Challenges and opportunities for the management of infectious diseases in Europes' prisons: evidence-based guidance

Lara Tavoschi*, Éamonn O'Moore, Dagmar Hedrich

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    8 Citations (Scopus)

    Abstract

    People in prison have multiple complex health and social care needs. These are likely to be the result of a combination of overlapping, and sometimes interlinked, risk factors for infection, ill-health, and incarceration, such as problem drug use. Incarceration can represent a unique opportunity to make high-quality health care available to people in prison and to target socially deprived groups who are often medically underserved when living in the community they originate from. In recent years, international and European institutions have increasingly acknowledged the importance of treating prison health as an inseparable component of public health. However, numerous challenges hamper the successful implementation of such a concept, including the need for evidence-based decision making, intersectoral partnerships, and better monitoring systems. New initiatives are ongoing in the EU that might contribute to bring about positive changes, such as the publication of the first evidence-based public health guidance on prevention and control of communicable diseases in prison settings.

    Original languageEnglish
    Pages (from-to)e253-e258
    JournalThe Lancet Infectious Diseases
    Volume19
    Issue number7
    DOIs
    Publication statusPublished - Jul 2019

    Bibliographical note

    Funding Information:
    The authors would like to acknowledge for their invaluable inputs the members of the guidance and scientific panel: Barbara Janíková, Viktor Mravcik (Czech Republic); Fadi Meroueh, Laurent Michel (France); Heino Stöver, Ruth Zimmermann (Germany); Roberto Ranieri (Italy); Teresa Gallardo, Rui Morgado (Portugal); Lucia Mihailescu (Romania); Jose-Manuel Royo (Spain); Hans Wolff (Switzerland); Sharon Hutchinson (UK); Jan Malinowski (Council of Europe); Ehab Salah (United Nations Office on Drugs and Crime); and the members of the guidance development project team: Giordano Madeddu, Roberto Monarca, Anouk Oordt-Speets, Marije Vonk Noordegraaf-Schouten, Hilde Vroling The authors are grateful to all those colleagues that contributed to the work but could not be listed here. The European Centre for Disease Prevention and Control and the European Monitoring Centre for Drugs and Drug Addiction European guidance on the prevention of communicable diseases in the prison setting was funded by the European Centre for Disease Prevention and Control and the European Monitoring Centre for Drugs and Drug Addiction (framework contract number ECDC/2015/028; specific contract numbers ECD.5855 and EMC.12189). LT conceived the idea of the manuscript. All authors equally contributed to the drafting. All authors reviewed and approved the final version.

    Publisher Copyright:
    © 2019 Elsevier Ltd

    Fingerprint

    Dive into the research topics of 'Challenges and opportunities for the management of infectious diseases in Europes' prisons: evidence-based guidance'. Together they form a unique fingerprint.

    Cite this