CAT/OP/ITA/1/Add.1 2014 2015 Graph No. 1 Irregular migrants arrived in 2014 - 2015 – Distribution by territorial area involved in the healthcare surveillance. Source: General Directorate for healthcare prevention-Ministry of Health, on the basis of USMAF reporting. 90. On surveillance and health-care prevention, the incidence of common infectious diseases recorded among immigrants is not higher than the one referring to the native population, particularly in Sicily – although this Region is at the forefront in the arrival management. In particular, diseases, such as scabies or lice (related to poor living conditions before boarding), although frequently observed in immigrants, do not pose a real risk of infection since they are easily and readily controllable with simple preventive measures and adequate therapy. Further conditions such as Tuberculosis can be effectively addressed with appropriate and timely measures, such as those implemented through the aforementioned project "TB Diagnosis at the docks". 91. The surveillance of infectious diseases (and with it the relating health-care assistance) does not end with the arrival, but obviously continues under the responsibility of the National Health-care Service, for the entire duration of the stay of migrants in the national territory; that is why we make use of specific tools, such as syndromic surveillance in accordance with Circular No. 8636 of 7 April 2011, issued on the occasion of the Arab Spring – supplementing the ordinary system of surveillance of infectious diseases. Monitoring 92. Article 20 of Legislative Decree No. 142/2015 provides for monitoring and oversight on the management of the reception facilities. This activity concerns the verification of the quality of services supplied and the respect for the reception levels and the procedures set for the management of relevant services. Specific attention is paid to services for vulnerable groups, including minors. To this end, the Department for Civil Liberties and Immigration of the Ministry of the Interior may employ qualified professionals, selected among retired officials of the Public Administration, or relevant International and Intergovernmental Organizations. 93. In parallel, mention has to be made of the monitoring activity, including of SPRAR (managed by the National Association of Italian Municipalities), carried out by the Central Service of the Ministry of Interior, in accordance with Article 1-sexies of Decree-Law No. 416/1989, as converted with amendments in Law No. 39/1990. 17