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Prison health care in Britain and Ireland needs scrutiny and
improvement. The Irish national survey carried out by Allwright et al,
which examined prevalence of hepatitis B, hepatitis C, and HIV and risk
behaviour in Irish prisoners, shows this clearly (p 78). The results
indicate that drug use and infection with hepatitis C are endemic among
Irish prisoners. The investigators found indirect evidence that being
in prison may increase health risks for this already disadvantaged
population. A rethink on the provision of harm reduction strategies in
Irish prisons is needed.