FOURTH SECTION
CASE OF
ČUPRAKOVS v. LATVIA
(Application no.
8543/04)
JUDGMENT
STRASBOURG
18 December 2012
This judgment will become final in the circumstances set
out in Article 44 § 2 of the Convention. It may be subject to editorial
revision.
In the case of Čuprakovs v. Latvia,
The European Court of Human Rights (Fourth Section), sitting as
a Chamber composed of:
David Thór Björgvinsson, President,
Ineta Ziemele,
Päivi Hirvelä,
Ledi Bianku,
Zdravka Kalaydjieva,
Vincent A. De Gaetano,
Paul Mahoney, judges,
and Lawrence Early, Section Registrar,
Having deliberated in private on 27 November 2012,
Delivers the following judgment, which was adopted on that
date:
PROCEDURE
The case originated in an application (no. 8543/04)
against the Republic of Latvia lodged with the Court under Article 34 of
the Convention for the Protection of Human Rights and Fundamental Freedoms
(“the Convention”) by a Latvian national, Mr Aleksejs Čuprakovs (“the
applicant”), on 2 March 2004.
The applicant, who had been granted legal aid,
was represented by Ms I. Nikuļceva, a lawyer practising in Rīga. The Latvian Government (“the Government”) were
represented by their Agents, Mrs I. Reine and subsequently by Mrs K. Līce.
On 9 February 2010 the application was declared
partly inadmissible and the applicant’s complaints concerning the conditions of
detention in the Prison Hospital, the quality of the medical care the applicant
had received there, and the alleged monitoring of his correspondence with the
Court were communicated to the Government.
THE FACTS
I. THE CIRCUMSTANCES OF THE CASE
The applicant was born in 1978 and is currently
serving a prison sentence in Jelgava Prison. He has been in detention since being
arrested on 22 December 2002.
A. Detention in the Prison Hospital
On or before 3 March 2005 the applicant was
diagnosed with bilateral destructive pulmonary tuberculosis. On 4 March
2005 he was admitted to the Prison Hospital (Ieslodzījuma vietu
pārvaldes Republikāniskā slimnīca), which was located
on the premises of the Central Prison in Rīga. The applicant stayed in the
Prison Hospital between 4 March and 7 September and between
28 September and 18 October 2005. While in the Prison Hospital he was held in cell no. 334.
According to the applicant’s description of cell
no. 334, it measured approximately twenty-four square metres and could
hold up to eight people, sleeping on four bunk beds. The applicant pointed out
that the cell was in need of repair; among other things the walls were
crumbling, the floor was uneven and the ventilation system was not functioning.
Apart from natural sources of light, lighting was provided by two fluorescent
bulbs during the day and a small, dim light bulb at night. Only cold water was
available in the cell, and even that was turned off from time to time. The
toilet facilities - a hole in a cement pedestal measuring 0.85 by 0.65 metres -
were separated from the rest of the cell by two plywood sheets which were 1.5 metres
high. The toilet facilities were disinfected several times a week throughout
the applicant’s stay in the cell. On the other hand, during the whole of the
applicant’s stay there the cell was sanitised with ultraviolet light on only
one occasion.
The cell had a large window, parts of which could
be opened but because of its state of disrepair it could not be completely
closed. There were gaps around the edges of the window - one of them three centimetres
wide. Accordingly, the air temperature inside the cell was dependent on the
temperature outside. Thus, up to the middle of May the temperature inside the
cell was approximately 10 to 15 degrees Celsius, which, in combination
with the constant draught, meant that the inmates had to wear their coats and
hats while sleeping.
The applicant noted that he was entitled to take
a walk outside the cell for one hour each day. The walks took place in small
courtyards measuring ten by five metres, which were essentially prison cells
without a roof. The yards were in a state of disrepair with crumbling walls and
very dirty floors.
The inmates who were in the Prison Hospital were allowed to have a shower once a week. For a while all six inmates in the
applicant’s cell had to take their shower at the same time, despite the fact
that there were only four showerheads. The bathroom was very dirty and in a
state of disrepair. Subsequently the bathroom was repaired, but the applicant
considered that the improvement had not been satisfactory.
No toothpaste, toothbrush, shaving razor, soap
or toilet paper were provided to the inmates who were in the Prison Hospital. The applicant had to acquire them from the prison shop at his own expense.
Owing to the schedule for changing bed linen, the applicant at times had to
sleep one night a week without any sheets. The applicant was dissatisfied with
the quality of the food at the Prison Hospital, indicating that in the five
months he spent there he had lost 3.5 kilograms in weight.
The applicant considered that the medical care
in the Prison Hospital was inadequate. As a result he had developed a wide
range of health problems, including issues with his heart, stomach and
intestines. The applicant indicated that his complaints to the attending doctor
were often ignored and not followed by check-ups.
On 4 April 2005 the applicant sent a letter
to the Ministry of Justice, in which he described in detail the conditions of
his detention in the Prison Hospital and raised a series of questions about the
certification of that hospital. One of the questions raised by the applicant
was “Does compulsory long-term detention of an ill person in such conditions
amount to [a violation] of Article 3 of the [Convention]?” The applicant’s
letter concluded with the following passage:
“I draw your attention to the fact that this submission should
not be interpreted as a complaint against the medical staff of the Prison Hospital and about the medical care or as a complaint against staff members of the
Central Prison. I ask you not to forward this submission to the director of the
Prisons Administration, since I am interested in your opinion, as a State
official, on the questions raised in the submission”.
