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Prisons and the tuberculosis epidemic in Russia

Author

Listed:
  • A. J. Mercer

    (Centre for Health and Population Research, ICDDR,B, Dhaka, Bangladesh)

  • B. Jacobs

    (Centre for Health and Population Research, ICDDR,B, Dhaka, Bangladesh)

  • S. Moon

    (Centre for Health and Population Research, ICDDR,B, Dhaka, Bangladesh)

  • J. Kynch

    (Centre for Health and Population Research, ICDDR,B, Dhaka, Bangladesh)

Abstract

A resurgence of tuberculosis (TB) occurred in Russia in the 1990s, in a period of general health crisis following the break-up of the Soviet Union. Inter-related increases in poverty, unemployment and unhealthy lifestyle probably contributed to increased incidence and mortality from TB among the civilian population. The number of prisoners increased dramatically in the 1990s and many come from socially marginalized groups at high risk of TB. There is a high prevalence of TB in prisons in Russia, with inadequate TB control measures, overcrowding and poor nutrition contributing to the problem. Many prisoners are released before completion of treatment, often into a social milieu that fosters transmission of TB. Prisoners and ex-prisoners account for a very high proportion of TB cases in Russia and without adequate treatment for them the epidemic is unlikely to be brought under control. © 2003 John Wiley & Sons, Ltd.

Suggested Citation

  • A. J. Mercer & B. Jacobs & S. Moon & J. Kynch, 2003. "Prisons and the tuberculosis epidemic in Russia," Journal of International Development, John Wiley & Sons, Ltd., vol. 15(5), pages 559-574.
    • Handle: RePEc:wly:jintdv:v:15:y:2003:i:5:p:559-574
    DOI: 10.1002/jid.1003
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    References listed on IDEAS

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    1. Tulchinsky, T.H. & Varavikova, E.A., 1996. "Addressing the epidemiologic transition in the former Soviet Union: Strategies for health system and public health reform in Russia," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 313-320.
    2. Barr, D.A. & Field, M.G., 1996. "The current state of health care in the former Soviet Union: Implications for health care policy and reform," American Journal of Public Health, American Public Health Association, vol. 86(3), pages 307-312.
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