Ms Nicola Perry:

Yes. That is why I tried to be very clear. We are usually talking about unregulated or unlicensed institutions. Tattoos in prisons can be quite normal culturally. The way hepatitis C is spread from one infected individual to someone who is not infected is by a blood-to-blood transmission. When there is any avenue for that transmission to take place, there can be a risk if the individual is infected. What we are looking at is tattooing. Needles tend to come out of the ink into the individual and if that ink or needle is not replaced or sterilised, there is a risk.