Iran: Ailing prisoners left to die amid crisis of impunity for fatal denial of medical care

Iranian prison officials are committing shocking violations of the right to life by deliberately denying ailing prisoners lifesaving healthcare and refusing to investigate and ensure accountability for unlawful deaths in custody, Amnesty International said today. In a new briefing, In death’s waiting room: Deaths in custody following deliberate denial of medical care in Iran’s prisons, the organization documents how prison authorities routinely cause or contribute to deaths in custody, including by blocking or delaying prisoners’ access to emergency hospitalization.

Consistent with entrenched patterns of systematic impunity in Iran, to date, the authorities have refused to conduct any independent and transparent investigations into deaths in custody involving reports of denial of medical care and have failed to ensure that those suspected of criminal responsibility are prosecuted and punished.

“The Iranian authorities’ chilling disregard for human life has effectively turned Iran’s prisons into a waiting room of death for ill prisoners, where treatable conditions tragically become fatal,” said Diana Eltahawy, Deputy Regional Director for the Middle East and North Africa at Amnesty International. 

“Deaths in custody resulting from the deliberate denial of healthcare amount to arbitrary deprivation of life, which is a serious human rights violation under international law. A prisoner’s death in custody also constitutes an extrajudicial execution, a crime under international law, if those responsible either intended to cause the death or knew with a sufficient degree of certainty that death would be the necessary consequence of their unlawful actions, yet persisted.”

The briefing, which details the circumstances surrounding the death in custody of 92 men and four women in 30 prisons in 18 provinces across Iran since January 2010, is based on Amnesty International’s documentation of a selection of illustrative cases, long-term findings on deliberate denial of access to adequate healthcare in Iran’s prisons, and a comprehensive review of reporting by independent human rights group. 

The 96 cases reviewed are illustrative, rather than exhaustive, since the true number of deaths in custody is likely far higher. This is because human rights violations in Iran often go unreported due to well-founded fears of reprisals.

The list of cases excludes deaths in custody involving credible reports of physical torture or the use of firearms, which Amnesty International addressed in a separate output in September 2021. 

Ailing prisoners left to die 

Amnesty International documented the fatal consequences resulting from prison officials’ common practice of denying or delaying hospital transfers for critically ill prisoners. 

The organization also documented how prison officials frequently deny prisoners access to adequate healthcare, including diagnostic tests, regular check-ups, and post-operative care, throughout their imprisonment, which leads to worsening health problems, inflicts additional pain and suffering on sick prisoners, and ultimately causes or contributes to their untimely deaths. 

In Iran, prison clinics are not equipped with the facilities required for addressing complex health problems. Nor are they staffed by an adequate number of qualified general practitioners, let alone medical specialists, who are only required to visit for one or several hours during the week “as needed”. As a result, prisoners who experience medical emergencies and need specialized medical care must always be immediately transferred to outside medical facilities. 

Abdolvahed Gomshadzehi died in the main prison in Zahedan in May 2016. Prison doctors had warned that he needed hospitalization, but officials had refused. Human rights groups said the 19-year-old, who was a child at the time of arrest, died of neglected blood clots in his brain which had resulted from beatings sustained during his arrest and/or interrogations two years earlier. During his imprisonment, his multiple requests for treatment had been denied.

The Iranian authorities’ chilling disregard for human life has effectively turned Iran’s prisons into a waiting room of death for ill prisoners, where treatable conditions tragically become fatal.

Diana Eltahawy, Amnesty International

Sixty-four out of the 96 prisoners, whose cases Amnesty International reviewed, died in prison. Many died in their prison cells which means they were not given basic medical supervision in their final hours. Some died while held in poorly equipped and staffed prison clinics. 

At least 26 prisoners died during transfer or shortly after admission to hospital, following deliberate delays by prison medical staff and/or prison officials, which proved fatal. 

In at least six cases, critically ill prisoners were moved to solitary confinement, punishment wards, or quarantine sections; four of them died alone in prison while two were eventually authorized for hospital transfers, but it proved too late. 

In many cases, both prison clinic medical staff and prison officials accused prisoners experiencing medical emergencies of “faking” or “exaggerating” their symptoms.

