[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-420387-105":59,"doc-detail-420387-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","inmates-with-multiple-infections-constitute-simmering-crises","Inmates With Multiple Infections Constitute Simmering Crises","","Corrections professionals face a hidden but escalating crisis involving inmates with multiple infections, particularly hepatitis C coexisting with conditions such as HIV, diabetes, heart trouble, and hypertension. Standard hepatitis C therapy using interferon and ribavirin can reduce CD-4 counts in co-infected patients, increasing vulnerability to opportunistic infections. Case-by-case evaluation, medication compatibility, and limited resources complicate treatment selection and timing, while chronic infection and progression to cirrhosis and liver failure increase long-term risk.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/inmates-with-multiple-infections-constitute-simmering-crises/420387/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/inmates-with-multiple-infections-constitute-simmering-crises/420387.png","ImageObject",300,407,{"name":92,"@type":93},"Franzy","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-30","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"Why is hepatitis C in correctional settings described as a hidden crisis?","Question",{"text":113,"@type":114},"Most facilities have small healthcare budgets, limiting their ability to diagnose the extent of illness. A significant population is overrepresented for HCV, creating an unseen burden within prisons and jails.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"How does standard hepatitis C treatment affect co-infected inmates?",{"text":118,"@type":114},"Interferon and ribavirin can cause CD-4 counts to drop in some patients co-infected with HIV, making them more susceptible to opportunistic infections.",{"name":120,"@type":111,"acceptedAnswer":121},"What are the main obstacles to treating inmates with HCV?",{"text":122,"@type":114},"The challenges include finding resources to treat the broadest spectrum of patients and selecting those most likely to face problems in the shorter term, especially given long lead times from infection to illness.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},420387,1790763925,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":46,"preview_page_count":4},2336478945519,"https://ap-avatar.wpscdn.com/davatar_085a072bc5b1113ac321206ff7593b45","August 4,2000  \nVol.31,No.30  \nIN THIS ISSUE  \nIN THE COURTS  \n7th Circuit Says Prisons MayLimit se Of Telephones...3lst CircuitOn Bail Warrant.3Justice Department MustRelease Files To Inmate……3Officers Have Rights ………411th Circuit On Promotions.4  \nLEGISLATION  \nBill Tightens PenaltiesFor Harming Officers ………4Measure Funds Care InsteadOf Jail For Mentally II………4  \nNATIONAL  \nGames Affect Youths………5Sex Abuse Comments………5Guide To Recruit Mentors...5Youth Sentencing Guide…5OJJDP Seeks Consultants....5CCA Fires President…………5  \nACROSS THE STATES  \nAlaska,Arizona………………5Cal.,Conn.,D.C.,Ⅲ.,Minn..…6Pa.,Wash…………………………7  \nFUNDING  \nFunds To Train Officers……7Grants Support Diversit....7NIC Offers $105,000 Grant.7Database Deadline Extended….8  \nCorrectionSDIGEST  \nThe only independent news service for the corrections professional  \n# Inmates With Multiple InfectionsConstitute Simmering Crises\n\nThe number of inmates with tabolized through the liver.multiple infections is a hidden crisisfor corrections officials,most ofwhom have health care budgets sosmall they are unable even to diag-nose the extent of the illnessessimmering beneath the surface.  \nAt the same time,there are in-  \ndications that the standard treatment  \nfor hepatitis C,a combination of in-  \nterferon and ribavirin,causes CD-4  \ncounts to drop in some co-infected  \npatients,making patients more sus-  \n“The biggest problem we haveright now is co-morbid conditions,”says Dr.Joseph DiMino.  \nceptible to opportunistic infections.  \nThis is one reason why co-  \ninfected inmates must be evaluated  \n“These people have multiplediseases—HIV,hepatitis,diabetes,heart trouble,hypertension.\"  \non a case-by-case basis to determine  \nif they are candidates for HCV  \ntreatment,stresses Dr.David Tho-  \nDiMino is corporate medical di-rector for Correctional PhysicianServices,a private company thatprovides health care services forcorrections facilities in Florida,New York,Pennsylvania and Vir-ginia.  \nmas,director of health services for  \nthe Florida Department of Correc-  \ntions.  \nAbout 4 million people have  \nHCV in the United States,a rela-  \ntively small segment of the popula-  \ntion,but one that is over represented  \nAn inmate,for example,couldrequire many different medicationsa day,and not all of the therapiesare compatible,making them diffi-cult to tolerate,DiMino points out.  \nin prisons and jails.Eighty percent  \nof the nearly 2 million inmates have  \nused illegal drugs,one in four ad-  \nmitting to a history of parenteral  \ndrug use,the primary mode of HCV  \ntransmission,thus creating a  \nThere is also evidence thathepatitis C progresses more rapidlyin patients co-infected with HIV,  \n\"catchment of people with HCV in  \ncorrectional institutions,\"comments  \none federal gov-  \nleading to higher  \nernment official.  \nrates of liver dam-  \nAccounts Payable  \n\"There is not  \nage and liver fail-  \nPlease ignore all invoices from POBox 3885,Fairfax,VA 22038.Correc-tions Digest no longer uses the servicefor billing purposes.Send all paymentsand subscription orders to our Wash-ington office.If you have questions,please call 202-662-7035.  \nure and ultimately  \nthat much HCV  \ncomplicating HIV  \nin our state,”  \nsaid one correc-  \ntreatment since  \ntional physician.  \nmany HIV medi-  \n\"But there is  \ncations are me-  \nquite a lot in our injection drug community and thus in our prisons.\"  \nEighty-five percent of thosewho test positive for the HCV anti-bodies develop chronic infections;15 percent,however,clear the viruson their own without medical inter-vention.Of the 85 percent who de-velop chronic infections,20 percentadvance to cirrhosis or scarring ofthe liver.  \nThe biggest challenges are\"finding the resources to treat thebroadest spectrum of patients,andselecting those who are most likelyto have problems in the shorterterm,\"said Dr.Michael Kelley,di-rector of preventative medicine forthe Texas Department of CriminalJustice.  \nThe department conducted ablinded HCV study last year in as-Thes","cbCaivUFOjkO9wXV","https://ap.wps.com/l/cbCaivUFOjkO9wXV","pdf",2466418,"English","# Inmates With Multiple Infections Contribute to Persistent Crises\n## Treatment constraints and co-morbid complexity\n## Evidence of prevalence and progression risks\n## Resource limits and case-by-case evaluation\n## Study-based screening and long-term planning","[{\"question\":\"Why is hepatitis C in correctional settings described as a hidden crisis?\",\"answer\":\"Most facilities have small healthcare budgets, limiting their ability to diagnose the extent of illness. A significant population is overrepresented for HCV, creating an unseen burden within prisons and jails.\"},{\"question\":\"How does standard hepatitis C treatment affect co-infected inmates?\",\"answer\":\"Interferon and ribavirin can cause CD-4 counts to drop in some patients co-infected with HIV, making them more susceptible to opportunistic infections.\"},{\"question\":\"What are the main obstacles to treating inmates with HCV?\",\"answer\":\"The challenges include finding resources to treat the broadest spectrum of patients and selecting those most likely to face problems in the shorter term, especially given long lead times from infection to illness.\"}]","Inmates With Multiple Infections Constitute Simmering Crises | PDF",1790620768]