1. In
a Ruling made on 28th January, 1997 Carney J. found that the Applicant had made
significant complaints in respect of his situation as a prisoner in the Irish
prison system. The Applicant was convicted on a plea of guilty at Carlow
Circuit Court on 19th June, 1996 of robbery and was sentenced to a term of
3½ years imprisonment. The kernel of the Applicant's case is that he
fears that his health and well-being, physical and mental, have been and are at
risk because of the conditions in both Mountjoy and Portlaoise Prisons. He
says that he is a healthy person who has never taken illegal drugs and that the
conditions in prison which he has to endure, and the company which he is
compelled to keep, are putting his health at risk. He also complains that the
prison authorities are ignoring and flouting the Prison Rules 1947 in
particular Rules 9, 16, 108, 117, 135, 137(2) and 143 and Rules 172 to 188
inclusive (the entire of Part V), being the part of the prison rules in
respect of the duties of the Medical Officer.
2. It
is conceded by the Respondent that many of these Rules are obsolete and are not
observed. Doctor Enda Dooley, the Director of the Prison Medical Services,
made it clear that there is now no full time doctor in any of the prisons.
Accordingly, the 1947 Rules, which were drafted on the basis of a Medical
Officer being resident at the prison and having a supervisory role with regard
to hygiene and the kitchens, are obsolete. Specifically, Rule 16, which
requires every prisoner to be examined by the Medical Officer before being
removed to any other prison and before being discharged from prison, is now
impractical and not observed. Both Doctor Dooley and Doctor Anthony Reeves,
the leading medical officer at Portlaoise Prison, were candid and clear
witnesses. Doctor Anthony Reeves made it clear that he and his colleagues do
not regard the 1947 Rules as good guidelines for medical practice. His
contract with the Department of Justice is at complete and utter variance with
the 1947 Rules and the Rules do not relate to modern medical practice. He said
that the Rules were antiquated, out of date and inappropriate to present
practice. Consultancy work with regard to sanitation in kitchens and such
matters as expert psychiatric advice were not appropriate for a general
practitioner engaged on contract to provide primary medical care. I mention
this at the outset as the obsolescence of the Rules and the ignoring of the
Rules by the authorities (often because they are outmoded and impractical) are
common case. Times change and so has medical practice but apparently the Rules
have not kept pace despite the strictures of the Courts in a number of cases.
3. On
21st July, 1997 a conditional Order of Habeas Corpus was made by Kinlen J. on
foot of the Affidavit sworn on the 16th July, 1997 of the Applicant. This was
supplementary to his previous Affidavit sworn on 11th December, 1996 in which
the Applicant had expressed his fears of contracting HIV or Hepatitis due to
lack of medical examinations involving compulsory blood testing. On 13th
August, 1997 Flood J. gave liberty to the State to file replying
Affidavits in respect of the Applicant's complaints as being necessary in
addition to the production of the committal warrant from Carlow Circuit Court.
Steps were taken to narrow the issues by way of a Notice to admit facts and a
reply thereto together with the production of the Applicant's medical files by
way of voluntary discovery. Eventually the matter came before this Court on
10th June, 1998 and ensuing days when evidence was adduced not just on
Affidavit but also by verbal testimony of both the Governors of Portlaoise and
Mountjoy Prisons as well as the Medical Director of the prison service and the
Medical Officer from Portlaoise Prison and the Chief Prison Officer from
Mountjoy.
4. The
Applicant states that in April 1996 when he arrived in Mountjoy as a remand
prisoner no medical examination was carried out on him and this was contrary to
Rule 9 of the 1947 Rules which requires:-
5. He
maintains that he is of good health and has never taken illegal drugs. He says
that he was obliged to share a cell in the basement area with four other
prisoners who were injecting themselves with drugs and this was in a very
confined space, he became fearful because of the overcrowding and the drug
abuse and made complaints to prison officers. He further complained that from
18th June, 1996 to October 1996 he was held in a double cell on a landing with
twelve other prisoners. Among these were sufferers from Aids and Hepatitis and
since there was only one shower and one toilet he was fearful of a needle
sticking into him and of his thereby contracting illness. He was particularly
fearful as his cell mate had contracted Hepatitis C and was injecting himself.
