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An outbreak of syphilis in alabama prisons: Correctional health policy and communicable disease control

M.I. Wolfe, F. Xu, P. Patel, M. O'Cain, J.A. Schillinger, M.E. St. Louis and L. Finelli

American Journal of Public Health, 2001, vol. 91, issue 8, 1220-1225

Abstract: Objectives. After syphilis outbreaks were reported at 3 Alabama State men's prisons in early 1999, we conducted an investigation to evaluate risk factors for syphilis infection and describe patterns of syphilis transmission. Methods. We reviewed medical, patient interview, and prison transfer records and documented sexual networks. Presumptive source cases were identified. Odds of exposure to unscreened jail populations and transfer from other prisons were calculated for case patients at 1 prison. Results. Thirty-nine case patients with early syphilis were identified from 3 prisons. Recent jail exposure (odds ratio [OR] = 8.0, 95% confidence interval [Cl] = 0.3, 158.7, P = .14) and prison transfer (OR = 32.0, 95% Cl = 1.6, 1668.1, P

Date: 2001
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