BMJ 1995;310:1265 (13 May)

Letters

What about the WHO guidelines?

EDITOR,--An editorial, two papers, and news from a dozen countries: the issue of 4 February certainly brings to readers' attention the major public health problem of transmission of HIV in prison. The reporting has one or two oddities: Switzerland is apparently reduced to a province of France, being included in Alexander Dorozynski's report from Paris and excluded from the summary table.1 Dorozynski's napoleonic view of Europe troubles me less than the failure to recognise the pioneering work from 1985 onwards of the Swiss Federal Office of Public Health and prison doctors in several Swiss cantons in promoting the equivalence of measures to prevent AIDS in prisons to those in the community: condoms, non-discrimination, bleach, methadone maintenance, and recent trials of needle exchange. These initiatives are worthy of recognition. The report from Israel is also perplexing: "every prisoner is tested on arrival ... voluntarily," and HIV carriers are segregated while results . . . [Full text of this article]


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BMJ 1995 310: 278. [Extract] [Full Text]

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