For example, Nader Alizehi was accused of “faking” his illness by the head of the clinic at the main prison in Zahedan. He died in November 2017, at the age of 22. According to human rights groups, Nader was refused specialist medical care for his heart disease and sent away by clinic staff with gastrointestinal medication.

Lives cut short 

In the vast majority of cases, prisoners who died were young or middle aged – 23 were between the ages of 19 and 39, and 26 between the ages of 40 and 59, raising further concerns that lives are being cut short by denial of healthcare. 

Prisons with high populations of oppressed minorities feature particularly heavily – 22 of the 96 deaths recorded took place in the prison in Urumieh, West Azerbaijan province, where most prisoners are from Kurdish and Azerbaijani Turkic minorities. Thirteen deaths were recorded at the main prison in Zahedan, Sistan and Baluchestan province, where prisoners mostly belong to Iran’s oppressed Baluchi minority.

At least 11 prisoners died after being denied adequate healthcare for traumatic injuries resulting from specific incidents that occurred at the time of arrest or during imprisonment. The other 85 prisoners died after being denied adequate medical care for serious medical emergencies involving, among things, heart attacks and strokes, gastrointestinal complications, respiratory complications, kidney problems, Covid-19 or other infectious diseases, which either emerged suddenly or were related to pre-existing illnesses for which they had not received adequate specialized healthcare throughout their imprisonment. 

The cases of 20 prisoners were of a political nature. The remainder had been convicted of or charged with non-political offences.

Impunity

The crisis of systemic impunity prevailing in Iran has emboldened prison officials to persist with deadly denial of medical care to prisoners. 

The crisis is characterized not only by the authorities’ systematic refusal to investigate, but also by their promotion of narratives praising the quality of health services offered to prisoners as “exemplary” or “unparalleled” throughout the world, which indicates that they have no intent to change course. 

Given this context, Amnesty International reiterates its call for the UN Human Rights Council to set up an investigative and accountability mechanism to collect, preserve and analyse evidence of the most serious crimes under international law and human rights violations committed in Iran to facilitate fair criminal proceedings. 

“The shadow of death will continue to cast over Iran’s ailing prisoners until effective, thorough, transparent, impartial and independent investigations are conducted to determine the circumstances surrounding deaths in custody and the responsibility of those involved in the deaths,” said Diana Eltahawy. 

The shadow of death will continue to cast over Iran’s ailing prisoners until effective, thorough, transparent, impartial and independent investigations are conducted to determine the circumstances surrounding deaths in custody and the responsibility of those involved in the deaths.

Diana Eltahawy, Amnesty International

To prevent further avoidable loss of life as a result of denial of vital medical care, Amnesty International is urging Iranian authorities to require, in law and practice, that, pending structural improvements in prison clinics, prisoners experiencing medical emergencies are immediately transferred to medical facilities outside prison. Prisoners diagnosed with serious pre-existing illness or displaying signs and symptoms of what may be serious health problems must similarly be promptly transferred to medical facilities outside prison for adequate medical care. 

Amnesty International also calls on the Iranian authorities to reform deeply flawed provisions in Iran’s prison regulations, which grant prison directors and prosecution officials the power to ignore or overrule medical advice and make healthcare decisions concerning the transfer of prisoners for treatment. 

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Israel/OPT: Palestinian administrative detainees complete 100 days of boycotting Israeli courts

The 100-day boycott of Israel’s military courts by hundreds of Palestinian administrative detainees — those detained without trial or charge — underscores the need to end this cruel, unjust practice which helps maintain Israel’s system of apartheid against Palestinians, Amnesty International said today.

Nearly all the 490 Palestinian administrative detainees currently being held by Israel began a collective boycott on 1 January 2022, by refusing to participate in military court procedures that lack due process and are used merely to rubber stamp arbitrary detention. Their act of disobedience highlights the long-standing complicity of military courts in the use of administrative detention against Palestinians, where individuals are held for months without charge or trial, often on the whims of military officials or the Minister of Defence and based only on secret information provided by the Israeli Security Agency.

“Palestinian human rights defenders, journalists, academics and others have suffered from this cruel and inhuman practice and have been protesting it for decades including through hunger strikes.  This boycott is a renewed collective call saying enough is enough,” said Saleh Higazi, Amnesty International’s Deputy Director for the Middle East and North Africa.

