1. THE MAIN PROBLEMS OF CONTROL OF INFECTIOUS DISEASES IN PRISONS SYSTEM OF LITHUANIA
BIRUTE SEMENAITE,
MEDICAL DIVISION OF THE PRISON DEPARTMENT
AT THE MINISTRY OF JUSTICE OF LITHUANIA
13-14 February 2007, Oslo

2. LITHUANIAN PRISONS. BACKGROUND:
14 INSTITUTIONS IN LITHUANIA (ONE FOR PRISONERS WITH ACTIVE TUBERCULOSIS) AND CENTRAL HOSPITAL WITH A UNIT FOR PATIENS WITH TUBERCULOSIS AND CONSULTING-ROOM FOR HIV/AIDS PROPHYLAXIS AND TREATMENT.
PRISON POPULATION ON WAS ; OVERAGE NUMBER OF PRISONERS IN 2005 WAS
THE INCIDENCE OF INFECTIOUS DISEASES IN THE PENITENTIARY SYSTEM REFLECTS THE OVERAL SITUATION IN LITHUANIA.

3. NUMBER OF PRISONERS (1999-2006)

4. DRUG USE IN PRISONS SYSTEM OF LITHUANIA

5. NUMBER OF DRUG USERS IN PRISONS OF LITHUANIA (abs. No.)

6. DRUG USE IN PRISONS OF LITHUANIA (%)

7. Decrease of drug supply in prison
Foundation of drug rehabilitation and prevention centers in all correction houses
Cooperation with state institutions and NGOs
Availability of education for prison staff and inmates
Individual counseling of inmates

8. SURVEY
OF HIV INFECTION
IN PRISONS OF
LITHUANIA

9. EPIDEMIOLOGY OF INFECTIONS DISEASES: DETECTION OF HIV IN PRISONS SYSTEM OF LITHUANIA

10. CHRONOLOGY OF HIV AND MEASURES TAKEN IN PRISONS OF LITHUANIA
2003 May – HIV/AIDS Counseling Center established in Central Prison Hospital
2003 – Local Zone cancelled
2002 – HIV outbreak in Alytus
opening of the Local Zone
1997 – several persons with HIV positive.
Problem of their accommodation during their term of imprisonment
1992 – the first HIV infected person

11. EPIDEMIOLOGY OF INFECTIONS DISEASES: NUMBER OF HIV INFECTED PRISONERS
About 66 per cent HIV infected persons
served their term in prison

12. 1 May 2003 Establishment of HIV/AIDS Prophylaxis and Treatment Center in Central Prison Hospital
Its functions:
Health care of persons with HIV/AIDS
Counseling before and after testing for HIV
Educational activities
Implementation of prevention measures in prison
Follow-up care of HIV infected and persons with AIDS

13. Prospects growing number of persons with HIV
growing number of persons with AIDS
growing expenditures for personal healthcare of these patients
growing expenditures for treatment of diseases accompanying AIDS
expenditures for treatment of AIDS
increase of mortality in prison

14. SURVEY
OF TUBERCULOSIS
IN PRISONS OF
LITHUANIA

15. EPIDEMIOLOGY OF INFECTIONS DISEASES: NUMBER OF NEW CASES OF TUBERCULOSIS REGISTERED IN PRISONS OF LITHUANIA BY YEAR

16. RATE OF INCIDENCE OF TUBERCULOSIS AMONG DETAINEES AND CONVICTS (%)

17. INCIDENCE OF PULMONARY TUBERCULOSIS IN PRISONS OF LITHUANIA (new cases, abs.n.)

18. PRIMARY DRUG RESISTANCE (% )

19. RESULTS OF TREATMENT OF PULMONARY TUBERCULOSIS IN PENITENTIARY INSTITUTIONS OF LITHUANIA IN 2004

20. CONCLUSIONS (1)
THE INCIDENCE OF TUBERCULOSIS IN PRISONS OF LITHUANIA WAS STABILIZED AND THERE IS A TENDENCY OF DECREASE IN THE LAST YEAR. THOUGH THE PROBLEM IS STILL VERY ACCUTE.
THE RATE OF INCIDENCE OF TUBERCULOSIS IN PRISONS IS A REFLECTION OF TUBERCULOSIS INCIDENCE RATE WITHIN THE COMMUNITY OUTSIDE PRISON.
THE BEST PREVENTION OF
TUBERCULOSIS IS EARLY DETECTION OF
CASES AND PROPER TREATMENT ACCORDING TO DOTS.

21. CONCLUSION (2)
IT IS NECESSARY TO ESTABLISH CLOSER RELATIONSHIP BETWEEN PRISONS AND THE PUBLIC HEALTH SYSTEM IN ORDER TO ACHIEVE BETTER RESULTS IN THE TUBERCULOSIS TREATMENT AND TO DECREASE THE INCIDENCE OF TUBERCULOSIS ASWELL AS THE SECONDARY DRUG RESISTANCE IN THE CASES OF THE INTERRUPTED TREATMENT

22. CONCLUSIONS (3)
TUBERCULOSIS CONTROL IN THE FACE OF THE SPREADING OF HIV INFECTION REQUIRES THE FOLLOWING RESPONSE:
- IMPROVEMENT OF CO-ORDINATION
AND COOPERATION BETWEEN
TUBERCULOSIS CONTROL SERVICES AND
HIV/AIDS SERVICES
- STRENGTHENING OF TUBERCULOSIS
CONTROL SERVICES:THE NEED TO FOCUS
ON THE IDENTIFICATION AND CURE OF
INFECTIOUS TUBERCULOSIS PATIENTS.

23. THANK YOU !