Prisoners' health

Prisoners' health

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  Prisoners’ health By :Azzasoliman soliman Under supervision of Prof Dr. Mona Aboserea
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  Prisons’ healthcare is themedical specialty in which healthcare providers care for people in prisons and jails.
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  Why prisoner health Internationallaw 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.
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  Risk factors affectingprisoners’ 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
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  Common health problems amongprisoners: 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
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  Ecto-parasites: scabies, lice Methicillinresistant staph. Sexual transmitted diseases
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  II-Mental health problem Depression, suicideespecially among adolescence and young age Violence
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  For women reproductive healthproblems pre- and post-natal healthcare
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  III-Non communicable diseases: Preexisting Newly developed due to risk factors (smoking, physical inactivity, nutrition) Dental problem
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  How to improveprisoner 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
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  How to improveprisoners’ health? Health education to all prisoners about: The importance of personal hygiene The importance of wound care Universal precautions against blood borne viruses
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  Vaccination Seasonal influenza Allprisoners 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
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  B) Secondary prevention: Equalaccess to health care Early diagnosis and treatment Care of prisoners with non-communicable diseases Diagnosis and treatment on mental health problems
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  Screening HIV, TB, non-communicable
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  C) Tertiary prevention: Treatmentof complication and rehabilitation
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  THANK YOU