Upon arrival at New York prisons, new inmates undergo a comprehensive screening process to detect communicable diseases like tuberculosis (TB). This testing is essential due to the highly contagious nature of TB and the close living quarters within correctional facilities, which create an environment conducive to disease transmission.
The screening typically involves a series of steps, starting with a thorough medical history review and physical examination. Inmates are often required to undergo a tuberculin skin test (TST) or a blood test to check for TB infection. Those who test positive may undergo further evaluation, including chest X-rays, to confirm the presence of active TB disease.
However, some inmates object to some screening tests based on religious belief. The Constitution guarantees inmates freedom of speech and freedom to practice their religion of choice. Failure to do so may be a type of inmate abuse. In Selah v. Goord, 00-CV-644 (N.D.N.Y. Mar. 31, 2003), plaintff Selam Selah, an inmate at Auburn Correctional Facility, objected to tuberculosis screening based on religious beliefs. An inmate who refuses the PPD test is placed in tuberculin hold.