performed as a rule before and after escort. The exam before the escort is aimed at finding whether the person may be escorted. Dispensary monitoring patients are not included in separate register (list). The prisoners doing their time do not have access to ophthalmologist and the MC doctor is charged with this function. There is no free choice of a general practitioner and dentist by the prisoners. There is no real control over the medical activities, the equipment and the prescription of medicines, ensuring the compliance with the respective standards and the good medical practices. Medical aid, dispensary monitoring of prisoners with chronic diseases and the prophylactic activities are carried out at lower standard. The dental services are the biggest problem, as the latter are extremely insufficient. The prisoners complain about the lack of medicines. In their opinion extremely insufficient set of medicines is prescribed for all health problems Emergency medical aid teams from Varna are used when needed. There is also the problem with the accompanying medical documentation upon placement of prisoners in this facility. When hospitalisation is needed most frequently health insured patients are referred to MPHAT "St. Anna" in Varna. If needed the rest of the patients are referred to the Specialised Hospital for Active Treatment of Prisoners (SHATP) at the prison in Sofia. There are many drug addicts amongst the prisoners in Varna. According to the data provided by the prisoners themselves they are 50 per floor at an average, which makes at least 150 on the 3 floors in the prison corps. The NPM had direct observations that all 4 individuals placed in one of the cells had signs from injection of heroin. They showed the marks on their hands at their own initiative. There are three offices – doctor's, psychiatric and dental – in the MC in the prison in Bobov Dol; there is stationary with 5 beds, in one premise with own sanitary unit; isolation room – one premise with 3 beds and separate sanitary unit; pharmaceuticals storage room which is managed by the medical assistant; equipment – blood pressure measurement device, stethoscope, ECG machine. The medical staff comprises a doctor, doctor's assistant, dentist employed under civil contract who comes to the prison 2 a week as per schedule; medical orderlies - prisoners. There is a vacant position for a psychiatrist but no such has been employed. Approximately 50-70 exams are performed every day. There have been newly diagnosed patients with tuberculosis. Three of them have been in the prison for several years and most probably they were infected there. There are two HIV positive prisoners and they were caught as part of a screening process. Such screening is performed the last 4-5 years by testing random groups of several tens of prisoners. This method is obviously very efficient but the scope is not comprehensive (one-off tests are performed for a relatively small portion of the prisoners). During the interview the doctor clarified that due to the existence of drug addicts and HIV positive prisoners there is strict control in the correction facility over the syringes and needles. Dispensary monitoring is carried out using lists by groups of diseases for the patients and they are monitored periodically – through the respective tests, in accordance with the requirements for the specific diseases. 52