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A corrective colony is the most common, with 705 institutions (excluding 7 corrective colonies for convicts imprisoned for life) in 2019 across the administrative divisions of Russia. There were also 8 prisons, 23 juvenile facilities, and 211 pre-trial facilities in 2019.[2]
Prisons in Russia are administered by the Federal Penitentiary Service (FSIN). The FSIN's main responsibilities are to ensure the completion of criminal penalties by convicted persons as well as hold detainees accused of crimes. The FSIN is also responsible for the prisoners’ physical well-being and rights under the Russian government.
In January 2023 the FSIN has a total prisoner population of 433,006, which included all pretrial detainees. This number makes up 0.3% of the population. Only 8.9% of prisoners are female, and juveniles make up 0.2%. The incarceration rate in 2018 was 416 per 100,000 people. There were 947 total institutions that operated under the FSIN in 2015 with a total capacity that could reach 812,804. Only 79% of this capacity was in use that year. Notably, from 2000 to 2020, the prison population has dropped substantially by 536,476.[2][3]
Until 1998, the corrections system in Russia was controlled and operated by the Ministry of the Internal Affairs. During this time of operation, it left many aspects of the prisons dismal at best. The equipment, properties, communications systems, and weapons that were owned and used for the sole purpose of corrections were neither maintained nor updated. This was due to the drastic underfinancing of the corrections systems. The prison management felt the worst of this treatment during this period under the authority of the Ministry of Internal Affairs. It was reported to have never received more than 60% of its actual required funds throughout that time of oversight. Funds dropped to nothing in the three months prior to the Russian Federation's Ministry of Justice taking over responsibility of the corrections system.[4]
Corrective colony regimes are categorized as very strict/special, strict, general, and open.[1] The detachment (отря́д or otryad) is the basic unit of the prison.[5] When not in the detachment, prisoners are required to participate in penal labour, which is in the form of work brigades in colony production zones where prisoners earn a wage of which most is paid to the colony for their upkeep.[5]
In 2011, under the presidency of Dimitri Medvedev the reform of criminal law was implemented which reduced minimal prison terms for significant number of crimes to two months.[7]
In 2013 the Pussy Riot activist Nadezhda Tolokonnikova wrote a public letter which drew international attention to prison conditions in Russia.[8] Ilya Shablinsky, a member of the presidential human-rights council who audited her prison, found conditions close to those of "slave labour". Auditors found women prisoners working 14 hours a day with one day off a month.
Prisons were divided into the "red" (run by prison authorities) and the "black" (administered by inmates). According to The Economist (2013) change would demand a deeper reform of the police and the courts.[9]
Tuberculosis has been an ever-present concern within the Russian prison system, and recently a new infectious threat has emerged: multi-drug-resistant tuberculosis (MDR-TB). Infectious disease researchers Nachega & Chaisson estimate that of the 10% of Russian prisoners with active TB (roughly 100,000 people), 40% of new cases are multi-drug resistant.[12] This prevalence has alarmed public health experts, as have studies such as public health surveyors Bobrik et al.’s report that in 1997, approximately 50% of all Russian prison deaths were caused by TB.[13] Although both MDR-TB and non-resistant TB are treatable, infectious disease experts like Paul Farmer note that the second-line drugs used in MDR-TB therapy are more expensive than the standard TB regimen, which can limit a MDR-TB patient’s access to care.[14]
Living conditions and spread of TB in Russian prisons
There are several factors within the Russian prison system that contribute to the severity and spread of MDR-TB. Overcrowding in prisons is especially conducive to the spread of tuberculosis; according to Bobrik et al., inmates in a prison hospital have 3 meters of personal space, and inmates in correctional colonies have 2 meters.[13] Specialized hospitals and treatment facilities within the prison system, known as TB colonies, are intended to isolate infected prisoners to prevent transmission; however, as Ruddy et al. demonstrate, there are not enough colonies and isolation facilities to sufficiently protect staff and other inmates.[15] Furthermore, in an International Journal of Tuberculosis and Lung Disease article, Kimerling et al. point out that arrested Russians cannot be transferred to TB colonies unless they are convicted, which allows them to potentially infect fellow cellmates before release or prosecution.[16] Researchers Fry et al. note that even within the St. Petersberg prison system, which contains 8 TB colonies, prisons facilities are in need of further isolation systems as well as diagnostic and laboratory equipment.[17] In addition to overcrowded and inadequately isolated conditions, many prisons lack sufficient ventilation, which increases likelihood of transmission. In Stern’s report on prison health, she notes that within Russian prisons, heavy shutters of wood or steel “keep out most of the air and most of the light…[and] a wise policy would be to remove them.”[18] Bobrik et al. have also noted food shortages within prisons, which deprive inmates of the nutrition necessary for healthy functioning.[13]
