- 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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