- 66 Further, the delegation noted that the prisons visited had either no visiting dermatologist (Komotini and Larissa Prisons) or that the visiting times were insufficient (Korydallos Men’s Prison). Given the high number of inmates suffering from skin problems in prison, partially due to poor hygienic conditions, the CPT recommends that provision be made for all prisons to be visited on a regular basis by a dermatologist. The CPT also recommends that the procedures for transferring inmates from Avlona Special Detention Facility for Juveniles to local hospitals be reviewed in order to ensure there are no unnecessary delays. 124. As already observed by the CPT in the past (see, for example, the CPT’s report on its 2011 visit, paragraph 72), inmates were still, to varying degrees, working in the health-care services of several of the prisons visited. In the CPT’s view, prisoners should never carry out triage functions, distribute medication, be present during consultations, have access to medical records or deliver any form of medical care to other prisoners. The CPT recommends once again that the necessary steps be taken to replace prisoners performing such duties in health-care services, preferably by qualified nursing staff. c. medical screening upon admission 125. Medical screening upon admission is particularly important at Korydallos Men’s Prison given its role as a first point of entry for many prisoners into the Greek prison system. The delegation noted that new arrivals might have to wait a considerable period of time - in some cases weeks or even months - before being medically screened and that the screening, when it did occur, was usually very superficial. This state of affairs was in large part due to the chronic shortage of health-care staff. The medical screening was in most cases performed by a nurse and consisted essentially of some questions about pre-existing health conditions. Physical examination of the prisoner was the exception rather than the rule. The low quality of admission screening in Korydallos Men’s Prison was confirmed by the delegation’s observations and by health-care staff in other prisons. For example, several routine screening tests (such as Hepatitis C and HIV), which should have been offered upon admission to Korydallos Men’s Prison, had to be ordered for prisoners when they were transferred to another prison from Korydallos. In the other prisons visited, inmates were normally examined by a nurse or a doctor within 24 hours of entering the establishment and the delegation noted that screening for infectious diseases upon entry into prison appeared to be done relatively well. This was the case at Ioannina, Larissa, and Diavata Prisons, but not at Komotini Prison and at Avlona Special Detention Facility for Juveniles, where inmates were often medically screened only weeks after their arrival. The CPT recommends that every newly-arrived prisoner at Korydallos Men’s Prison, Avlona Special Detention Facility and Komotini Prison be properly interviewed and physically examined by a doctor or a fully qualified nurse reporting to a doctor within 24 hours of admission. Further, steps should be taken in all the establishments visited to ensure that medical screening upon admission is carried out in a thorough manner.

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