within male sibersian prisoners between the ages 15 and. Until the 1990s, soviet authorities kept tuberculosis (tb) under control. Union, falling living standards and sanitation, mass migration and a crumbling health system contributed to a 7. 5% annual increase in new cases from 1991 to 1999. For example, in data from colony 33, a tb referral prison in central siberia, prisoners reside in overcrowded cells containing 30 to 50 persons each. Legally, tb suspects in jails may not be moved to the tb colony unless convicted, so they are kept together next to cells with non-sick persons and no outside ventilation. These jails have no sputum examination capacity and few medical staff. Poor prison conditions contribute to a higher risk of infection, and inmates are drawn disproportionately from social groups most affected by the behavioural and social risks of infection .