He himself became concerned about contracting tuberculosis and eventually tests
were done on him in this respect which happily proved negative, although he
seems justiably aggrieved at the laspe of time before he was informed about the
results of the test. On 1st October, 1996 he was transferred from Mountjoy
Prison to Portlaoise Prison. He complains that no medical examination was
carried out before his transfer contrary to Rule 16 and that no medical
examination was carried out on his arrival at Portlaoise contrary to Rule 9.
He says that in Portlaoise Prison he was placed on the D2 landing which along
with D3 landing contains sixty six prisoners. He says that there are only
three showers for sixty six prisoners and five sinks one of which is used for
slopping out and that there are only four toilets. He reiterates concern about
Aids and Hepatitis and his fear of needle stick injury as a source of
contamination. He was back in Mountjoy from 4th June, 1997 to 19th June, 1997.
He then returned to Portlaoise where he shared a cell with a prisoner whom he
feared suffered from Hepatitis B or C or both and this caused him to be afraid
of contamination. He says that he has attended the Prison Psychiatrist and
that he is under severe stress from the worry about contracting Aids, Hepatitis
or other infectious diseases.
6. In
short, the Applicant contends that the conditions in which he is incarcerated
are inhumane, degrading and dangerous particularly with regard to overcrowding
and the risk of infectious disease.
7. On
21st July, 1997 Kinlen J. made a Conditional Order and required the Governor of
Portlaoise to certify the grounds of detention.
8. Deputy
Governor Edward Whelan of Mountjoy gave evidence by his Affidavit sworn on 13th
August, 1997 and also attended and gave evidence on foot of a Notice to cross-
examine. The gist of his evidence was that the Applicant was examined by the
Prison Doctor on the day after his arrival in Mountjoy Prison . While on
remand on 1st May, 1996 the Applicant became agitated and subsequently on 2nd
May, 1996 he was moved to the separation unit. The Doctor attends this unit on
a daily basis and there is continual cover by medical orderlies.
9. The
Applicant complained about having to share a cell with a prisoner P.Z. whom he
alleged was suffering from Hepatitis C and was injecting himself. The Deputy
Governor said the prisoner P.Z. was never segregated on medical grounds nor was
he ever observed injecting himself. The Deputy Governor further said that
while the Applicant was in Mountjoy from 30th April, 1996 to 17th September,
1996, before his transfer to Portlaoise, he was seen by Deputy or Assistant
Governors on 79 occasions and on no occasion did he express concern about the
use of syringes or about his conditions of detention. The Deputy Governor said
that the provisions of Rule 137(2) were fully complied with and no written
recommendations were received from the Medical Officer for the separating of
prisoners from each other. He went on to say that the first time that he
became aware of the Applicant's complaints was after these proceedings had begun.
10. It
was acknowledged that Mountjoy is overcrowded and that slopping out still
continues. However the separation unit has been renovated within the last nine
months with improvements including the provision of sanitation in each cell.
Furthermore there is a
"toilet
patrol"
late at night of which a prisoner can avail. He was satisfied that the
Applicant had been examined on his arrival and in any event all prisoners had
the right to see the Doctor each day if necessary. He conceded that there was
a drug problem in Mountjoy but said that the authorities did their best to
control the situation. There were random searches; there was now a drug-free
training unit and a careful sanitary regime. He denied that the Applicant's
life and health had been exposed to a risk and danger and said that all
reasonable steps were taken to treat the Applicant and other prisoners with
humanity and dignity and in particular to provide full and safe medical
facilities and treatment throughout their detention.
11. In
a Supplemental Affidavit sworn on 26th August, 1997 the Applicant refuted that
he had undergone a proper medical examination on his arrival at Mountjoy. He
also deposed that he had made numerous verbal and written complaints about the
conditions in Mountjoy particularly with regard to drug abuse and infectious
diseases. He had expressed his concerns to the prison psychologist in
Portlaoise particularly as to Aids and Hepatitis.
