1. Health in Prisons – A WHO guide to the essentials in prison health NDPHS meeting Paris, June 2007
Dr Lars Moller, PhD
World Health Organization
Regional Office for Europe
Distinguished Delegates, Ladies and Gentlemen,
I have the pleasure to address the Health in Prisons Project on behalf of WHO. Health in Prisons is an issue of great value for public health and in this presentation I will cover some aspects of relevance for the project especially the epidemiology of HIV/AIDS. Furthermore I will mentioning some of our plans for the coming year.

2. Establishing a Monitoring Mechanism on Prison Health Indicators and Health Determinants
The project started officially September 2005 with grant from Public Health Programme
Partners involved:
EMCDDA
ENDIPP (Cranstoun Drug Services and WIAD)

3. Activities
To establish an information/surveillance system on prison health, leading to a greater understanding of the incidence/prevalence and spread of disease and ill-health in prisons and between prisons and the society.
To establish an European Network of national experts on prison health in order to facilitate the implementation of a data collection procedure.
To support and encourage EU Member States, applicant and neighbouring countries to implement a system to monitor prison health.

4. Activities
To develop evidence-based guidance on cost-effective disease control and health promotion in prisons as part of national strategies for public health protection and promotion.
Develop an early warning system on communicable diseases and changes in psychotropic drug use in prisons in order to protect public health.

5. Database Database established Questionnaire developed
Pilot Study in five Member States (Estonia, Latvia, Lithuania, Romania, Portugal)
Update of questionnaire
Tested in 9 EU Member States
Network meetings, October 2005 and October 2006
More than 200 indicators
On-line data entry system developed
System for presentation by countries or in tables/graphs/maps developed

6. Network 34 Member States are actively involved (20 EU Member States):
14 from west Europe:
Austria, Belgium, Finland, France, Greece, Iceland, Ireland, Malta, Netherlands, Norway, Portugal, Spain, Switzerland, United Kingdom (England, Wales and Scotland)
13 from centre Europe:
Albania, Croatia, Czech Republic, Estonia, Hungary, Lithuania, Latvia, Moldova, Poland, Romania, Slovakia, Slovenia, Ukraine
7 from east Europe:
Belarus, Georgia, Kazakhstan, Kyrgyzstan, Russia, Tajikistan, Uzbekistan

7. Prison health guide
Health in Prisons – A WHO guide to the essentials in prison health
Published 2 May 2007
Co-sponsored by
Public Health Programme
Dutch Ministry of Health
Dutch Ministry of Foreign Affairs
WHO Regional Office for Europe

8. Content 179 pages 14 chapters 17 authors 5 editors
Editorial board representing a variety of international organizations.

9. Who this guide is for?
This guide has been created for everyone who works in a prison or has a part to play in promoting the health of prisoners and/or staff
Everyone has a part to play to make prisons healthier places for both staff and inmates and to ensure that health protection and health promotion activities in prison can be successful
Applying the recommendations of the guide will produce a healthy prison with satisfying roles for staff members and a marked reduction in the harm that imprisonment can create.

10. Chapters included INTRODUCTION
STANDARDS IN PRISON HEALTH: THE PRISONER AS A PATIENT BY ANDREW COYLE
PROTECTING AND PROMOTING HEALTH IN PRISONS: A SETTINGS APPROACH BY PAUL HAYTON
PRIMARY HEALTH CARE IN PRISONS BY ANDREW FRASER
PRISON-SPECIFIC ETHICAL AND CLINICAL PROBLEMS BY JEAN-PIERRE RESTELLINI
COMMUNICABLE DISEASES BY DUMITRU LATICEVSCHI
HIV INFECTION AND HUMAN RIGHTS IN PRISONS BY RICK LINES
TUBERCULOSIS CONTROL IN PRISONS BY JAAP VEEN
DRUG USE AND DRUG SERVICES IN PRISONS BY HEINO STÖVER AND CAREN WEILANDT
SUBSTITUTION TREATMENT IN PRISONS BY ANDREJ KASTELIC
MENTAL HEALTH IN PRISONS BY ERIC BLAAUW AND HJALMAR J.C. VAN MARLE
DENTAL HEALTH IN PRISONS BY AMIT BOSE & TONY JENNER
SPECIAL HEALTH REQUIREMENTS FOR FEMALE PRISONERS BY JAN PALMER
PROMOTING HEALTH AND MANAGING STRESS AMONG PRISON EMPLOYEES BY HEINER BÖGEMANN

11. Web site: http//:www.euro.who.int/prisons Contact Lars Moller:
Prison Guide:
Contact Lars Moller: