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Lawrence S. Brown, Jr, MD, MPH; Charles P. Felton, MD
Addiction Research and Treatment Corp Harlem Hospital Columbia University New York, NY

JAMA. 1989;262(5):615-616.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

The recent article by Braun and colleagues¹ and the accompanying editorial by Drs Snider and Hutton² are especially timely in focusing on the need for appropriate tuberculosis-control measures in correctional facilities. The relationship between drug abuse and tuberculosis was another finding of the study by Braun et al and confirms previous reports.^3,4 The significance of the drug abuse— tuberculosis association is especially intriguing, given the recent trends of the concurrent rise of tuberculosis and acquired immunodeficiency syndrome case reporting in the United States.

The increase in case reports of tuberculosis has been explained by most investigators as human immunodeficiency virus (HIV)—associated immunosuppression resulting in activation of latent tuberculosis infection.⁴

However, new infection has not been unequivocally dismissed as a possible contribution. More importantly, very little information is available about the efficacy of tuberculosis preventive or therapeutic regimens in persons with HIV infection or . . . [Full Text PDF of this Article]

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