Health structures and hygiene in Lebanese prisons

Since the end of the civil war in Lebanon (1991), the jailed population has more than doubled, while the real capacity of jails remained the same as in the 70s. A cross-sectional survey was conducted in 1999 in all 17 jails then operating in the country, to evaluate the impact of this newly developing situation regarding the structures of hygiene and health services available to prisoners. The stated objectives of this survey were: 1) To identify structural problems; 2) To appreciate those variables affecting the structures which could be modified; 3) To recommend improvement in health conditions in jails The survey included a visit to each jail to evaluate the health structures and services using a standardized check-list, and to interview the jail director. Results indicated that health conditions in jails were inadequate. Each prisoner had 1.3 m2 of personal space on average, in cells most often overcrowded. There were 1.3 shower/100 prisoners on average, with soap and toilet paper rarely provided by the administration. On average, less than 2 general practitioners were found providing about 3 weekly visits per 100 prisoners. Possible interventions involving various social entities were discussed.