According to the response letter MOC91600170588 received from the Ministry of Corrections on 1 March 2016, in accordance with the Decree N169 of the Government of Georgia dated 20 Aprils 2015 on Approving the Hepatitis C Management Programme, the beneficiaries of the programme are all accused/convicts placed in the penitentiary establishment, however, due to certain technical reasons, foreign citizens cannot involve in the above programme. The response received from the Ministry reveals that the Ministry of Corrections of Georgia has an active communication with the Ministry of Labour, Health and Social Affairs of Georgia in order to solve the above problem. In 2015, the number of prisoners examined on HIV/AIDS is decreased. In 2015, 5 500 prisoners were subjected to the examinations on HIV/AIDS, in 2014 – 9 081. During the current year, 17 new cases of HIV were revealed. During the year, 75 patients, among them 12 new, were involved in the anti-retroviral treatment for HIV/AIDS. The following issues remain to be problematic in the penitentiary system: thoroughly following the requirements of infection control, ensuring the cold chain in line with the legislation, disinfection and sterilization of the medical tools, objects and materials of multiple use, allocation of safe boxes and relevant containers for collecting sharp objects and used syringes. The examination conducted by the Regulation Agency for Medical Activities revealed that in the establishments N5, N6, N16 and N18 of the penitentiary department the disinfection and sterilization process is carried out with certain deficiencies which should be eradicated in order to efficiently direct the process. None of the above-mentioned facilities has personnel that has undergone a special course on infection control. In the room where the procedures are conducted, there was no anti-bacterial soap, dispenser with anti-septic solution or the paper to dry the hands. The tools are not divided into critical, semi-critical and non-critical categories since no relevant training was conducted, information was not provided about the necessity of the above process. Control of pre-sterilization processing of tools is not conducted. They have the so called sterilization indicators, therefore, sterilization process is carried out without the control with the indicators. The tools are not placed in the packages and as noted by the personnel, the reason is the lack of the packing materials. Dental cabinets do not have the closet/ table for the storage of the sterile instruments. In the establishments N5 and N6 there are no bactericidal lamps in the dental cabinets. Establishments N5, N6, N16 do not have the steam sterilizer, the so called autoclave; however, autoclaves are purchased and in the nearest future will be brought in every establishment according to the need. In the establishment N18, the central sterilization facility has a steam sterilizer, the so called autoclave, which is used in the working process, however, as noted by the head doctor and the deputy head doctor, the above 126 NATIONAL PREVENTIVE MECHANISM (NPM), 2015

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