Ask PHN: Types of Sexually Transmitted Diseases and Testing

By M. Ali
From PHN Issue 55, Winter 2024

Dear Prison Health News,
If you would be so kind (if you haven’t already done so), please explain the variety of sexually transmitted diseases such as trichomoniasis, herpes I vs. II, etc.

— Anonymous

Dear Anonymous,
Thank you for this great topic suggestion. Sexually transmitted diseases (STDs), which develop due to sexually transmitted infections (STIs), are very common, impact people of all genders, and can result from any type of sexual activity (vaginal, anal, oral, etc.). STIs can be caused by viruses, bacteria, fungi, or parasites. STDs don’t always cause symptoms or may only cause mild symptoms, so it’s important to get tested if you believe you may have been exposed. The good news is STDs are preventable, and most are treatable as well. Talking to your partner about STDs and how to stay safe while having sex is an important way of protecting your health. Prevention is always better than treatment.

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COVID-19 Update: RISING CASES AND UPDATED VACCINES

By Lily HA
From PHN Issue 55, Winter 2024

As of October 2023, there has been another surge in COVID-19 cases. Since data reporting to the Centers for Disease Control (CDC) is more limited than it was earlier in the pandemic, it’s harder to know the size of the surge. Still, cases, hospitalizations, and deaths have all increased since summer. When possible, wearing a mask, keeping physical distance between yourself and others, and getting tested if you feel sick or are around someone else who tests positive continue to be good ways to protect yourself and others.

New variants of the coronavirus continue to arise, as experts have expected. There are currently multiple sub-variants of the Omicron variant going around. So far, these new variants and sub-variants seem to have similar symptoms to and cause similarly severe disease as previous variants, although they are more transmissible (easier to get and pass on to other people).

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Holistic Corner: HERBAL REMEDIES

Adapted by Hannah Calvelli
From PHN Issue 55, Winter 2024

A variety of herbs and plants may grow in prison courtyards. In preparation for Spring, we highlight a few of the holistic remedies featured in The Prisoner’s Herbal, a book by Nicole Rose. We acknowledge that not everyone may have access to courtyards, but we hope this information can be useful for some and interesting to many. Furthermore, while the herbs in this article may have medicinal properties, research and evidence on how well herbal medicines work is limited. We recommend that you speak with a medical professional to address any symptoms you are experiencing.

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TYPE 1 DIABETES EXPERT

By Sterling Allan
From PHN Issue 55, Winter 2024

Note from PHN editors: This article is specifically about managing type 1 diabetes, which is an autoimmune problem usually diagnosed in childhood or early adulthood. The author has a lot of experience managing his sugars. What works for him might not work for everyone.

Here in prison, I was able to maintain my A1C in the “normal” range for four years, despite how difficult it is. My purpose here is to share some key takeaways I’ve learned the hard way, so you can benefit from my pioneering efforts without the difficulties.

First, let me say that I no longer target a “normal” blood sugar average, which is 100 mg/dL on the glucometer. My motivation has come from what my doctor told me when I was first diagnosed as a type 1 diabetic two decades ago. He said I could live a full life if I maintained good control of my blood sugar.

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Tips for Navigating Healthcare in Prison

By Chad Miller
From PHN Issue 55, Winter 2024

Please inform your readers that the point and purpose of federal laws like the Health Insurance Portability and Accountability Act (HIPAA) and the Americans with Disabilities Act (ADA) are to protect you and your privacy.

Note: I have found when I deal with medical staff concerning my health, records, or services, I throw acronyms like “HIPAA” or “ADA” around and things begin to happen, such as appointments to be seen. I encourage all incarcerated readers to contact your law librarian, counselor or ombudsman at your institution and learn the standard operating procedures to get the staff to perform well. They hold us to a standard; I hold them to the written standards.

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It Happens More Than It’s Talked About

By T King
Coeffield Unit, Texas
April 2021

First, let me say Thank you so much, you guys are Awesome for what you do for us locked away.

I’m writing to get your take on an issue that happens more than it is talked about.

My name is T. King & I’m a lifer on the Coffield unit in Texas. The largest & one of the oldest joints in the Lone Star State. Being a maximum-security unit, movement is restricted, understandably, so you’re either locked in your cell or the day room & now during COVID-19 it’s 2 hours instead of 1 hour at a time. Sometimes you can get stuck in there 3-5 hours depending on if the count clears in time.

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Living with a Mental Illness

By Russell Auguillard
From PHN Issue 54, Fall 2023

Living with a mental illness often requires a person to create a schedule of activities, groups and therapy. Where you are, you can start now, with groups, therapy and approved programs that are operating through your prison or facilities. One common mental illness a person can be affected by and go through, but not even know that they have it, is antisocial personality disorder. One place they find themselves without even being conscious of it is in the prison system as first, second, or multiple-time offenders. You can do something about it starting today, by first beginning to manage your thoughts, then your life.

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Top Five Tips for a Healthy Mouth

By Leo Cardez
From PHN Issue 54, Fall 2023

As I look around my inmate community, I see too many of us with rotting teeth. Some of that is due to genetics and age, and some of it is due to lack of real dental care and professional cleanings, but it is mostly because of our own lack of dental hygiene and care. Most of us should already know the basic dental care. Therefore, I am only going to cover a few tips:

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Scabies: THE ANTI-LOVE BUG

By Anonymous
From PHN Issue 54, Fall 2023

Scabies is sadly a fairly common occurrence in the crowded conditions of prisons. Prison officials will state cleanliness or hygiene, but transmission of scabies usually occurs through direct and prolonged skin-to-skin contact, as may occur among family members or sexual partners. Casual skin contact is unlikely to result in transmission.

Scabies is the infestation of the skin by the mite Sarcoptes scabiei var. hominis. Scabies infestations result in intense itching, most notably at night, with wavy and slightly scaly lines from 2 mm to 1.5 cm in length that end in dark bumps where the mite may be visible. Prisoners with dark skin tones may find it harder to detect scabies infestations. Burrows may not be easily visible if the individual has been scratching the area. Classically, scabies affects the spaces between fingers, flexural areas of the wrist or elbow, and folds of skin on the buttocks and beltline.

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Cancer Screening for Transgender and Gender-Diverse People

By Lily H-A
From PHN Issue 54, Fall 2023

The goal of cancer screening is to catch cancer early, when it is more treatable and curable. Some cancer screenings, like colonoscopies, are recommended for everybody once they reach a certain age. However, other types of screening, like prostate screening and mammograms, have traditionally been recommended based on gender assuming that this matches sex assigned at birth. The medical guidelines for cancer screening do not yet reflect the needs of trans people, and there is also limited data about trans people’s risks for various cancers and how gender-affirming care like hormones and surgeries may affect these risks. As a general rule, University of California San Francisco (UCSF) Transgender Care recommends that people get cancer screenings based on the body parts they have, regardless of gender or hormones.

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