storage room; stationary ward, which represents 2 premises with 8 beds in total, two toilets – one for the patients accommodated in the ward, and one for the staff. There is also bathroom to the toilet for the prisoners. The MC does not have an isolation room. The medical equipment and furnishing available in the MC (except the dental equipment) is scarce and to a large extent does not meet the requirements as to the medical equipment and furnishing which has to be available and functional in the general practitioners' offices. The medical services are provided by: a doctor – director of the MC, two doctor's assistants employed under permanent labour agreements; dentist employed at a permanent labour agreement; medical orderly – a prisoner. There is no psychiatrist in the prison in Bourgas. Even the position for such has been cancelled in 2012. According to the medical personnel there are many prisoners who are drug addicts. Only the ones identified during the last couple of years total 100. There is a practice according to which, if there is doubt as to the use of drugs by a prisoner and the prisoner refuses to take a drug test, the punishment imposed on the prisoner is equal to the punishment in case of a positive drug test. I.e. it is presumed that the prisoner has used drugs. "His rights are not violated" in this case, the reason for the punishment is "refusal to cooperate". NPM explicitly believes this practice to be inadmissible. No annual prophylactic medical exams of the prisoners are carried out. Self injuries in Bourgas prison are frequent – approximately 10-12 per year. There is approximately the same number of hunger strikes. There have not been any deaths during the past year. In addition to the problems outlined, 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, different as compared to those compulsory for the specialist doctors and the general practitioners who have signed agreements with the National Health Insurance Fund. The dental services problem is significant, as the latter are extremely insufficient. Emergency medical aid teams from Bourgas are used when needed. Like in other prisons sometimes upon placement in the Bourgas prison the prisoners are not accompanied by medical documentation. This makes the setting of the specific health status difficult. The MC in the prison in Varna comprises: doctor's office, dental office, psychiatry office, stationary ward, which has 4 premises with a total of 12 beds; pharmaceuticals storage room – the doctor's assistant is in charge of the storage room; isolation room; small canteen for the patients in the stationary ward; two toilets - one for the patients in the stationary ward, and one for the staff. There is a bathroom to the toilet for the prisoners. The equipment and furnishing available in the MC are extremely insufficient. Medical services are provided by: doctor – director of the MC; psychiatrist, dentist – as per schedule, doctor's assistant – hired under permanent labour agreement; medical orderly - prisoner. The MC personnel claim that specialists in various medical specialties visit the prison and provide consultations. Primary medical exams are performed out upon the placement of the prisoners in the prison and the history of past and present diseases is recorded. Medical exams are also 51