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HIV and Hepatitis in UK Prisons - Prison Reform Trust

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Contents<br />

Acknowledgements .................................................................... i<br />

Foreword ............................................................................iii<br />

Executive Summary ....................................................................v<br />

Background ............................................................................1<br />

Pr<strong>in</strong>ciples of healthcare guid<strong>in</strong>g this study ...............................................3<br />

<strong>Prison</strong>ers’ health: whose responsibility .................................................5<br />

<strong>HIV</strong> <strong>and</strong> hepatitis C <strong>in</strong> the <strong>UK</strong> .........................................................6<br />

Drug misuse, <strong>HIV</strong> <strong>and</strong> hepatitis C, <strong>and</strong> preventative strategies <strong>in</strong> prison ..................9<br />

The transmission of <strong>HIV</strong> <strong>and</strong> hepatitis B <strong>and</strong> C <strong>in</strong> prison through sexual activity<br />

<strong>and</strong> other risk-tak<strong>in</strong>g behaviour .......................................................15<br />

Education <strong>and</strong> tra<strong>in</strong><strong>in</strong>g ................................................................20<br />

Test<strong>in</strong>g, treatment <strong>and</strong> aftercare for <strong>HIV</strong> <strong>and</strong> hepatitis C ...............................22<br />

Conclusion – roll<strong>in</strong>g out good practice ................................................30<br />

Recommendations ....................................................................31<br />

Appendix: survey <strong>in</strong>strument ..........................................................34

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