12. The
over-crowding in Mountjoy is admitted. However Rule 4, which states that each
prisoner shall occupy a prison by himself by day and by night (except as
otherwise directed), has been amended by Statutory Instrument Number 135 of
1983 since 24th May, 1993 and this allows more persons per cell.
13. Deputy
Governor Whelan explained that Mountjoy was a committal prison and had been
built in the reign of Queen Victoria. He was clearly not happy about
over-crowding in Mountjoy. He outlined the precautions taken to detect
contraband and to reduce the availability of drugs. He explained that many
prisoners preferred to share a cell. While Mountjoy had been built for 480
prisoners on that very morning there had been 739 prisoners in Mountjoy.
14. He
explained that after the acceptance by the Minister of the Report of the
Advisory Committee on Communicable Diseases in Prison, since 1994 there had
been integration of prisoners with or without communicable diseases as a matter
of policy. A similar policy had been adopted in other countries and he himself
had visited a French prison in Marseilles where the policy was to integrate
prisoners, albeit some might be suffering from diseases communicated by blood
or bodily fluids.
15. A
curious feature of the case was the evidence which was given by Governor
William Donoghue, now Governor of Portlaoise, that there had been sanitation in
the cells in Mountjoy under the regime there before Ireland became independent.
16. Chief
Officer Fetteridge confirmed that there were photographs of old soil pipes from
the in-cell sanitation from long ago when Mountjoy had been modelled on the
design of Penterville prison and the prisoners had had a toilet and a sink in
each cell which had been served by a watertank. The Chief Officer brought to
Court a book which listed occurrences such as the finding of drugs, prohibited
articles, and syringes. For the period 1st January, 1998 to 12th May, 1998
there were findings of 92 syringes, 91 of drugs and 37 of prohibited articles.
17. The
Applicant was transferred from Mountjoy to Portlaoise on 17th September, 1996
and has only been back in Mountjoy since then from 4th June, 1997 to 19th June,
1997 because of a breach of Prison discipline in Portlaoise on his part. I am
impressed by the evidence of Deputy Governor Whelan that the Applicant was seen
by Deputy or Assistant Governors on 79 occasions and on no occasion did he make
a complaint in respect of concern about the use of syringes or about his
conditions of detention. While he may well have voiced his fears in an
informal way to a Prison Officer, however, it seemed that he did not press his
complaints on the Governor or the Deputy or Assistant Governors. In any event,
the Applicant is now residing in Portlaoise Prison and the conditions in
Mountjoy and his apprehensions in respect thereof are now peripheral in
relevance. As O'Dalaigh C.J. said in
The
People (Attorney General) v. McGowan
,
unreported Supreme Court 14th October, 1968:-
18. Governor
Donoghue in his Affidavit sworn on 13th August, 1997 says that the Applicant
arrived in Portlaoise on 17th September, 1996 and was duly processed and
assigned to D Wing which is allocated to trusty prisoners. On 18th September,
1996 he was medically examined in accordance with Rule 9 and his drug-free
history was noted. The Deputy Governor who interviewed him noted no particular
complaints or concerns expressed on his part. The Governor was aware that some
of the prisoners have Hepatitis and leaflets are given and an awareness film
was shown to the prisoners including the Applicant about this. The Governor
was not aware of any prisoner with the Aids virus having been placed in D
Block. He stated that there were showers on D Block and at various work and
other locations in the prison. The Governor stressed that the Applicant had
never expressed a concern about a threat to his health or about the prevailing
conditions in the Prison. The Applicant had attended on the Governor or Deputy
Governors on 18th September, 1996, 26th September, 1996, 29th January, 1997,
19th February, 1997 and 6th August 1997 and on no occasion was a request made
concerning his health or the conditions in his cell. Since January 1986 the
Applicant had served a number of terms of imprisonment and the Governor, having
known him in Mountjoy and Shelton Abbey, was surprised that he was now claiming
to be traumatised by the conditions. The Governor denied that there had been
any non- compliance with the Rules and in particular Rule 137 with regard to
the carrying out of recommendations of the Medical Officer. He also refuted
the suggestion that the Applicant's life and health had been exposed to risk.
