1. CSR Meeting Gdansk, Poland 23-24.04.2009 Prison Health Expert Group Progress and Future activities

2. PH EG Meetings 1) February (Vilnius) - Estonia, Finland, Latvia, Lithuania, Norway, Sweden, Germany, Canada,WHO,EHRN,Bremen University 2) Arkhangelsk? Or Krakov – end of May, beginning of June 3) Oslo - November

3. Development of Kiev Declaration on Women in Prisons Project of the Ministry of Justice of Finland in Leningrad Oblast ( Project Proposal from Kaliningrad LHL, FILHA, EG discussions of possible TB and HIV Prevention Programme for NW Russia Meeting with WHO HIPP in Copenhagen HIV/AIDS EG meeting in Canada. 18.03.2009 PH EG activities

4. “Universal access to HIV prevention and care by 2010: can we achieve it in the Baltic States? Riga, 29-30 January. Participation in EU HIV/AIDS Think Tank meetings and in development of EU HIV strategy for 2010-2014 Meetings with Estonian, Belarus and Russian Prison authorities Forum for Comparative Dialogue. Riga, Latvia (Within the framework of Canada-EU cooperation) PH EG activities

5. Other Planned activities for 2009 Development of project proposals for Belarusian prisons close collaboration with the WHO Health in Prisons Project (HIPP) in supporting NDPHS Partner Countries to address health and health care in prisons Discussions on future role of EG ( possible comments for SWR) and Mid-term goals Contacts with authorities from Portugal Penitentiary system and EMCDDA Development of side event during the PAC meeting in Oslo

6. Other Planned activities for 2009 The 2-day International Conference ‘Prison Health Protection’, during 29-30 October 2009. focus on blood borne viruses and other communicable diseases “HIV and AIDS in places of detention”- A toolkit for policymakers, programme managers, prison officers and health care providers in prison settings

7. General Strategy SCALING UP KNOWELEDGE, SHARING BEST PRACTICES AND “POLICY” TRANSFER between countries. The network of experts and their respective Institutions facilitating such exchange and intercountry collaboration. Focusing more sharply on setting standards, policy and strategy dialogue and technical advise.

8. Side event on Prison Health Good Prison Health – Better Public Health –Safer Society

9. Side event What:A one-day conference. Good prison health – Better public health – Safer society. Protection of prisoners is protection of our communities Where:Oslo, Norway. Meeting venue: a prison in Oslo When: 24. November, 2009, 10 a.m. – 5 p.m. Who:Ministers of Justice, Health, Social affairs, Labour etc., members of PAC, CSR, Expert Groups, WHO, NGOs and other relevant persons and organisations

10. Scope of the conference To generate discussions about the health needs and health risks of persons before admission to prison, inside the establishment, and after release from the penal system Offer policymakers a critical opportunity to improve the current system Examine public safety issues from different perspectives (health, abuse, family, gender, community…)

11. Exchange of information and discussions Importance of a healthy lifestyle in general, but especially of the most vulnerable sections of the population. How to foster a healthy lifestyle in penitentiary establishment for both prisoners and staff Formulation of public policies designed to solve risky behaviour which might lead to crimes The role of primary health care – in the society, and in cooperation with the prison health service Emerging public health issues, especially TB and HIV/Aids Management of health care services in prison settings, focus especially on vulnerable groups such as children and women Impact of imprisonment and risky environment on adoloscent development

13. NUMBER OF PRISONERS Denmark 3624 Estonia 3244 Finland 3624 Germany 75056 Iceland 115 Latvia 6452 Lithuania 7672 Norway 3280 Poland 90199 The Russ.F. 8874846 (2006) Sweden 6275 Canada 33440 (2006) Statistics from 1.9.2007, (Council of Europe)

14. Female population in prison* 60.668 293 (Oct.2006) 2.720 211 (2008) 341 (2007) 418 (2007) 6 4.061 245 209 170 2.144 * total numbers of prison population by 1 September 2006, if not indicated differently, also including pre-trial detainees.

15. Foreigners 22-27 % of the prison population in Norway, Denmark and Sweden 0.9 % of the prison population in Latvia and Lithuania

16. Many prisoners’ background Extensive histories of violence and violent crimes Previous youth and adult convictions Affiliations with gangs and organized crimes Serious substance abuse problems Serious mental health disorders

17. PENAL INSTITUTIONS Denmark 87 Estonia 7 Finland 38 Iceland 1 Latvia 15 Lithuania 15 Norway 47 Poland 213 The Russ.Fed. 1051 (2006) Sweden 86 Canada 192 (2006) Statistics 1.9.2007 – Council of Europe

18. Number of staff Denmark5020 Estonia2204 Finland2956 Iceland 115 Latvia4359 Lithuania3553 Norway3179 Poland26916 Russian Federation 264000 Sweden 6776 Statistics 1.9.2007 – Council of Europe

21. Overcrowding – consequences on prisoners and staff - lack of personal space - basic hygienic conditions are not provided - lack of beds and necessary equipment - unsatisfactory regime and activities - substandard health care - staff problems

24. High incidence of mental health problems Psycho-social problems Depressive reactions, sleep disturbances, anxiety, self- mutilation, suicide attempts Serious mental disorders Drug and alcohol abuse Learning disabilities ADHD PTSD Abuse of anabolic steroids

25. Declaration + background paper Main aims: 1. To raise awareness among the countries within the NDPHS Region of the current situation regarding the health of and healthcare provided in and out of Prison settings 2. To call for marked improvements of the current situation 3. To discuss on transparency of practice and policies – for inmates and the community professionals Aimed for: policy makers politicians governors/chiefs of prisons - senior staff staff involved in practice at prisoner level Next step: Drafting group and consultation group to be established

26. THANK YOU FOR YOUR ATTENTION!