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| As Hepatitis C rates rise in prisons, Arizona, other states debate covering cost of treatment |
| By Arizona Republic |
| Published: 02/26/2001 |
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Hepatitis C disproportionately affects prisoners, leaving state legislatures debating how to fund the treatment of the estimated 1.4 million infected inmates in the U.S. correctional system, the Arizona Republic reports. Because
inmate lifestyles are "prime incubators" for hepatitis C, nearly 30%
of the prisoners in Texas are infected with the virus, as are 41% in
California, 32% in Connecticut, 30% to 40% in Virginia and 38% in Maryland. Unsterilized
needles used for injecting drugs, tattooing and body piercing are the most
common means of viral transmission, and unprotected intercourse with multiple
partners is also among the "high-risk" activities that contribute to
the spread of the liver-damaging disease. In
Arizona, 6,000 of the state's 26,800 inmates are infected with hepatitis C,
and nearly 1,000 are eligible for treatment.
However, viral testing, monitoring and treatment is costly.
State
Senate Appropriations Chair Ruth Solomon (D) has said that the Legislature
will not include in its budget the $10 million requested by the Arizona
Department of Corrections to monitor and treat the disease, or the $5 million
requested by Gov. Jane Hull. Gov.
Hull intends to defend her request for the $5 million, spokesperson Francie
Noyes stated. Solomon
explained that lawmakers believe the Corrections Department has a generous
budget that could be used to treat the inmates, a claim Dr. Thomas Lutz,
deputy director of health services for the department, denies.
Without
state funding, he said, the department will have to use its operating budget
to cover the $8,700-$16,200 needed to treat each inmate. Furthermore,
the Republic reports that without the funding, treatment may only be given to
a small percentage of infected inmates. Dr. Thomas Boyer, director of the University of Arizona Liver Research Institute, said that although hepatitis C is not a rapidly spreading disease, the state is in a "pay-now or pay-later situation," and that without prevention and prompt treatment, the government will end up supporting those who become sick with the disease. |

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