In evidence the Governor said that D Block had been built in 1880 and had been
closed prior to 1973. It was opened again to receive trusty prisoners in a
"stand
alone wing"
.
At present a second prison was being built in Portlaoise and there are plans
to vacate Block D. The prisoners still slop out in every cell in Portlaoise
but D Block has the concession of a 10.00p.m.
"toilet
patrol".
In D Block there are three landings with thirty prisoners on each of two
landings and there are wash-hand basins and toilets at the end of the landings.
The Governor had known the Applicant from both Shelton Abbey and Mountjoy and
had secured for him psychological advice while he was in Portlaoise. The
Applicant had never complained to the Governor or to the Welfare Officer about
conditions in Portlaoise. The Governor agreed that there were no tests carried
out in respect of infectious diseases on the arrival of a prisoner and he said
that there was no way of knowing the state of health of many of the prisoners.
He regarded D Wing as being overcrowded and he was happy that there was a new
wing being built. He dis not accept there was a drug problem in Portlaoise
prison.
19. Dr.
Anthony Reeves, the Medical Officer in Portlaoise Prison, had sworn two
Affidavits dated respectively 14th August, 1997 and 8th June 1998. Since
September 1996 the Applicant had consulted the Medical Officers 19 times and he
had three attendances on a consultant psychiatrist and one attendance on a
consultant psychologist.
During
none of these attendances had the Applicant expressed any concern about
contracting AIDS or Hepatitis and all the complaints which he made were
investigated; for example, in January 1997 he expressed concern about TB and a
subsequent chest x-ray proved normal. The doctor only became aware of the
Applicant's concerns after his application to Court. Dr Reeves stressed that
it was not medical practice to perform routine pre-discharge or pre-transfer
medical examinations on inmates. Dr Reeves made it clear that he provided
primary medical care services on a part-time basis. There is no longer a
resident prison doctor and medical services are provided by Dr Reeves and a
colleague during alternate weeks. Neither he nor his colleague regarded the
prison rules as any longer being a good guideline for medical practice. When
asked about rule 174, which requires the Medical Officer to visit the prison at
least once every day and to see every prisoner at least once a week, the doctor
responded that he was engaged under a part-time contract of employment by the
Department of Justice. His contract was at complete and utter variance with
the 1947 Rules and the rules were obsolete. He said that the Rules were
antiquated, out of date and not related to modern medical practice. It was
conceded by Counsel for the Respondent that the regime set out in the Rules
from Rule 172 to 188 inclusive in part V were based on the old concept of a
resident Medical Officer and was no longer in operation. Dr Reeves stated that
he was retained to provide a primary medical care service and not to provide
consultancy work with regard to sanitation and kitchens nor to provide expert
psychiatric advice. I accept his pithy comment that the Rules are antiquated,
out of date and unrelated to modern medical practice, as being an apt
description of the Rules in part V.
20. The
Court had the benefit of hearing Dr Enda Dooley, consultant psychiatrist, and
the director of the Prison Medical Services, since 1990. He had served as a
member of the committees reporting to the Minister with regard to deaths in
prison and also with regard to communicable diseases in prison. He explained
the nature of TB, Hepatitis A, B and C, HIV and AIDS. He said that
Departmental policy since January 1995 had been not to segregate prisoners
routinely on the basis of being or not being of HIV status. Both in Ireland
and abroad there were indications against such segregation of those who were
HIV positive. He explained that medical attention in prison is on the basis of
consent as in the outside community. Since 1st January, 1995 the policy of
integration has been pursued and is fully in line with international practice.
With regard to Hepatitis A, this was self-limiting and, while poor hygiene
might facilitate infection from faeces, so that there was an increased risk of
Hepatitis A, nevertheless, he was not aware of any epidemic of Hepatitis A in
Irish prisons. Since Hepatitis B and C are infectious via blood or bodily
fluids there was no medical reason why carriers thereof should not be
integrated. Obviously there should be concern about risks from Hepatitis B and
C, such as from common use of an infected needle. He said that there was no
evidence that slopping out of itself was a risk, nevertheless, he felt that it
was undesirable. As for TB, he regarded every incident as significant and said
that there would be an immediate response to a suspected case of TB and that
the prisoner would be isolated and probably transferred to hospital.
