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Disease rates higher in Canadian inmates
April 8, 2004.
Written by CBC News Online staff
TORONTO - Federal inmates are far more likely to suffer chronic and mental illnesses, contract infectious disease and die prematurely than other Canadians, a comprehensive new report said.
The 65-page report commissioned by Correctional Service Canada also said the government department lacks an overall plan to prevent, treat and monitor illness in prison, where public health services are sorely lacking.
The report assessed the overall health needs of federal prisoners based on 20 years of studies and reviews on the physical and mental health of inmates.
On average, inmates are younger than the population as a whole but:
Mental health disorders, substance abuse problems, fetal alcohol syndrome and some infectious diseases may predate incarceration.
The risk of being murdered is eight times higher than in the non-prison population. Inmates are four times more likely to commit suicide.
The report noted when inmates return to the community, they bring any untreated diseases they've acquired with them.
"Addressing their health needs will contribute to the inmate's rehabilitation and successful reintegration into the community," said the report, which was published as a supplement to the March/April issue of the Canadian Journal of Public Health.
The report is a "striking portrait" of health care in prison that points out problems and suggests ways to solve them, said Dr. Françoise Bouchard, director general of health services for Correctional Service Canada.
"The challenge is, we have to become more proactive in terms of reaching out and identifying these problems so that we can put in place some intervention," she said.
Bouchard said the Corrections Department has already acted on the report, setting aside $14 million over the next few years for a comprehensive surveillance system to monitor the care and treatment of inmates.
Source: www.cbc.caFull Report available at www.cpha.ca
Inmates in poorer health, report suggests
A comprehensive new report on the health of inmates in federal prisons paints a grim picture of disease rates that vastly outstrip those in the general population.
Despite being younger, on average, than the population as a whole, inmates appear to be in markedly poorer health, with significantly higher rates of chronic and infectious diseases and mental health disorders, according to the report, published today in a special supplement to the Canadian Journal of Public Health.
Commissioned by Correctional Service Canada, the report contains several pointed reminders of why Canadians outside prison walls ought to care, noting that when inmates return to the community, they bring with them any diseases they acquired while behind bars, if they go untreated.
"Inmates come from the community and return to the community," it notes in the closing paragraph. "Addressing their health needs will contribute to the inmate's rehabilitation and successful reintegration into the community."
The report was greeted as an impressive feat by the executive director of the St. Leonard's Society of Canada, which provides services to and advocates for people in conflict with the law.
"To get all of this material in one place gives a far clearer picture of where we're at with federal prisoners than we have had," Elizabeth White said in an interview.
"And I think that can only bode well for future treatment opportunities and better understanding, in the health services field, of the needs."
The director general of health services for Correctional Services Canada agreed.
"It gives us, you know, a good benchmark and milestone to say, `OK, in the next years these are the issues that we should be addressing and prioritizing in our work,' " Dr. Francoise Bouchard, a community medicine specialist, said in an interview.
"We already have started that."
The report was compiled under the leadership of consultant Dr. Brent Moloughney, a specialist in public health and epidemiology.
The harsh portrait it paints comes as no surprise to those familiar with prisons and the health issues of people who end up in them, Bouchard admitted. Still, she believes it can serve as a useful reminder.
"For me, it's a good tool to raise the awareness of people about the situation we have, in the public as well as in our own community within CSC," she said.
This is a small portion of the reality the report captures:
Many inmate health problems predate incarceration, the report suggests, including mental health disorders, substance abuse problems, fetal alcohol syndrome and some infectious diseases.
Others are acquired behind bars, where the risk of catching tuberculosis and diseases transmitted through sex or in blood - during needle sharing or tattooing - is high. In fact, the report makes a thinly veiled pitch for a needle exchange program for prisons.
Bouchard said Correctional Service Canada is taking a more activist approach, trying through programs and interventions to improve the health of inmates. She thinks the efforts will pay off.
"The outcomes eventually - hopefully - will be reflected. The results of any health services interventions are not always immediate," she said. "You're thinking long term."Source: thestar.com