On 20 April 2005 the Ministry of Justice
provided a response to the applicant’s submission. It stated that the Prison Hospital was staffed with qualified doctors, and that medical care was provided in
accordance with World Health Organisation guidelines. The Ministry nonetheless
noted that since 1999 work had been going on to set up a new, better equipped,
tuberculosis hospital for prisoners; however, those efforts were dependent on
the available funding. Furthermore, it noted that, while the administration of the
Central Prison ensured that the cells were heated and provided supplies for
cleaning the cells, the inmates themselves had partial responsibility for
keeping the cells clean. The Ministry stated that the cold in the cells was
often caused by the prisoners’ own choice to keep the windows open. Lastly, in
response to the applicant’s allegation of a violation of Article 3 of the
Convention due to the conditions of detention, the Ministry noted that such
questions fell within the competence of public prosecutors. It appears that the
applicant did not complain to a prosecutor.
On 19 April 2005 the National Human Rights Office (Valsts
cilvēktiesību birojs) forwarded an enquiry from the
applicant to the Minister of Health. In its accompanying letter that Office
stressed that the Prison Hospital did not comply with human rights standards,
and that it had previously been criticised by the Human Rights Commissioner of
the Council of Europe and by the European Committee for the Prevention of
Torture and Inhuman or Degrading Treatment or Punishment (“the CPT”).
The Ministry of Health replied to the applicant
on 16 May 2005. It pointed out that all medical institutions operating in Latvia had to comply with certain legal standards. Since the Prison Hospital’s compliance
with those standards had not been assessed, it was barred from providing medical
services. It further noted that at the relevant time there were no binding
legal regulations on standards of hygiene in medical institutions, including
specialised tuberculosis treatment institutions.
Similar information was provided on 7 June 2005
by the State Agency for Health Statistics and Medical Technologies (Veselības
statistikas un medicīnas tehnoloģiju valsts aģentūra),
which is the authority responsible for assessing medical institutions’ compliance
with legal standards.
B. Correspondence with the Court
The applicant submitted that on 20 January
2006 he had received a letter from the Court. The letter was brought to his
cell in an unopened envelope. In accordance with the regular procedure the
applicant signed to confirm that he had received the letter. However, after he
had signed, the prison guard started opening the envelope. The applicant
pointed out that the guard had no right to do this. The guard then handed the
half-opened envelope to the applicant and requested him to open it in his
presence and to show him the empty envelope and the unfolded letter for the
guard to check that the envelope did not contain any forbidden objects. The
applicant was told that if he refused to do this his cell would be searched. The
applicant complied with the guard’s request.
On 8 March 2006 the National Human Rights
Office replied to the applicant’s complaint about the opening of the letter
from the Court. The applicant was informed of the Court’s ruling in Campbell
v. the United Kingdom (25 March 1992, Series A no. 233). The prison authorities
were also informed about the Court’s case-law in this regard.
On 25 July 2006 the applicant submitted a
complaint to the Administrative District Court. He complained that the
administration of Jelgava Prison was monitoring his correspondence. Among other
incidents, he alleged that on 15 June 2006 a staff member of that prison
had intercepted a letter addressed to the applicant from the European Court of
Human Rights. The applicant requested the Administrative Court to prohibit
prisons from monitoring his correspondence with certain institutions (including
courts and prosecutors). He also requested the Administrative Court to provide
instructions on what the prison authorities were allowed to do if they
suspected that such letters might have illicit contents. No compensation of any
kind was requested. On 30 July 2007 the court adopted a judgment, in which
it referred to the above-mentioned Campbell judgment and concluded that
the prison’s actions in this matter had no adequate basis in law. Accordingly
the court upheld the applicant’s request and prohibited Jelgava Prison from
monitoring correspondence with certain state institutions. While the court
refused to provide specific instructions, as had been requested by the
applicant, it did spell out certain general principles. That judgment was not
appealed against and became final.
II. RELEVANT DOMESTIC LAW AND COUNCIL OF EUROPE DOCUMENTS
The relevant findings of the CPT read as
follows:
Visit to Latvia of 24 January to 3 February 1999
“153. The Prison Hospital is located within the
perimeter of the Central Prison in Riga. It has a nationwide vocation,
providing somatic and psychiatric in-patient care for sentenced and remand
prisoners from all prisons in Latvia. The hospital building, comprising
four floors and a basement, dates back to 1902 and, at the time of the visit,
was in an advanced state of dilapidation ...
159. The material conditions offered to patients in
the hospital were directly harmful to their health and wholly unacceptable for
those suffering from serious diseases. The patient’s rooms were
overcrowded ...
The narrow bunk beds and the bedding, as well as patients’
clothes, were in a poor condition and often dirty. Most of the remaining
furniture - three to four cupboards and a small table per room - was also in a
sorry state of repair, and humidity pervaded the vast majority of the
rooms. As a result, cleaning and disinfecting the patients’ rooms to
hospital standards was a very difficult task.
Patients suffering from tuberculosis ... were also subject to
these unacceptable material conditions.
160. Standards of maintenance and hygiene in the sanitary
facilities - in-room lavatories and washbasins, communal showers - were
well below the minimum to be expected of a hospital and could sometimes be
described as appalling. Further, the frequency of showers - every 10 days
- did not allow the prisoners to wash themselves properly. It goes without
saying that such conditions are not acceptable, not only on humanitarian
grounds, but also because of the risks of infection.”
