CAT/OP/KAZ/1/Add.1 234. This will involve dividing convicted prisoners held in institutions of the penal correction system into several groups. 235. These measures will help to: • Prevent the formation of prison “subcultures”; • Reduce the frequency of self-harm, suicide and crime among prisoners; • Create a normal “microclimate” in individual groups; • Accelerate resocialization. Paragraph 114 The Subcommittee recommends ensuring that prisoners enjoy standards of health care that are the same as those enjoyed by persons in the community, without discrimination, including access to dentists. Prompt access to medical attention in urgent cases needs to be ensured, including through transfer to specialized institutions or civil hospitals. Medical files should be subject to medical confidentiality. Authorities are called upon to encourage the voluntary participation of individuals with drug use disorders in treatment programmes, with the informed consent of those individuals. 236. Article 117 of the Penalties Enforcement Code regulates medical care. Medical services are administered to convicted prisoners in accordance with national legislation on health care. 237. Prison hospitals (hospitals for the treatment of physical and mental diseases and tuberculosis, medical units and medical clinics) have been set up in the penal correction system to administer medical care to convicted prisoners. The medical unit in an institution administers compulsory treatment for convicted prisoners suffering from alcoholism or drug or substance addiction. 238. The administration of the institution is responsible for implementing the sanitary and epidemiological requirements set out in legislation. 239. Tuberculosis services, epidemiological monitoring in institutions and medical examinations of convicted prisoners put forward for remission of sentence on grounds of illness are organized in accordance with national legislation. 240. In the case of the death of a person serving a sentence, the administration of the institution concerned immediately notifies, in writing, the procurator, the deceased person’s spouse or relatives and, if the deceased is a foreign national, the Ministry of Foreign Affairs. Paragraph 115 The Subcommittee recommends taking measures to combat discrimination against prisoners on the basis of illness, including by ensuring that persons in medical units are not subjected to conditions that are stricter than those imposed on other prisoners. 241. In accordance with the Code on Public Health and the Health-Care System, a convicted prisoner’s health status and any conditions with which he or she has been diagnosed are subject to medical confidentiality. 242. Convicted prisoners can be held separately on medical grounds if they have a disease that presents a danger to others. 243. Convicted prisoners who are HIV-positive are held along with all other prisoners, to prevent any discrimination. Paragraph 121 The Subcommittee recommends that the treatment of prisoners serving life sentences be reviewed to ensure that it is based on individual risk assessments and not dependent on the sentence. It should be adapted to the needs of such prisoners and allow for contact with the outside world. GE.18-05420 27