• Caring For HIV-positive Inmates
• Herb Treatment in Chinese Medicine
• Oak Tree Clinic— Vancouver, BC

^{Barbara Wakeen owns and operates Correctional Nutrition Consultants specializing in the provision of foodservice and nutritional consultation to jails and prisons, food processors and food distributors across the USA. She has more than 13 years of correctional food and nutrition experience and is the editor of the 2001 Correctional Food Service and Nutrition Manual. Barbara is the Committee Chair of the ACFSA Dietitians In Corrections Committee; the Co-Chair of the CD-HCF Corrections subunit for the American Dietetic Association (ADA); and sits on the board of the National Commission on Correctional Health Care (NCCHC) representing the ADA.} 

^{HIV-positive inmates have different nutritional needs than their HIV-negative peers. Although the exact number of inmates with HIV is questionable most of them are unidentified. This can make it difficult for the HIV-positive inmate to obtain the nutrients needed to meet their increased energy and micronutrient needs. This original research contribution of dietitians working in correctional facilities attempts to determine how the nutritional needs of HIV-positive inmates are being served. The information presented here encompasses practices of more than 315 correctional facilities across the continent.}

^{The physical and nutritional status of HIV-positive individuals diminishes as the disease state progresses (1-7) consequently, nutritional needs change as well. Upon diagnosis, achieving and/or maintaining optimal nutritional status by means of a healthy diet is the first step in nutrition therapy. (8-12)} 

^{Treatment of the HIV-positive inmate in correctional facilities is defined and monitored by various agencies and professionals, including dietitians. The care of these inmates includes medical, nutritional and social parameters to ensure safe and fair treatment.} 

^{Generally, only the corrections medical staff has knowledge of an inmate’s medical status including HIV status. Most HIV-positive inmates remain unidentified and are reluctant to come forward. (13) Thus, in most institutions, unless the medical staff has identified special medical needs, HIV-positive inmates can remain anonymous with regard to their medical condition. To decrease the risk of discrimination and possible abuse from other inmates, HIV-positive inmates may require isolation type precautions when they have signs of advanced disease.}