scholarly journals California’s Prisoner Protections for Family and Community Health Act

2020 ◽  
Vol 135 (1_suppl) ◽  
pp. 50S-56S
Author(s):  
Kimberley D. Lucas ◽  
Joseph Bick ◽  
Janet C. Mohle-Boetani
Keyword(s):  
Public Health ◽  
Transmitted Disease ◽  
Lessons Learned ◽  
California Department ◽  
Prison Staff ◽  
Sexually Transmitted ◽  
Correctional Health ◽  
Staff Members ◽  
Incarcerated Men ◽  
Condom Access

In 2014, California passed Assembly Bill 966, which required condom access for persons incarcerated in all 35 California state prisons (33 men’s and 2 women’s prisons). The California Correctional Health Care Services and the Sexually Transmitted Disease Control Branch and the Office of AIDS of the California Department of Public Health collaborated in a prison administration–led multidisciplinary implementation workgroup. Our workgroup, representing public health, correctional health, legal and legislative affairs, labor relations, and prison staff members, participated in 4 planning meetings during May–September 2015. We surveyed prison staff members and incarcerated men to identify and address potential challenges; conceptualized a tamper-resistant condom dispenser; developed educational materials, frequently asked questions for staff members, and fact sheets for the public; and conducted forums for custody and medical staff members at each prison. Key lessons learned included the need for high-level custody support, engagement of labor unions early in the decision-making process, and flexibility within defined parameters for sites to determine best practices given their unique institutional population, culture, and physical layout. Condom access was initiated at 4 prisons in July 2015 and expanded incrementally to the remaining 29 men’s prisons through July 2016. A total of 243 563 condoms were accessed in the men’s prisons, for an average of 354 condoms per 1000 population per month. The start-up dispenser cost was $69 825 (735 dispensers at $95 each). We estimated an annual condom cost of $0.60 per person. Although staff members and incarcerated men expressed concern that this legislation would condone sex and provide repositories for contraband, no serious adverse incidents involving condoms were reported. California demonstrated that condom access is a safe, low-cost intervention with high uptake for a large correctional system and provided a replicable implementation model for other states. Prison condom programs have the potential to decrease transmission of sexually transmitted infections (STIs) among incarcerated persons and their communities, which are often disproportionately affected by STIs, HIV, and other chronic diseases.

scholarly journals Piloting Electronic Case Reporting for Improved Surveillance of Sexually Transmitted Diseases in Utah

2019 ◽  
Vol 11 (2) ◽  
Author(s):  
Amanda Whipple ◽  
Joseph Jackson ◽  
Joshua Ridderhoff ◽  
Allyn K. Nakashima
Keyword(s):  
Public Health ◽  
Clinical Data ◽  
Surveillance System ◽  
Public Health Surveillance ◽  
Transmitted Disease ◽  
Health Surveillance ◽  
Lessons Learned ◽  
Public Health Informatics ◽  
Sexually Transmitted ◽  
Public Health Surveillance System

Objectives: The Utah Department of Health (UDOH) developed an electronic case reporting (eCR) process to automatically transfer clinical data from a provider to the state health department, with aims of improving sexually transmitted disease (STD) surveillance data quality, decreasing the time spent on STD case investigations, and expanding the process to other diseases and larger healthcare systems.Methods: Reportable Conditions Trigger Codes (RCTC) were placed into the electronic health record (EHR) system at Planned Parenthood Association of Utah (PPAU) to trigger the automatic transfer of clinical data to Utah’s public health surveillance system. Received data were deduplicated, processed, and assigned directly to the public health surveillance system, with minimal manual intervention.Results: Eighteen new data elements, important for STD case investigations, were transferred to cases with eCR. Additionally, the clinical time spent transmitting data was vastly reduced. With the new eCR process more complete and timely data is received by public health. Providers, as well as public health, now spend less time manually transmitting clinical data by fax and/or phone.Discussion: Automated processes are challenging but can be achieved with a robust disease surveillance system, flexible rules engine, skillful programming, on-going analysis, and successful partnerships. The eCR process created for this project can potentially be useful for other conditions outside of STDs.Conclusion: Results of this demonstration project offer an opportunity for readers to learn about eCR and apply lessons learned to improve their existing eCR systems, or future public health informatics initiatives, at any state-level jurisdiction.

