Theoretical substantiation of the organization of detection of cases of tb and hiv infection in temporary issuers of territories with low population density.

Abstract

Detection of cases of tuberculosis in temporary detention facilities (TDF) and police reception centers (PR) makes it possible to identify TB patients among socially vulnerable segments of the population with high efficiency; a similar result is expected for HIV infection. This is especially true for low-density entities where the population is exposed to specific risk factors. However, at present there are no calculations showing the potential effectiveness of implementing the method in them. T h e p u r p o s e o f t h e s t u d y : to develop theoretical prerequisites for the introduction of a survey of detainees, suspects and accused in order to detect tuberculosis and HIV infection in PR and TDF. M a t e r i a l s a n d m e t h o d s . We used information from official statistical observation to analyze the detection rate of tuberculosis and HIV in pre-trial detention centers. Information about the number of offenders according to the Ministry of Internal Affairs, and estimates of the detection of tuberculosis patients according to statistical materials. 95% confidence limits (95% CI) were used as limits for the 95% uncertainty interval. R e s u l t s . From 2018 to 2022 2,512 newly arrested people passed through the pre-trial detention center in Petropavlovsk-Kamchatsky, among whom 94 people living with HIV were identified for the first time (detection rate is 37,4 per 1,000 examined; for comparison, in public health care – 2,1 per 1,000 examined) and 54 patients tuberculosis (detection rate is 21,5 per 1000 examined; for comparison, in public health care – 0,29 per 1000 examined). During this time, the police detained 16,282 people who, one way or another, went through the PR and IVS. Their examination would make it possible to additionally identify from 80 to 108 PLHIV and from 34 to 71 TB patients annually. C o n c l u s i o n . Screening for the detection of tuberculosis and HIV infection in TDFs and PRs is a potentially extremely effective tool that can lead to a significant improvement in the detection of patients with socially significant infectious diseases with the potential to interrupt the infection chain among socially vulnerable part of the population.