In addition to the physical conditions within Russian prisons, research by Nachega & Chaisson and Shin et al. show that co-morbidity of HIV and increased abuse of alcohol and drugs within prisoner populations contribute to worsened outcomes for TB patients.[12][19] Non-compliance with treatment regimens has also been highlighted as contributing increasing drug resistance. In Fry et al.’s study on TB outcomes within St. Petersburg prisons, they estimated that 74% of infected prisoners did not report visiting a TB treatment facility upon release from a correctional facility.[17] Public health researchers Gelmanova et al. note that while non-adherence does not directly increase drug resistance, the heightened bacterial load of non-compliant and untreated patients does increase the chances that the bacteria will mutate into a drug-resistant strain.[20]
Historical context
In Kimerling’s article within the International Journal of Tuberculosis and Lung Disease, he notes that the rise of TB and MDR-TB within Russia is a recent phenomenon. Prior to the dissolution of the Soviet Union, "tuberculosis rates were substantially lower [in Russia] than they are today".[21] The previous TB control program was marked by actions such as annual chest radiographies to screen the Russian population, an emphasis on isolation of patients within long-term hospital settings, and mandatory BCG vaccination.[21] However, this system dissolved with the Soviet Union, as Russia's faltering economy failed to provide the industry necessary for production and purchase of adequate TB medication, healthcare workers, labs and diagnostic tests, and a sufficiently coordinated TB control system.[21] Additionally, Kimerling discusses that a disconnect between Russian ideals of proper TB management and the internationally prescribed standard TB therapy (DOTS therapy) has dampened control efforts. He notes that (with regard to short term standard therapy solutions) "the term 'short' has a negative association and is not felt appropriate [by Russian TB protocol]", and that "the term 'standard' can be interpreted or translated as rule or regulation in the Russian language, resulting in negative connotations by limiting a physician's right to take an individual approach to patient care".[21]
↑ Levina, P. (2013). Links between Criminal Justice Procedure and Torture: Learning from Russia. SSRN Electronic Journal, 16(1), 104-142. doi:10.2139/ssrn.2669156
↑ Highest to Lowest. World Prison Brief (WPB). Use dropdown menu to choose lists of countries by region, or the whole world. Use menu to select highest-to-lowest lists of prison population totals, prison population rates, percentage of pre-trial detainees / remand prisoners, percentage of female prisoners, percentage of foreign prisoners, and occupancy rate. Column headings in WPB tables can be clicked to reorder columns lowest to highest, or alphabetically. For detailed information for each country click on any country name in lists. See also the WPB main data page and click on the map links and/or the sidebar links to get to the region and country desired.
1 2 Nachega, J., & Chaisson, R. (2003). Tuberculosis Drug Resistance: A Global Threat. Clinical Infectious Diseases, 36(1), S24-S30.
1 2 3 Bobrik, A., Danishevski, K., Eroshina, K., & McKee, M. (2005) Prison Health in Russia: The Larger Picture. Journal of Public Health Policy, 26(1), 30-59.
↑ Farmer, P. (1999). Pathologies of power: rethinking health and human rights. American Journal of Public Health, 89(10), 1486-1496.
↑ Ruddy, M., Balabanova, Y., Graham, C., Fedorin, I., Malomanova, N., Elisarova, E., Kuznetznov, S., Gusarova, G., Zakharova, S., Melentyev, A., Krukova, E., Golishevskaya, V., Erokhin, V., Dorozhkova, I., & Drobniewski, F. (2005). Rates of drug resistance and risk factor analysis in civilian and prison patients with tuberculosis in Samar Region, Russia. Thorax, 60(2), 130-135.
↑ Kimerling, M.E., Kluge, H., Vezhnina, N., Iacovazzi, T., Demeulenaere, T., Portaels, F., & Matthys, F. (1999). Inadequacy of the current WHO re-treatment regimen in a central Siberian prison: treatment failure and MDR-TB. The International Journal of Tuberculosis and Lung Disease, 3(5), 451-453.
1 2 Fry, R., Khoshnood, K., Vdovichenko, E., Granskaya, J., Sazhin, V., Shpakovskaya, L, Zhemkov, V., Zhemkova, M., Rowhani-Rahbar, A., Funk, M., & Kozlov, A. (2005). Barriers to completion of tuberculosis treatment among prisoners and former prisoners in St. Petersburg, Russia. The International Journal of Tuberculosis and Lung Disease, 9(9), 1027-1033.
