Develop your response for a crisis or risk situation in your organization or field. Identify the stakeholders who will receive the messages, potential stakeholder questions and concerns, key messages,

Unit VIII

Message Map

Yolanda Beck

Columbia Southern University

Professor Alegre

April 11, 2017

Message Map Stakeholder: Prison/Jail Population Question: What is Tuberculosis?
Key Message 1	Key Message 2	Key Message 3
Tuberculosis (TB) is a disease caused by bacteria that are spread through the air from person to person. If not treated properly, TB disease can be fatal.	Persons in correctional facilities at the time of TB diagnosis can reside in federal or state prisons, local jails, juvenile correction centers, or other facilities.	TB bacteria are spread through the air from one person to another. The TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, speaks, or sings.
Supporting Fact 1-1	Supporting Fact 2-1	Supporting Fact 3-1
People who are incarcerated are at greater risk for TB than the overall population. Inmates returning to the community with untreated TB present a serious public health concern	In 2012, there were 9,945 reported cases of TB in the United States. Approximately 4% of all TB cases reported in the United States occurred among persons incarcerated at the time of diagnosis.	The germs can attack the lungs or other parts of the body, such as your throat, kidneys, brain, or spine.
Supporting Fact 1-2	Supporting Fact 2-2	Supporting Fact 3-2
Multiple-drug resistant tuberculosis (MDR-TB) - a form of TB which cannot be killed by the standard anti-TB drugs	You can be infected with TB and have no symptoms, no pain, and not be contagious.	People who have TB disease need medical help. Without medical help, people who have TB disease may spread the disease to others, or they may die.
Supporting Fact 1-3	Supporting Fact 2-3	Supporting Fact 3-3
TB bacteria are spread through the air from one person to another. The TB bacteria are put into the air when a person with TB disease of the lungs or throat coughs, speaks, or sings	Your body traps the TB germs with special germ fighters, which keep TB germs from making you sick	Risk factors include close living quarters; persons with a history of injection drug use; and persons with other underlying medical conditions, including relatively high rates of human immunodeficiency virus (HIV).

Message Map

Stakeholder: Prison Jail Population

Question: How is TB spread throughout the prison?

Key Message 1

Key Message 2

Key Message 3

You may become infected with TB if you spend time near someone with TB disease of the lungs or throat.

Message Map Stakeholder: Prison/Jail Population Question: What is the solution?
Key Message 1	Key Message 2	Key Message 3
Every prisoner should have unrestricted access to the correct diagnosis and treatment of TB.	Urgent action is needed to integrate prison and civilian TB services to ensure treatment completion for prisoners released during treatment	Measures to reduce overcrowding and to improve living conditions for all prisoners should be implemented to reduce transmission of TB.
Supporting Fact 1-1	Supporting Fact 2-1	Supporting Fact 3-1
A baseline tuberculin skin test (TST) should generally be obtained on all new intakes regardless of TST results from local jails and regardless of an inmate‘s history of a prior positive TST	Diagnosing and treating TB in correctional facilities reduces the risk of TB spreading within the facilities among both those incarcerated and the correctional staff, as well as in the community.	Drawing attention and resources to the problem of TB in prisons is likely to lead to an overall improvement in prison conditions, the health of inmates and human rights.
Supporting Fact 1-2	Supporting Fact 2-2	Supporting Fact 3-2
Delays in the detection and treatment of TB cases must be minimized to reduce further transmission of infection and pressures to self-treat TB.	CDC works with state and local health departments to ensure that diagnosing TB in inmates during entry, periodic follow-up screenings, and completing treatment are important priorities
Supporting Fact 1-3	Supporting Fact 2-3	Supporting Fact 3-3
Prisoners have the right to at least the same level of medical care as that of the general community. Catching TB is not part of a prisoner’s sentence		Annual surveillance of the number of TB cases diagnosed and treated in correctional facilities is essential to these efforts.

Since TB is spread through the air from person to person, it spreads more easily in places that have a lot of people without fresh air,

such as prisons, jails and lockups.

In a jail or prison setting, not

only are prisoners and their families at risk, but also correctional officers and staff, their families and the community at large.

Supporting Fact 1-1

Supporting Fact 2-1

Supporting Fact 3-1

It is possible to get

TB infection by simply breathing in TB germs that a person coughed into

the air.

The increase of TB is highest in most states among incarcerated African Americans and Latinos between the ages of 22 and 34 who come from

poor communities.

It is hard to stay healthy in prison for many reasons. It is hard to get good nutrition. It is also difficult to get enough exercise and fresh air, and life is more stressful than on the outside.

Supporting Fact 1-2

Supporting Fact 2-2

Supporting Fact 3-2

Here are some signs of TB disease to watch for:

Coughing that lasts more than two weeks (this is the most important sign to watch for)

Feeling weak or tired

Weight loss without dieting Loss of appetite

Unexplained fever

Sweating a lot at night

Late diagnosis, inadequate treatment, overcrowding, poor ventilation and repeated prison transfers encourage the transmission of TB infection.

Inmates who use drugs, alcohol, and cigarettes can weaken your body and make you more prone to

disease.

Supporting Fact 1-3

Supporting Fact 2-3

Supporting Fact 3-3

People who have latent TB infection do not feel sick, do not have any symptoms, and cannot spread TB to others.

The level of TB in prisons has been reported to be up to 100 times higher than that of the civilian population.

It is important to stop

drinking and doing drugs, and to exercise and get as much fresh air as possible.