CAT/OP/TGO/1 administration, which must carry out every task using its authority and taking action on the basis of a clear, effective procedure. 2. In gendarmeries and police stations 42. The delegation found the cells in police stations and gendarmeries unhealthy. Some receive no daylight and most have poor lighting. The detainees are not fed; they have to give money for food and water to the police officers or gendarmes, who then purchase it for them. In this context, the situation of persons without families or resources is of particular concern. 43. There are no cells for women in police stations or in gendarmeries, and women are obliged to remain in the corridors under the watch of police officers or gendarmes, even at night. There are no cells for minors, who are held in the same cells as adults while in custody. 44. The Subcommittee recommends that the State party bring the physical conditions of gendarmeries and police stations into conformity with the relevant international standards, including the Standard Minimum Rules for the Treatment of Prisoners. The Subcommittee thus recommends that the State party ensure that the hygiene, lighting and ventilation are satisfactory, that the detainees have access to drinking water and are given sufficient food of adequate quality, that guards include persons of both sexes and that separate cells be provided for women and minors. C. Health Health situation in prisons and in the Cabano Unit 45. At the time of its visit, the Subcommittee found the health situation in Togolese prisons alarming. The extreme overcrowding is a breeding ground for scabies, dysentery and pulmonary infections, in addition to tuberculosis, HIV and hepatitis, not to mention the psychological impact of such living conditions and the frequent exposure to violence between detainees. In the prison in Lomé, the delegation was told that over 60 per cent of the prisoners had malaria and that one in five was infected with scabies. 46. The Subcommittee also noted that the prisoners were not given medical check-ups on arrival and that access to treatment was not ensured. With the relative exception of Lomé, none of the infirmaries in the prisons that were visited had at least a nurse; nor did they offer regular consultations with general practitioners or specialists. In the prisons of Notsé and Kara, for instance, there was no nurse or doctor on site at the time of the visit. In emergencies, prisoners were transported to a nearby hospital or to the Cabano Unit at the University Hospital in Lomé, at the expense of their families, or were handcuffed to a prison guard’s personal motorcycle. 47. The secure national hospital unit, the Cabano Unit of the University Hospital in Lomé, is constantly overcrowded (with 66 patients for 27 beds on the day of the visit). This does not allow for a satisfactory medical intake or for follow-up care — especially not for female patients, since they are not given beds. On the day of the visit, the four women who had come to consult the doctor had to wait their turn outside and were not permitted to stay inside under any circumstances. Medical care and treatment were provided by the hospital’s cardiology unit during the day on weekdays, and at all other times by the on-call service for the entire hospital. A short time before, three military nurses had begun taking daily and weekly shifts on duty. 48. The situation of disadvantaged prisoners who cannot pay the costs of treatment is extremely worrisome because treatment, even when urgent, is provided solely in exchange for payment. The shortage of appropriate treatment owing to lack of funding sources other than non-governmental organizations (NGOs) and some targeted programmes (for tuberculosis and HIV, etc.) is directly reflected in the high number of deaths (in Lomé, for instance, 31 prisoners died in 2012, 23 in 2013 and 18 in 2014, as at late November), many of which could have been avoided with appropriate treatment. 8 GE.17-06858