The evolution of health care in the Texas correctional system and the impact of COVID-19

Figures & data

Table 1. Top clinical diagnoses of Texas inmates and the US population^a

Top clinical diagnoses	Texas prisoners with diagnosis	US population with diagnosis
Hypertension	22.3%	22.6%
Ischemic heart disease	2.6%	7.1%
Cerebral vascular disease	0.32%	1.1%
Asthma	5.3%	7.2%
COPD	1.4%	4.2%
Diabetes	5.5%	5.3%

^a Percentages based on information collected from September 2006 to August 2007. Source: Harzke et al 2009.⁷

COPD indicates chronic obstructive pulmonary disease.

Table 2. Texas Department of Criminal Justice Budget 2019–2020^a

Expense	General revenue funds ($)
	2019	2020
Correctional security operations	1,187,290,876	1,247,843,268
Correctional support operations	90,310,659	84,134,214
Correctional training	6,358,299	5,811,838
Institutional goods	170,116,523	169,278,053
Offender services	14,491,461	14,377,492
Behavioral unit and psychiatric care	323,946,521	320,701,293
Hospital and clinical care	278,089,686	251,343,853
Health services	5,609,418	5,229,885
Managed health care—pharmacy	72,282,390	72,440,252
Total	2,148,495,833	2,171,160,148

^a Source: Texas Department of Criminal Justice Operating Budget 2020.³¹

Harzke AJ, Baillargeon JG, Kelley MF, et al. HCV-related mortality among male prison inmates in Texas, 1994-2003. Ann Epidemiol. 2009;19(8):582–589. doi:https://doi.org/10.1016/j.annepidem.2009.03.009.

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Pollock C. Texas faces a looming $4.6 billion deficit, comptroller projects. Texas Tribune, July 20, 2020. https://www.texastribune.org/2020/07/20/texas-deficit-comptroller/. Accessed July 23, 2020.

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