Alcohol Production, Prevention Strategies, and Inmate Knowledge About the Risk for Botulism From Pruno Consumption in a Correctional Facility--Arizona, 2013

J Correct Health Care. 2015 Oct;21(4):335-42. doi: 10.1177/1078345815599763. Epub 2015 Aug 18.

Abstract

During July to November 2012, two botulism outbreaks (12 cases total) occurred in one all-male prison; both were associated with illicitly brewed alcohol (pruno) consumption. Inmate surveys were conducted to evaluate and develop prevention and education strategies. Qualitative surveys with open-ended questions were performed among inmates from rooms where outbreaks occurred to learn about pruno consumption. Quantitative surveys assessed knowledge gained after the outbreaks and preferred information sources. For the quantitative surveys, 250 inmates were randomly selected by bed from across the correctional facility and 164 inmates were interviewed. Only 24% of inmates reported any botulism knowledge before the outbreaks and education outreach, whereas 73% reported knowledge after the outbreaks (p < .01). Preferred information sources included handouts/fliers (52%) and the prison television channel (32%).

Keywords: alcohol drinking; botulism; drinking behavior; health education; prisons.

MeSH terms

  • Adult
  • Alcoholic Beverages / toxicity*
  • Arizona
  • Botulinum Antitoxin / therapeutic use
  • Botulinum Toxins, Type A / isolation & purification
  • Botulism / etiology*
  • Botulism / physiopathology
  • Botulism / therapy
  • Consumer Health Information
  • Health Knowledge, Attitudes, Practice*
  • Humans
  • Interviews as Topic
  • Male
  • Middle Aged
  • Prisons*
  • Respiration, Artificial
  • Socioeconomic Factors
  • Solanum tuberosum*

Substances

  • Botulinum Antitoxin
  • Botulinum Toxins, Type A