- 34 sufficient quantities, for personal hygiene can contribute significantly towards the prevention of the spread of transmissible diseases. As the CPT has stated in previous visit reports, the fact that all the centres lack even the most basic commodities such as toilet paper, tooth paste, shampoo and soap should be an indication to the Greek authorities that the arrangements made are not working properly, and must be revised immediately. Further, the Greek authorities should recognise its responsibility to provide adequate clothing and footwear for detainees. The CPT recommends that the Greek authorities take the necessary measures in light of the above comments. d. health care 65. In the course of the visit the CPT’s delegation met some dedicated medical personnel but the overall provision of health care was totally inadequate in all the facilities visited. With respect to the health care staff employed by the centres, it was noted that only Venna had a full time doctor and a nurse; the other centres had doctors visiting for a couple of hours twice a week. From the medical notes and interviews with medical personnel, there was a high prevalence of skin disease in the centres. Moreover, the delegation’s doctors encountered several detainees, with fever, physical injuries and dental problems, who were in need of medical treatment. Given the specific population of these centres, with detainees travelling to Europe in often harsh conditions, the level of medical staff in the centres was totally insufficient. The CPT recommends that the Greek authorities carry out a thorough assessment without further delay into the appropriate level of health care staff in these facilities, taking into consideration the above remarks. 66. While the coast guard carried out some initial screening of irregular migrants, there was no systematic medical screening in any of the centres visited, although the delegation did hear about a new initiative by Mytilini hospital to provide medical examinations for all irregular migrants. The delegation was pleased to observe that the centres of Venna and Peplos had been visited by a Ministry of Health inspection team focusing on infectious diseases. However, such an inspection cannot substitute for an initial medical examination. The case of a border guard in the Evros region who had apparently contracted a transmissible disease in the course of his work indicates that the authorities are taking significant risks in not systematically performing medical examinations on all new arrivals. Screening is carried out both in the interests of the detainees and staff, and is also a preventive public health measure. The CPT recommends that a systematic medical screening of all detained foreigners, including for transmissible diseases, be introduced. Such screening should be carried out in a way that respects medical confidentiality.