Visit to Latvia of 24 September to 4 October 2002
“100. The report on the CPT’s 1999 visit highlighted
a number of serious shortcomings regarding the Prison Hospital, which is
located on the premises of Riga Central Prison ... The CPT is very concerned to
note that hardly any of the recommendations made by the Committee in this
respect have been implemented ...
101. The material conditions offered to
patients have, if anything, deteriorated since the 1999 visit. They were
totally unacceptable, in particular, for those suffering from serious diseases.
Many rooms were overcrowded (e.g. 12 beds in a room of 30 m˛), and
numerous allegations were heard that occupancy levels in patients’ rooms had
been significantly higher until shortly before the visit. Many of the rooms (in
particular those accommodating TB patients) had no access to natural light (the
windows being covered by metal plates), and artificial lighting and ventilation
were very poor in most of them. In addition, many rooms were dilapidated, and
the sanitary facilities were in an execrable state. ...
All patients could take at least one hot shower per week;
however, a number of allegations were heard that more frequent showers had been
refused, even when recommended by medical staff ...
107. The CPT greatly welcomes the fact that the
screening for, and treatment of, tuberculosis had improved since 1999 ... and
that the number of tuberculosis patients in Latvian prisons had decreased
considerably in recent years. There was ready access to all necessary
medication. The delegation was also informed that the opening of the new
tuberculosis hospital for prisoners in Olaine was scheduled for 2003. ...
Patients suffering from tuberculosis were entitled to two hours
of daily outdoor exercise. However, a number of such patients claimed that, in
practice, they were allowed to take only one hour of outdoor exercise per day. ...”
Visit to Latvia of 5 to 12 May 2004
“62. The living conditions under which
patients were held at the Prison Hospital remained totally unacceptable. In fact, practically none of the recommendations made
by the CPT after the two previous visits to that establishment had been
implemented ...
63. It is a matter of grave concern that the
renovation of the Prison Hospital has repeatedly been postponed, and that none of the interlocutors spoken to could give
the delegation any indication as to when it would begin.”
The domestic legislation concerning
administrative-law proceedings potentially applicable in the present case is
set out in Melnītis v. Latvia (no. 30779/05, §§ 24-26, 28 February 2012).
22. Under section 55 of the
Law on Medical Treatment (Ārstniecības likums) medical
treatment may only be provided by establishments meeting the standards set out
by the Cabinet of Ministers in Regulation no. 77 (2002) on the compulsory
requirements for medical establishments and their units (Noteikumi par
obligātajām prasībām ārstniecības
iestādēm un to struktūrvienībām), which include
general and specific requirements that hospitals and other medical facilities
have to meet concerning, inter alia, premises, medical equipment,
education and qualifications of medical personnel.
THE LAW
I. ALLEGED VIOLATION OF ARTICLE 3 OF THE
CONVENTION AS REGARDS THE CONDITIONS OF DETENTION IN THE PRISON HOSPITAL
The applicant complained about the conditions of
detention in cell no. 334 of the Prison Hospital, in particular about
overcrowding, inadequate lighting, draughts and low temperatures in the cell,
as well as inadequate sanitary arrangements. In that regard he cited Article 3
of the Convention, which reads as follows:
“No one shall be subjected to torture or to inhuman or
degrading treatment or punishment.”
A. Admissibility
The Government argued that the applicant had not
exhausted domestic remedies within the meaning of Article 35 § 1 of the
Convention. In particular, the Government underlined that the applicant could
have submitted a complaint about the conditions of detention to the Prison Hospital authorities, and could have requested a transfer to another cell. Any
unsatisfactory response on the part of the hospital authorities could have been
appealed against to the director of the Prisons Administration and then to the
Inspector General of the Prisons Administration of the Ministry of Justice (Tieslietu
ministrijas Ieslodzījuma vietu pārvaldes ģenerālinspektors).
The Government stated that if the response received by the applicant was still unsatisfactory
he could have submitted a complaint to the administrative courts, which have the
authority to assess the lawfulness of administrative decisions. In addition,
the Government argued that the applicant could have challenged before the
administrative courts the Prison Hospital’s decision to place him in cell
no. 334 as an action of a public authority (faktiskā
rīcība).
To support the argument that a challenge to an action
of a public authority before the administrative courts would be an effective
remedy in the applicant’s situation, the Government referred to several
decisions adopted by the administrative courts in 2008, 2009 and 2010 in which prisoners’
complaints concerning the conditions of their detention and related issues had
been examined and, as the Government interpreted that case-law, in certain
cases successfully resolved.
The Government emphasised that the applicant’s
submission to the Ministry of Justice of 4 April 2005 could not be
considered an attempt to exhaust domestic remedies within the meaning of
Article 35 § 1 of the Convention, since the applicant himself had stressed that
it should not be interpreted as a complaint against the staff of the Prison
Hospital and the Central Prison or about the quality of the medical care
available in the Prison Hospital (see above, paragraph 14).
The applicant disagreed. He considered that he
had exhausted all the domestic remedies which had been effective and accessible
in practice as well as in theory. He pointed out that complaints to
representatives of the prison authorities had never brought about positive
results; just the opposite was true, in that the attitude of the authorities towards
prisoners who were complaining often worsened. The applicant had nevertheless
complained orally on numerous occasions. Whenever he had attempted to submit a
written complaint, it had been torn in pieces in front of his eyes. The only
improvement that had been brought about by the applicant’s complaints was that
a gap in the window of the cell had been covered up with a piece of plywood.
