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An Outbreak of Syphilis in Alabama Prisons: Correctional Health Policy and Communicable Disease Control

Mitchell I. Wolfe, MD, MPH, Fujie Xu, MD, PhD, Priti Patel, MD, MPH, Michael O'Cain, Julia A. Schillinger, MD, MSc, Michael E. St. Louis, MD, MPH and Lyn Finelli, DrPH

At the time of the study, Mitchell I. Wolfe was with the Epidemic Intelligence Service, Epidemiology Program Office, Centers for Disease Control and Prevention (CDC), and the Medical Examiner Program, National Center for Environmental Health, CDC, Atlanta, Ga; Fujie Xu was with the Epidemic Intelligence Service, Epidemiology Program Office, CDC, and the Epidemiology and Surveillance Branch, National Center for HIV, STD, and TB Prevention, CDC. Priti Patel is with the Epidemiology Program Office, CDC. Michael O'Cain is with the Program Development and Support Branch, National Center for HIV, STD, and TB Prevention, CDC, and the Alabama Department of Public Health, Montgomery. Julia A. Schillinger, Michael E. St. Louis, and Lyn Finelli are with the Epidemiology and Surveillance Branch, National Center for HIV, STD, and TB Prevention, CDC.



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  		FIGURE 1— Schematic representation of syphilis screening in the Alabama State correctional system (see text for details).

 


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  		FIGURE 2— Early syphilis cases, by prison and month of diagnosis: Alabama prison syphilis outbreak, March 1998–March 1999 (N = 39).

 


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  		FIGURE 3— Prison A sexual network, syphilis case patients, and selected uninfected contacts: Alabama prison syphilis outbreak, March 1998–February 1999.

 




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