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June 22 2011, Vol 305, No. 24 >

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Letters | June 22 2011

Pregnancy, Addiction, and Incarceration

Kevin Fiscella, MD, MPH; Josiah D. Rich, MD, MPH
JAMA. 2011;305(24):2523-2524. doi:10.1001/jama.2011.847.
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To the Editor: In the discussion by Drs Clarke and Adashi of perinatal care for incarcerated pregnant women, they included a few paragraphs on addiction, and the patient in the case presented had heroin and tobacco addiction.1 However, the problem of addiction in inmates, pregnant or not, deserves more emphasis.

The number of inmates incarcerated nationally for drug-related offenses has increased 12-fold, from 41 000 in 1980 to nearly a half million currently,2 at an annual cost of roughly $22 000 per inmate.3 Half of all jail and prison inmates meet diagnostic criteria for drug abuse or dependence.3 Jails and prisons therefore represent potential critical entry points into drug treatment.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

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June 22, 2011
Pregnancy, Addiction, and Incarceration—Reply
Jennifer G. Clarke, MD, MPH; Eli Y. Adashi, MD, MS, CPE
JAMA. 2011;305(24):2523-2524. doi:10.1001/jama.2011.848.
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