Since active pulmonary TB is highly infectious, screening people at prison admission is advisable so that prevention and control measures (e.g. treatment, isolation) can be taken to avoid onward transmission.
When planning active case finding initiatives for TB in prison settings, it is recommend important to take into consideration the different epidemiological situation of TB across the EU/EEA* the characteristics of the prison population, and existing national/international guidelines and national legislation. Certain population groups, which tend to be overrepresented in prison settings, are at higher risk for TB and LTBI. These may include foreign-born people from high-burden countries, homeless people, and people with substance use disorders.
In 2018 WHO has released a compendium of good practices for the prevention and control of (multidrug-resistant) TB in prison, which includes models for TB active case finding at prison entry from a number of EU/EEA countries.