21. As
for slopping out, he said that he was unhappy with this particularly in a
crowded prison on medical grounds as it posed a variety of health risks and it
was also an affront to the dignity of the person. He did not support or
condone it. There is an increased peril of faecal oral contagion particularly
if the prisoner lacks the facility to wash his hands. Dr Dooley said that the
new prison being built in Portlaoise would have in-cell sanitation and that the
target date for completion of this programme was in 2000. While no one could
be happy with slopping out, nevertheless, he was not aware of any significant
outbreak of food poisoning or of oral faecal spread of disease.
22. Dr
Dooley agreed that Rule 16 with regard to medical examination on removal or
discharge was not observed and said that it was not practical to comply with
this rule.
23. As
for drug abuse, Dr Dooley said that while drug abuse did occur in Portlaoise
Prison, nevertheless, it was not widespread or open, unfettered or unhindered.
He made it clear that it was medical policy that a person with an infectious
disease should not be working in the prison kitchen.
24. A
convicted person who is held in a prison pursuant to a lawful warrant is in the
situation that many of his normal constitutional rights are abrogated or
suspended. He must accept prison discipline and accommodate himself to the
reasonable organisation of prison life as laid down in the prison regulations.
The prison rules are concerned with a wide variety of administrative
necessities such as the maintenance of discipline, the provision of medical
facilities, hygiene and cleanliness, the regulation of visits and other
matters.
The
Executive has a duty to carry out the order of a Court concerning each prisoner
in its care. A prisoner retains certain constitutional rights and in some
cases these may require to be vindicated. In
The
State (Susan Richardson) -v- Governor of Mountjoy Prison
[1980] ILRM 82, Barrington J. said of the prison rules at page 91:-
26. He
went on to find that the State had failed in its duty under the Constitution
and under the Rules to protect the prosecutrix's health and to provide her with
appropriate facilities to maintain proper standards of hygiene and cleanliness
while a prisoner in Mountjoy Prison. However, he concluded by saying:-
27. In
fact the Court adjourned the matter and when the matter was re-entered, the
Court was informed that the matters complained of were in the process of being
remedied and so Barrington J. made no actual Order of Mandamus.
28. At
page 90 of his judgment Barrington J. included a paragraph which I would
respectfully adopt as being a helpful touchstone in this type of case. He
said:-
29. At
page 201 of his judgment Finlay P. referred to the decision of Barrington J. in
Richardson's
case and said:-
30. Finlay
P. then interestingly went on to sound a note of warning about the using of the
informal nature of an inquiry under Article 40.4.2 as a procedure for pursuing
other remedies such as Mandamus. At page 201 he said:-
31. Later
in the same year Barrington J. adopted a similar course in
The
State (Comerford) -v- The Governor of Mountjoy Prison
[1981] ILRM 86. The applicant for habeas corpus was a prisoner awaiting trial
and on remand in Mountjoy Prison. He had been transferred to a high security
part of the convict section of the prison and so was being held as a remand
prisoner in a manner contrary to that contemplated by the Rules for the
Government of Prisons. Barrington J. held that, although the circumstances of
the prisoner's detention were irregular and illegal, and Section 13 of the
Prisons (Ireland) Act 1877 clearly required a difference in the treatment of
remand prisoners as compared with convicted prisoners, nevertheless the
irregularity was not such as to make the detention unlawful or to entitle the
prisoner to an absolute order of habeas corpus nor was he entitled, in the
alternative, to an absolute order of mandamus. At page 90, Barrington J.
explained the circumstances in Richardson in which he had contemplated making
an order of mandamus:-
33. In
conclusion, it would appear that lesser or easily remediable breaches of the
Prison Rules or of the law with regard to an Applicant's incarceration will not
entitle him to an Order of Habeas Corpus. However, on the other hand, a
serious breach of the law such as a conscious and deliberate violation of the
prisoners rights by systematic torture, might well entitle him to be released.
