All SHP News News August 25, 2020

Research Looks at Policy Fix for Hepatitis C Infections in Prisons

The U.S. Supreme Court has interpreted the 8th Amendment of the Constitution, which prohibits cruel and unusual punishment, to guarantee prisoners a minimum basic level of health care. Yet even though prisons are the epicenter of the hepatitis C epidemic, only a small minority of prisoners have gained access to new "miracle" drugs to treat HCV.
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In a recent perspective published by the New England Journal of Medicine (NEJM), Stanford Law student Alexandra Daniels analyzed a growing body of federal litigation brought by prisoners with the hepatitis C virus (HCV) who are seeking access to treatment for their condition. With co-author and mentor, Law Professor David Studdert — also a professor of medicine at Stanford Health Policy — Daniels documented the dire public health problem of HCV in prisons.

“People incarcerated in prisons account for approximately one third of HCV cases in the United States” the authors wrote, and nearly one in five prisoners are infected, compared with 1 percent of the general population. 

HCV is a slow-moving disease, but left untreated it eventually leads to cirrhosis, cancer, liver failure, and death.  

A new wave of “miracle” drugs for treating HCV appeared in 2014. Direct-acting antivirals–or DAAs–are far more effective than anything previously known. The catch–they are extremely expensive, upwards of $50,000 for a course of treatment.  This creates a far higher price tag for universal treatment than most prison systems can afford. The result is that, even though prisons are the epicenter of the HCV epidemic, only a small minority of prisoners have gained access to DAAs.

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Owning Handgun Associated With Dramatically Higher Risk of Suicide

Men who own handguns are eight times more likely to die of suicide by handgun than men who don’t have one — and women who own handguns are 35 times more likely than women who don’t, according to startling new research led by SHP's David Studdert.
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Stanford Works With California Prisons to Test and Prevent COVID-19

A $1 million gift from the Horowitz Family Foundation allows Stanford researchers to work on reducing the spread of COVID-19 among the incarcerated and inform mitigation strategies in other high-density living situations.
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Partitioning the Curve — Interstate Travel Restrictions During the Covid-19 Pandemic

Many jurisdictions have responded to the unevenness of the COVID-19 pandemic by battening down their borders. SHP's David Studdert and Michelle Mello take a deep dive into the legalities of attempting to prevent people from crossing state lines in this New England Journal of Medicine perspective.