Page 23 - Delaware Medical Journal - May 2016
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PUBLIC HEALTH
during their initial physical evaluation, preventive medicine visits, and may request testing at any time by requesting a Sick Call visit.
On average the monthly incidence of the different sexually transmitted disease is: Chlamydia, 11 cases; Gonorrhea, four cases; Trichomonas, 11 cases; Syphilis, two cases; sexually transmitted diseases is based upon CDC recommendations and all cases are reported to the Division of Public Health as required.7
ECTOPARASITES
Ectoparasites are a less frequent but readily
transmitted infection by lice or scabies that may occur
in the prison population.8 While these infestations occur
more commonly in the detainee population, there remains a risk of spread to the general population through common areas that both detainees and sentenced inmates pass through. On average, there are eight offenders per month who require treatment and isolation for treatment of ectoparasites infestation.
METHICILLIN-RESISTANT STAPHYLOCOCCAL INFECTION (MRSA)
Methicillin-Resistant Staphylococcal Infection (MRSA) is considered ubiquitous in the incarcerated population; however, across the state there are only four cases per month reported in wounds.
REFERENCES
1. TB in Correctional Facilities in the United States. Available at: http://www.cdc.gov/tb/topic/populations/correctional/default.htm. Accessed November 22, 2015.
2. State of Delaware Tuberculosis Elimination Program Surveillance Data. Available at: http://www.dhss.delaware.gov/dhss/dph/epi/tbdata2002. html. Accessed November 22, 2015.
3. Targeted tuberculin testing and treatment of latent tuberculosis infection ATS/CDC Statement. Committee on Latent Tuberculosis Infection Membership List. MMWR. 2000;49:1-54.
4. Galletly CL, Pinkerton SD, Petroll AE. CDC recommendations for opt-out testing and reactions to unanticipated HIV diagnoses. AIDS Patient Care STDs. 2008;22:189-193.
SEASONAL INFLUENZA
AND INFLUENZA-LIKE ILLNESS
vaccination to every offender and staff member through a concerted effort each fall and offering vaccination during the
intake screening process of new admissions to the facilities. Offenders do have the right to decline
vaccination and egg-free vaccine is available for those who are allergic to eggs. During the
and reports these numbers to the Bureau of Correctional Healthcare Services and viral
by symptoms and physical examination they are housed in the
as possible.9 Correction has the authority to limit visitors to the facilities to housed in close proximity.
CONTRIBUTING AUTHOR
■ VINCENT F. CARR, DO, FACP is Medical Director of the Delaware Department of Correction.
5. Hepatitis C in Correctional Settings: Challenges and Opportunities. Coalition of Correctional Health Authorities, American Correctional Association, April 2015;Vol. 2;No. 1.
6. Recommendations for Testing, Managing, and Treating Hepatitis C. Available at: http://hcvguidelines.org. Accessed November 29, 2015.
7. Sexually transmitted diseases treatment guidelines, 2015. MMWR. 2015;64;1-137.
8. Clinical Management Advice for Confirmed or Suspected Cases of Parasitic Diseases. Available at: http://www.cdc.gov/parasites/ health_professionals.html. Accessed November 22, 2015.
9. Antiviral agents for the treatment and chemoprophylaxis of influenza: Recommendations of the Advisory Committee on Immunization Practices (ACIP). MMWR. 2011;60:1-24.
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