The problem of blood-borne infections in penitentiary institutions
- Authors: Ivanova A.N.1, Pokrovsky V.V.1, Ladnaia N.N.1
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Affiliations:
- Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
- Issue: Vol 15, No 4 (2025)
- Pages: 7-15
- Section: Problematic articles
- URL: https://ogarev-online.ru/2226-6976/article/view/375453
- DOI: https://doi.org/10.18565/epidem.2025.15.4.7-15
- ID: 375453
Cite item
Abstract
Blood-borne infections (HIV, hepatitis B and C) represent a serious global public health problem. According to numerous scientific studies, the prevalence of these infections in penitentiary institutions is many times higher than in the general population. For example, in the Russian Federation, the HIV prevalence rate among prisoners reaches 12.17%, significantly higher than the national average. Literature data indicate that the high prevalence of these infections in penitentiary institutions is due to the high concentration of at-risk individuals, poor living conditions, and uneven access to healthcare. Furthermore, the risk of infection is associated with the introduction of drugs into prisons, which, combined with risky behavior, increases the likelihood of infection. This article analyzes current international and Russian practices in providing medical care to prisoners. It emphasizes the need for a comprehensive approach to addressing this problem, including organizing epidemiological surveillance and medical care in correctional facilities, raising prisoners’ awareness of infection transmission routes, and preventing infection.
About the authors
Anastasia N. Ivanova
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Author for correspondence.
Email: kellekillin@gmail.com
ORCID iD: 0009-0001-0395-573X
Graduate Student
Russian Federation, MoscowVadim V. Pokrovsky
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: pokrovsky.vad@yandex.ru
ORCID iD: 0000-0002-9514-7288
Scopus Author ID: 7202457043
MD, Academician of the Russian Academy of Sciences, Professor, Head, Department of Epidemiology and Prevention of AIDS
Russian Federation, MoscowNatalia N. Ladnaia
Central Research Institute of Epidemiology, Russian Federal Service for Supervision of Consumer Rights Protection and Human Well-Being
Email: nladnaia@hotmail.com
ORCID iD: 0000-0003-2994-151X
Cand. Biol. Sci., Senior Researcher
Russian Federation, MoscowReferences
- Gharaei А.H., Fararouei M., Mirzazadeh A., Sharifnia G., Rohani-Rasaf M., Bastam D. et al. The global and regional prevalence of hepatitis C and B co-infections among prisoners living with HIV: a systematic review and meta-analysis. Infect. Dis. Poverty 2021; 10(1): 93–109. doi: 10.1186/s40249-021-00876-7
- Saddarova K.O. [The situation with HIV infection in correctional facilities in Russia and foreign countries and factors contributing to its spread]. Penal Law: Legal Theory and Law Enforcement Practice. 2021; (1): 118–121. (In Russ.).
- Nistratova I.S. [Some problems of medical-sanitary provision for convicts suffering from socially significant diseases]. Yurist Yuga Rossii i Zakavkaz’ya 2019; 3(27): 17–19. (In Russ.).
- Busschots D., Kremer C., Bielen R., Koc Ö.M., Heyens L., Brixko C. et al. A multicentre interventional study to assess blood-borne viral infections in Belgian prisons. BMC Infect. Dis. 2021; 21: 708–716. doi: 10.1186/s12879-021-06405-z
- Hsu Y.C., Huang D.Q., Nguyen M.H. Global burden of hepatitis B virus: current status, missed opportunities and a call for action. Nat. Rev. Gastroenterol. Hepatol. 2023; 20(8): 524–537. doi: 10.1038/s41575-023-00760-9
- Pokrovsky V.V., Ladnaia N.N. [Human immunodeficiency virus in the Russian Federation in 2023]. Epidemiology and infectious diseases. Current items 2024; 14(3): 21–29. (In Russ.). doi: 10.18565/epidem.2024.14.3.21-9
- [On the State of Sanitary and Epidemiological Well-Being of the Population in the Russian Federation in 2024: State report]. Moscow, 2025. 424 p. (In Russ.).
- Magadeev Kh.D., Radzikhovskaya M.V., Moskvicheva M.G. [Organizational and historical aspects of combating the spread of HIV infection (literature review)]. Continuing Medical Education and Science 2023; 18(3): 8–14. (In Russ.).
