14, 16, 17, 18, and 19 have been repaired and equipped in accordance with the general
standards. Repair and reconstruction works in other penitentiary establishments are underway and they are being gradually equipped. These changes are welcome. It is however
imperative to repair medical units completely. It is also noteworthy that there is no tap
in the dentist’s room in establishment no. 11. Therefore, it is impossible to have the used
instruments washed on the spot. The personnel use running water from the personnel’s
toilet.267
During the visit268 of the Medical Regulation Division to penitentiary establishment no. 5,
the two rooms arranged for x-ray examination were inspected. There is a sink installed in
the examination room; however, hot water is not provided. The walls are not covered with
barite to block x-ray emissions. Besides, the surface is rough and therefore impossible to
be wet-cleaned. Where films are developed, there is no container to collect the waste
liquid, which the waste disposing company would remove. The requisite means designed
for radiation safety are not used in the working process. Besides, an x-ray technician/x-ray
laboratory technician, after the examination, does not register a patient’s individual effective dose in a specified sheet (in the section of effective dose registration) or x-ray examination registration journal. It should be noted that there is no such journal present in any
of the penitentiary establishments.
The visits of Medical Regulation Division to penitentiary establishments have showed that
there are no x-ray rooms in penitentiary establishments nos. 7, 11 and 12. In penitentiary
establishment no. 7, x-ray scan is performed in a small manipulation room and films are
developed and dried in a similarly small dentist’s room. In establishment no. 11, x-ray scan
is performed in a corridor wedged between AIDS room and the space arranged for juveniles for computer use. In penitentiary establishment no. 12, x-ray scans are performed in
the first aid room and films are taken to establishment no. 19 for development. The x-ray
rooms in theses penitentiary establishments fail to comply with any of the requirements
set for x-ray scan rooms.269 In particular, adequate space and a sink with cold and hot
water plumbing are absent; there is no space arranged for developing films; the intensity
of exposure of the patients and personnel to radiation is not controlled with an individual dosimeter; and individual radiation safety and transportation safety means are not
used in the working process. The Public Defender observes that this problem should be
addressed promptly and an x-ray room should be arranged in all penitentiary establishments.
The arrangement of a medical waste storage room in penitentiary establishments in 2016
is positively assessed. However, there are certain problems in this regard. For instance, in
penitentiary establishment no. 3, medical waste was stored in the toilet of the medical
unit of the establishment and there was horrible smell in that area. A specially arranged
room to store the containers of medical waste in penitentiary establishment no. 11 is absent; therefore, the medical personnel’s toilet is used for this purpose. According to the
267 Order no. 309/n of the Minister of Health, Labour and Social Affairs of Georgia, dated 5 November 2002
Approving the Sanitation Rules for Ambulatory and Polyclinic Establishments of Dental Profile, Article 8.
268 20 October 2016.
269 Resolution no. 317 of the Government of Georgia, dated 7 July 2016: Technical Regulations – Approving the
Radiation Safety Requirements in the Sphere of Medical Radiation.
128
HUMAN RIGHTS SITUATION IN CLOSED INSTITUTIONS
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