“This courageous boycott highlights Israel’s inhuman treatment and punishment of Palestinians. The international community, particularly states with close relations to Israel, must now take concrete action and pressure Israel to end its systematic use of arbitrary detention as a step towards dismantling apartheid.”

According to Palestinian human rights group Addameer, Israeli authorities issued 5,728 administrative detention orders against Palestinians across the Occupied Palestinian Territories between 2017-2021. In 2021, there was a surge of 1,695 orders, which were tied to a campaign of mass arrests by Israeli authorities during weeks of violence in May and June.

For decades, Israel has intentionally used administrative detention to detain individuals, including prisoners of conscience held solely for exercising their rights to freedom of expression, assembly and association, to punish them for their views and activism.

Salah Hammouri, a French-Palestinian lawyer, has been in administrative detention since 7 March 2022. For years, the Israeli authorities have repeatedly harassed him, forcing him into multiple periods of administrative detention as well as taking action to revoke his residency status in East Jerusalem.

The Israeli authorities have increased the use of administrative detention in recent years, consistently detaining around 500 Palestinians, including children.  On 28 March 2022, a day after two Israeli police officers were shot and killed by two armed Palestinian citizens of Israel, Israeli Prime Minister Naftali Bennett ordered security services to hold anyone suspected of being involved in the attack under administrative detention.

Amal Nakleh, an 18-year-old Palestinian who joined the boycott, has been held in administrative detention since 21 January 2021. He suffers from a rare neuromuscular disorder that causes weakness in skeletal muscles; he was 17 at the time of his initial detention. He has since seen his detention renewed three times, including most recently on 18 January 2022, when a military court extended his detention for another four months.

“Amal Nakleh turned 18 after spending nearly a year in detention without charge. It is already tortuous enough for a family to fret about their child’s deteriorating health without having to suffer the cruelty of limbo in administrative detention. He must be immediately released,” said Saleh Higazi.  

The international community, particularly states with close relations to Israel, must now take concrete action and pressure Israel to end its systematic use of arbitrary detention as a step towards dismantling apartheid.

Saleh Hijazi, Amnesty International

Islam al-Taweel, mayoral candidate for al-Bireh, a city in the West Bank, was arrested by Israeli forces on 21 March after a raid on his home at 1:30 in the morning. On 27 March, he received a four-month administrative detention order. His arrest took place five days before municipality elections took place, in which his electoral list won a majority of seats in al-Bireh municipality.

The Israeli authorities’ widespread and systematic use of arbitrary arrest, administrative detention and torture against Palestinians forms part of the state’s policy of domination and control over the Palestinian population. These actions amount to the crimes against humanity of apartheid, imprisonment and torture.

Background

The Israeli authorities have used administrative detention orders ever since the occupation of the West Bank and Gaza Strip in 1967.

Israeli military commanders can issue administrative detention orders of up to six months to detain Palestinians if there are “reasonable grounds” that an individual is a risk to “the security of the area” or to “public security”.

The commander can extend the detention orders indefinitely, yet detainees must be brought before a military judge within eight days of the issue or renewal of a detention order — or released.

Although administrative detainees have the right to appeal every detention order and are entitled to legal counsel of their choice, neither the lawyer nor the detainee is informed of the details of the evidence against them. A military judge has the power to uphold, shorten or cancel the order. If the order is upheld, Palestinian detainees can contest the military judges’ rulings by petitioning the Supreme Court of Israel.

Israel’s Supreme Court has noted the importance of appeals and stated that administrative detention should only be used as a preventative measure against an individual who poses a danger to security that no other means will prevent.

The Court, however, has yet to introduce any clear rules for reviewing administrative detention, rarely questions the information on which detention orders are made, and generally fails to examine the decisions made by military court judges.

