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Research Letter |

Detection of Undiagnosed HIV Among State Prison Entrants

David Alain Wohl, MD1; Carol Golin, MD2; David L. Rosen, PhD, MD3; Jeanine M. May, PhD2; Becky L. White, MD2
[+] Author Affiliations
1University of North Carolina, Chapel Hill
2Sheps Center for Health Services Research, University of North Carolina, Chapel Hill
3Center for Infectious Diseases, University of North Carolina, Chapel Hill
JAMA. 2013;310(20):2198-2199. doi:10.1001/jama.2013.280740.
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A substantial proportion of individuals infected with the human immunodeficiency virus (HIV) in the United States enter a correctional facility annually.1,2 Therefore, incarceration presents an opportunity for HIV detection. Even though many states have adopted policies of mass HIV screening of inmates,24 the extent to which HIV testing on prison entry detects new infections is unclear.

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Figure.
Testing of Inmates Entering the North Carolina Prison System for Human Immunodeficiency Virus (HIV)

aThere were 1066 inmates who did not have HIV test performed on excess blood remaining from state-required syphilis testing but who were tested for HIV by the prison system. Of these, 36 tested positive for HIV and all were previously known by the North Carolina Department of Health and Human Services to be infected with HIV.

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