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New WHO report: Ignoring the health of people in prisons now comes at a high cost for society later

 

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The “WHO status report on prison health in the WHO European Region” presents an analysis of data collected on the health status of people in prison and prison health systems for 39 countries in the Region. The WHO survey collected data from Member States between 2016 and 2017 to enable monitoring and surveillance of health in prisons.

The report reveals that the general state of monitoring and surveillance systems for health in prisons is poor. This affects the development of evidence-based policies that effectively target the needs of the prison population.

An estimated 6 million people are incarcerated each year in the Region. After release, rates of reoffending and returning to prison are high. The report points out that this cycle between prison and community often leads to disjointed and ineffective health care outside of prison.

During the early days of a person’s release, the risk of suicide, self-harm and drug overdose is increased. This means that continuity of care during this transition is critical. Gaps in care during this period have significant negative public health implications and can constrain a country’s ability to address inequalities.

Prisons and other places of detention have an opportunity to deliver preventive and risk-reduction interventions and treatments to a population that previously may have lacked or had limited access to health care and a healthy lifestyle.

According to the report, prisons must be seen as settings in which health interventions can address existing health conditions and contribute to positive lifestyles and behaviour changes. Time in prison can also be used to improve people’s skills to help them find a job after release and reintegrate into society.

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