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Poland/Belarus: New evidence of abuses highlights ‘hypocrisy’ of unequal treatment of asylum-seekers

Poland/Belarus: New evidence of abuses highlights ‘hypocrisy’ of unequal treatment of asylum-seekers 

  • Authorities violating rights of asylum-seekers, including strip searches and other degrading treatment, in overcrowded detention centres
  • Some people forcibly sedated during return
  • Pushbacks and arbitrary detention in stark contrast with welcome shown to those fleeing Ukraine
  • Spokespeople available

The Polish authorities have arbitrarily detained nearly two thousand asylum-seekers who crossed into the country from Belarus in 2021, and subjected many of them to abuse, including strip searches in unsanitary, overcrowded facilities, and in some cases even to forcible sedation and tasering, Amnesty International said today.

Additionally, after a hiatus during winter, more asylum-seekers are now trying to enter Poland from Belarus, where they are unable to access further funds due to international sanctions and risk harassment or apprehension by Belarusian police due their irregular immigration status. At the Polish border they face razor wire fences and repeated pushbacks by border guards sometimes up to 20-30 times.

“Asylum-seekers who crossed the Belarus border into Poland, including many forced to do so by Belarusian Border Guards, are now detained in filthy, overcrowded detention centres where guards subject them to abusive  treatment and deny them contact with the outside world.

Jelena Sesar, Regional Researcher at Amnesty International

“This violent and degrading treatment stands in stark contrast to the warm welcome Poland is offering to displaced people arriving from Ukraine. The behaviour of the Polish authorities smacks of racism and hypocrisy. Poland must urgently extend its admirable compassion for those entering the country from Ukraine to all those crossing its borders to seek safety.”

Arbitrary detention and abysmal detention conditions

Polish border guards have systematically rounded up and violently pushed back people crossing from Belarus, sometimes threatening them with guns. The vast majority of those who have been fortunate enough to avoid being pushed back to Belarus and to apply for asylum in Poland are forced into automatic detention, without a proper assessment of their individual situation and the impact detention would have on their physical and mental health. They are often held for prolonged and indefinite periods of time in overcrowded centres that offer little privacy and only limited access to sanitary facilities, doctors, psychologists, or legal assistance.

Almost all of the people Amnesty International interviewed said they were  traumatized after fleeing areas of conflict and being trapped for months on the Belarusian-Polish border. They also suffered from serious psychological problems, including anxiety, insomnia, depression and frequent suicidal thoughts, undoubtedly exacerbated by their unnecessary metres. For most, psychological support was unavailable.

Retraumatized inside a military base

Many of the people who Amnesty spoke to had been in Wędrzyn detention centre, which holds up to 600 people. Overcrowding is particularly acute in this facility, where up to 24 men are detained in rooms measuring just eight square metres.

In 2021, the Polish authorities decreased the minimum required space for foreign detainees from three square meters per person to just two. The Council of Europe minimum standard for personal living space in prisons and detention centres is four square meters per person.

People held in Wędrzyn recounted how guards greeted new detainees  by saying “welcome to Guantánamo”. Many of them were victims of torture in their home countries before enduring harrowing experiences both in Belarus and on the border of Poland. The detention centre in Wędrzyn forms part of an active military base. The facility’s barbed wire walls — and the persistent sound of armoured vehicles, helicopters and gunfire from military exercises in the area — only serves to retraumatize them.

“Most days we were woken up by the sounds of tanks and helicopters, followed by gunshots and explosions. This would go on all day, sometimes. When you have nowhere to go, no activities [to] take your mind off it or a space for even a brief respite, this was intolerable. After all the torture in prison in Syria, threats to my family, and then months on the road, I think I was finally broken in Wędrzyn.

Khafiz, a Syrian refugee, told Amnesty International

In Lesznowola Detention Centre, detainees said that guards’ treatment left them feeling dehumanized. The staff called detainees by their case numbers instead of using their names and meted out excessive punishments, including isolation, for simple requests, such as asking for a towel or more food.

Nearly all those interviewed reported consistently disrespectful and verbally abusive behaviour, racist remarks and other practices that indicated psychological ill-treatment. 

Men who Amnesty International interviewed uniformly  complained about the manner in which body searches were  conducted. When people were  transferred from one detention centre to another, they were forced to undergo a strip search at each facility, even though they were in state custody at all times. In Wędrzyn, people recounted abusive searches. For example, all newly admitted foreigners are kept together in a room, required to remove all of their clothes and ordered to perform squats longer than necessary for a legitimate check.

