When Prisons Become Public Health Hazards/Arsal Mir

Punjab’s prisons are bursting far beyond their intended capacity, and the consequences now extend well beyond administrative inconvenience. With jail occupancy standing at nearly 81 per cent above capacity, overcrowding has evolved into a serious public health emergency and a damning reflection of the province’s criminal justice priorities. More than 71,000 prisoners and under-trial inmates are confined in 45 jails designed to accommodate fewer than 39,000 individuals. In several facilities, inmates are housed at nearly three times their sanctioned strength, forced into congested barracks where ventilation is inadequate, personal space is nonexistent, and basic standards of human dignity are routinely compromised. Such conditions amount not merely to confinement, but to sustained exposure to environments that actively undermine physical and mental health.

At the heart of this crisis lies an excessive and reflexive reliance on imprisonment, particularly the routine detention of under-trial prisoners who constitute the majority of the incarcerated population. Prolonged investigative delays, limited recourse to bail, and a punitive approach toward minor and non-violent offences have normalised incarceration as a default response rather than a last resort. The health consequences are both predictable and alarming. Overcrowded living conditions weaken immunity and facilitate the rapid spread of infectious diseases, while prison healthcare infrastructure remains grossly inadequate. With only around 110 doctors serving a population of more than 70,000 inmates, medical services are stretched beyond sustainability. Makeshift medical camps and sporadic treatment access cannot compensate for the absence of a comprehensive, well-resourced prison health system.

Although the government has announced plans to construct new jails and expand existing barracks, infrastructure expansion alone will not resolve the crisis. Without meaningful reforms, new facilities will simply replicate existing overcrowding. The emphasis must shift decisively from expansion to systemic reform. Under-trial detention must be urgently reduced through faster case disposal, effective prosecution, and strict enforcement of statutory limits on detention. Non-custodial sentences, including fines, probation, and community service, should become the standard response for minor and non-violent offences. Simultaneously, prison healthcare requires a thorough overhaul, including regular independent medical inspections, adequate staffing, and transparent access to treatment. Stronger and more consistent judicial oversight of prison conditions is also essential to ensure accountability and compliance with constitutional standards. Prisons are intended to deprive individuals of liberty—not to expose them to disease, neglect, and conditions that erode the very foundations of justice.

Shafaqna Pakistan

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