Also, it should be noted that the programme does not function in every facility. Nor is there a legal framework to regulate the programme. It is evident that measures for preventing suicide are insufficient and further steps need to be taken to strengthen efforts in this direction. RECOMMENDATIONS TO THE MINISTER OF CORRECTIONS: •• To ensure screening of health conditions of inmates and provide those with mental health problems adequate and timely psychiatric support •• To ensure treatment of inmates diagnosed with severe psychosis in a mental health facility and develop adequate out-patient services •• To take all necessary measures to prevent isolation of inmates with mental health problems in a solitary confinement •• To implement opioid replacement therapy •• To implement suicide prevention programme in all penitentiary facilities •• To develop legal criteria for the participation in suicide prevention pro- gramme and set rules for a multidisciplinary team working on the programme PROPOSAL TO THE PROSECUTOR GENERAL: •• To ensure independent and impartial investigation of all cases of suicide 2.5.7.  MANAGEMENT AND PREVENTION OF HIGH RISK INFECTIOUS DISEASES According to the information provided by the Ministry of Corrections TB screening was carried out on 64 672 cases and 131 inmates are registered as TB patients (to compare with 293 inmates registered in 2013) with 63 new and 58 relapse cases. 36 inmates have been diagnosed with multi-drug resistant TB (57 inmates in 2013) while the number of default treatment amounted 18 (20 cases in 2013). In 2014 in order to carry out test on or treat co-infections 10 inmates were transferred to various medical facilities. Based on the data provided above, there has been significant progress towards controlling TB. A visit to the TB Treatment and Rehabilitation Centre 19 on December 11-12, 2015 revealed that the centre faced certain problems related to infection control measures and treatment of co-infections. More specifically, the patients move around without a mask, there are no special containers for sputum and hands are not fully sanitized. As for the treatment of co-infections, it was ascertained that there is a long waiting period for patients scheduled for consultations. The referral procedures to civic health facilites were applied to only in 10 cases while the same figure totaled 202 in 2013. A 118 NATIONAL PREVENTIVE MECHANISM OF GEORGIA