↑ Stern, V. (2001). Problems in Prisons Worldwide, with a Particular Focus on Russia. Annals of the New York Academy of Sciences, 953b, 113-119.
↑ Shin, S. S., Pasechnikov, A., Gelmanova, I., Peremitin, G., Strelis, A., Andreev, Y., Golubchikova, V., Tonkel, T., Yanova, G., Nikiforov, M., Yedilbayev, A., Mukherjee, J., Furin, J., Barry, D., Farmer, P., Rich, M., & Keshavjee, S. (2006). Treatment outcomes in an integrated civilian and prison MDR-TB treatment program in Russia. The International Journal of Tuberculosis and Lung Disease, 10(4), 402-407.
↑ Gelmanova, I., Keshavjee, S., Golubchikova, V., Berezina, V., Strelis, A., Yanova, G., Atwood, S., & Murray, M. (2007). Barriers to successful tuberculosis treatment in Tomsk, Russian Federation: non-adherence, default and the acquisition of multidrug resistance. Bulletin of the World Health Organization, 85(9).
1 2 3 4 Kimerling, M. (2000). The Russian equation: an evolving paradigm in tuberculosis control. International Journal of Tuberculosis and Lung Disease, 4(12), S160-167.
Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by Mycobacterium tuberculosis (MTB) bacteria. Tuberculosis generally affects the lungs, but it can also affect other parts of the body. Most infections show no symptoms, in which case it is known as latent tuberculosis. Around 10% of latent infections progress to active disease that, if left untreated, kill about half of those affected. Typical symptoms of active TB are chronic cough with blood-containing mucus, fever, night sweats, and weight loss. Infection of other organs can cause a wide range of symptoms.
Tuberculosis is diagnosed by finding Mycobacterium tuberculosis bacteria in a clinical specimen taken from the patient. While other investigations may strongly suggest tuberculosis as the diagnosis, they cannot confirm it.
Management of tuberculosis refers to techniques and procedures utilized for treating tuberculosis (TB), or simply a treatment plan for TB.
Latent tuberculosis (LTB), also called latent tuberculosis infection (LTBI) is when a person is infected with Mycobacterium tuberculosis, but does not have active tuberculosis (TB). Active tuberculosis can be contagious while latent tuberculosis is not, and it is therefore not possible to get TB from someone with latent tuberculosis. Various treatment regimens are in use for latent tuberculosis. They generally need to be taken for several months.
In the Russian Federation, law enforcement is the responsibility of a variety of different agencies. The Russian police are the primary law enforcement agency, with the Investigative Committee of Russia as the main investigative agency, and the Federal Security Service (FSB) as the main domestic security agency.
Extensively drug-resistant tuberculosis (XDR-TB) is a form of tuberculosis caused by bacteria that are resistant to some of the most effective anti-TB drugs. XDR-TB strains have arisen after the mismanagement of individuals with multidrug-resistant TB (MDR-TB).
Multidrug-resistant tuberculosis (MDR-TB) is a form of tuberculosis (TB) infection caused by bacteria that are resistant to treatment with at least two of the most powerful first-line anti-TB medications (drugs): isoniazid and rifampicin. Some forms of TB are also resistant to second-line medications, and are called extensively drug-resistant TB (XDR-TB).
The 2007 tuberculosis scare occurred when a personal-injury lawyer from Atlanta, Andrew "Drew" Speaker, while infected with multidrug-resistant tuberculosis (MDR-TB), flew on several international flights bound for France, Greece, Italy, Czech Republic and Canada, before returning to the United States. The Centers for Disease Control and Prevention believed at the time that Speaker was suffering from extensively drug-resistant tuberculosis (XDR-TB), but failed to inform Speaker of this worsened sickness before his travels abroad. The incident sparked a debate in Congress on the failure of federal customs agents to stop him. Upon Speaker's return to the United States, the CDC placed him under involuntary isolation using a provision of the Public Health Service Act. With this action, Speaker became the first individual subjected to a CDC isolation order since 1963.
Bedaquiline, sold under the brand name Sirturo, is a medication used for the treatment of active tuberculosis. Specifically, it is used to treat multi-drug-resistant tuberculosis along with other medications for tuberculosis. It is taken by mouth.
