Abstract
Since 1995, Corrections Services Canada (CSC) has conducted randomized urinalysis screening of a minimum of 5% of the federal inmate population on a monthly basis. Urine samples are screened for a broad range of psychoactive substances. The stated purpose of such screening is to reduce substance use in federal jails. Analysis of data provided by CSC for testing between 1994 and 1998 reveals small but statistically significant increases in the percentage of all urine samples that tested positive over that time. Analysis of the results of screening for opiates, cocaine and THC from data provided by CSC for the same time period, shows steady rates of opiate and cocaine detection at maximum and medium levels of security, decreases in opiate and cocaine detection in minimum security, and statistically significant increases in THC detection at all levels of security. The implications of these findings are discussed.
Résumé
Depuis 1995, chaque mois, le Service correctionnel du Canada (SCC) procède à des analyses d’urine prélevée de façon aléatoire sur 5% au moins de la population carcérale détenue dans les prisons fédérales. Les analyses des échantillons d’urine ont pour objet de détecter toute une gamme de substances psychoactives. Le but officiel de ce dépistage est de réduire la toxicomanie dans les prisons fédérales. L’analyse des données fournies par le SCC pour les tests effectués entre 1994 et 1998 révêle de petites bien que statistiquement significatives augmentations du pourcentage d’échantillons positifs. L’analyse des résultats des tests de détection des opiacés, de la cocaïne et du THC à partir des données fournies par le SCC pour la même période révêle des taux stables de détection de ces substances dans les établissements de sécurité maximale et moyenne, des baisses des taux de détection des opiacés et de la cocaïne dans les établissements de sécurité minimale, et des augmentations statistiquement significatives de la détection du THC dans tous les établissements. Cet article analyse ces résultats.
References
- 1.HIV/AIDS Epi Update. LCDC, Health Canada. 1998. [Google Scholar]
- 2.Des Jarlais DC, Friedman SR, Choopanya K, et al. International epidemiology of HIV and AIDS among injecting drug users. AIDS. 1992;6:1003–8. doi: 10.1097/00002030-199210000-00001. [DOI] [PubMed] [Google Scholar]
- 3.Dufour A, Alary M, Poulin C, et al. Prevalence and risk behaviours for HIV infection among inmates of a provincial prison in Quebec City. AIDS. 1996;10:1009–15. doi: 10.1097/00002030-199610090-00012. [DOI] [PubMed] [Google Scholar]
- 4.Gill ON, Noone A, Heptonstall J. Imprisonment, injecting drug use and blood-borne viruses. A threat of transmission but an opportunity for prevention. BMJ. 1995;310:275–76. doi: 10.1136/bmj.310.6975.275. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 5.Rothon DA, Mathias R, Schechter MT. Prevalence of HIV-1 infection in provincial prisons in BC. CMAJ. 1994;151(6):781–87. [PMC free article] [PubMed] [Google Scholar]
- 6.Jurgens R. HIV/AIDS in Prisons: Final Report of the Expert Committee on AIDS and Prisons (ECAP) 1994. [Google Scholar]
- 7.Hankins C. Confronting HIV in prisons (editorial) CMAJ. 1994;151(6):743–45. [PMC free article] [PubMed] [Google Scholar]
- 8.Keravel J. CCRA Five Year Review: Urinalysis Testing Program, Final Report. 1997. [Google Scholar]
- 9.Annual Report of the Privacy Commissioner of Canada. Canada Communication Group. 1993. pp. 34–35. [Google Scholar]
- 10.Jurgens R. HIV/AIDS in Prisons: Final Report. Montreal: Canadian HIV/AIDS Legal Network and Canadian AIDS Society; 1996. [Google Scholar]
- 11.Gore SM, Bird AG, Burns SM, et al. Drug injection and HIV prevalence in inmates of Glenochil Prison. BMJ. 1995;310:293–96. doi: 10.1136/bmj.310.6975.293. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 12.Gore SM, Bird AG. Editorial–Drugs in British Prisons. BMJ. 1998;316:1256–58. doi: 10.1136/bmj.316.7140.1256. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 13.Bird AG, Gore SM, Hutchinson SJ, et al. On behalf of the European Commission Network on HIV infection and hepatitis in prisons. Harm reduction measures and injecting inside prison versus mandatory drugs testing: Results of a cross sectional, willing, anonymous, questionnaire survey. BMJ. 1997;315:21–24. doi: 10.1136/bmj.315.7099.21. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 14.Gore SM, Bird AG, Ross AJ. Prison rights, mandatory drug tests and performance indicators for prisons. BMJ. 1996;312:1411–13. doi: 10.1136/bmj.312.7043.1411a. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 15.“Increase reported in prison deaths”. Article reporting on data released by CSC under Access to Information laws. Vancouver Sun, Tuesday, July 6, 1999.
- 16.Nelle J, Fuhrer A, Hirsbrunner HP, Harding TW. Provision of syringes; The cutting edge of harm reduction. BMJ. 1998;317:270–73. doi: 10.1136/bmj.317.7153.270. [DOI] [PMC free article] [PubMed] [Google Scholar]
