National Preventive Mechanism The above table shows that inmates with incurable diseases (malign cancer stage 4, cyrosis of liver, Tuberculosis with cardiovascular and respiratory failure, meningoencephalitis) that were subject to release or/and postponement, were still in prisons. It is also clear that in case of one prisoner who died as a result of hemorrhage developed as a result of craniocerebral trauma we cannot rule out a fact of torture. Case: M.M. According to examination report, a cause of death was stated: “immediate cause of death is a diffusive hemorrhage in cavity of the skull and medullary substance, swelling of medullary substance, brain stem compression as a result of blunt trauma. The examination of the body revealed the following injuries received during life: hemorrhage near ridge - temporal area in the soft tissue; dark reddish color hematoma of gelatin consistency in the temporal region of the brain in skull cavity to the left of the ridge between the skull valve and the hard casings; focal and diffuse hemorrhages in soft tissue and in the brain substance, swelling of medullary substance, brain stem swelling and compression. The said injuries were developed immediately before the death as a result of use of some blunt object; when examining people these injuries are considered to be severely hazardous to life level and have direct causal link with the – death result. The during-life injury – upper pole hemorrhage near the spleen diaphragm surface, was also identified on the body. This injury was developed immediately before the death as a result of action of a certain blunt object. When examining living people, it is ascertained to belong to injuries of low level without impediment to health and have in no causal link with the – death result …”. The state of prisoner that is scarcely represented in the conclusion reveals that he was transferred from establishment N17 to surgical department of medical establishment for inmates and convicts where he passed away three days later. A small note is also included in the case: on February 5th, 10 minutes ago he fell in the bathroom. It shall be noted that four people died as a result of a suicide. One of them E.N., 42 years-old, was transferred to establishment N18 from prison N8 and 10 days later was found in the department of infectious diseases hung on a sheet. Diagnosis stated the following: hallucination-paranoidal syndrome. Another person - T.K., 28 years-old, was found in the cell of establishment N6 hung on a sheet. We shall note that in both cases information is very scarce in examinations reports and does not contain necessary data. We shall note that in both cases the case history does not contain ambulatory medical cards of establishments N8 and N6 that as a minimum raises doubts over inadequate medical care in the mentioned establishments. Suicide was also noted in the case of O.M., 35 years-old. The examination report says only that the body was found in a cell toilet in establishment N16. Neither this case discussed ambulatory medical card on the mentioned individual which also indicates to inadequate medical care. 4th case: D., 27 years, was transferred from Kutaisi establishment N2 to establishment N18 and he died one day later. As it turns out, he was brought to establishment N18 with a cut wound in a throat area, was settled in a therapeutic department where he tore off his stitching and died of blood loss. According to a medical card of N18 establishment he was diagnosed with emotionally unstable personal disorder, was prone to autotraumas, depressive condition, cut wound of throat. The examination report states hemorrhagic shock as a cause of death. The expert report does not identify opportunity for detailed analysis of the said case, though correctness of the presented diagnosis is doubted. As a minimum the level of depression was not assessed adequately, neither relevant explanations have been presented as to how the prisoner died nor there has been any indication as to when and what quantity of blood he lost, etc. Notorious case: M.B., 21 years-old, who died in establishment N15 in Ksani. According to forensic report, the cause of death was cardiovascular collapse developed after microcardiac infarction, against the background of severe bronchitis (pan-bronchitis), broncho-pneumonia. The expert report also describes injuries received during life that, according to the same report, have no causal link with the death. Though the case does not feature either medical card of the abovementioned individual or circumstances of the death are described. Only the situation around the death was presented. It only shows epicris of the death according to which the inmate was brought in unconscious condition, with no pulse and breath, no external injuries were noted. Therefore, it is unknown how and when he received injuries described in www.ombudsman.ge NPM Report