His submission to the Ministry of Justice of 4 April 2005 was to be seen
as an attempt to receive a response from someone outside the prison system.
As regards the Government’s argument that the
applicant could have complained to the administrative courts, the applicant
referred to Selmouni v. France ([GC], no. 25803/94, § 76, ECHR 1999-V),
and argued that it was incumbent on the Government to prove that the remedy in
question was effective and available in theory as well as in practice and
accessible to the applicant. The applicant argued that conditions of detention
in prisons were not administrative acts amenable to review by administrative
courts. According to the applicant it was theoretically possible that a
complaint about the conditions of detention as an action of a public authority
(the administration of the prison) could be amenable to review in the administrative
courts. However, the Government had failed to prove that this remedy was
accessible to the applicant. None of the State institutions to which the
applicant had submitted complaints (the Supreme Court, the Ministry of Justice,
the Ministry of Health, and the National Human Rights
Office) had informed him that he could complain to the administrative
courts. Instead, the Ministry of Justice, in a letter sent to the applicant on
20 April 2005, had informed him that complaints about possible violations
of Article 3 had to be addressed to public prosecutors. For that reason the
applicant had repeatedly made oral complaints during his criminal trial.
The Court notes that the Government have not
argued that the applicant had to complain about the conditions of detention to
a prosecutor and the applicant appears not to have submitted such a complaint. Following
its ordinary practice of confining the scope of its
review to the remedies explicitly invoked by the Government (see Ananyev
and Others v. Russia, nos. 42525/07 and 60800/08, § 99, 10 January 2012), the Court in the present case, unlike in other comparable
cases against Latvia (see, for example, Vikulov
and Others v. Latvia (dec.),
no. 16870/03, 25 March 2004, and Bazjaks v. Latvia, no. 71572/01, §§ 81-93,
19 October 2010), is not called upon to
examine the legal consequences of the applicant’s apparent failure to address a
complaint concerning the conditions of detention in the Prison Hospital to a public
prosecutor.
. The
Court will therefore focus its analysis on the effectiveness of complaints filed
within the prison system and subsequently with the administrative courts. It
has previously carried out a detailed analysis of similar arguments made by the
Government in another case (see Melnītis, cited above, §§ 39-53). In Melnītis the Court found that the
Government had failed to prove that a complaint to the administrative courts about
conditions of detention had been an effective remedy, at least prior to
15 June 2006, which was the date when the Senate of the Supreme Court had
adopted a ruling in the so-called Stāmers case. As in Melnītis,
in the present case the Government did not submit a copy of the Stāmers
ruling. Nor did they refer to it in their observations. All the domestic
decisions cited by the Government were adopted well after 15 June 2006.
Therefore. in the present case the Court has not been presented with evidence
enabling it to depart from its conclusions in the Melnītis case.
. Taking
into account that the applicant in the present case complains about the
conditions in the Prison Hospital during his two stays there in 2005, that is,
prior to 15 June 2006, the Government’s argument concerning non-exhaustion
of domestic remedies cannot be upheld.
The Court further notes that this complaint is
not manifestly ill-founded within the meaning of Article 35 § 3 (a) of the
Convention. It further notes that it is not inadmissible on any other grounds.
It must therefore be declared admissible.
B. Merits
1. Submissions of the parties
The applicant argued that the conditions of
detention in cell no. 334 of the Prison Hospital caused him feelings of
anguish, especially taking into account his state of health. The applicant
repeated and elaborated on his previous submissions to the Court. In particular,
he underlined the lack of space in the cells, more precisely the fact that he
was placed in a cell measuring twenty-four square metres and which could
hold up to eight inmates. There was no functioning ventilation system, the
temperature in the cell was low, the cell was in a state of disrepair, the beds
were small and rickety, and the lighting was inadequate. The one-hour walk
outside that he was allowed to take each day had to take place in a small,
dusty courtyard, which was essentially a prison cell without a roof.
The applicant further criticised the standard of
cleanliness in the cell as unsatisfactory, and also the fact that he only had
limited opportunities to shower. In addition, he once again emphasised the fact
that even the most basic hygiene products, such as toilet paper or a
toothbrush, were not issued free of charge but had to be purchased at the
prisoners’ own expense.
Lastly, the applicant complained about the
quality and quantity of the food served in prison, once again emphasising that
he had lost a significant amount of weight during his stay at the Prison Hospital.
In support of his allegations the applicant
referred to the CPT report following its visit to Latvia in 2004 (see
paragraph 20 above).
In conclusion, the applicant submitted that the
cumulative effect of the conditions outlined above had clearly exceeded the
unavoidable level of suffering inherent in detention and had resulted in
inhuman and degrading treatment that violated Article 3 of the Convention.
The Government emphasised that the Prison Hospital had ceased to operate on 31 July 2007, and therefore it was impossible
to establish precisely what living conditions prevailed in cell no. 334 at
the relevant time. However, those conditions had been in full compliance with
the applicable domestic legislation. The cell had been equipped with a
ventilation system and a heating system, the toilet facilities had been
separated from the rest of the cell by a partition measuring 1.30 by
1.20 metres, and the toilet had been disinfected on a regular basis. The
applicant had had an opportunity to take a shower or to go to the sauna at
least once a week, his bedding was changed and he was able to maintain personal
hygiene. They stated that the applicant received three hot meals a day while an
inmate there.
