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Abstract
HIV and HCV can be transmitted via unprotected sexual contacts as well as through the widespread intramural practice of unsafe drug use and tattooing involving the sharing of potentially infectious needles, syringes and other paraphernalia [8, 10-16]. [...]transmission risks and infection events are highly increased in prisons, especially due to the absence of sterile drug injecting utensils and restricted access to condoms and other prevention measures. Since not every prison has a sick ward and only some FS have prison hospitals, contracts and transfer co-operations exist among the states in order to ensure medical care in every FS [34, 36-38]. Because prison health care is not part of the regular public health system in Germany, it is therefore not part of the health reporting system [14]. [...]the adTP means the proportion of prisoners treated per day with the respective drug to the average number of all prisoners during the study period (Fig. 1). [...]correctional facilities should consistently implement prevention and harm-reduction measures such as needle-exchange and condom distribution programs to avoid further spread of diseases [30].