Document 0851
 DOCN  M9470851
 TI    Multidrug-resistant tuberculosis in the New York State prison system,
       1990-1991.
 DT    9409
 AU    Valway SE; Greifinger RB; Papania M; Kilburn JO; Woodley C; DiFerdinando
       GT; Dooley SW; Division of Tuberculosis Elimination, Centers for Disease
       Control; and Prevention, Atlanta, GA 30333.
 SO    J Infect Dis. 1994 Jul;170(1):151-6. Unique Identifier : AIDSLINE
       MED/94284630
 AB    Three epidemiologically linked multidrug-resistant (MDR) tuberculosis
       (TB) outbreaks in 1990-1991 involving New York State (NYS) inmates
       suggested MDR-TB was widespread in NYS prisons. Inmate lists were linked
       to 1990-1992 TB registries, medical records were reviewed, and movement
       histories for inmates with MDR-TB were examined within and between
       prisons and hospitals. In 1990-1991, 171 inmates were diagnosed with TB.
       This rate (156.2/100,000) was significantly higher than the 1990-1991 US
       rate (10.4/100,000) and the 1986 rate among NYS inmates (105.5/100,000).
       Of 171 cases, 155 were cultured-confirmed; 37 (32%) of 116 with drug
       susceptibilities determined had MDR-TB. Two other inmates with TB before
       1990 were diagnosed with MDR-TB in 1990-1991. Of 39 inmates with MDR-TB,
       38 (97%) were infected with the human immunodeficiency virus and 34
       (87%) have died. These 39 lived in 23 of the 68 NYS prisons while
       potentially infectious; 12 were transferred through 20 prisons while ill
       with MDR-TB. Policies of correctional systems on infection control and
       inmate transfers need to be reevaluated to prevent spread of TB.
 DE    Adult  Case-Control Studies  *Disease Outbreaks  Female  Follow-Up
       Studies  Human  Male  New York/EPIDEMIOLOGY  *Prisons  Retrospective
       Studies  Tuberculosis, Multidrug-Resistant/*EPIDEMIOLOGY  JOURNAL
       ARTICLE

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