34. Adopting
the principles set out in the McDonagh and Richardson cases it seems to me that
the Applicant must show that the conditions under which he is presently held in
Portlaoise Prison constitute inhuman or degrading treatment or conditions which
seriously endanger his life or health, and that the authorities are unwilling
or unable to rectify these conditions. Do the present conditions of the
Applicant's situation in Portlaoise Prison seriously endanger his life or
health or subject him to inhuman or degrading treatment? I accept the evidence
of Governor Donoghue that there was no serious problem with drugs in Portlaoise
Prison and that while drugs have been found in Portlaoise, this is rare and
they have found only about two syringes in the last year. I accept the
evidence of Governor Donoghue and of Doctor Reeves that the Applicant had never
expressed a concern to either of them about the conditions in Portlaoise.
Furthermore, it would appear that the Applicant is lodged in Portlaoise Prison
at his own behest. The Applicant has no record of illness in the prison or of
having suffered any injury or near injury as a result of his sharing his cell,
nor has he suffered a needle stick injury or any other injury which he has
reported.
35. On
6th September 1996
In
the matter of an application for Habeas Corpus by William McCarthy
,
I gave judgment in an application for Habeas Corpus in which the Applicant
prisoner made an allegation that he had actually been injured on one occasion
by a needle stick injury. He also alleged that he apprehended further peril
because on a number of other occasions he had found needles and syringes. I
pointed out that no medical report had been adduced in that case and that no
supportive evidence in respect of endangerment to the Applicant's health had
been produced. I held that the Applicant's complaints with regard to his
apprehensions in respect of the perils to his health from the alleged
conditions in Mountjoy Prison and the proofs which had been adduced were not
sufficient to warrant the making of an Order of Habeas Corpus.
36. While
I accept that there is crowded and shared accommodation in Portlaoise Prison
and that there is inadequacy of medical examination on arrival and on transfers
from the point of view of compliance with the existing rules nevertheless, I do
not think that the Applicant has shown that the departures from the Rules have
brought about conditions which seriously endanger his life or health or subject
him to inhuman or degrading treatment.
37. Failure
to comply with the Prison Rules will not necessarily entitle the prisoner to
obtain relief because for the most part the Prison Rules are regulatory only
and non-compliance with them does not invalidate acts done or decision taken in
purported compliance with the Rules. However, it was further conceded by the
Respondent during the hearing that much of part five of the Prison Rules namely
Rules 172-188 inclusive had fallen into disuse and were no longer operative.
This failure to comply with the 1947 Rules does not of itself entitle the
Applicant to be released. In the McDonagh case, the Supreme Court stated that
the stipulation in Article 44(1) of the Constitution that a citizen may not be
deprived of his liberties save in accordance with law
"does
not mean that a convicted person must be released on Habeas Corpus merely
because some defect or illegality attaches to his detention"
.
The Applicant must go further than showing that some of the Rules have fallen
into disuse and that the authorities are failing to comply with the Prison
Rules. He must show that the departures from the Rules have brought about
conditions which endanger his life or health or subject him to inhuman or
degrading treatment.
38. With
regard to the Applicant's specific complaint with regard to over-crowded
conditions, while Rule 4 used to provide for the sole occupation of a cell, it
is clear that this Rule has been amended by S.I. 135 of 1983 which authorises
the Governor to give a direction enabling two or more prisoners to occupy a
cell. I accept the Governor's evidence that many of the prisoners prefer to
share a cell and indeed it would seem that the Applicant has not complained to
the Prison Governor about being confined with his cell-mate, although in his
affidavits he does complain about being confined with a cell-mate in Mountjoy
and subsequently with a cell-mate in Portlaoise due to his worries about their
health status. As for the system of slopping out, this has been widespread in
prisons over the years and is not approved of by the Medical Director or the
Prison Doctors and in fact is being phased out by a programme of modernisation.
