<br><br><div class="gmail_quote">---------- Forwarded message ----------<br>From: <b class="gmail_sendername">Hadas Ziv</b> <span dir="ltr"><<a href="mailto:hadas@phr.org.il">hadas@phr.org.il</a>></span><br>Date: Mon, Feb 6, 2012 at 5:28 AM<br>
Subject: URGENT APPEAL: A Detainee on 52nd day of hunger strike denied examination by an independent (PHR Israel's) doctor<br>To: Hadas Ziv <<a href="mailto:hadas@phr.org.il">hadas@phr.org.il</a>><br>Cc: Amany Dayif <<a href="mailto:AmanyDayif@phr.org.il">AmanyDayif@phr.org.il</a>><br>
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<p class="MsoNormal" dir="LTR"><font color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Dear Friends,<u></u><u></u></span></font></p>
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appeal. Feel free to distribute or write for further details.<u></u><u></u></span></font></p>
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<p class="MsoNormal" dir="LTR"><font color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Hadas Ziv<u></u><u></u></span></font></p>
<p class="MsoNormal" dir="LTR"><font color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">Public Outreach<u></u><u></u></span></font></p>
<p class="MsoNormal" dir="LTR"><font color="navy" face="Arial"><span style="font-size:10.0pt;font-family:Arial;color:navy">PHR <u></u><u></u>Israel<u></u><u></u><u></u><u></u></span></font></p>
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<p class="MsoNormal" dir="LTR" style="text-align:center;line-height:150%" align="center"><b><b><font color="#505050" face="Arial" size="4"><span style="font-size:13.5pt;line-height:150%;font-family:Arial;color:#505050"> URGENT
APPEAL: A Detainee on 52<sup>nd</sup> day of a hunger strike denied
examination by an independent doctor </span></font></b></b><b><font color="#505050" face="Arial" size="4"><span style="font-size:13.5pt;line-height:150%;font-family:Arial;color:#505050;font-weight:bold"><br>
<b><b><font face="Arial"><span style="font-family:Arial"> </span></font></b></b></span></font></b><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050"><u></u><u></u></span></font></p>
<p class="MsoNormal" dir="LTR" style="text-align:center;line-height:150%" align="center"><b><b><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050">Today,
February 6<sup>th</sup> PHR <u></u><u></u>Israel<u></u><u></u> appealed to the
court and to the Ministry of Health to allow the im<u></u>media<u></u>te and urgent medical examination of
Khader Adnan Mousa, A Palestinian Administrative Detainee, who is on
his 52<sup>nd</sup> day of hunger strike.</span></font></b></b><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050"><u></u><u></u></span></font></p>
<p class="MsoNormal" dir="LTR" style="line-height:150%"><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050"> <br>
18 December 2011: Khader Adnan Mousa, 34, from 'Arabe, near Jenin,
detained by Israeli forces on 17 December, went on a hunger strike one
day after his arrest as a protest against his administrative detention
and his humiliating and cruel conditions of interrogation.<br>
<br>
29 January 2012: PHR-Israel appealed urgently to allow one of their
physicians to see Mr. Mousa, in keeping with guidelines drawn from the
World Medical Association (WMA) Declaration of Malta of 1991, as well
as Israeli law. Mousa conditioned his referral to a hospital on being
examined by PHR-Israel's physicians. Once such a commitment was granted
by the Israel Prisons Service (IPS), two of PHR-Israel's doctors met
him at the hospital, (Assaf Ha-Rofeh, 29<sup>th</sup> Jan) examined his
condition and answered his questions regarding the current and
predicted effects of his hunger strike. He decided to continue his
hunger strike. Since that examination Mr. Mousa has conditioned
further treatment on examination and follow-up by PHR-Israel's doctors.
