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Review
. 2021 Sep-Dec;23(3):119-127.
doi: 10.18176/resp.00041.

Diagnosis and treatment of hepatitis B. What contributions can prisons make?

M Vergara  1
Affiliations
Review

Diagnosis and treatment of hepatitis B. What contributions can prisons make?

M Vergara. Rev Esp Sanid Penit. 2021 Sep-Dec.

Abstract
in English, Spanish

Hepatitis B is a parenterally and sexually transmitted infection. Vaccination for the disease is highly effective, and its inclusion in Spain as part of a systematic and universal schedule for newborns has led to a significant decrease of incidence in the national population. However, the number of inmates born in other countries some from endemic areas of HBV infection -, the mechanisms of transmission and lack of vaccination in third world countries mean that its prevalence in the prison population is higher than in the general population. These institutions therefore play an essential role in detecting and managing hepatitis B. In this paper, the situation of hepatitis B in prisons is reviewed and recommendations are proposed to optimize its control.

La hepatitis B es una infeccion de transmision parenteral y sexual. La vacunacion es altamente efectiva, y en Espana, esta incluida en el programa vacunal sistematico y universal en los recien nacidos, lo que ha comportado una importante disminucion de la incidencia en la poblacion autoctona. Sin embargo, el numero de ingresados en prision nacidos en otros paises (algunos procedentes de areas endemicas de la infeccion por el virus de la hepatitis B [VHB]), el mecanismo de transmision y la falta de vacunacion en los paises del tercer mundo, hace que su prevalencia en la poblacion penitenciaria sea mas alta que en la poblacion general. Estas instituciones tienen, por consiguiente, un papel fundamental en la deteccion y manejo de la hepatitis B. En este trabajo, se revisa la situacion de la hepatitis B en las prisiones y se proponen recomendaciones para optimizar su control.

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Figures

Figure 1
Figure 1. Antiviral treatment indications for Hepatitis B.
See this image and copyright information in PMC

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