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Based on the experience of many countries in the WHO European Region and the advice of experts, this guide outlines some of the steps prison systems should take to reduce the public health risks from compulsory detention in often unhealthy situations, to care for prisoners in need and to promote the health of prisoners and prison staff. This requires that everyone working in prisons understand how imprisonment affects health, what prisoners' health needs are, and how evidence-based health services can be provided for everyone needing treatment, care and prevention in prison. Other essential elements are being aware of and accepting internationally recommended standards for prison health; providing professional care with the same adherence to professional ethics as in other health services; and, while seeing individual needs as the central feature of the care provided, promoting a whole-prison approach to care and promoting the health and well-being of people in custody.
Major changes in the nature and dynamics of the AIDS epidemic over the last few years are reflected in changing epidemiological trends as well as in the progress made in biomedical research and treatment. AIDS in Europe brings together papers from leading social science researchers to look at the opportunities and challenges these changes bring and the different ways in which they are being responded to in both western and eastern Europe. Papers are organised under three headings: *new challenges for HIV prevention *care of people living with HIV/AIDS in a new therapeutic context *AIDS public policies: from specialisation to normalisation AIDS in Europe provides a comprehensive overview of current social and behavioural research on HIV and AIDS for all health professionals.
The purpose of the Network is to prepare a homogenous system of epidemiological monitoring, present comparable international data and based on the results formulate recommendations. This publication contains an overview of their work in1998/99 and a report of the current situation of HIV/AIDS and hepatitis in European prisons, including country reports. There are also studies based on qualitative interviews with prisoners, surveys of risk behaviour and surveys on the attitudes of prison staff.
1. Introduction -- 2. Social and demographic trends -- 3. Selected health indicators -- 4. Morbidity -- 5. Causes of death abd trends in famale mortality -- 6. Health determinats and health promotion -- 7. Special issues in women's health -- 8. Conclusion.
Established in 1993, the European Monitoring Centre for Drugs and Drug Addiction (EMCDDA) is an EU agency which collects and disseminates comparable evidence-based data on drugs and drug addiction in Europe. This publication is the seventh in the series of scientific monographs and contains papers on the topic of hepatitis C and injecting drug users. It is divided into four parts dealing with: natural history, treatment, quality of life, epidemiology and prevention issues; models of hepatitis C infection, injecting drug use and policy options; healthcare costs and wider costs of drug use; cost-effectiveness of needle and syringe programmes and methadone maintenance.