Abstract
We should focus on crafting the most effective public health response The recent deaths of two young men who are thought to have taken the β keto-amphetamine stimulant mephedrone (4-methylmethcathinone)...
Highlights
An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004
State of premises The medical unit infrastructure provided up until recently in the majority of Irish prisons dated from the mid-nineteenth century
Equipment Based on the national survey the “Structure of General Practice in Ireland 1982-2005” [17] the availability of standard diagnostic equipment in Irish prisons generally falls below that available in Irish general practice (Table 2)
Summary
An industrial dispute between prison doctors and the Irish Prison Service (IPS) took place in 2004. Part of the resolution of that dispute was that an independent review of prison medical and support services be carried out by a University Department of Primary Care. The use of primary health care in the prison population is considerable compared with the general community [1]. Prisoners are more preoccupied with their health than the general population [3,4]. Relative to the general population, prison inmates experience poorer physical, mental and social health, including both acute and long standing physical and mental illness and disability, drug, alcohol and tobacco dependency, sexual health problems, suicide, self -harm, physical, psychological and sexual violence, lower life expectancy and breakdowns in family and other relationships [5,6,7,8]. There are fourteen prisons across the Republic of Ireland, catering
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