Persons entering correctional facilities have been reported to have higher rates of sexually transmitted diseases (STDs) including HIV/AIDs and viral hepatitis. The CDC recommends routine screening for STDS including HIV/AIDS in all healthcare settings including prisons and jails but most institutions have not implemented the mandatory testing. Incarcerated populations are likely to be involved in high risk behaviors for contracting STDS before, during, and after incarceration yet many have limited access to medical care especially to community-based clinical prevention services. Jails are short-term facilities (often housing entrants for less than 1 year) where up to half of all entrants are released back to community within 48 hours of arrest. Screening facilitates the identification and treatment of both asymptomatic and symptomatic persons which not only eliminates individual complications but also helps reduce the prevalence of infection among detainees who are released back into the local community. The Integrated Infectious Disease Detection at Entry and Linkage (IDDEAL), a collaborative program between the Rollins School of Public Health Department of Epidemiology, Centers for Disease Control and Prevention and Fulton County Jail (FCJ) is a comprehensive infectious disease program that aims at integrating prevention, screening and management for HIV, sexually transmitted infections (STIs) and viral hepatitis for persons incarcerated and then released from jails. The program involves universal rapid opt-out HIV testing at nursing intake and enhances linkages to health care by immediately referring HIV positive persons to follow up services.