In addition, the Government pointed out that if
the applicant had considered the conditions of detention in cell no. 334
unacceptable he could have requested a transfer back to the regular cells of the
Central Prison. Not only had he not done so, but his medical documentation
revealed that after refusing to receive medical treatment in the Prison
Hospital on 7 October 2005 he had not wished to be discharged from that
hospital.
In conclusion, the Government conceded that the
conditions in the Prison Hospital had not been ideal. Nevertheless, they
considered that these conditions did not amount to inhuman or degrading
treatment within the meaning of Article 3 of the Convention.
2. The Court’s assessment
As regards the general principles applicable to
Article 3 complaints about conditions of detention, the Court refers to
the detailed description in the above-cited judgment Ananyev and Others (§§ 139-159).
Applying those standards in the present case,
the Court considers that it cannot be considered proven that at the time the
applicant was held in cell no. 334 it was overcrowded to such an extent as
to justify of itself a finding of a violation of Article 3. While the applicant
did submit, and the Government did not dispute, that there were eight sleeping
places in that cell, which measured twenty-four square metres, he has
never argued, either in his complaints submitted to the domestic authorities or
in those he submitted to the Court, that at any time during his stay in that
cell it had been filled to capacity or beyond. Nor has the applicant argued
that at any moment he did not have an individual sleeping place, or that it was
impossible to move freely between the items of furniture in the cell.
Turning to the question of outside exercise available
to the applicant, the Court notes that the Government did not dispute his
account that the exercise yard was small (approximately fifty square metres),
dusty, and in a bad state of repair.
As regards hygiene, the Government explicitly
confirmed the applicant’s submission that showers were available to prisoners
once a week. This was also noted by the CPT in its reports from its 1999, 2002
and 2004 visits (see paragraph 20 above). The Government have not
attempted to rebut the applicant’s allegations that there were not enough functioning
showerheads in the shower facilities and that those facilities were in a bad
state of repair. Nor do the parties appear to be in any significant
disagreement as regards the state of the toilet facilities in cell
no. 334, the only difference in their description thereof being the exact
height of the partition between the toilet and the rest of the cell. The
applicant alleged, and the Government did not dispute, that even the most basic
toiletries were not available free of charge, but had to be purchased at the
prisoner’s own expense from the prison shop. It also remains undisputed that
the window in the cell could not be fully closed and had large gaps around its
frame. The Government have argued that the cell had a functioning heating
system; however, the Court does not consider that this casts reasonable doubt
on the applicant’s submission that the temperature in the cell was low and the
prisoners had to sleep wearing their outdoor clothes and hats.
Without needing to go into a detailed analysis
of the parts of the applicant’s account of the conditions in the Prison
Hospital that are in dispute between the parties (such as the quality and
quantity of food available to the prisoners or the functioning of the
ventilation system in cell no. 334), the Court considers that the
cumulative effect of the conditions described above, and also in part reflected
in the CPT reports (see paragraph 20 above), was such as to subject the applicant to distress or hardship of an
intensity exceeding the unavoidable level of suffering inherent in detention,
in particular in view of the applicant’s health condition.
There has accordingly been a violation of
Article 3 of the Convention on the account of the conditions of the
applicant’s detention in cell no. 334 of the Prison Hospital.
II. ALLEGED VIOLATION OF ARTICLE 3 OF THE
CONVENTION AS REGARDS THE APPLICANT’S MEDICAL CARE
The applicant complained that the medical care
he had received in the Prison Hospital was inadequate; he also noted that that
institution was not authorised to provide health care under the domestic law.
He relied on Article 3 of the Convention.
A. Admissibility
The Government argued that the applicant had not
exhausted domestic remedies, as required by Article 35 § 1 of the Convention.
In particular, the Government maintained that the applicant ought to have
submitted a complaint to the Inspectorate of Quality
Control for Medical Care and Working Capability (“the MADEKKI”), which
was authorised to carry out inspections in connection with the certification of
medical institutions. Furthermore, the MADEKKI had the authority to require the
Prison Hospital to cease operating if it found that the applicable national
legislation had been breached. The Government submitted that the Court in the
case of Daģis v. Latvia ((dec.), no. 7843/02, §§ 50-51,
20 June 2009) had found the MADEKKI to be an institution capable of
ensuring proper medical supervision.
The applicant maintained that the Government had
failed to demonstrate why a complaint to the MADEKKI had to be considered a
domestic remedy that was effective and available in theory and in practice, as
well as capable of providing redress. The applicant explained that none of the
State institutions to which he had addressed his complaints had informed him
that the MADEKKI was the proper institution for receiving complaints. In
addition, the applicant noted that as early as 2004 and 2005 the MADEKKI had
issued several warnings that the Prison Hospital would have to be closed, and yet
a new hospital for prisoners was only opened in 2007. The applicant considered
the Government’s reliance on the decision in the case of Daģis v.
Latvia misguided, since the Court in that decision had not held that a
complaint to the MADEKKI was an effective domestic remedy that had to be used.
The Court understands
the Government’s argument to be to the effect that a complaint to the MADEKKI
is to be seen as a preventive remedy, in other words, as a remedy that could have prevented the alleged violation from occurring or
continuing (see Ramirez Sanchez v. France [GC],
no. 59450/00, § 160, ECHR 2006-IX). The
Court’s case-law has established several criteria to which a preventive remedy
has to correspond in order to be considered an effective one. In the particular
context of complaints under Articles 2 and 3 of the Convention of lack of adequate
care for prisoners suffering from serious illnesses the Court has held that a
preventive remedy ought to have the potential to bring direct and timely relief
(see Goginashvili v. Georgia, no. 47729/08, § 49, 4 October 2011, and Makharadze and Sikharulidze v.