scholarly journals P005 Diphtheria treatment

2019 ◽  
Vol 104 (7) ◽  
pp. e2.7-e2
Author(s):  
Claire Hannah
Keyword(s):  
Public Health ◽  
Qt Interval ◽  
Kidney Injury ◽  
Test Dose ◽  
Left Ventricular ◽  
Lessons Learned ◽  
List Type ◽  
Staff Members ◽  
Diphtheria Antitoxin ◽  
Corynebacterium Diphtheria

BackgroundDiphtheria is a life threatening but vaccine preventable disease. 5 cases were identified by Public Health England (PHE) in 2017.1 Respiratory diphtheria is characterised by a pseudomembrane which obstructs the airways. Corynebacterium diphtheria produces an exotoxin that causes local tissue necrosis, myocarditis, polyneuropathy, paralysis, respiratory failure and death.Clinical caseA 4 year old boy was admitted via A&E with suspected croup requiring intubation and ventilation on intensive care unit (ICU). Throat swabs confirmed diphtheria diagnosis, PHE was contacted and diphtheria antitoxin was obtained. The patient received two subcutaneous doses of diphtheria-antitoxin. He developed myocarditis, Acute Kidney Injury (AKI), impaired left ventricular function and polyneuropathy. He was treated with 14 days intravenous vancomycin and clindamycin following multiple antibiotic changes.Pharmacy contributionAnti-toxin: Diphtheria anti- toxin was obtained and advice was provided regarding an appropriate dose and route of administration. Ward staff were reluctant to give a subcutaneous infusion. A pharmacist provided reassurance that this was the only way to treat the infection and a subcutaneous cannula was inserted. He was given 0.2 ml subcutaneously as a test dose followed by the remaining 40,000 units. His second dose was given as a test dose of 0.2 ml followed by 60,000 units between two sites due to multi-organ involvement. Chemoprophylaxis: The patient’s family and 34 staff members required prophylactic antibiotics. They received azithromycin 500 mg once daily for 3 days. Staff members had throat swabs and were to remain off work until these swabs were negative which resulted in the Trust cancelling elective operations and admissions. Pharmacy confirmed azithromycin was safe for 34 adult patients and checked for interactions with currently prescribed medicines and advised appropriately.Critical careCreatinine doubled and the pharmacist reviewed drugs to account for renal impairment. The pharmacist highlighted that clarithromycin can prolong QT interval. An echocardiogram revealed the patient had prolonged QT interval and clarithromycin was switched to an alternative after discussion with the microbiologist.Vancomycin therapeutic levels were reached on day 5. The dose remained unchanged for the remainder of the course and levels taken every 3 days were appropriate. The pharmacist prepared a weaning plan for morphine and clonidine. The pharmacist advised reducing dexamethasone and stopping when no longer required due to raised blood glucose measurements.Lessons learnedHow to obtain and administer diphtheria antitoxin. What chemoprophylaxis to provide to family and staff, the difficulties of supplying this to so many adults in a children’s hospital and the pressure the hospital faced having 34 staff members excluded for 48 hours while cultures were taken The importance of personal protective equipment to protect staff and other patients Monitoring parameters: vancomycin levels, renal function, cardiac function, blood sugars Importance of encouraging parents to have their children vaccinated with all the primary immunisations to protect their children and othersReferencePublic health England: Diphtheria in England 2017. Accessed via: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/711453/hpr1818_dphthr17.pdf

scholarly journals Public Health response to an outbreak of SARS-CoV2 infection in a Barcelona prison

2020 ◽  
Author(s):  
A Marco ◽  
C Gallego ◽  
V Pérez-Cáceres ◽  
RA Guerrero ◽  
M Sánchez-Roig ◽  
...  
Keyword(s):  
Public Health ◽  
Health Worker ◽  
One Health ◽  
Clinical Deterioration ◽  
Rt Pcr ◽  
Public Health Response ◽  
Prison Staff ◽  
Staff Members ◽  
Health Response ◽  
Optimal Coordination