Tuberculosis is a serious public health problem in China. China has the world's third largest cases of tuberculosis, but progress in tuberculosis control was slow during the 1990s. Detection of tuberculosis had stagnated at around 30% of the estimated total of new cases, and multidrug-resistant tuberculosis was a major problem. These signs of inadequate tuberculosis control can be linked to a malfunctioning health system. The spread of severe acute respiratory syndrome (SARS) in 2003, brought to light substantial weaknesses in the country's public health system. After the government realized the impact that the SARS outbreak had on the country, they increased leadership in their health department. After the SARS epidemic was brought under control, the government increased its commitment and leadership to tackle public health problems and, among other efforts, increased public health funding, revised laws that concerned the control of infectious diseases, implemented the world's largest internet-based disease reporting system to improve transparency, reach and speed, and started a program to rebuild local public health facilities and national infrastructure.
A corrective colony is the most common type of prison in Russia and some other post-Soviet states. Such colonies combine penal detention with compulsory work. The system of labor colonies and camps originated in 1929, and after 1953, the corrective penal colonies in the Soviet Union developed as a post-Stalin replacement of the Gulag labor camp system.
The Federal Penitentiary Service is a federal agency of the Ministry of Justice of Russia responsible for correctional services.
There are a number risk factors for tuberculosis infection; worldwide the most important of these is HIV. Co-infection with HIV is a particular problem in Sub-Saharan Africa, due to the high incidence of HIV in these countries. Smoking more than 20 cigarettes a day increases the risk of TB by two to four times while silicosis increases the risk about 30 fold. Diabetes mellitus is also an important risk factor that is growing in importance in developing countries. Other disease states that increase the risk of developing tuberculosis are Hodgkin lymphoma, end-stage renal disease, chronic lung disease, malnutrition, and alcoholism. A person's genetics also play a role.
Totally drug-resistant tuberculosis (TDR-TB) is a generic term for tuberculosis strains that are resistant to a wider range of drugs than strains classified as extensively drug-resistant tuberculosis. Extensively drug resistant tuberculosis is tuberculosis that is resistant to isoniazid and rifampicin, any fluoroquinolone, and any of the three second line injectable TB drugs. TDR-TB has been identified in three countries; India, Iran, and Italy. The term was first presented in 2006, in which it showed that TB was resistant to many second line drugs and possibly all the medicines used to treat the disease. Lack of testing made it unclear which drugs the TDR-TB were resistant to.
Tuberculosis in India is a major health problem, causing about 220,000 deaths every year. In 2020, the Indian government made statements to eliminate tuberculosis from the country by 2025 through its National TB Elimination Program. Interventions in this program include major investment in health care, providing supplemental nutrition credit through the Nikshay Poshan Yojana, organizing a national epidemiological survey for tuberculosis, and organizing a national campaign to tie together the Indian government and private health infrastructure for the goal of eliminating the disease.
Delamanid is sold under the brand name Deltyba, is a medication used to treat tuberculosis. Specifically it is used, along with other antituberculosis medications, for active multidrug-resistant tuberculosis. It is taken by mouth.
Infectious diseases within American correctional settings are a concern within the public health sector. The corrections population is susceptible to infectious diseases through exposure to blood and other bodily fluids, drug injection, poor health care, prison overcrowding, demographics, security issues, lack of community support for rehabilitation programs, and high-risk behaviors. The spread of infectious diseases, such as HIV and other sexually transmitted infections, hepatitis C (HCV), hepatitis B (HBV), and tuberculosis, result largely from needle-sharing, drug use, and consensual and non-consensual sex among prisoners. HIV and hepatitis C need specific attention because of the specific public health concerns and issues they raise.
Novosibirsk Tuberculosis Research Institute (NTRI) is a Federal State Budgetary Institution of the Ministry of Health of the Russian Federation and it specializes in the research and treatment of tuberculosis. NTRI provides the organization of TB care to the population in the regions of the Siberian and Far Eastern Federal Districts of Russia.
Keertan Dheda MBBCh (Wits), FCP(SA), FCCP, PhD (Lond), FRCP (Lond), born in 1969, is a Professor of Mycobacteriology and Global health at the London School of Hygiene and Tropical Medicine (LSHTM) with an extra-mural joint appointment at the University of Cape Town (UCT), where he is a Professor of Respiratory Medicine.
FKU Corrective Colony No. 2 of the UFSIN of Russia for Vladimir Oblast, also known simply as IK-2 Pokrov or Pokrov correctional colony, is a general regime corrective colony located on the outskirts of the town of Pokrov in Vladimir Oblast, Russia. It is known for its strict rules and harsh punishments.
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