Unfortunately, the number of deceased prisoners is higher in 2018.105 Among others, the number of
suicides106 has increased.107 Mainly, the cause of death is problems of somatic health.108 It is important
that the Medical Department analysed each death in order to plan appropriately the measures of
preventive health care and prevent complications of somatic health problems. It is important to pay
particular attention to screening for non-contagious diseases and their identification109 so that prisoners
receive timely and adequate medical care and avoid fatal outcomes.
Supplying information to prisoners concerning preventive health care and healthcare services, in
general, remains problematic. The majority of prisoners do not have the above information at all or
have some information. Besides, no steps were taken in 2018 towards informing prisoners. Periodical
screening for non-contagious diseases also remains problematic. It should be noted that medical
personnel mostly respond to clinically manifested diseases and treatment is symptomatic. As regards
screening for contagious diseases, it is systemic in nature and, accordingly, the indicator of prisoners
being covered by this examination is higher.
Inadequate nutrition and low physical activities are significant factors affecting prisoners’ health.110 It
should be positively noted that, for redeeming the existing shortcomings, the Special Penitentiary
Service concluded a contract with a nutritionist in November 2018.111 It is also important to increase
the daily amount allocated for a prisoners’ diet.112
105
In 2017, 15 prisoners died in penitentiary establishments (5 of them in a civil sector hospital), whereas 21
prisoners died in 2018 (6 of them in civil sector clinics).
106 According to the statistical information posted on the official website of the Special Penitentiary Office of the
Ministry of Justice of Georgia, four incidents of suicide were registered in 2018; see at:
http://sps.gov.ge/images/temp/2019/02/05/0c06bd21dc6cefbb63b55ff8c06852ac.pdf, (accessed 12.03.2019).
107 Two incidents of suicide were registered in 2017 and 4 in 2018.
108 According to the statistical information posted on the official website of the Special Penitentiary Office of the
Ministry of Justice of Georgia, the following are indicated as causes of death: sudden death, chronic respiratory
and cardiovascular insufficiency, suicide, reduced blood flow to the brain, acute peritonitis and tumour.
109 Screening for colon and prostate cancer conducted in penitentiary establishments in 2018 should be positively
mentioned as well as screening for cervical cancer in female prison facilities; however, it is important to give
regular and systemic nature to such measures.
110 Herbert K et al. “Prevalence of risk factors for non-communicable diseases in prison populations worldwide:
A Systematic Review”, 2012, 379(9830):1975–1982; available at: https://goo.gl/UvPhVx, (accessed 28.2.2019).
111 Stemming from the interests of accused/convicted persons, the abovementioned aims at significantly
improving the existing typical menu of daily meals, calories of daily ration, nutrition regime and standards, food
portion standards and medical diet; as well as developing the catalogue of recipes and food preparation rules.
112In2018, the amount of money allocated for a daily diet of a prisoner without the cost of bread amounts to GEL
3.742. The cost of bread is another GEL 0.625.
40
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