Epidemiologic Surveillance and Strategic Planning Department, National Center for Tuberculosis and Lung Diseases, Tbilisi, Georgia.
Health Hum Rights. 2011 Dec 15;13(2):E73-81.
Tuberculosis (TB) is one of the leading infectious killers of adults globally. Incarcerated individuals represent a vulnerable population when it comes to TB exposure, development of disease, and poor treatment outcomes. The TB pandemic in prisons is a serious human rights issue, and multiple global organizations have called for human rights-based strategies to address it. There are, however, few countries implementing such programs on the ground. Georgia, a former Soviet republic located in the Caucasus Mountains, has high rates of TB and a large prison population. This paper describes a needs assessment carried out in one prison in Georgia and the human rights-based strategy being implemented by the Georgian National TB Program to address TB control in the prison setting. It is hoped that the proposed program can serve as a model for other countries with high rates of TB among incarcerated individuals.
结核病(TB)是全球导致成年人死亡的主要传染病之一。在接触结核病、发病和治疗结果不佳方面,被监禁者是一个弱势群体。监狱中的结核病疫情是一个严重的人权问题,多个全球组织呼吁采取基于人权的策略来解决这一问题。然而,实际上很少有国家在实地实施这些方案。格鲁吉亚是位于高加索山脉的前苏联共和国,结核病发病率高,监狱人口众多。本文描述了在格鲁吉亚的一所监狱中进行的需求评估,以及格鲁吉亚国家结核病规划为解决监狱环境中的结核病控制而实施的基于人权的战略。希望所提出的方案可以为其他结核病发病率高的监禁者国家提供借鉴。