What risk factor significantly contributes to tuberculosis spread in correctional facilities?

High turnover of inmates is a significant risk factor that contributes to the spread of tuberculosis (TB) in correctional facilities. The frequent intake and release of inmates mean that there is a constant influx of new individuals who may have different health statuses, including the potential to carry active TB. In a correctional setting, where individuals are in close quarters, the likelihood of airborne transmission of TB increases.

Additionally, the transient nature of the inmate population makes it challenging to implement consistent health screenings and treatments, leading to missed opportunities for identifying and isolating those who are infected. The high density of individuals in confined spaces amplifies the risk, as airborne pathogens can easily spread from one individual to another. This dynamic creates a breeding ground for infectious diseases like TB, making high turnover a critical factor in its transmission within correctional institutions.