Violent forcible returns

Amnesty International interviewed several people who were forcibly returned as well as some who avoided return and remain in detention in Poland. Many said the Polish border guards who conducted the returns coerced them into signing documents in Polish that they suspected included incriminating information in order to justify their returns. They also said that, in some cases, border guards used excessive force, such as tasers, restrained people with handcuffs, and even sedated those being returned. 

Authorities attempted to forcibly return Yezda, a 30-year old Kurdish woman , with her husband and three small children. After being told that the family would be returned to Iraq, Yezda panicked and screamed and pleaded with the guards not to take them. She threatened to take her life and became extremely agitated. “I knew I could not go back to Iraq and I was ready to die in Poland. While I was crying like that, two guards restrained me and my husband, tied our hands behind our backs, and a doctor gave us an injection that made us very weak and sleepy. My head was not clear, but I could hear my children, who were in the room with us, crying and screaming.”

“We were asked to go through the airport security and the guards told us to behave on the plane. But I refused to go. I remember noticing that I didn’t even have any shoes on, as in the chaos at the camp, they slipped of my feet. My head was not clear, and I couldn’t see my husband or the children, but I remember that they forced me on the plane that was full of people. I was still crying and pleading with the police not to take us.” Yezda said that she broke her foot as she fought the guards who tried to put her on the plane. Yezda and her family were returned to Warsaw after the airline refused to take them to Iraq. They remain in a camp in Poland for now.

Volunteers and activists have been barred from accessing the border of Poland and Belarus, and some have even faced prosecution for trying to help people cross the border. In March, activists who had helped people both on Poland’s borders with Ukraine and with Belarus were detained for providing life-saving assistance to refugees and migrants on the Belarussian border, and now face potentially serious charges.

Stranded at the border

On 20 March, the Belarusian authorities reportedly evicted close to 700 refugees and migrants, including many families with young children and people suffering from severe illnesses and disabilities, from the warehouse in the Belarusian village of Bruzgi which had accommodated several thousand people in 2021.

People who were evicted from the warehouse suddenly found themselves stranded in the forest, trying to survive in sub-zero temperatures without shelter, food, water or access to medical care. Many remain in the forest and experience daily abuse from the Belarusian border guards, who use dogs and violence to force people to cross the border into Poland.

“Hundreds of people fleeing conflict in the Middle East and other parts of the world remain stranded on the border between Belarus and Poland. The Polish government must immediately stop pushbacks. They are illegal no matter how the government tries to justify them. The international community – including the EU – must demand that those trapped on Poland’s border with Belarus be afforded the same access to EU territory as any other group seeking refuge in Europe,” said Jelena Sesar.

Poland: Cruelty not compassion, at Europe’s other borders

………………………………..

For more information or to arrange an interview, please contact:       

Alison Abrahams on alison.abrahams@amnesty.org or +32 483 680 812       

Out of hours contact details       

+44 20 7413 5566       

email: press@amnesty.org        

twitter: @amnestypress 

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Bangladesh: Schoolteacher detained for discussing the difference between science and religion must be immediately released

Bangladeshi authorities must immediately and unconditionally release Hriday Chandra Mondal, a schoolteacher who was arrested on charges of “hurting religious sentiment” after he discussed in the classroom the distinction between religion and science, Amnesty International said.

In the discussion at school, where teachers should be free to discuss any ideas or facts without fear of reprisals, the teacher argued that “religion is a matter of faith” while “science looks at evidence”, according to a recording that was filmed by [a student/someone in the class and?] shared on social media. In the audio recording accessed by Amnesty International, the teacher said: “There is no evidence in religion. Religion in the end says God will take care of everything. Religion offers memorized words whereas science shows evidence”.

On 22 March, two days after the recording was made, the school’s headteacher told the media that students and other people from the community were demonstrating outside the school calling for punishment for Hriday Chandra Mondal. Later that day, an office assistant of the high school filed a case before the police against the teacher, who was subsequently arrested. He has since been held in judicial custody after being denied bail twice. The next bail hearing is scheduled for 10 April 2022 at the District and Sessions Judges Court.

It is outrageous that a teacher finds himself behind bars simply for voicing his opinion while teaching a class. Teachers should be free to discuss ideas and opinions of all kinds without fear of reprisals.

