- 59 6. Health care a. introduction 125. The findings of the CPT’s delegation during the 2009 visit illustrate that health care services in many of the prisons visited left a great deal to be desired and, more specifically, fell short of meeting the general principle of equivalence of care80. It would appear that previous recommendations by the CPT on issues such as staffing, medical screening upon admission, medical confidentiality and health-care policy concerning drug abuse have not been implemented by the Greek authorities. The situation in the prisons calls for an immediate review of the provision of health care services. Further, there is a need for a more rigorous inspection of the manner in which health care is provided to prisoners. The CPT reiterates its recommendation that the Greek authorities urgently re-examine the general state of health care services in prison establishments. Improving health care in prison will necessitate, inter alia, the recruitment of additional qualified health care staff. b. health care in general 126. The situation in Korydallos Men’s Prison has remained virtually unchanged since the previous visits in 2005 and 2007. There is still no full-time general practitioner for an establishment which accommodates some 2,100 prisoners; instead there is, in theory, a duty doctor of any one of a number of specialities present seven days a week between 15h00 and 23h0081. There are also a number of visiting specialists (dermatologist, cardiologist, dentist, orthopaedic surgeon, psychiatrist, neurologist, ENT surgeon) who visit between two and four times per week for a couple of hours at a time. There are also two doctors, appointed on a temporary basis, present Monday to Friday to examine prisoners presenting flu-like symptoms, on account of the current influenza A H1N1 (swine flu) pandemic. The health care centre is run by nine prison officers working as medical orderlies, one of whom is always on duty, and three inmates; they perform a broad range of nursing duties including the triage of prisoners and the distribution of medication. There are also three qualified nurses working Monday to Friday, two in the morning and one in the afternoon, an increase of one since 2005. To sum up, primary health care staff resources remain totally inadequate for a remand prison of such a size – a point the CPT has been making consistently since 1993. 80 A prison health care service should be able to provide medical treatment and nursing care, as well as appropriate diets, physiotherapy, rehabilitation or any other necessary special facility, in conditions comparable to those enjoyed by patients in the outside community. Provision of medical, nursing and technical staff, as well as premises, installations and equipment, should be geared accordingly. 81 It was not clear why doctors supposedly worked throughout the night when the prison was effectively “shut down”, with even fewer prison officers on duty and all prisoners locked in their cells from 20h00 to 07h00.