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Prevalence and Incidence of HTLV-III Infection in a Prison

Patrick W. Kelley, MD, MPH; Robert R. Redfield, MD; David L. Ward, MD, MPH; Donald S. Burke, MD; Richard N. Miller, MD, MPH
JAMA. 1986;256(16):2198-2199. doi:10.1001/jama.1986.03380160056015.
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To the Editor.—  Although acquired immunodeficiency syndrome has been reported in prisons, the magnitude of human T-cell lymphotropic virus type III (HTLV-III) infection in inmates is not well defined.1 The potential for intraprison transmission clearly exists if a reservoir of infection is present. A history of intravenous drug abuse has been documented by over 30% of inmates at several prisons.2,3 Among a sample of federal penitentiary inmates, 30% admitted to adult homosexual activity in a prison.4 We undertook to document the prevalence and incidence of HTLV-III infection in a maximum-security military prison.


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