Georgia, no. 35254/07,
§ 52, 22 November 2011).
. The
Court will first analyse whether a complaint to the MADEKKI in the applicant’s
case could potentially have brought “timely” relief.
. The required speediness of a response will always depend on
the nature of the alleged violation of the Convention rights. Even in the
context of complaints of inadequate medical assistance in prisons the required
speed of response will vary considerably, depending on the nature of the health
problem requiring medical intervention. As an illustration of the MADEKKI’s
practice the Court notes the following recent cases. The problems with eyesight
and hearing that the applicant experienced in the above-cited Daģis
case did not mandate the MADEKKI to act with much more expedition than the
three months their review took in 2001 (see §§ 22-23). Along the same lines, a MADEKKI assessment that took less than twenty
days could be considered a satisfactorily timely response to a complaint from a
prisoner suffering from chronic bronchial asthma (see Van Deilena v. Latvia
(dec.), no. 50950/06, § 41, 15 May 2012). Lastly, in
a situation where the applicant had a large arachnoid cyst in his head (see Krivošejs
v. Latvia, no. 45517/04,
17 January 2012), the MADEKKI reviews
that lasted for approximately one month (§§ 42, 44, and 46) and, on one occasion, slightly less than two months (§ 47) were also sufficiently timely, considering that the cyst
had previously been found not to be life-threatening (§§ 33 and 76).
. On
the other hand, the Court considers that the
applicable standards are much more stringent where there are conditions which are
acute and which present a risk of death or irreparable damage to health. For
many health problems an urgent reaction is absolutely indispensible.
Tuberculosis is certainly one of the diseases whose treatment calls for
particular care, since medical mismanagement can easily lead to the mutation
of the ordinary tuberculosis bacillus into the exceptionally dangerous
multi-drug resistant form (see Makharadze and Sikharulidze, cited above, § 75).
. The
Court notes that at the relevant time the domestic law did not oblige MADEKKI
to react sufficiently quickly if the nature of the petitioner’s disease so
required. Section 64 of the Law of Administrative Procedure provided that
a public authority had to reply to a request made to it within one month, and
that “for objective reasons” that term could be extended to four months. At the
same time section 8, paragraph 1 of the Law on the Order of
Examination of Complaints and Suggestions by State and Municipal Institutions (Iesniegumu, sūdzību un priekšlikumu izskatīšanas kārtība valsts un
pašvaldību institūcijās)
provided that normally a response had to be given within fifteen days, but that
that term could be extended indefinitely so long as the person making the
request was duly informed of the extension. Thus, even assuming that the most
favourable rules were applicable to the applicant, the MADEKKI would be legally
obliged to give a response within fifteen days to four months. In a different
context the Court has previously criticised the above-cited time-limits
as being overly long and incompatible with the requirement of the timeliness of
a response (see Vikulov and Others v.
Latvia (dec.), cited above). That conclusion is all the more true in the context of
health care, where in certain cases having to wait fifteen days for adequate
treatment might result in irreparable damage to one’s health.
In conclusion, the Court finds that, in
situations where a prisoner complains about shortcomings in treatment of
serious acute diseases liable to lead to irreparable deterioration of health or
even to a person’s death, a complaint to the MADEKKI cannot be considered a
preventive remedy capable of bringing timely relief. Therefore, in the present
case the applicant did not need to make use of that remedy prior to petitioning
the Court. In the light of that conclusion the Court does not need to examine
whether a complaint to the MADEKKI could potentially lead to an improvement in
the quality of medical care which could be deemed to be sufficiently “direct”,
although it does have some doubts that the Government’s suggestion that the
MADEKKI could order the closing of a hospital could be deemed such a direct
improvement. In conclusion, the Government’s argument concerning non-exhaustion
of domestic remedies is dismissed.
The Government further argued that the applicant’s
complaints concerning the Prison Hospital’s lack of authorisation to provide
medical services and concerning the alleged inadequacy of the medical care
provided to him were manifestly ill-founded. The Government noted that the Prison Hospital’s compliance with the legal standards had not been assessed at the material
time, because extensive renovation works had needed to be carried out. In any
case, all the doctors working at the Prison Hospital were properly qualified.
Tuberculosis patients were treated in accordance with the guidelines developed
by the World Health Organisation. The Government also emphasised that the
applicant had made a full recovery from tuberculosis after successful treatment
in the Prison Hospital.
The applicant argued that the fact of being
treated in a medical institution not legally authorised to provide medical
treatment amounted in itself to degrading treatment contrary to Article 3 of
the Convention. In addition, even though the applicant lacked the specialist
knowledge to assess the quality of the care provided to him, he had been very worried
about the quality of his treatment. The applicant further submitted that while
it might indeed have been the case that all the doctors working at the Prison Hospital were properly qualified, the Government had failed to provide any
information about the qualification of nurses and about the certification of
the medical equipment and techniques employed at that hospital.
The Court notes that the applicant has
complained that the medical care he received at the Prison Hospital was inadequate, but in rather general terms. He has not provided any detailed
information about the health problems he stated he had developed as a result of
inadequate medical treatment. Accordingly, the Court is unable to assess the appropriateness
of the response, or lack of one, to those health issues on the part of the
staff of the Prison Hospital (see also Leitendorfs v. Latvia (dec.),
no. 35161/03, 3 July 2012, § 53).
