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Author Notes:

Corresponding contributor: Anne C. Spaulding, aspauld@emory.edu, 404-727-3369.

Acknowledgments: Craig B. Borkowf, Kathy K. Byrd, Jane M. Kelly, Jonathan Mermin, Farah Parvez, Cynthia Prather, National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, CDC.



  • Science & Technology
  • Life Sciences & Biomedicine
  • Public, Environmental & Occupational Health

Routine HIV Screening During Intake Medical Evaluation at a County - Jail Fulton County, Georgia, 2011-2012

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Journal Title:

MMWR. Morbidity and mortality weekly report


Volume 62, Number 24


, Pages 495-497

Type of Work:

Article | Final Publisher PDF


Fulton County Jail (FCJ) in Atlanta, Georgia, is one of the 50 largest jails in the nation, with an average daily census of 2,269 detainees. During January 1, 2011-March 15, 2012, FCJ implemented a demonstration project to integrate routine rapid human immunodeficiency virus (HIV) screening into the medical intake process. This report summarizes the results. Nearly 59% of persons booked (22,920 of 39,073) received an intake medical evaluation, and voluntary oral fluid HIV rapid screening was offered, except to those who disclosed a previous HIV diagnosis (473 [2.1%]) or were not able to provide consent. An HIV test was offered on 18,869 visits, and 12,141 HIV tests were conducted. All persons with a reactive result (120 [1.0%]) underwent confirmatory HIV testing unless they subsequently disclosed a previous HIV diagnosis. This project identified 52 persons with newly diagnosed HIV infection; 48 by rapid testing (0.4% of those tested) during the study period. All received medical care in the facility and referral for community services on release. Without this HIV screening project, these persons likely would have been diagnosed later in the course of their infection, resulting in delayed access to care and treatment, and possible transmission of HIV to their partners. Linkage to community services is critical, and coordination with the public health system and community-based organizations are essential to ensure access to HIV care and retention in treatment for persons with HIV released from jail.

Copyright information:

All material in the MMWR Series is in the public domain and may be used and reprinted without permission; citation as to source, however, is appreciated.

This is an Open Access work distributed under the terms of the Creative Commons Universal : Public Domain Dedication License (http://creativecommons.org/publicdomain/zero/1.0/).

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