Smriti SinghDeputy Regional Director, South Asia

“Hriday Chandra Mondal is solely for exercising his right to freedom of expression and must be released immediately and unconditionally,” said Smriti Singh, Deputy Regional Director for South Asia at Amnesty International.

“Hriday Chandra Mondal’s detention is emblematic of a disturbing trend in Bangladesh where the space for free expression is rapidly shrinking. Detaining a teacher for simply discussing ideas in class sets a dangerous precedent where even challenging students to think critically can now land someone in jail”

Amnesty International has been documenting a growing sense of fear among people in Bangladesh stemming from the arbitrary detention and growing criminalization of the right to freedom of expression. Hriday Chandra Mandal’s case only exacerbates the situation and represents a direct threat for one of the last bastions of free expression in the country.

Several civil society and academic organizations, including the Bangladesh Astronomical Association and the Centre for Women Journalists, have condemned the arrest and raised concerns about the ability of academics to teach. Similarly, human rights defenders, lawyers and teachers around the country have raised questions about the time of the arrest, which according to them appears to be politically motivated.

“Hriday Chandra Mondal’s detention is a shameful demonstration of the erosion of the human rights situation in Bangladesh. The authorities must take urgent measures to improve the conditions that allow people to express freely and safely, and ensure that teachers can speak freely in class without fear of reprisals,” said Smriti Singh.

Background

Under international human rights law, the exercise of the right to freedom of expression may only be subjected to certain restrictions if they are provided by a clearly formulated law and are demonstrablynecessary and proportionate for the purpose of protecting specified public interests (national security, public order, or public health or morals) or the rights or reputations of others. Protection of abstract concepts or religious or other beliefs, or the religious sensibilities of their adherents, is not a permissible ground for restricting the right to freedom of expression.

The UN Special Rapporteur on freedom of religion or belief recently observed that “sensitivity concerning religious sentiments of different religious and belief communities should become an important feature of culture of communication… Subjective feelings of offensiveness, however, should never guide legislative action, court decisions or other State activities”.

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Russia: Authorities close down Amnesty International’s Moscow Office

Today, the Russian authorities have closed down representative offices of Amnesty International and other international NGOs. Reacting to the news, Agnès Callamard, Secretary General of Amnesty International, said:

“Amnesty’s closing down in Russia is only the latest in a long list of organizations that have been punished for defending human rights and speaking the truth to the Russian authorities. In a country where scores of activists and dissidents have been imprisoned, killed or exiled, where independent media has been smeared, blocked or forced to self-censor, and where civil society organizations have been outlawed or liquidated, you must be doing something right if the Kremlin tries to shut you up.

Amnesty’s closing down in Russia is only the latest in a long list of organizations that have been punished for defending human rights and speaking the truth to the Russian authorities

Agnès Callamard, Secretary General of Amnesty International

“The authorities are deeply mistaken if they believe that by closing down our office in Moscow they will stop our work documenting and exposing human rights violations. We continue undeterred to work to ensure that people in Russia are able to enjoy their human rights without discrimination. We will redouble our efforts to expose Russia’s egregious human rights violations both at home and abroad.

“We will never stop fighting for the release of prisoners of conscience unjustly detained for standing up for human rights. We will continue to defend independent journalism’s ability to report actual facts, free of the Russian government’s intervention. We will continue to work relentlessly to ensure that all those who are responsible for committing grave human rights violations, whether in Russia, Ukraine or Syria, face justice. Put simply, we will never give up.”

We will continue to work relentlessly to ensure that all those who are responsible for committing grave human rights violations, whether in Russia, Ukraine or Syria, face justice

Background

On 8 April, the Russian Ministry of Justice delisted Amnesty International’s Moscow Office from the register of the representative offices of the international organizations and foreign NGOs, effectively closing it down alongside with offices of Human Rights Watch, Carnegie Endowment for International Peace, Friedrich Naumann Foundation for Freedom, Friedrich Ebert Foundation and other organizations. This decision has been taken “in connection with the discovered violations of the Russian legislation.”

On 11 March, Russia’s media regulator also blocked access to Amnesty International’s Russian-language website.

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