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Medicina Legal de Costa Rica

versão On-line ISSN 2215-5287versão impressa ISSN 1409-0015


WINTER, Bárbara Carollo de Almeida  e  GRAZINOLI GARRIDO, Rodrigo. La tuberculosis en el cárcel: un retrato de las adversidades del sistema prisional brasileño. Med. leg. Costa Rica [online]. 2017, vol.34, n.2, pp.20-31. ISSN 2215-5287.

Tuberculosis (TB) is an infectious disease that has the greatest clinical and epidemiological importance in pulmonary form. Brazil has a high incidence of TB, occupying the 20th place in the world and the situation among people deprived of liberty (PPL) is even more serious. Through exploratory qualitative-quantitative research, we sought to analyze the current panorama of tuberculosis in Brazil, with emphasis on the prison system. In prison, the development of TB is favored by overcrowding, poor nutrition, poor hygienic-sanitary conditions, and high rates of comorbidities. Thus, the incidence of TB among PLWA is about 31 times higher than reported outside the city walls, placing them among the most vulnerable groups, equal to those living with HIV. This fact becomes even more worrying when one recognizes that Brazil is the fourth country with the largest prison population in the world and with increasing rates of imprisonment. It should be borne in mind that the intramural population is not completely isolated, becoming a source of transmission of tuberculosis to the rest of the population through visits, transfers and contact with prison staff. Several programs have been relatively successful in reducing the incidence of tuberculosis in recent years; however, for PPLs the adversities still remain, making the prison system a true reservoir of tuberculosis.

Palavras-chave : prison execution; prison; prisoner health.

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