Disease, drug shortages grip overcrowded Iran prison

Prisoners at an Iran prison face severe overcrowding, infectious diseases and shortages of food, medicine and medical care, according to accounts obtained by Iran International.

Prisoners at an Iran prison face severe overcrowding, infectious diseases and shortages of food, medicine and medical care, according to accounts obtained by Iran International.
The accounts from Dastgerd Prison in the central city of Isfahan describe crowded wards, poor sanitation and severe obstacles to treatment, with several people familiar with conditions there describing the spread of meningitis and other infections.
“Meningitis and colds are rampant in the prison, and there are no pills or medicine,” a former prisoner told Iran International.
Around 10,000 people are being held at Dastgerd, compared with a standard capacity of about 4,000 to 5,000, according to information.
Food shortages compound overcrowding
Nutrition is so poor that many prisoners have become physically weak and more vulnerable to illness.
Breakfast is not distributed on some days, and lunch and dinner are rationed. Food can also be difficult to obtain from the prison shop, even as cigarettes remain consistently available and various drugs are easily accessible inside.
Some wards hold between 1,300 and 1,500 prisoners, another person familiar with conditions at Dastgerd said. The combination of overcrowding and inadequate sanitation has helped diseases spread.
Prisoners, particularly political ones, in some cases deprived of phone calls, treatment, medicine, adequate food, sanitation, correspondence and some judicial rights.
Iran International reported on July 21 that prisoners must register to visit the medical center. In rooms housing around 40 people, only two are allowed to seek medical attention each week.
Meningitis spreads as prisoner deaths mount
Several accounts received in recent months point to the spread of meningitis at Dastgerd. Iran International previously reported that the disease had reached several wards and that a number of prisoners were transferred to hospital.
Two prisoners had meningitis when one former inmate arrived at Dastgerd. One suffered a seizure in the admissions section and died, while the other died after being transferred to hospital.
The former inmate said prisoners had in previous years received meningitis and tetanus vaccines upon arrival, but the vaccinations were no longer being administered during the person's recent detention.
More than 70 prisoners have died from illnesses over roughly the past five months, according to another person familiar with conditions at the prison. At least 15 of those who had died by September 21 were from a single ward.
Prisoners suspected of having meningitis have in some cases been sent to hospitals for spinal fluid testing. Some were returned to Dastgerd before completing treatment and recovering.
The prison is also infested with bedbugs and other pests, according to accounts. Recent Iran International coverage documented bedbugs, fleas and ticks alongside increasing skin conditions and infections in the wards.
Blankets and bedding are heavily contaminated, one former prisoner said, with some inmates developing serious eye infections that leave them unable to open their eyes in the morning.
The person needed nearly two months of treatment after being released on bail, including regular injections and intravenous fluids during the first two weeks.
Fever, chills, body aches and infections of the lungs, throat, eyes and ears were widespread. Some prisoners contracted several illnesses at once, leaving them severely weakened.
Medicine shortages restrict treatment
Severe medicine shortages have compounded the health problems, while political prisoners can face particular difficulties gaining access to the prison clinic.
Denial of treatment has in some cases been used to exert pressure on political prisoners, according to one former inmate.
Prison authorities told inmates that the clinic had burned down, that medicine was unavailable and that there was no budget to buy supplies.
One prisoner offered to deposit 500 million rials into a prison account to pay for medicine. The offer was accepted, but most of the supplies subsequently purchased were acetaminophen and basic cold remedies, with insufficient antibiotics available for serious infections.
Families have also tried to bring necessary medication into the prison, only for authorities in some cases to refuse delivery or confiscate part of the medicine during inspections.
Sedatives, sleeping pills and drugs, by contrast, are widely available among prisoners, according to the former inmate.