The number of tuberculosis patients in American all-male correctional facilities exceeds those that involve civilian patients with that of inmates accounting for 25% of the cases. Essentially there are various reasons for this spread in the facilities which are related to hygiene, diet, and the aeration of the cells ( Lambert et al., 2016 ). There are various ways to counter the spread of the disease in the male correctional facilities. Some of the ways include medical interventions and follow up. Such measures aim to ensure human rights are adhered to in the treatment of persons in the correctional facilities as they have rights to good health. It is difficult to maintain positive outcomes of these measures as the cells are shared, and hence there is a need for sustainable strategies. The inclusion of the measures is expected to produce positive outcomes directed at reducing the number of deaths related to tuberculosis in the facilities.
The identification of inmates suffering from tuberculosis during the first days of infection will be significant in ensuring the disease is manageable in facilities. This outcome involves ensuring that the prisoners do not have to receive specialized care as the spread will be manageable ( Kamarulzaman et al., 2016 ). This goal is achievable through creating policies to make regular testing of all prisoners mandatory to detect the new infections before they get to the full-blown stage. Such tests can be done every week since the individuals change cells daily in most cases.
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Also, there is an expectation that the number of deaths related to tuberculosis will decline with the establishment of nursing interventions in the facilities. In this case, the rationale is through the establishment of a health facility within the correctional facilities where all patients are taken regularly for treatment and follow up ( Lambert et al., 2016 ). Additionally, the follow-up intervention will be done inside the cells for patients who have severe cases after moving to more ventilated seclusions away from the rest.
The expected outcome from the provision of better diets in the correctional facilities is the development of immunity among the prisoners. The continued use of an unbalanced diet causes the deterioration of immunity. Hence, with better immunity and couple with the pronouncements of antibodies, there will be higher resistance among male prisoners than among civilians. The rationale for achieving this outcome is through ensuring that all inmates, especially those under treatment, take lots of vitamins, including the provision of supplements in the form of tablets ( Kamarulzaman et al., 2016 ). Those with preexisting medical conditions need to receive nutritional care through improved diets to ensure they do not contract tuberculosis.
With the continued efforts to introduce diagnosis based interventions, there will be better manageability of diseases such as HIV/AIDS. Male patients of AIDS will be healthier with the management of tuberculosis, which is detrimental to the body's immunity. Therefore, apart from reducing tuberculosis-related deaths, the mortality of prisoners based on preexisting illnesses will decline drastically ( Kamarulzaman et al., 2016 ). One way to achieve this outcome is to keep patient records and inmate information concerning the medical history of all individuals in the facilities. Such records will help to understand the health conditions of all individuals in the facilities, including workers. Diagnoses must be made before admission into the facilities.
References
Kamarulzaman, A., Reid, S. E., Schwitters, A., Wiessing, L., El-Bassel, N., Dolan, K., ... & Altice, F. L. (2016). Prevention of transmission of HIV, hepatitis B virus, hepatitis C virus, and tuberculosis in prisoners. The Lancet , 388 (10049), 1115-1126.
Lambert, L. A., Armstrong, L. R., Lobato, M. N., Ho, C., France, A. M., & Haddad, M. B. (2016). Tuberculosis in jails and prisons: United States, 2002− 2013. American journal of public health , 106 (12), 2231-2237.