- Ponomarev S.B., Mikhailova Yu.V., Sterlikov S.A., Mikhailov A.Yu., Pankova Ya.Yu. [Morbidity of socially significant infectious diseases in penitentiary institutions of the Russian Federation in 2010–2023]. Social Aspects of Population Health 2024; 70(3): 12. (In Russ.). doi: 10.21045/2071-5021-2024-70-3-12
- Kolosov A.E, Mil’chakov D.E, Barbakova L.M [Medical care in correctional institutions of the Russian Federation and features of medical care organization in foreign countries]. Vyatka Medical Bulletin 2020; 4(68): 65–68. (In Russ.). doi: 10.24411/2220-7880-2020-10133
- Teokharov A.K. [Factors influencing the HIV situation in correctional facilities]. Victimology. 2018; 1(15): 76–85. (In Russ.).
- Barbosa M.L., Salvador P.T.C.O., Cogo A.L.P., Ferreira M.A., Costa G.M.C., Santos V.E.P. Penitentiary health team: the reality of the work process. Cien Saude Colet. 2022; 27(12): 4397–4405. doi: 10.1590/1413-812320222712.11702022
- Kendig N.E., Bur S., Zaslavsky J. Infection Prevention and Control in Correctional Settings. Emerg. Infect. Dis. 2024; 30(13): S88–S93. doi: 10.3201/eid3013.230705
- Pitersky M.V., Semenov A.V., Zakharova Yu.A., Yarantseva O. Ya., Khodakov O.A., Evseeva V.I. et al. [Key risk factors for infection in populations highly vulnerable to HIV]. Health Risk Analysis 2023; (4):104–115. (In Russ.) doi: 10.21668/health.risk/2023.4.10
- Dolan K., Wirtz A.L., Moazen B., Ndeffo-mbah M., Galvani A., Kinner S.A. et al. Global burden of HIV, viral hepatitis, and tuberculosis in prisoners and detainees. Lancet 2016; 388(10049): 1089–1102. doi: 10.1016/S0140-6736(16)30466-4
- Busschots D., Kremer C., Bielen R., Koc Ö.M., Heyens L., Nevens F. et al. Hepatitis C prevalence in incarcerated settings between 2013–2021: a systematic review and meta-analysis. BMC Public Health 2022; 22: 2159–2172. doi: 10.1186/s12889-022-14623-6
- Sayyah M., Rahim F., Kayedani G.A., Shirbandi K., Saki-Malehi A. Global View of HIV Prevalence in Prisons: A Systematic Review and Meta-Analysis. Iran J. Public Health 2019; 48(2): 217–226. PMID: 31205875
- Golrokhi R., Farhoudi B., Taj L., Pahlaviani F.G., Mazaheri-Tehrani E., Cossarizza A. et al. HIV Prevalence and Correlations in Prisons in Different Regions of the World: A Review Article. Open AIDS J. 2018; 12: 81–92. doi: 10.2174/1874613601812010081
- Telisinghe L., Charalambous S., Topp S.M., Herce M.E., Hoffmann C.J., Barron P. et al. HIV and tuberculosis in prisons in sub-Saharan Africa. Lancet 2016; 388(10050): 1215–1227. doi: 10.1016/S0140-6736(16)30578-5
- Smith J.M., Uvin A.Z., Macmadu A., Rich J.D. Epidemiology and Treatment of Hepatitis B in Prisoners. Curr. Hepatol. Rep. 2017; 16(3): 178–183. doi: 10.1007/s11901-017-0364-8
- Nakitanda A.O., Montanari L., Tavoschi L., Mozalevskis A., Duffell E. Hepatitis C virus infection in EU/EEA and United Kingdom prisons: opportunities and challenges for action. BMC Public Health 2020; 20: 1670–1681. doi: 10.1186/s12889-020-09515-6
- Moradi G., Mohamadi P., Zareie B., Rasouli M.A., Gouya M.M., Jafari S. Prevalence of and risk factors for HBV and HCV among incarcerated people who inject drugs in Iran: A cross sectional study. BMC Infect. Dis. 2020; 20(1): 806– 814. doi: 10.1186/s12879-020-05541-2
- Singh G.P., Lata S., Swu A.K., Virk N.S., Singh J., Thakkar S. A retrospective study to find the prevalence of HIV, HCV and dual HIV-HCV infection in the prison inmates. J. Family Med. Prim. Care 2022; 11(10): 6250–6254. doi: 10.4103/jfmpc.jfmpc_788_22
- Bazyikina E.A., Turkutyukov V.B., Trotsenko O.E., Kotova V.O., Balakhontseva L.A., Varnavskaya L.V. et al. [Prevalence and molecular-genetic features of parenteral viral hepatitis B and C among HIV-positive residents of the Far Eastern Federal District, including prisoners]. Public Health and Life Environment 2019; (2): 51–55. (In Russ.).
