E/C.12/NDL/CO/4-5 The Committee requests the State party to include in its next periodic report detailed information, including statistical data, on drug consumption and trafficking in the State party and availability of dependence therapy, including for detainees. 27. The Committee expresses its deep concern at the reportedly high number of abortions performed on the islands of the former Netherlands Antilles and at the lack of an official estimate of the scale of the problem. In addition, the Committee is also particularly concerned that abortion primarily concerns adolescents and that it remains illegal in Curaçao and St. Maarten (art. 12). The Committee urges the State party to review the legislation in Curaçao and St. Maarten and consider providing for exceptions to the prohibition on abortion in cases of therapeutic abortion or pregnancies resulting from rape or incest. Furthermore, the Committee calls on the State party to adopt, in all its territories, effective measures to assist women in preventing unwanted pregnancies, including by implementing mandatory sex education in schools and providing a broad range of sexual and reproductive health goods and services through the primary health-care system, with particular attention to access by adolescents and other disadvantaged and marginalized individuals and groups. The Committee requests the State party to provide in its next periodic report detailed information, including statistics, on early pregnancies and abortions among adolescents, and on the impact of measures taken to address these problems. 28. The Committee is concerned over the adverse impact on the enjoyment of the right to health resulting from the seizure in the Netherlands by the State party of consignments of generic medicine consistent with Trade-Related Aspects of Intellectual Property Rights (TRIPS) being shipped from one developing country to another (art. 12). The Committee urges the State party to take into account its international obligation to respect the right of everyone to the highest attainable standard of health and to desist from such seizures in the future. 29. The Committee is concerned at reports that many older persons are denied appropriate care, including in nursing homes, due to the insufficient number of caregivers, the lack of sufficiently trained personnel and the absence of a comprehensive enactment on geriatric health care (arts. 12 and 2, para. 2). The Committee urges the State party to accord priority to the improvement of the health-care system for older persons, in order to meet its obligation of ensuring availability, accessibility, acceptability and quality of health care for them. In this regard, the Committee recommends that the State party adopt urgently a strategy on the health of older persons, in line with the Committee’s general comment No. 14 (2000) on the right to the highest attainable standard of health. The Committee also urges the State party to monitor the quality of facilities, goods and services provided to older persons through an effective inspection mechanism. Furthermore, in view of the ageing population, the Committee encourages the State party to adopt a coherent and comprehensive strategy to address the difficulties faced by older persons. In this connection, the Committee draws the attention of the State party to its general comment No. 6 (1995) on the economic, social and cultural rights of older persons. 30. The Committee is concerned that, according to reports, a large proportion of prisoners with mental health problems in the Netherlands do not receive the health assistance that they need, owing to the shortage of trained personnel in penal institutions and a lack of monitoring of adequacy and quality of care. The Committee is also concerned 8

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