Canadian prisons are not meeting their duty to limit spread of HIV

doi:10.1136/bmj.325.7375.1262/b

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David Spurgeon

Quebec

Canadian prisoners are up to 70 times more likely to be infected with HIV than the average Canadian, and known cases of HIV/AIDS in federal prisons have increased by more than 35% in four years, says a report by the Canadian HIV/AIDS Legal Network.

The prevalence of hepatitis C infection among prisoners is even higher, with 20% to 80% of prisoners infected, according to the source of the estimate, compared with about 0.8% in the general population.

Ralf Jurgens, the network's executive director, said that despite several studies and nearly 10 years of recommendations for urgent and pragmatic action, “some jurisdictions have …