- Novozhilova P.O., Marchenko M.D., Bezchastnova G.S., Pervova V.A., Ponimasova L.E., Kashirin Z.V. et al. [HIV prevalence among prisoners in the penitentiary system: the epidemiological situation in correctional facilities of the Tomsk Region]. Young Scientist. 2024; 46(545): 56–63. (In Russ.).
- Novozhilova P.O., Bezchastnova G.S., Marchenko M.D., Pervova V.A., Ponimasova L.E., Kashirin Z.V. et al. [HIV incidence and prevalence among female prisoners and the organization of obstetric-gynecological care for HIV-positive women in the Russian penitentiary system]. Young Scientist 2024; 46(545): 49–56. (In Russ.).
- Kondratova S.E., Marchenko A.N. [Development of the HIV epidemic process in the penitentiary system]. HIV Infection and Immunosuppressive Disorders 2022; 14(1): 100–106. (In Russ.). doi: 10.22328/2077-9828-2022-14-1-100-106
- Kondratova S.E., Marchenko A.N., Beltikova A.A. [Risk factors determining the development of the HIV epidemic process in the penitentiary system of a region with high HIV prevalence]. Journal of Infectology. 2021; 13(3): 107–113. (In Russ.). doi: 10.22625/2072-6732-2021-13-3-107-113
- Belokonova L.V., Kolomiets V.M. [Metamorphosis of HIV infection in the penitentiary system]. Central Scientific Bulletin 2019; 4(3): 3–5. (In Russ.).
- Provotorova S.V., Briko N.I., Brazhnikov A.Y., Forostov S.D. [Morbidity of socially significant diseases among prisoners in correctional facilities of the Lipetsk Region]. Tuberculosis and Lung Diseases 2019; 97(8): 14–21. (In Russ.). doi: 10.21292/2075-1230-2019-97-8-14-21
- Anufrieva E.V., Serikova E.N., Ostankova Yu.V., Shchemelev A.N., Davydenko V.S., Reingardt D.E. et al. [Distribution of markers of blood-borne infections among inmates of penitentiary institutions]. HIV Infection and Immunosuppressive Disorders 2023; 15(3): 95–104. (In Russ.). doi: 10.22328/2077-9828-2023-15-3-95-104
- Chacowry P.K., Baggio S., Tran N.T., Girardin F., Wolff H., Gétaz L. Blood-borne and sexually transmitted infections: a cross-sectional study in a Swiss prison. BMC Infect. Dis. 2018; 18: 539–547. doi: 10.1186/s12879-018-3445-6
- Huber F., Vandentorren S., Merceron A., Bonifay T., Pastre A., Lucarelli A. et al. Returning to care after incarceration with HIV: the French Guianese experience. BMC Public Health. 2020; 20: 754–762. doi: 10.1186/s12889-020-08772-9
- Kazberov P.N. [Problems of combating HIV infection and its prevention in correctional facilities]. Problems of Social Hygiene, Public Health and History of Medicine 2024; (2): 208–214. (In Russ.). doi: 10.32687/0869-866X-2024-32-2-208-214
- Kondratova S.E. [Assessment of prisoners’ knowledge about HIV infection as a determinant of preventive measures in high-risk groups]. Public Health and Life Environment 2023; 31(1): 34–38. (In Russ.). doi: 10.35627/2219-5238/2023-31-1-34-38
- Kondratova S.E. [Assessment of prisoners’ awareness of HIV prevention in correctional facilities]. Medical Science and Education of the Urals 2023; 24(1): 82–85. (In Russ.). doi: 10.36361/18148999_2023_24_1_82
- Moazen B., Saeedi Moghaddam S., Silbernagl M.A., Lotfizadeh M., Bosworth R.J., Alammehrjerdi Z. et al. Prevalence of Drug Injection, Sexual Activity, Tattooing, and Piercing Among Prison Inmates. Epidemiol. Rev. 2018; 40(1): 58–69. doi: 10.1093/epirev/mxy002
- Teokharov A.K. [Detention of HIV-infected prisoners in correctional facilities]. Ugolovnoe Pravo. 2018;(1):116-124. (In Russ.).
- Adylin D.M. [Features of detention of HIV-infected prisoners]. Bulletin of Samara Law Institute 2015; 4(18): 121–124. (In Russ.).
