CAT/OP/ROU/1/Add.1 receiving an inmate in a prison unit (as well as during detention or wherever it is necessary), a general clinic check-up is performed with a view to identifying obvious signs of aggression, addiction, mental disorder, suicidal risk and to discovering the pathological antecedents and chronic diseases. When confirmed, they entail the immediate start of an adequate medication and food diet, as well as the identification of infectious contagious and parasitological diseases which require isolation from the others until recovery or, if necessary, hospitalization in a hospital unit. The possibility to have an incomplete description of an inmate’s health when they enter the prison can be caused mainly by the medical history provided by inmates, as most of them did not have a medical insurance in the health system outside the prison environment and were not aware of their diseases. The medical check-up delivered when entering the prison unit is completed by a general medical examination in the first 72 hours after their entrance. Para. 61 When the National Strategy for Controlling Tuberculosis (TBC) in Romania (Government Decision no. 121/2015) entered into force, it became compulsory to perform investigations for identifying pulmonary TBC before entering the prison system. As far as the notion of quarantine is concerned, through the Joint Order of the Ministry of Health and Ministry of Justice no. 429/2012, it was established a 21day quarantine period when, besides getting adjusted to the prison environment, recently received inmates are provided with clinical and epidemiological surveillance for the following reasons: i. ii. iii. Many of the inmates present a high risk of getting ill, as they come from disadvantaged social environments or are ex drug users with a risk of getting infested with HIV, B or C Hepatitis Virus or co-infested with B+C or HIV+B+C). During this period of clinical and epidemiological surveillance, para-clinical laboratory examinations (complete blood count, urinalysis, glycaemia, TGO, TGP etc.) are carried out and if these analysis lead the doctor to a certain disease, additional tests are requested. The 21-day clinical and epidemiological surveillance was decided upon, in compliance with the incubation period of some contagious diseases, so that they could manifest by the end of this period, allowing for the necessary measures both for treating and fighting against them. This 21-day period of time was divided in one week periods, in order to limit the number of the inmates getting into contact with each other and to avoid mixing the persons who are at the end of the monitoring period of time and the new comers (who have not been investigated yet). Thus, in the first week from the arrival, there could be signs of diseases with up to 7-day incubation (acute respiratory infections, flu, severe diarrheic diseases), in the second week, signs of diseases with an average 10 to 14-day incubation. In the third week, there could be signs of diseases with maximum 21 to 23-day incubation (for instance, chickenpox, epidemic parotiditis). Para. 65 - Independent medical staff In the Romanian Police’s detention facilities, healthcare issues are managed by medical professionals from the Medical Directorate of Ministry of Internal Affairs. The Medical Directorate of the Ministry of Internal Affairs finalized the procedure for hiring civil personnel to serve as doctors in each Centres for Detention and Preventive Arrest around the country. The examination was organized in full compliance with the provisions of the Order of the Minister of Health no. 869 / 09.07.2015, which stipulates the methodology for organizing and conducting competitions for occupations of doctors, including the fact that the members of the commissionare doctors appointed by the Romanian College of Physicians. 22

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