In the light of this lack of information, the
Court is unable to agree with the applicant that the Prison Hospital’s non-compliance with the domestic legal standards, even if it were true that under
the domestic law the Prison Hospital was not authorised to provide medical
care, should in itself lead to a finding of a violation of Article 3. What
is relevant here is whether the medical care provided was adequate, taking into
account the applicant’s state of health. In particular, taking into account
that he had been admitted to the hospital to receive treatment for tuberculosis
and that the treatment was successful in that he made a full recovery (see
paragraph 56 above; this has not been disputed by the applicant), the Court
considers that the applicant’s treatment did not reach
the minimum level of severity required for it to fall within the scope of
Article 3. For these reasons, in the light of all the material in its
possession, the Court finds that this complaint is manifestly ill-founded and
must be rejected in accordance with Article 35 §§ 3 (a) and
4 of the Convention.
III. ALLEGED VIOLATION OF ARTICLES 8 AND 34 OF
THE CONVENTION
The applicant lastly complained that on 20
January 2006, when delivering him a letter from the Registry of the Court, a
prison guard had started opening the envelope, and when the applicant objected
had made the applicant open the envelope himself in the presence of the guard,
who had threatened him with having his cell searched if he refused. In its
partial inadmissibility decision of 9 February 2010 the Court had
erroneously indicated that the events described had taken place in Jelgava
Prison. The applicant was transferred to Jelgava Prison only on 6 April
2006. Thus the applicant’s complaint pertains to events in the Central Prison.
The applicant relied on Article 34 of the Convention. The Court decided to
communicate the complaint under Articles 8 and 34 of the Convention, which, in
so far as is relevant, read as follows:
Article 8
“1. Everyone has the right to respect for ... his
correspondence.
2. There shall be no interference by a public
authority with the exercise of this right except such as is in accordance with
the law and is necessary in a democratic society in the interests of national
security, public safety or the economic well-being of the country, for the
prevention of disorder or crime, for the protection of health or morals, or for
the protection of the rights and freedoms of others.”
Article 34
“The Court may receive applications from any person,
non-governmental organisation or group of individuals claiming to be the victim
of a violation by one of the High Contracting Parties of the rights set forth
in the Convention or the Protocols thereto. The High Contracting Parties
undertake not to hinder in any way the effective exercise of this right.”
A. Article to be applied
The Government argued that complaints of this
nature were to be examined under Article 8 of the Convention. In this
respect they referred to a series of cases against Latvia (see Kornakovs v. Latvia, no. 61005/00, §§ 157-158, 15 June 2006; Ņikitenko v. Latvia, no. 62609/00, § 37, 16 July 2009; and Pacula v. Latvia, no. 65014/01, § 65, 15 September 2009).
The applicant agreed that the complaint was to
be examined under Article 8. He nevertheless considered that the incident was
also incompatible with the guarantees of Article 34 of the Convention in
that the reading by prison staff of letters from the Court which might concern
allegations against prison authorities or prison officials could create the
risk of reprisals by prison staff against the prisoner concerned. In this
regard the applicant referred to the case of Klyakhin v. Russia
(no. 46082/99, § 118, 30 November 2004).
The Court considers that it is possible for one
and the same event to give rise to problems under two different Articles of the
Convention at the same time. A prison guard, by opening a letter from the Court,
could simultaneously interfere with an applicant’s right to respect for his
correspondence and interfere with the effective exercise of his right to
petition the Court, in particular considering that the interception of letters
by prison authorities can hinder applicants in bringing their cases to the
Court even in the absence of any undue pressure (see Klyakhin, cited
above, § 119; see also Drozdowski v. Poland, no. 20841/02, §§
23-31, 6 December 2005).
The Court will therefore examine the applicant’s
complaint, that on 20 January 2006 a Central Prison guard started opening
a letter sent to the applicant by the Court and subsequently ordered him to
open the letter in the guard’s presence under the threat of a search of the applicant’s
prison cell, under Article 8 as well as under Article 34 of the Convention.
B. Admissibility
The Government argued that the complaint under
Article 8 was inadmissible because of non-exhaustion of domestic remedies within
the meaning of Article 35 § 1 of the Convention. The applicant
ought to have complained to the administrative courts about an action of a
public authority. In order to demonstrate that such a remedy was both effective
and accessible to the applicant, the Government referred to the Administrative
District Court’s judgment of 30 July 2007 (see above, paragraph 18).
The applicant did not submit any comments in
this regard.
The Court has to determine whether a recourse to
the administrative courts in the applicant’s case was a domestic remedy that
was available in theory and practice at the relevant time, that is to say
whether it was capable of providing redress in respect of his complaints and of
offering reasonable prospects of success (see, for example, Paksas v. Lithuania [GC], no. 34932/04, § 75,
6 January 2011, and Leja, cited above, § 47). The Court cannot but note
that only six months after the alleged incident in the Central Prison the
applicant made a complaint to the Administrative District Court about a
virtually identical incident in Jelgava Prison. A year later that court
declared unlawful the opening of correspondence between the applicant and, among
other institutions, the Court. In addition, although the applicant had not
requested compensation for non-pecuniary damage caused by the opening of the
letter from the Court, he had a right to do so pursuant to the Law of
Administrative Procedure (see Melnītis, cited above, § 26). The Court
therefore accepts that recourse to the administrative courts is an effective
domestic remedy with regard to complaints about monitoring of a prisoner’s
correspondence by prison staff. In these circumstances it was incumbent upon
the applicant to demonstrate that he had in fact used the remedy in question,
or that it was inadequate or ineffective in the particular circumstances of the
case (see Leja, cited above, § 48, with further references). The applicant has not argued
that this is the case, and the Court sees no reason to hold otherwise.