- Averyanova E.L., Ponomarev S.B. [Algorithm for diagnosing infectious penitentiary syndrome]. Far Eastern Medical Journal 2024; (3): 26–31. (In Russ.). doi: 10.35177/1994-5191-2024-3-4
- Averyanova E.L. [Cluster analysis in the study of infectious penitentiary syndrome: Abstracts of VI International Conference «Current Issues of Modern Science and Practice»]. Ufa, 2021: 106–108. (In Russ.).
- Hoff E., Warden A., Taylor R., Nijhawan A.E. Hepatitis C Epidemiology in a Large Urban Jail: A Changing Demographic. Public Health Rep. 2023; 138(2): 248–258. doi: 10.1177/00333549221076546
- Hariri S., Sharafkhah M., Alavi M., Roshandel G., Fazel A., Amiriani T. et al. A simple risk-based strategy for hepatitis C virus screening among incarcerated people in a low-to middle-income setting. Harm. Reduct. J. 2020; 17: 1–9. doi: 10.1186/s12954-020-00400-4
- Ladnaia N.N., Sokolova E.V., Pokrovsky V.V. [Main trends in the HIV epidemic among women in the Russian Federation in 2020. Abstracts of International Conference «Current Issues of HIV Infection. Maternal and Child Health Protection»]. Saint Petersburg, 2021: 5–15. (In Russ.).
- Pitersky M.V., Yarantseva O.Y., Evseeva V.I., Greysman M.O. [Risk factors for HIV infection and spread among women in correctional facilities: Abstracts of XV Annual All-Russian Congress on Infectious Diseases named after Academician V.I. Pokrovsky «Infectious diseases in the modern world: evolution, current and future threats»]. Moscow, 2023: 175–176. (In Russ.)
- Cooper J.A., Murphy S., Kirk R., O’Reilly D., Donnelly M. Data linkage studies of primary care utilisation after release from prison: a scoping review. BMC Prim. Care. 2024; 25: 287–303. doi: 10.1186/s12875-024-02527-w
- Godin A., Kronfli N., Cox J., Alary M., Maheu-Giroux M. The role of prison-based interventions for hepatitis C virus (HCV) micro-elimination among people who inject drugs in Montréal, Canada. Int. J. Drug. Policy. 2021; 88: 102738. doi: 10.1016/j.drugpo.2020.102738
- Shcherbakova D.S. [Aspects of ensuring the right to health care for inmates in US federal prisons]. Bulletin of Samara Law Institute 2022; (3): 140–148. (In Russ.). doi: 10.37523/SUI.2022.49.3.023
- Maner M., Omori M., Brinkley-Rubinstein L., Beckwith C. G., Nowotny K. Infectious disease surveillance in U.S. jails: Findings from a national survey. PLoS One 2022; 17(8): e0272374. doi: 10.1371/journal.pone.0272374
- Centers for Disease Control and Prevention (CDC). Prevention and control of infections with hepatitis viruses in correctional settings. MMWR Recomm. Rep. 2003; 52(RR-1): 1–36.
- Esposito M., Szocik K., Capasso E., Chisari M., Sessa F., Salerno M. Respect for bioethical principles and human rights in prisons: a systematic review on the state of the art. BMC Med. Ethics. 2024; 25: 62–71. doi: 10.1186/s12910-024-01049-5
- Bazrafshan A., Rafiei-Rad A.A., Bazrafshan M.S., Ghalekhani N., Mehmandoost S., SeyedAlinaghi S. et al. Facilitators and Barriers to adherence to antiretroviral therapy among incarcerated people living with HIV in Iran: insights from a qualitative study. Harm. Reduct. J. 2025; 22: 4–15. doi: 10.1186/s12954-024-01151-2
- Van Hout M.C., Mhlanga-Gunda R. Prison health situation and health rights of young people incarcerated in sub-Saharan African prisons and detention centres: a scoping review of extant literature. BMC Int. Health Hum. Rights. 2019; 19: 17–32. doi: 10.1186/s12914-019-0200-z
- Skiba A.P. [Prevention of epidemics among prisoners: quarantine measures and other organizational-legal issues]. Legal Education and Science. 2020; (5): 29–33. (In Russ.). doi: 10.18572/1813-1190-2020-5-29-33
- Adylin D.M. [Features of release of HIV-infected prisoners]. Bulletin of the Kuzbass Institute 2016; 4(29): 9–13. (In Russ.).
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