However, despite medical consultations and some medical follow-up, certain deficiencies in the provision of healthcare were observed in the other centres visited. The situation can be described as catastrophic at both Kos and Corinth PRDCs, where healthcare services were either dysfunctional (see paragraphs 141-148) or entirely insufficient. In fact, prior to the delegation’s visit, there had been no medical doctor at Corinth PRDC for over seven months, which had left the centre with only two nurses in charge of more than 600 detained persons. It is therefore not surprising that the healthcare team was overwhelmed, and that medical follow-up was almost inexistent. The following two striking examples are indicative of the ineffective healthcare provision at Corinth PRDC, which amounted to a derogation of the duty of care incumbent on the authorities in charge of persons deprived of their liberty, with dramatic consequences: i. A 22-year-old man had – shortly before the delegation’s visit – been diagnosed with open tuberculosis. The person concerned had previously been detained at Corinth PRDC for over 13 months, without having been seen by healthcare staff, with the consequence that his medical condition had remained undetected despite his significant loss of weight, and that the infectious disease had spread among a great part of the detainee population. This also shows that the absence of healthcare staff in the detention areas is detrimental for detecting persons in need of medical assistance and care. He had only been seen by a nurse on 1 November and by a doctor on 6 November, a week prior to his transfer to a public hospital due to various symptoms indicative of TB.39 At the time of the delegation’s visit, the centre was in a state of agitation due to the difficulty in managing this public health crisis, which was further complicated by the regular shortages in the provision of Mantoux tests. All persons detained on wing C had since been subjected to TB screening. Out of these, 33 persons – including 11 who had not been vaccinated – had tested positive for the Mantoux test.40 Among these 33 persons, three had tested positive after previously having tested negative, which is indicative of a first-time infection at the centre. Moreover, it is of great concern that a fourth person, not previously vaccinated, who had already tested positive for the Mantoux test four months prior to the delegation’s visit, had remained detained at the centre among the general detainee population, without any medical follow-up or treatment, which puts both detained persons and staff at risk. The abovedescribed proximity in the dormitory-style cells and the poor conditions of detention at Corinth PRDC (see paragraph 0) certainly contribute to the transmission of this transmissible disease. This also meant that an unspecified number of persons had left the centre in the meantime without any medical follow-up. The CPT would like to receive the comments of the Greek authorities on this episode. It would also like to be informed of the measures taken to improve the management of TB at Corinth PRDC and the conclusions drawn by the authorities to avoid that such a situation occurs again. ii. A 24-year-old man had died under unclear circumstances on 24 October 2023, only six hours after his referral to hospital. Despite receiving a significant amount of medication, including an anticoagulant, two drugs used to treat high blood pressure or heart failure and no less than seven psychotropic drugs, the person had not seen a doctor and had only seen a nurse seven days prior to his death. From the conclusions of the delegation, the person had been left to his own fate without any proper medical follow-up. It is only when the person concerned declared that he was feeling unwell and suffering from shortness of breath that he was immediately evacuated to the general hospital, where he was diagnosed with severe pneumonia. He died at the hospital only six hours after his admission. The CPT cannot agree to the Greek authorities’ conclusion that appropriate action had been taken in this case, given that the person concerned had been abandoned to his fate without appropriate medical treatment during the 3.5 months of his detention at Corinth PRDC, where he had developed severe pneumonia which had led to his death.41 The CPT would like to receive the comments of the Greek authorities as well as a copy of the autopsy report. 39. This included weight loss, cough, shortness of breath, vomiting and debilitation. 40. The fact that these persons tested positive is indicative of either a prior TB vaccination or an infection with the tubercle bacillus. Although certain symptoms are indicative of TB infection, not everyone exposed to an infectious TB patient will effectively be infected, and those infected may not develop disease. To clearly establish a TB infection, further clinical examinations and a medical follow-up are required. 41. Following the person’s death, all foreign nationals detained at Corinth PRDC carried out a one-day hunger 29