Accordingly the applicant’s complaint about the opening of his correspondence
on 20 January 2006, in so far as it pertains to Article 8 of the
Convention, is inadmissible because of non-exhaustion of domestic remedies
within the meaning of Article 35 §§ 1 and 4 of the Convention.
According to the Court’s case-law, complaints under Article 34 of the Convention are of a
procedural nature and therefore do not give rise to any issue of admissibility
under the Convention (see Ponushkov v. Russia, no. 30209/04,
§ 78, 6 November 2008, and Leja, cited above, § 80).
C. Merits
The Government argued that the applicant had not
submitted any evidence to support his allegations of the circumstances in which
the Court’s letter was opened on 20 January 2006. The Government emphasised
that opening of correspondence with the Court was clearly prohibited in
domestic law; therefore the Court’s letter could not have been and was not
opened, contrary to what had been asserted by the applicant.
The applicant maintained his allegation that he
had been made to open the Court’s letter in the presence of a prison guard. The
applicant also listed various other incidents which, in his view, demonstrated
that the State had attempted to hinder the effective exercise of his right of
petition.
The Court in its partial decision adopted on 9
February 2010 rejected the remainder of the applicant’s complaints under
Article 34 that he had cited as proof of hindrance of effective exercise
of his right of petition. Thus the only incident to be examined is the one that
allegedly took place on 20 January 2006.
The Court does not consider it necessary to
reach a conclusion as to whether the incident of 20 January 2006 actually
took place, because, even if it had taken place exactly as described by the
applicant, the Court is not persuaded that it constituted an infringement of
the guarantees of Article 34 of the Convention.
The Court reiterates that whether actions of
prison authorities amount to unacceptable practices from the standpoint of
Article 34 must be determined in the light of the particular circumstances
of the case (see Klyakhin, cited above, § 119). The applicant has
never suggested or implied that the prison guard on 20 January 2006 read
or attempted to read the letter originating from the Court. In such
circumstances the risk of reprisals by prison staff against the prisoner was
very limited (contrast with Mechenkov v. Russia, no. 35421/05,
§ 125, 7 February 2008). It is significant to note in this context
that the incident under review is a single and isolated one, not forming part
of any systematic practice of intimidating applicants to the Court (compare with
Cooke v. Austria, no. 25878/94, § 48, 8 February 2000). The Court
recognises that the opening of the letter might have caused some concerns to
the applicant. It also takes note of the fact that the opening of
correspondence originating from the Court is clearly prohibited under the
domestic law. However, the Court cannot overlook the fact that the incident of
20 January 2006 has remained an isolated one, and that the contents of the
Court’s letter were not read by the prison guard in question. Taking into
account the above considerations, and also keeping in mind its conclusion with
regard to the complaint under Article 8, the Court finds that the Latvian
Government in the present case has not failed to comply with its obligations
under Article 34 of the Convention.
IV. APPLICATION OF ARTICLE 41 OF THE CONVENTION
Article 41 of the
Convention provides:
“If the Court finds that there
has been a violation of the Convention or the Protocols thereto, and if the
internal law of the High Contracting Party concerned allows only partial
reparation to be made, the Court shall, if necessary, afford just satisfaction
to the injured party.”
A. Damage
The applicant claimed 15,000 euros (EUR) in
compensation for non-pecuniary damage.
The Government argued that the applicant had
failed to demonstrate any link between the alleged violations of the Convention
and the non-pecuniary damage claimed. In any case the Government
considered the applicant’s claim excessive.
The Court has found a violation of
Article 3 with regard to the conditions of detention in cell no. 334
of the Prison Hospital. Taking into account the scope of the violation found,
the Court awards the applicant EUR 4,000 in respect of non-pecuniary
damage.
B. Costs and expenses
The applicant did not formulate a claim in
respect of costs and expenses.
C. Default interest rate
The Court considers it appropriate that the
default interest rate should be based on the marginal lending rate of the
European Central Bank, to which should be added three percentage points.
FOR THESE REASONS, THE COURT UNANIMOUSLY
1. Declares the complaint concerning the
conditions of the applicant’s detention in the Prison Hospital admissible and
the remainder of the application inadmissible;
2. Holds that there has been a violation of
Article 3 of the Convention;
3. Holds that the Latvian Government have complied
with their obligations under Article 34 of the Convention;
4. Holds
(a) that the respondent State is to pay the
applicant, within three months of the date on which the judgment becomes final
in accordance with Article 44 § 2 of the Convention, EUR 4,000
(four thousand euros), plus any tax that may be chargeable, to be converted
into Latvian lati at the rate applicable at the date of settlement in respect
of non-pecuniary damage;
(b) that from the expiry of the above-mentioned
three months until settlement simple interest shall be payable on the above
amount at a rate equal to the marginal lending rate of the European Central
Bank during the default period plus three percentage points;
5. Dismisses the remainder of the applicant’s
claim for just satisfaction.
Done in English, and notified in writing on 18 December
2012, pursuant to Rule 77 §§ 2 and 3 of the Rules of Court.
Lawrence Early David
Thór Björgvinsson
Registrar President