24/08/2026
Hello DRCI Families, Friends, and Loved Ones,
I’ve received additional reports of H. pylori infections within DRCI, and it’s clear this remains an unresolved and recurring concern that Oregon DOC must address with urgency and evidence based practice.
Today (08/24/2026), I contacted ODOC again to request updates and push for corrective action. I also left a voicemail with the Jefferson County Public Health Department to ensure they are aware of the situation and can evaluate the public health implications. I am hoping to speak with them directly to outline what families are reporting.
What makes this situation even more concerning is that current medical guidelines are extremely clear about how H. pylori must be handled — and the ongoing recurrence inside the facility raises serious questions about whether those standards are being followed.
According to the latest clinical guidance:
• Antibiotic resistance is now widespread, especially to clarithromycin and levofloxacin, causing treatment failure rates to drop to around 30% when outdated regimens are used.
• The recommended first line treatment is 14 day optimized bismuth based quadruple therapy, which is specifically designed to overcome resistance.
• Clarithromycin based triple therapy should not be used unless the strain is proven to be sensitive — something the guideline notes is rare.
• Newer, evidence supported options exist, including rifabutin based triple therapy and vonoprazan amoxicillin dual therapy.
• Every patient must receive proof of eradication testing, done at least 4 weeks after antibiotics and 2 weeks off PPIs/PCABs.
• Testing and treatment are now recommended for individuals at increased risk of gastric cancer, those with atrophic gastritis or intestinal metaplasia, and household members of adults with H. pylori, reflecting its classification as a WHO Class I carcinogen.
Given these standards, the central question remains: If H. pylori continues to appear inside DRCI, why has it not been resolved? Why are effective, guideline based procedures not being implemented by medical staff or ODOC to prevent recurrence and protect the health of adults in custody?
The questions I have for DOC and that have been emailed to them is this…
• What is the purpose of repeating the same medications if they have already proven ineffective?
• What steps are being taken facility wide to reduce or prevent the spread of H pylori?
• Why are individuals who are reportedly supposed to be sent out for further testing continuing to experience delays or being pushed off?
If you have a loved one currently at DRCI who is dealing with H. pylori, please leave a comment or send me a message. This will allow me to document how many individuals are being affected by this situation.