Insatser för att minska spridningen av smittsamma sjukdomar inom kriminalvården i NV Ryssland

Transcription

1 Insatser för att minska spridningen av smittsamma sjukdomar inom kriminalvården i NV Ryssland ÖEK-N Anders Nystedt, SmSk/Infektion, NLL

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3 Incidens lungtuberkulos i civil sjukvård, Murmansk län, Ryssland TBC/ inv

4 Drug and EtOH abuse Crime Imprisonment TB

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9 TB associated death and incidence Sweden Dödlighet Inc/

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11 Strategier Endeavours to combat the spread of tuberculosis within penal institutions in NW Russia Infektionsepidemiologiska åtgärder + kunskapslyft Minska intagnas mottaglighet för smitta Utveckla program för medicinsk handläggning Reformera och utveckla det dagliga arbetet på anstalterna Materiellt stöd

12 Strategies - I supporting the search for strategies and methods for the early identification of transmissible carriers in prisons and wards, allowing preventive measures to be taken which would then reduce the risk of the disease being spread further. Moreover, the day-to-day work should also involve the administration of suitable information to the inmates: information and education campaigns regarding tuberculosis are also to be directed towards medical staff and other personnel in the penal institutions. We are helping the Russian side to develop their own information packages.

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17 Strategies - II reducing inmates susceptibility to infection by supporting measures for the improvement of conditions in the prisons, and by increasing awareness amongst penal institutions and medical organisations of the correlation between poor living conditions and the likelihood of becoming infected.

18 Tre intagna i rysk kriminalvård poserar glatt, delvis utrustade med kläder och skor från den svenska försvarsmaktens överskottlager.

19 Strategies - III our support of efforts by medical care staff in the penal institutions to develop local programmes for the treatment of cases of tuberculosis (involving diagnosis, treatment strategies, preventive measures against transmission, as well as epidemiological follow-up): amongst other things, this is being achieved by holding discussion meetings with participants from both the Russian and Swedish sides.

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24 Strategies - IV supporting developments and reform work in the penal system, e.g. concerning the question of how the degree of self-sufficiency of individual institutions may be increased. We are also eager to encourage developments strengthening professional consciousness amongst the institutions staff and raising the status of their work in society as a whole. We are, moreover, arranging for study visits to Swedish penal institutions, and organising training sessions and study groups for the relevant staff on the Russian side.

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28 Strategies - V the provision of material assistance - our contribution to this involves the transfer of much-needed supplies from the surplus stock of the Swedish Army. This assistance covers everything from medical technical equipment to farming tools, clothes and sanitary supplies.

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31 Russia Arkhangelsk

32 HIV in Russia - all cases and those in penitentiary institutions ( June 2002) HIV cases June 2002 Years Total HIV cases in Russia HIV cases in prisons

33 (IV) Drug abuse - HIV - Crime - Imprisonment

34 Kriminalvård Narkotikarehabilitering HIV-prevention Smittade smittar inte vidare Icke smittade smittas inte

35 Att tänka på

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37 Varför?

38 5/ / 9 milj SE / NW RF

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40 A glance at the Swedish correctional system 2007 Probation - remand prisons and prisons Of the 5000 inmates in Swedish prisons : 35 % has got hepatitis C 15 % has got hepatitis B Around of the clients that enter the Swedish prison system every year are HIV positive 8 persons was (2007) diagnosed HIV positive by the correctional system 96 % of all drug addicts has been HIV tested before entering the correctional system

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