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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Breast Reconstruction Victory

By Lori McLuckie
From PHN Issue 54, Fall 2023

Dear Prison Health News,

Thank you very much for your letter in response to my inquiry about breast reconstruction after mastectomy.

Since I wrote that letter to you, a minor miracle has occurred: The Colorado Department of Corrections has made the decision to provide coverage for my reconstruction process. This decision was made in April 2022. Since then, I have had a consultation with the plastic surgeon, I’ve had the first surgery to install the expanders (the surgery occurred on Sept. 12, 2022), and I’ve begun the expansion process.

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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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Recognizing LONG COVID

By Kirby Sokolow
From PHN Issue 53, Summer 2023

Three years have passed since the World Health Organization first declared COVID-19 a pandemic. However, people worldwide continue to suffer from this novel coronavirus’ devastating effects. Among them are an estimated 65 million people with symptoms of Long COVID.

Long COVID—also called post-COVID syndrome or post-acute sequelae of SARS-CoV-2 infection—is when someone keeps having COVID-19 symptoms or gets new symptoms that last weeks, months, or years after they get COVID. Anyone infected with COVID-19 can develop Long COVID, even vaccinated folks and people whose initial symptoms were mild. However, vaccination does lower your risk of both getting COVID and developing long COVID.

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A Word About Syphilis

By Thomas Michael Simons, IPE
From PHN Issue 52, Spring 2023

While its origin is not completely known, the earliest evidence of syphilis was found in the Pre-Columbian Indigenous population of South America. Syphilis is caused by the Treponema pallidum spirochete bacterium, and it can cause serious health problems if not treated. It is transmitted by coming into contact with a syphilitic sore during anal, oral, or vaginal sex. These sores appear on or around the anus, penis, or vagina (they’re found in the rectum, on the lips, or in the mouth). It can be congenitally (present before birth) spread from a pregnant person to a fetus or baby.

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Ask PHN: Colon Cancer

By Belinda Christensen
From PHN Issue 50, Summer/Fall 2022

Dear Prison Health News,
Thank you for having me on your mailing list. By the way, do you know anything about colon cancer? My father died of it in July of 1999, and one of my brothers died of it in 2013, so I know it runs in my family. I would highly appreciate learning more about it, if you can.
— Gabriel Fuentes, California

Dear Mr. Fuentes,
Thank you for your letter, and for the wonderful drawing. I’m very sorry to hear that your father and brother passed away from colon cancer. I’ve provided some information below about screening and prevention from the American Cancer Society and the Colorectal Cancer Alliance, two organizations that work to educate people about cancer prevention and treatment.

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Inhumane Conditions

An Excerpt from Felon: The New Slur Word by Justin Guyton
Chapter 7: Inhumane Conditions

            One of the issues that prisoners face in maintaining their health is the inadequate medical treatment that is given to prisoners. We all know that medical treatment isn’t cheap, but just because a person is incarcerated doesn’t mean that they don’t have the right to adequate care. The nursing staff and the majority of the doctors suggest the same remedy for pretty much any health issue a prisoner may face: “Take these ibuprofen, drink lots of water, and get some rest.” They know that this one-size-fits-all approach doesn’t solve most problems that are brought to their attention, but this is one of the many tactics that are used in an attempt to save money at the expense of the prisoners’ health. These same individuals who took an oath to provide adequate care to those that they encounter are doing the exact opposite. Depending on the illness, this type of ploy can often result in tragedy.

            Some years back, I had a friend that for the point of this story I won’t reveal his name out of respect for his family. This friend was serving a three-year sentence that he’d almost completed. As a means of escape in addition to staying in shape he would work out regularly.

            I’d ended up being moved to another housing unit due to the dormitory that I was previously in was being used to house prisoners whom were lacking their GED. Though no longer in the same dorm, my friend and I would cross paths regularly. A few weeks after I was moved, my friend tragically passed away at twenty-three years old.

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Elevate Your Inmate Game: Building Habits to Help You Seize the Day

By Leo Cardez

From PHN Issue 45, Winter 2021

There’s a note on my planner that I update each year on my birthday with annual increasing numbers. On my 40th birthday, eight. On my 41st birthday, nine. And so forth. That number is how many healthy habits I live by. I add one new habit each year. This goal I set each year is a gift I give to myself. I might be getting older, but I am doing something that can help me live longer and makes me a better and happier person overall. My good habits have increased each year, often replacing old, bad habits. I love the idea of becoming a better version of myself. There may come a day when I won’t be able to adopt a new healthy habit. That felt all the more real this year with the COVID-19 pandemic. But I try to take this in
stride, realize it is about the journey, take a deep breath and try again… and then again. Sticking with new habits can be difficult, but it is all about taking one small step at a time and understanding that it is okay to fail, as long as you try again.

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Understanding and Taking Control of Your High Blood Pressure

By Priyanka Anand and Neil Menon

This is an updated version of an article that appeared in our Winter 2017 Issue.


Most people have heard of high blood pressure, also known as hypertension. Almost half of all adults in the United States have high blood pressure, so this is very common.

What is high blood pressure?

Blood pressure is the pressure of your blood pushing against your blood vessels. When you have your blood pressure taken, the doctor or nurse will give you two numbers: your systolic blood pressure and your diastolic blood pressure. Your systolic blood pressure is your highest blood pressure, when your heart is contracting, and the diastolic is your lowest blood pressure, when your heart is relaxed. For example, if your blood pressure is 120/80 (“one-twenty over eighty”), you have a systolic blood pressure of 120, and a diastolic blood pressure of 80.

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Living With Chronic Kidney Disease

By Seth Lamming

From PHN Issue 40, Summer/Fall 2019

Chronic kidney disease (CKD) is a common health problem in the United States.
CKD happens when the kidneys do not work as well as they should. The health
of your kidneys is closely related to the health of your heart and the health of
your blood vessels. When you hear about foods and activities that are healthy
for your heart, they are also good for your kidneys. This article will provide
some basic information about the kidneys, CKD, and some ways you can look
out for your own kidney health.

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