- 48 To sum up, primary health care staff resources were totally inadequate for a prison of such a
size. This situation is all the more inadmissible as the CPT has been emphasising the necessity to
reinforce the health care service ever since 1993.
104. The health care staff resources in Korydallos Women’s Prison were somewhat better than
within the Men’s Prison, but still far from adequate. The medical staff consisted of three general
practitioners and a number of specialists (dentist, dermatologist, cardiologist, gynecologist,
microbiologist, orthopedic surgeon, psychiatrist, pediatrician), all of whom visited the prison for
two hours twice a week. In addition, there is a doctor on call from 3 p.m. to 7 a.m. every day, one
qualified and one unqualified nurse (i.e. a guard), and two assisting prisoners (who prepare and
distribute the medication for each prisoner and also keep the keys to the pharmacy) .
In truth, there was no health care service to talk of at Chios Judicial Prison. The doctor, a
recent graduate who was half-way through a five month residency at the local hospital, visited the
prison twice a week; and a psychiatrist received prisoners at the hospital every day. There was no
nurse, and distribution of medication and the maintenance of the files was done by the guards, and a
couple of the prisoners administered to basic needs (i.e. pain killers and vaccinations). According to
the letter of 12 January 2006 (cf. paragraph 9 above) the situation is in the process of improving
with the hiring of a doctor and a full-time nurse.
In contrast, at Komotini Judicial Prison the health care team was slightly better, with one
permanent general practitioner, supported by a part-time local doctor, and two qualified nurses; in
addition, a dentist visited the prison three times a week. However, there was no visiting psychiatrist.
105. In all the prisons visited, to varying degrees, inmates complained to the delegation about
problems of access to the health care service, and a lack of care by the medical staff. Further, the
delegation observed a number of inmates with varying ailments that had not been treated; for
example: a female prisoner with a fractured arm; numerous inmates with rashes over their bodies;
and prisoners with febrile illnesses. Many prisoners also complained about the lack of care provided
to drug abusers and the resultant problems engendered within the prison population.
106. The provision of adequate levels of qualified health care staff is a prerequisite for
implementing a proper health care strategy in prison, capable of catering to the specific medical
needs present within a prison population.
In this connection the Committee recommends, as an initial measure, that steps be taken
immediately to ensure:
-
at Korydallos Men’s Prison, the recruitment of two full-time general practitioners and
at least an additional four qualified nurses, one of whom should be a qualified mental
health nurse;
-
at Korydallos Women’s Prison, the recruitment of a full-time general practitioner and
an additional three qualified nurses, one of whom should be a qualified mental health
nurse;
-
at Komotini Judicial Prison, the recruitment of an additional qualified nurse and the
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