A. Preventive Medicine

(a) Environmental Sanitation:

1. We hold a workshop environmental evaluation in each office every month. We hope that our inmates will develop good sanitation habits. Thus a clean and comfortable environment can be created.
2. There is environmental antibacterial work in every office and workshop every fortnight. We regularly spray disinfectant to eliminate contagious mosquitoes as a medium of contagious diseases.
3. Our staffs who work in the kitchen need to pass a hepatitis inspection. In order to prevent hepatitis infection, we require our staff to keep the kitchen clean. We also have strict control of the temperatures of the ice room and cold storage. Our food is assured as to its freshness so that our inmates can keep healthy.

(b) Sanitation & Health Education:

We cooperate with Hualien Armed Forces General Hospital, Public Health Bureau, and Red Cross and other public-service groups to regularly hire lecturers to promote ‘Course on CPR (Cardiopulmonary Resuscitation)’ ‘Education and Films of AIDS Prevention,’ ‘Sex Diseases, AIDS, Chronicle Diseases and other Health Education,’ ‘Prevention of Pulmonary Tuberculosis,’ ‘Smoking Quitting and Prevention,’ and other forms of sanitation education.

(c) Drug Abuse Inspections:
In order to curb the inflow of drugs we enforce urine inspections on our inmates. Our prison is equipped with an automatic biochemical analysis instrument, automatic ferment immune analysis interpreting machine, inspection trials, etc. Regular and irregular inspections take place.

(d) Vaccine injection:
For terminating contagious diseases, we fully cooperate with the Disease Control Bureau, Public Health Bureau.

(e) Inspections for Sexual Diseases, AIDS, Pulmonary Tuberculosis:
 In cooperation with the Disease Control Bureau, Public Health Bureau of Hualien County, Public Health Bureau of Ji'an Township, we have our inmates take a monthly inspection of diseases. If there is any suspected case, the inmate should be put in a patient ward under the condition of quarantine. A sick inmate should go for a double check and treatment. We carry out a yearly health check of all of the inmates in case there is any contagious case happening in the prison.

B. Medical Treatment in the Prison

(a) Health checks:
 New inmates should take a health check from the medical staff to record their health conditions. Every week we have a contracted doctor to handle relevant matters in the prison. If there is any inmate who got injured, they have to report the details and deal with the situation. In the case of illness or physically uncomfortable conditions, inmates should go to the doctors for detailed treatments.

(b) Contracted Domiciliary Visits:
We signed contracts with Hualien Armed Forces General Hospital, Hualien Hospital (Department of Health), and Tzu Chi Hospital. Nearly 15 doctors from these hospitals provide medical services to our inmates, covering 19 specialties, including internal medicine, surgery, family medicine, psychiatry, and obstetrics & gynecology.

(c) Self-paid Medical Service:
In the prison, a Chinese medical and dental service is offered to our inmates who would like to pay themselves. It is more economical, compared with the way to go to see a doctor outside the prison in terms of time and expense.

(d) Control over Special patients:

1. Patients with mental problems: Every week, there are doctors from Hualien Armed Forces General Hospital to offer diagnosis to the patients.
2. Pulmonary tuberculosis patients: The thoracic doctors from Hualien Armed Force General Hospital offer diagnosis. At the same time, we also work with Public Health Bureaus and Disease Control Bureau to file the records and follow-up treatments.
3. Patients with chronic diseases: We arrange for doctors to come to the prison to see the patients. They prescribe medicine to treat the patients to ease worsening health conditions.

(e) Patient Wards:
At present, our prison has 40 beds for patients with severe diseases, or for those who are slow movers, or who are aged, or who need injections, or those who are not emotionally stable, or who have contagious diseases and need to be put in quarantine. We separate patients into several types of rooms: Observation Rooms, Patient Wards, Single Wards, Pacification and Protection Rooms. We have well-trained guards to take care of the old, weak, handicapped and sick patients in these wards.

C. Hospitalization outside of the Prison

(a) Inmates inflicted with severe diseases. According to our doctors’ diagnosis, these patients need to be treated outside of the prison (either seeing a doctor in another hospital outside of the prison or in need of hospitalization). Thus our inmates (patients) can receive proper medical treatment.

(b) The main hospital which we cooperate with is Hualien Armed Forces General Hospital (equipped with twelve beds in our Security and Protection Ward). If our patients need special medical treatment, they will be sent to Hualien Armed Force General Hospital, Tzu Chi Hospital, or Mennonite Christian Hospital etc. and receive sound treatment.

D. Duties of the Health Section in Correctional Institutions

According to Article 8 of the Ministry of Justice Agency of Corrections’ Prison Affairs Rules, the Health Section of correctional institutions is responsible for the following tasks:

1. Health Planning and Facility Supervision: Guiding health and medical services, providing annual training for emergency treatment including AED and CPR, conducting skin checks and personal hygiene education for inmates.
2. Prevention and Care of Infectious Diseases: Carrying out chest X-ray screenings, syphilis and HIV tests for new and existing inmates, administering vaccinations (including influenza, pneumococcal, and COVID-19), and organizing hygiene education seminars on scabies and other diseases.
3. Inmate Health Assessments and Medical Checkups: Conducting health checkups for new inmates and preventive screenings such as oral cancer and breast cancer in cooperation with contracted hospitals under the National Health Insurance system.
4. Medical Care, Health Education, and Incentives: Offering in-prison outpatient services with partner hospitals, performing general lab tests (blood, urine, X-ray), smoking cessation clinics, and providing various health education programs by medical professionals.
5. Environmental Sanitation and Hygiene Supervision: Conducting cleanliness inspections throughout prison facilities, monitoring kitchen and personal hygiene, and commissioning professional agencies for disinfection and vector control.
6. Medication and Medical Equipment Management: Medications are dispensed by contracted pharmacies under the National Health Insurance system. On the day of the outpatient visit, the prescribed medicines are pre-packaged and delivered to the prison, then distributed to each unit. All medical supplies are managed by designated personnel, stored according to regulations, and epidemic prevention materials are kept in safe stock levels based on the number of inmates.
7. Inmate Hospitalization, Medical Parole, and Reporting of Deaths: Assisting with hospitalization needs, handling applications for medical parole due to serious illness, and managing procedures related to parole extensions or terminations.
8. Other Health-Related Duties: Managing dialysis treatment, transferring inmates with mental illness to medical facilities, conducting pre-release health assessments, drug testing, and disability evaluations.