prisoners health

1. Prisoners’ health
By :Azza soliman
soliman
Under supervision of
Prof Dr. Mona Aboserea

2. Prisons’ healthcare
is the medical specialty in
which healthcare providers
care for people in prisons
and jails.

3. Why prisoner health
International law recognizes the right of everyone,
including people deprived of their liberty, to the
enjoyment of the highest attainable standard of
physical and mental health.
Many prisoners receive healthcare far inferior
standard to that available outside in the community.
Prisoners with existing healthcare conditions may
have their health needs ignored or neglected.

4. Risk factors affecting prisoners’
health:
Unhealthy and unhygienic prison environment
Over crowding
Bad nutrition
Poor control of infectious diseases.
Limited access to health care resulting in delay diagnosis and
treatment
Risky behavior (drug abuse, unprotected sex, needle-sharing
among injecting drug users, tattooing and piercing)
Preexisting medical problem

5. Common health problems
among prisoners:
I-Infectious diseases
Measles, mumps and rubella
Viral hepatitis (A, B,C)
Tetanus: contamination of wounds
Diphtheria
TB: 81 81 times higher in prisons than among the general population
HIV
Influenza: may cause out breaks

6. Ecto-parasites: scabies, lice
Methicillin resistant staph.
Sexual transmitted diseases

7. II-Mental health problem
Depression,
suicide especially among adolescence and young
age
Violence

8. For women
reproductive health problems
pre- and post-natal healthcare

9. III-Non communicable diseases:
Pre existing
Newly developed due to risk factors
(smoking, physical inactivity, nutrition)
Dental problem

10. How to improve prisoner health?
A)Primary prevention
1. Regular access to toilets, water, soap and clean
laundry.
2. Sanitary waste disposal
3. Sanitary water supply
4. Prober nutrition
5. Insect control

11. How to improve prisoners’
health?
Health education to all prisoners
about:
The importance of personal hygiene
The importance of wound care
Universal precautions against blood
borne viruses

12. Vaccination
Seasonal influenza All prisoners or risk groups (October–
December)
Tetanus/diphtheria All incoming prisoners without a
reliable vaccination history
Measles, mumps,
rubella
All incoming prisoners without a
reliable vaccination history and women
of childbearing
Hepatitis A All incoming non-immune prisoners
Hepatitis B All incoming prisoners without a
reliable vaccination history
Pneumococcal Age > 65 years old

13. B) Secondary prevention:
Equal access to health care
Early diagnosis and treatment
Care of prisoners with non-communicable
diseases
Diagnosis and treatment on mental health
problems

14. Screening
HIV,
TB,
non-communicable

15. C) Tertiary prevention:
Treatment of complication and rehabilitation

16. THANK YOU