National Preventive Mechanism healthcare system. As inmates explained, medical personnel were informed and knew about facts of torture in prisons but failed to register this. And this aggravated the situation between inmates and medical personnel resulting in distrust and aggression towards them. And this remains a significant challenge to this day and needs imminent intervention of civil healthcare in the system with the view of defusing and resolving the situation. EQUIVALENCE OF HEALTHCARE After the disclosure of the facts of torture in the Georgian penitentiary system and the monitoring of inmate health conditions it becomes clear that it is impossible to talk about equivalence and adequacy of healthcare in Georgia’s penitentiary system. Often presented medical cards do not reflect real healthcare situation, especially given the context of documentation of facts of torture, registration of results and treatment-rehabilitation. The said situation is not reflected in illness tables provided by establishments that we have statistically processed. Table N3: illness indicators according to reports of medical units of the establishments: Illness 1 Cardiovascular diseases F Total 1111 0.03 2 Respiratory system diseases 2659 0.08 3 Digestive system diseases 1586 0.05 4 Urinary and genital system diseases 1713 0.05 5 Nervous system diseases 1331 0.04 6 Mental diseases 1352 0.04 7 Endocrine system diseases 200 0.01 8 Hematological diseases 46 0.00 9 Sense organ diseases 1844 0.06 10 Infectious diseases 397 0.01 11 tuberculosis 1114 0.03 12 AIDS/ HIV 33 0.00 13 Bone-joint system and connective/conjunctive tissue diseases 281 0.01 14 Skin and venereal diseases 318 0.01 15 Self-inflicted wounds and traumas 1533 0.05 16 Dental diseases 17371 0.52 17 Acute surgical diseases 314 0.01 18 Oncological diseases 63 0.00 Total 33266 1 The analysis of the above table reveals that otolaryngologic and ophthalmologic system diseases are not included in the division of organs into systems and they are united under the sense organs. Also, the said table does not enable us to determine how many were diagnosed supposing that one individual may suffer various diagnosis. Large percentage of pathologies is dedicated only to dental problems while the entire section of priority healthcare pathologies are represented in low percentage indicators. For example, indicator of mental diseases is only 4%, and the drug addiction problem is completely ignored. Medical monitoring held after the events of September 2012 showed that drug addiction problem in Georgia’s penitentiary system remains one of the main challenges. The presented table does not show statistical data for epilepsy sufferers. And herewith we shall note that no adequate and equivalent diagnostic has been made in the penitentiary system. www.ombudsman.ge NPM Report

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