Prisons as regional drivers of HIV/AIDS and tuberculosis in some Central Asian countries: A matter of ‘least eligibility’?

The Central Asian republics are among the countries which currently experience the world’s fastest growing HIV/AIDS epidemic. At the same time, they are threatened by the re‐emergence of tuberculosis (TB), with the highest rates of new TB cases among the Former Soviet Republics. One of the groups that is at highest risk from TB and HIV/AIDS and that is, at the same time, the major regional drivers of the epidemics is the prison population. Up to an estimated third of HIV/AIDS infected persons in Central Asia are within the penitentiary system. At the same time, prisons are known to be the ‘epidemiological pump’ for TB in the region, fuelled by overcrowding, poor ventilation and inadequate nutrition. Both AIDS and TB incidence and death rates among prisoners are much higher than in the civilian population, with an alarming rising trend. Prison health is a key issue of public interest, especially in the context of an epidemiological crisis as in Central Asia. This paper looks at the spread of HIV/AIDS and TB in the region and analyses the role prisons play as one of the main multipliers.