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TB20: Prevention and control of TB in Kresty jail, St. Petersburg

Project title TB20: Prevention and control of TB in Kresty jail, St. Petersburg
Database CBSS Task Force on Communicable Disease Control in the Baltic Sea Region
ID in the source database 251
Thematic area
  • Prison Health
  • Public Health Epidemiology
  • Tuberculosis
Topic Baltic Sea Region/Barents Region
Project geographical area Russia
Substate level / administrative units /regions St. Petersburg
Lead partner (organisation) Saint Petersburg Medical Academy of Post-Graduate Studies (MAPS)
Lead partner (owner or/and project manager) no data
Partner organisations no data
Start date 2002-06-15
End date 2003-12-31
Duration (months) 18
Target audience Regional/local authorities for prevention and control of TB; national/regional/local authorities for Justice, Interior, Health and TB; prison administration; personnel responsible for health care in prisons; prisoners with TB; people at risk; the community at large
Summary
  • Implementation of information management system (for medical screening, case-finding and treatment outcome)
  • Reconstruction of laundry and shower rooms
  • Establish and equip microscopy services and ensure logistics for culture and drug susceptibility testing (DST)
  • Organize and equip the services for medical (TB) screening on entry
  • Training of TB, general medical and non medical prison staff
  • Establishment of directly observed treatment
  • Technical collaboration
  • Background In the last decade there has been an increasing problem with TB both in the civil and prison health services. The increasing marginal population suffers from a myriad of problems such as different somatic diseases, alcoholisms and narcomania - the latter conditions are related to imprisonment and repeated offenses are common (65-70%) so people move in and out of prison.
    Statistics show that from 1990 to 1997 the rate of TB in prisons has increased considerably and is much higher than in the civil population (but the problem here is that there is more than one civil population, i.e., there are sub-populationw with high rates of TB, thus for meaningful comparisons one would need stratification). This is true for Russia in general and for St Petersburg in particular.
    Convicts enter the prison system after temporary stay in police custody and a variable duration of stay in remand (pre-trial) facilities. The highest rate of TB in St-Petersburg is registered in remand prison #2 ("Kresty"). Kresty is the place where medical screening on entry is organized. All pre-trial prisoners from St-Petersburg and Leningrad oblast stay on in Kresty prison if they have TB. Among the reasons for an increasing rate in recent years may be incomplete medical screening on entry and or inadequate facilities and infection control planning and implementation. The prison is over-crowded. The microbiological laboratory in Kresty is poorly equipped and thus sputum examination is not ensured. The x-ray equipment is obsolete.
    Directly Observed Treatment (DOT) programs, have lately become the main strategy for prevention and control of TB in different counties with a similar situation as described above and have been proven to be effective. DOT programs have not been implemented in Kresty.
    It is proposed to implement training programs for the prison staff, to upgrade the laboratory and radiology facilities in Kresty, to improve administrative and environmental infection control, to implement DOT and surveillance and information management systems in line with international recommendations.
    Objectives no data
    Specific objectives/indicators no data
    Results no data
    Total foreseen budget EUR 192,204
    Total implementation costs
    (for completed projects, if available)
    no data
    Conversion to € was done on
    (according to the relevant
    exchange rate at
    Infoeuro Monthly Files)
    no data
    Financing agencies / organisations no data
    Project's URL / project's website no data
    Papers associated with this project no data
    Further information no data
    Last posted: on 2009-08-25 at 13:24:21

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