The Challenges of Aboriginal Prisoner Care in South Australia

While only 2.3% of South Australia’s population is Indigenous, almost a quarter (22%) of people in the State’s prison system are Aboriginal. The prison population is also rife with blood-borne viruses, including hepatitis B and C—viruses which also disproportionately affect Indigenous people in the general population.

Untreated chronic health conditions (as well as hepatitis these commonly include mental illness, diabetes, heart and respiratory diseases, cancer and drug use), compounded by a prisoner’s isolation from their family and community, and a fracturing in their cultural identity and spiritual wellbeing, can be catastrophic for an Aboriginal person in the prison system.

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Tackling Hepatitis and Other Blood-borne Viruses in Prisons

The prevalence of hepatitis C and  hepatitis B in Australian prisons is higher than in in the wider community, but prison settings also present and opportunity for testing, monitoring and treatment, especially for hepatitis C since the introduction of new, highly effective drugs that has shortened treatment time dramatically.

Up to 40 per cent of prisoners have hepatitis C, compared to only one per cent in the wider community, and three to four per cent of prisoners have hepatitis B, compared to just under one per cent in the wider South Australian community.

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