AbstractAn outbreak of SARS-CoV2 infection in a Barcelona prison was studied after seven cases appeared in nine days. One hundred and eighty-four people (148 inmates and 36 prison staff) were evaluated by rt-PCR. Thirty-nine (24.1%) were positive: 33 inmates and six staff members. The inmates were isolated in prison module 4, which was converted into an emergency COVID unit. Two people (one inmate and one health worker) were admitted to hospital for clinical deterioration. There were no deaths. Outbreaks pose a huge risk, must be detected early, are difficult to manage, and require optimal coordination between health and prison authorities.

Sexual Health Services in Schools: A Successful Community Collaborative

2020 ◽  
pp. 152483991989430
Author(s):  
Heather McCann ◽  
Michele J. Moore ◽  
Elissa M. Barr ◽  
Kristina Wilson
Keyword(s):  
Health Services ◽  
Sexual Health ◽  
Positive Impact ◽  
Transmitted Disease ◽  
Community Support ◽  
Health Department ◽  
Lessons Learned ◽  
Sexually Transmitted ◽  
School Based Health Centers ◽  
Community Collaborative

School-based health centers (SBHCs) are an essential part of a comprehensive approach to address the health needs of youth. SBHCs that provide sexual health services (SHS) show promising results in improving reproductive health outcomes among youth. Despite the positive impact SBHCs can have, few school districts have SBHCs, and even fewer provide SHS. This article describes a successful 5-year project to provide SHS through SBHCs in a large county in the southeast United States. A community collaborative, including the schools, health department, community agencies and a local university, was created to address the project goals and objectives. Various steps were taken to plan for the SBHCs, including documenting community support for SHS offered through SBHCs, identifying school sites for SBHCs, and the process for offering pregnancy, STD (sexually transmitted disease), and HIV testing, treatment, and referrals. Protocols for clinic flow, testing, staffing, training, and student recruitment were developed. The staff at the SBHCs were successful in recruiting students to attend educational sessions and to receive testing and treatment. Student feedback was overwhelmingly positive. Lessons learned about the importance of the partnership’s collaboration, using recommended clinic protocol, ensuring clear communication with school staff, and employing youth friendly recruitment and clinic practices are shared.

scholarly journals Establishment of an HIV/sexually transmitted disease programme and prevalence of infection among incarcerated men in Jamaica

2010 ◽  
Vol 21 (2) ◽  
pp. 114-119 ◽  
Author(s):  
K Andrinopoulos ◽  
D Kerrigan ◽  
J P Figueroa ◽  
R Reese ◽  
C A Gaydos ◽  
...  
Keyword(s):  
Sexually Transmitted Disease ◽  
Transmitted Disease ◽  
Sexually Transmitted ◽  
Incarcerated Men

scholarly journals An imperial laboratory: the investigation and treatment of treponematoses in occupied Haiti, 1915-1934

2017 ◽  
Vol 24 (4) ◽  
pp. 1089-1106
Author(s):  
Antony Dalziel McNeil Stewart
Keyword(s):  
Public Health ◽  
Sexually Transmitted Disease ◽  
Public Health Policy ◽  
Close Association ◽  
Transmitted Disease ◽  
International Health ◽  
Sexually Transmitted ◽  
Unique Event ◽  
History Of ◽  
To Come

This article examines anti-treponematoses work as part of US occupation public health policy in Haiti, a unique event in the history of international health. Yaws was highly prevalent in Haiti, but occupation doctors initially ignored it because of its close association with syphilis and stigmas attached to sexually transmitted disease. This changed when C.S. Butler asserted that yaws was “innocent” and that the two diseases should therefore be considered as one. Treatment increased as an anti-treponematoses campaign was now believed to hold great benefits for the occupation’s paternalist and strategic aims, even though it ultimately failed. This work reflected Haiti’s status as a public health “laboratory” which affected Haitian medicine for years to come and significantly influenced future campaigns aimed at disease eradication.

Sign in / Sign up

Export Citation Format

Share Document