He clearly stated to his attorneys that he wishes to be examined
and consulted by PHR Israel's doctors and will make his decisions
according to their assessment of his condition. However, this request
was not respected. Instead of ensuring Mr. Mousa's rights, the IPS has
transferred him from one hospital to another – 5 medical
institutions in 8 days – in what seems to be a non-medical,
unethical manner. As a consequence, he is refusing to be treated by IPS
doctors or by doctors in the several hospitals he has been referred to
since</span></font><a name="13552df85e91e126__ftnref1"><u><font color="#336699" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#336699">[1]</span></font></u></a><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050">.<br>
<br>
Mr. Mousa was referred on February 6th to Ziv hospital in Safed and is
currently hospitalized there. He has not been allowed to see
independent doctors since the last visit by PHR-Israel's
physicians. <br>
With no examination, and no doctor he can trust, PHR-Israel is very
concerned his medical condition is unclear and gives reason for grave
concern since he is now on the 52<sup>nd</sup> day of his hunger
strike.<br>
By refusing to allow an independent doctor to examine Mr. Mousa the
Israeli authorities are disregarding his precarious medical condition
as well as several international directives:<br>
<br>
<b><b><font face="Arial"><span style="font-family:Arial">The UN Body
of Principles for the Protection of All Persons under Any Form of
Detention or Imprisonment, Principle 25: </span></font></b></b>"A
detained or imprisoned person or his counsel shall, subject only to
reasonable conditions to ensure security and good order in the place of
detention or imprisonment, have the right to request or petition a
judicial or other authority for a second medical examination or
opinion." <a href="http://www2.ohchr.org/english/law/bodyprinciples.htm" target="_blank"><font color="#336699"><span style="color:#336699">http://www2.ohchr.org/english/law/bodyprinciples.htm</span></font></a><br>
<br>
<b><b><font face="Arial"><span style="font-family:Arial">The WMA
emphasises the importance of confidence in hunger striker-doctor
relationships</span></font></b></b>: "Since the person's
decisions regarding a hunger strike can be momentous, ensuring full
patient understanding of the medical consequences of fasting is
critical. Consistent with best practices for informed consent in health
care, the physician should ensure that the patient understands the
information conveyed by asking the patient to repeat back what they
understand."<br>
<br>
Following the IPS refusal to allow Mr. Mousa to be seen by an
independent physician he trusts, PHR-Israel appealed to the district
court to order the IPS to allow PHR-Israel's doctor in. PHR-Israel also
appealed to the Ministry of Health who has the authority over civilian
hospitals and can – if they so wish – represent such
patients' rights.<br>
<br>
<b><b><font face="Arial"><span style="font-family:Arial">The
expected effects of a hunger-strike: </span></font></b></b>According
to the World Health medical association<u>[2]</u>, after the 42<sup>nd</sup>
day of a hunger strike, it is expected that individuals will begin to
lose their hearing and vision, and suffer bleeding in the gums,
intestines, and esophagus. The body will gradually stop
functioning. After the 45<sup>th</sup> day, there is a high risk
of death due to vascular system collapse and/or cardiac arrest.<br>
<br>
<b><b><font face="Arial"><span style="font-family:Arial">PHR <u></u><u></u>Israel<u></u><u></u>
therefore urges you to:</span></font></b></b><br>
a.
Contact the appropriate Israeli authorities and urgently request that,
in accordance with Israeli prison regulations and international
guidance, Mr. Mousa be allowed to see PHR-Israel's doctors, who are
independent doctors of his choice, and to consult regularly with them
while on hunger strike.<br>
b.
Consider being present at Mr. Mousa's court hearings, and requesting
permission to visit him at the civilian hospital he is currently held
in.<br>
c. we urge you to request
information regarding reports that he was shackled in previous
hospitalization despite his weakened condition. This practice is counter
to proper medical practices and ethics.<br>
<br>
Because of our fear for Mr. Mousa's health and the urgency of the case,
please do not hesitate to contact Hadas Ziv (054-6623232) or Amany
Dayif (054-9431854) personally by phone or email at any time of day or
night in order to request further detail or update us on progress.<br>
Our emails: <a href="mailto:hadas@phr.org.il" target="_blank"><font color="#336699"><span style="color:#336699">hadas@phr.org.il</span></font></a>; <a href="mailto:amany@phr.org.il" target="_blank"><font color="#336699"><span style="color:#336699">amany@phr.org.il</span></font></a><br>
<br>
<br>
<u></u><u></u></span></font></p>
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<u></u><u></u></span></font></p>
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</span></font></div>
<p class="MsoNormal" dir="LTR" style="line-height:150%"><a name="13552df85e91e126__ftn1"><u><font color="#336699" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#336699">[1]</span></font></u></a><font color="#505050" face="Arial"><span style="font-size:10.5pt;line-height:150%;font-family:Arial;color:#505050">Medical Center IPS,
Assaf Ha-Rofeh, Ma-ayanei Ha-Yeshua, Bikur Holim, Ziv,.<u></u><u></u></span></font></p>
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