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http://www.torontosun.com/news/canada/2008/12/17/7775041-sun.html

Sick inmates costly

Loss of needle-exchange programs behind rising prison care costs, access

documents show

By KATHLEEN HARRIS, NATIONAL BUREAU CHIEF

Last Updated: 17th December 2008,

The cost of caring for sick federal inmates is climbing fast, with the average

figure now 2.4 times more than a Canadian on the street.

Figures obtained by Sun Media through Access to Information show health care

costs in penitentiaries -- including treatments, methadone and medicines --

swelled to nearly $150 million last year, up from $132 million the year before.

Correctional Service of Canada says the higher costs are due to rampant mental

health problems, substance abuse and infectious diseases like HIV and hepatitis

C. There's also a high prevalence of chronic conditions like diabetes,

cardiovascular disease and respiratory disorders behind bars, said spokeswoman

Christa McGregor.

SPECIALIZED CARE

Along with the higher rates of sickness and disease, security requirements of

the prison environment also drive up the costs, she said. CSC institutions have

their own health units offering routine medical and dental services, as well as

mental health treatment centres and regional hospitals for post-surgical and

palliative care. Community services also provide specialized care.

Craig , executive director of the Society of Canada, said the

majority of offenders have grown up with poor diets and unhealthy lifestyle

habits. He said the stress and confinement of prison life can produce -- or

worsen -- physical and psychological conditions.

" You almost could not design a place that is more harmful to a healthy person

than a prison, " he said.

said the Conservative government has unwisely rejected public health

initiatives such as needle-exchange and clean tattoo programs that could help

stop the spread of blood-borne diseases. This ideologically driven approach over

" evidence-based solutions " does nothing to reduce harm and actually leads to

increased health care costs, he said.

Elliott, executive director of the Canadian HIV-AIDS Legal Network, said

the rate of HIV is 10 times higher in prisons than in the general population --

and 20 times higher for hepatitis C.

He called it " boneheaded " that the government won't allow sterile injection

rooms or clean tattooing equipment inside prisons.

" They have a zero tolerance policy for drugs, which is misguided. It's just not

practical to think you're going to keep drugs out of prisons, " he said.

'DRUGS DO GET IN'

" Notwithstanding all the money that they spend on it, drugs do get in to prisons

and they have forever. Let's take some pragmatic steps to prevent some of these

public health problems. "

About 60 countries, including Switzerland, Germany and Spain, have implemented

needle-exchange programs to help stop the spread of infectious diseases

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http://www.torontosun.com/news/canada/2008/12/17/7775041-sun.html

Sick inmates costly

Loss of needle-exchange programs behind rising prison care costs, access

documents show

By KATHLEEN HARRIS, NATIONAL BUREAU CHIEF

Last Updated: 17th December 2008,

The cost of caring for sick federal inmates is climbing fast, with the average

figure now 2.4 times more than a Canadian on the street.

Figures obtained by Sun Media through Access to Information show health care

costs in penitentiaries -- including treatments, methadone and medicines --

swelled to nearly $150 million last year, up from $132 million the year before.

Correctional Service of Canada says the higher costs are due to rampant mental

health problems, substance abuse and infectious diseases like HIV and hepatitis

C. There's also a high prevalence of chronic conditions like diabetes,

cardiovascular disease and respiratory disorders behind bars, said spokeswoman

Christa McGregor.

SPECIALIZED CARE

Along with the higher rates of sickness and disease, security requirements of

the prison environment also drive up the costs, she said. CSC institutions have

their own health units offering routine medical and dental services, as well as

mental health treatment centres and regional hospitals for post-surgical and

palliative care. Community services also provide specialized care.

Craig , executive director of the Society of Canada, said the

majority of offenders have grown up with poor diets and unhealthy lifestyle

habits. He said the stress and confinement of prison life can produce -- or

worsen -- physical and psychological conditions.

" You almost could not design a place that is more harmful to a healthy person

than a prison, " he said.

said the Conservative government has unwisely rejected public health

initiatives such as needle-exchange and clean tattoo programs that could help

stop the spread of blood-borne diseases. This ideologically driven approach over

" evidence-based solutions " does nothing to reduce harm and actually leads to

increased health care costs, he said.

Elliott, executive director of the Canadian HIV-AIDS Legal Network, said

the rate of HIV is 10 times higher in prisons than in the general population --

and 20 times higher for hepatitis C.

He called it " boneheaded " that the government won't allow sterile injection

rooms or clean tattooing equipment inside prisons.

" They have a zero tolerance policy for drugs, which is misguided. It's just not

practical to think you're going to keep drugs out of prisons, " he said.

'DRUGS DO GET IN'

" Notwithstanding all the money that they spend on it, drugs do get in to prisons

and they have forever. Let's take some pragmatic steps to prevent some of these

public health problems. "

About 60 countries, including Switzerland, Germany and Spain, have implemented

needle-exchange programs to help stop the spread of infectious diseases

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