the moment they are arrested and before they are taken into custody by the Office of the Public Prosecutor.
308. The Subcommittee urges the Mexican authorities to ensure the impartiality of the work of medical professionals
who are asked to provide an expert opinion. In addition, the Subcommittee recommends that the State party ensure that
medical examinations are carried out in accordance with the principle of doctor-patient confidentiality: no one other than
medical personnel and the patient should be present during the examination. In exceptional cases, if the doctor considers
that for medical or psychiatric reasons a detained person poses a danger to the medical personnel, special security
measures, such as the presence of a police officer nearby, can be taken. Except in such situations, police officers should
not be within hearing or sight of the place where the medical exam is performed. The Subcommittee believes that all
persons detained by the police should be examined by a medical professional at the earliest opportunity.
309. The Subcommittee recommends that all medical examinations of detainees include: (a) a medical history and a
description by the person examined of any acts of violence to which they have been subjected; (b) a record of current
health status, including the presence of any symptoms; (c) the findings of the medical examination, in particular a
description of any injuries found and a note indicating whether the detainee’s entire body was examined; (d) the doctor’s
conclusions regarding the consistency of the preceding three elements.
310. The Subcommittee recommends that the State party increase police oversight measures in order to ensure that
superior officers carry out their supervisory tasks and keep detailed records of how police officers who make arrests are
carrying out their work.
311. The Subcommittee urges that the State party strengthen, urgently and systematically, supervision of the conduct of
police officers. Abuses of power should be dealt with strictly.
312. The Subcommittee recommends that the form used for routine medical examination of newly arrived prisoners
should include space for documenting any history of recent exposure to violence and providing an evaluation of the
consistency between a history of violence, current health status/symptoms and the objective findings of the examination.
313. The Subcommittee recommends that the State party take steps to increase prison personnel dramatically in order to
ensure sufficient staff to maintain discipline in prisons and carry out effective supervision in all parts of the various
establishments.
314. The Subcommittee recommends the establishment of a uniform system for recording prisoner intake. Such records
should be kept by all prisons in the State party in bound registration books with numbered pages. The record should
clearly indicate: the prisoner’s identity, the reasons for their commitment and the authority therefor, and the date and
time of their admission and release. Prison staff should be instructed in the use of such records, and in particular that
there must be no blank spaces left between entries. In addition, the Subcommittee recommends the establishment of a
uniform system of records of disciplinary action, stating the identity of the offender, the disciplinary sanction imposed,
the duration thereof and the official ordering the sanction. The Subcommittee recommends that forms be designed for
recording all prisoner medical examinations. Such forms should include space for a description of any traumatic injuries
and for an evaluation by the physician of the consistency between current health status and symptoms, the clinical
findings and a history of abuse. The form should also include a record of the prisoner’s communicable disease history;
the date and time of the examination; the prisoner’s name, age and cell number; and the diagnosis and any other
relevant information. The Subcommittee also recommends that the State party take the necessary steps to ensure the
existence of both institutional records (maintained by each prison) and central records (maintained by the state or
federal government) of deaths, including the name and age of the deceased, the place and cause of death, the findings of
the post-mortem examination and information on the circumstances surrounding the death in the case of deaths not found
to be the result of natural causes. In addition, the Subcommittee recommends that the State party increase prison
budgets, allocating sufficient funds for the supply of drugs to inmates who need them. The Subcommittee also
recommends that the State party develop specialized courses for physicians who provide medical services in prisons,
covering topics such as infectious diseases, epidemiology, hygiene and forensic medicine including documentation of
injuries and medical ethics. Physicians should be required to participate in specialized courses that include training in
human rights policy in general and the obligations of health personnel in places of detention in particular.
315. The Subcommittee recommends that electronic records be developed. These records should include a space for
noting, for each case, the origin of any traumatic injuries. In addition, the Subcommittee recommends the creation of
records of deaths and of communicable disease history. All records should show the date and time; the prisoner’s name,
age and cell number; and the diagnosis and any other relevant information.
316. The Subcommittee urges the State party to provide detailed, up-to-date information on current practices with regard
to rewarding police and law enforcement officials. The Subcommittee also recommends the development of a plan with
clear and specific objectives to address this problem and urges the State party to carry out straightforward awareness
campaigns urgently with a view to preventing this type of conduct by police officers.
317. The Subcommittee urges the State party to improve controls in respect of the age of people entering prisons in
order to ensure that minors are never incarcerated in adult prisons.
318. The Subcommittee recommends that the occupancy level in women’s prisons be substantially reduced and that all
inmates be provided with basic hygiene products. In addition, the Subcommittee recommends that the necessary steps be
taken to increase leisure and recreational activities for female inmates. The Subcommittee recommends an urgent
review of the physical conditions, including renovation programmes. The Subcommittee also recommends that the State
ensure that appropriate arrangements are made for female inmates whose children live with them in the prison and that
Select target paragraph3
Connect to a paragraph
Connect to an entity
Disable highlights
Add to table of contents