Should prisons have government-sanctioned tattoo shops?

Health and medicine explained.
Sept. 16 2010 10:02 AM

Ink Well

Should prisons have government-sanctioned tattoo shops?

(Continued from Page 1)

Also, as Anne Spaulding of Emory University School of Medicine, notes, most HCV in prisons is imported, not acquired on the premises. One study reported that a third of all people in the United States infected with HCV pass through a correctional facility each year. If that's the case, then clean tattooing in the big house is not going to slice HCV rates either inside or outside penitentiaries.

But legal tattooing could still hold one major advantage: as a steppingstone toward public acceptance of prison needle-exchange programs. As an HCV risk factor, tattooing pales in comparison with injection drug use, which also transmits HIV. Studies report extremely high levels of drug injection in prisons. Many inmates switch from pot to heroin because, with no wafting smoke, it's easier to hide from the guards. But actual needles are a scarce commodity. Inmates will inject themselves with anything—pens, coat hangers, whatever—often with a tattoo chaser to conceal the puncture wounds. When inmates do get their hands on a real needle, sharing is commonplace; they'll even pay to use a dirty one. "About 10 of us used the same needle," says one Canadian prisoner of her first experience injecting drugs, which was while she was incarcerated. "We had to keep sharpening it on a matchstick cover."

Several countries have launched needle and syringe exchange programs within correctional facilities. Swiss prisons have vending machines that provide clean needles upon deposit of a used one. Similar programs are in place in Spain, Germany, Moldova, Kyrgyzstan, and Belarus. Combined with education and methadone treatment for addicts, the efforts have brought HIV prison transmission rates to nearly zero in several countries and have also led to reduced overdosing, increased referral to treatment programs, and increased awareness of infection risk—without increasing drug use.

Still, state and federal prison systems in the United States remain resistant to all of these options. Security concerns regarding increased needle-stick injuries persist, though evidence shows that these programs actually reduce such problems. Politically, the approaches are a hard sell, too. HCV patients are already short on advocates, and prisoners with HCV even more so. A tattoo program could be a small step toward addressing the major public health problem that is HCV—and HIV, for that matter—in prisons.

Advertisement

The future has never looked brighter for HCV sufferers. In 2011, two new drugs with cure rates of up to 75 percent will be approved. New regimens that omit the depression-inducing interferon component are also coming available. The joint is the perfect place to treat people since they are in a fixed place (unlike, say, the homeless population, which also has sky-high hep C rates). As David Thomas of Johns Hopkins Medical Institute, a world-renowned expert on hepatitis, explains, considering that so many HCV carriers end up behind bars, a rigorous, comprehensive prevention and treatment program in prisons could go miles toward eradicating the disease.

Why should taxpayer dollars be used for clean needles and cheap tattoos? This kind of thinking lays its own trap. Most jail sentences are for fewer than three months, and most prison sentences are two to three years. Health problems on the inside will eventually find their way to the outside.

Up to 300 million people are infected with HCV worldwide. With no vaccine available, finding ways to prevent transmission is essential to reining in this epidemic. Preventing just one dirty needle in the haystack could save lives and significant public health care dollars. Installing safer tattooing programs in prisons is a simple, low-cost step in the right direction.

TODAY IN SLATE

Frame Game

Hard Knocks

I was hit by a teacher in an East Texas public school. It taught me nothing.

There Are New Abuse Allegations Against Adrian Peterson

After This Merger, One Company Could Control One-Third of the Planet's Beer Sales

John Oliver Pleads for Scotland to Stay With the U.K.

If You’re Outraged by the NFL, Follow This Satirical Blowhard on Twitter

Jurisprudence

Don’t Expect Adrian Peterson to Go to Prison

In much of America, beating your kids is perfectly legal. 

The Juice

Ford’s Big Gamble

It’s completely transforming America’s best-selling vehicle.

I Tried to Write an Honest Profile of One of Bollywood’s Biggest Stars. It Didn’t Go Well.

Here’s Why College Women Don’t Take Rape Allegations to the Police

The XX Factor
Sept. 15 2014 1:51 PM Here’s Why College Women Don’t Take Rape Allegations to the Police
  News & Politics
Weigel
Sept. 15 2014 8:56 PM The Benghazi Whistleblower Who Might Have Revealed a Massive Scandal on his Poetry Blog
  Business
Moneybox
Sept. 15 2014 7:27 PM Could IUDs Be the Next Great Weapon in the Battle Against Poverty?
  Life
Outward
Sept. 15 2014 4:38 PM What Is Straight Ice Cream?
  Double X
The XX Factor
Sept. 15 2014 3:31 PM My Year As an Abortion Doula
  Slate Plus
Tv Club
Sept. 15 2014 11:38 AM The Slate Doctor Who Podcast: Episode 4  A spoiler-filled discussion of "Listen."
  Arts
Brow Beat
Sept. 15 2014 8:58 PM Lorde Does an Excellent Cover of Kanye West’s “Flashing Lights”
  Technology
Future Tense
Sept. 15 2014 4:49 PM Cheetah Robot Is Now Wireless and Gallivanting on MIT’s Campus
  Health & Science
Bad Astronomy
Sept. 15 2014 11:00 AM The Comet and the Cosmic Beehive
  Sports
Sports Nut
Sept. 15 2014 9:05 PM Giving Up on Goodell How the NFL lost the trust of its most loyal reporters.