My understanding is that inmates don't have the full protection of HIPAA when incarcerated. For example, when an inmate tells me they have heroin in their rectum, I'm able to advise Security because it poses a threat to other inmates and staff and is illegal material. During a health assessment, I had an inmate indicate that they were using tobacco in the facility. I didn't tell anyone because s/he implied it and didn't tell me outright. But in thinking about it, this could also be a safety issue for inmates/staff as black market items can and do create conflict. Thoughts?