In Ontario in 2003 and 2004, HIV prevalence in prisons in developed countries the prevalence of HIV infection was 11 times higher ranges from 0.2% in Australia, 2% in the U. S., and Hepatitis C (HCV) infection 22 times higher to over 10% in some European nations (7,8). [...] Some have argued The effectiveness and acceptability of MMT in prisons have that mandatory testing is an effective and appropriate policy been shown in studies in Australia, Western Europe, Canada, to detect HIV infection; however, the overall effectiveness and USA, and Iran (28). [...] Dolan, Rutter and Wodak (27) conducted a systematic review of 19 needle exchange programs in Swiss, German and Spanish prisons and reported a stable or decreased level of drug use, a decline in needle sharing, and a plateau or a reduction in the transmission of It is estimated that 20% HIV. [...] Condom Distribution Studies have raised doubts about the effectiveness of bleach The qualitative findings of studies indicate that institutional in decontamination of injecting equipment and conditions in barriers and the conditions of parole currently promote prisons further reduce the probability that injecting equipment unprotected sexual intercourse, increase the risk of HIV and STD may be eff [...] Sexual Education and HIV Prevention Peer-based Education Programs In a California prison setting, Wolitski and the Project START team Braithwaite, Stephens and Treadwell (23) used peer educators (36) surveyed 552 young men in an enhanced sexual education to deliver HIV prevention messages in prison and found intervention.