Management in Custody

For staff or victims in contact with disease, it is wise to have a procedure in place for immediate management and risk evaluation. An example is shown in Fig. 1. Although forensic physicians are not expected to administer treatment, it is often helpful to inform persons concerned what to expect. Tables 3 and 4 outline treatment protocols as used in the United Kingdom.

Detainees with disease can usually be managed in custody. If the detainee is bleeding, then the cell should be deemed out of action after the detainee has left until it can be professionally cleaned. Contaminated bedding should be dealt with as described in Subheading 2.2. If the detainee has chronic HBV and is on an antiviral agent (e.g., Lamivudine), then the treatment course should be continued, if possible.

5.2. Hepatitis C

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