39. The
Applicant complains about being confined with prisoners who are suffering from
AIDS, HIV and Hepatitis. As regards Rule 11 this requires the Medical Officer
finding any prisoner on admission to or while in prison to be suffering from an
infectious or contagious disease to report the fact in writing to the Governor
and to take the necessary steps for the prisoner's treatment and for the
prevention of the spread of the disease to other prisoners, this Rule is not
really applicable to the modern forms of contagious diseases under
consideration as causing apprehension to the Applicant namely AIDS, HIV and
Hepatitis B and C as these contagious diseases are transmitted through blood
and bodily fluids. In such a case segregation would seem to serve no useful
purpose. In the matter of desegregation, the Minister has acted on the advice
of an expert Committee in respect of communicable diseases. While it is a part
of the unpleasantness of a prisoner's deprivation of liberty that he is
restricted in his choice of the company he keeps, nevertheless this has certain
reasonable limitations. For example, I expect that an Applicant would receive
a sympathetic response if his application were based on the fact that his
cell-mate, who admitted to being infected with Hepatitis or with AIDS, were to
persist in daubing the Applicant with his blood or excrement.
40. The
Applicant expressed the fear that the trusties in the prison kitchen may be
infected with disease. My understanding of the evidence is that only trusties
who are regarded as being medically clean are permitted to work in the
kitchens. I am aware that Irish prison kitchens have an enviable reputation
for high standards in hygiene. Perhaps the privilege of being allowed work in
the kitchens should be confined to those who have undergone voluntary blood or
other necessary tests and to have shown themselves free of contagion. Perhaps
there would be a difficulty about bringing in such a rule as I suspect that
there is similar resistance from those at the cutting edge in hospital
operating theatres subjecting themselves to voluntary blood tests at regular
intervals, however desirable and practical this appears to be.
41. It
was suggested that there was an accumulation of inadequacies in the prison
system which justified the Applicant's anxiety and constituted a real danger to
his health and well being. I do not think that at present in Portlaoise the
conditions under which the Applicant is being held either individually or taken
together constitute inhuman or degrading treatment or can be categorised as
conditions which seriously endanger his life or health.
42. While
a blood test is a comparatively simple procedure nevertheless it poses
difficulties in respect of the right to bodily integrity and confidentiality in
respect of a person's medical condition. A policy of segregation of those
with contagious diseases would necessarily involve some form of compulsory
testing on prisoners. Government policy, based on expert advice, is in favour
of the policy of integrating most of those suffering from AIDS, HIV and
Hepatitis B and C. No doubt different considerations apply to TB or Hepatitis
A. While the Applicant has expressed disquiet there would appear to be general
acceptance in the prison community in respect of the policy of integration. In
the circumstances it would be disproportionate to require all other prisoners
to be subjected to compulsory testing in order to allay the apprehensions of
the Applicant.
43. I
now return to the topic of the Prison Rules many of which are obsolete and
disregarded. At page 19 of the Richardson case Barrington J. said that
imprisonment was a punishment one of the incidents of which is
"that
(the prisoner) must submit to, and is entitled to the protection of the Prison
Rules"
.
In
The
State (Walsh and McGowan) -v- The Governor of Mountjoy Prison
Unreported Supreme Court 12th December 1975 Chief Justice O'Higgins at page 7
of his judgment for the majority said:-
44. I
would respectfully agree with Byrne, Hogan and McDermott in their excellent
"Prisoners' Rights. A Study in Irish Prison Law"
at page 8 when they wrote:-
45. In
view of the strictures of the Supreme Court and of many Judges since them it
seems remarkable that the Prison Rules have not been revised. The members of
any community are entitled to know under what Rules their lives are regulated.
By way of example, one can imagine the reaction of the parents of children in a
school to the statement that the Rules relating to the health of the pupil and
medical matters are so out of date, unworkable and obsolete that the School
Principal and Doctors ignore the written Rules as they regard them as being
antiquated and impracticable. To operate certain rules and to ignore others at
the discretion of those in authority and implementing a regime which already
deprives a person of his liberty is to make further inroads into the vestiges
of self-respect left to the individual and also to cut in to the control which
he or she exercises over his or her life within the prison's institutional
confines. The basic tenets of a regime of incarceration should be fair,
rational and clear rules. This is not to say that every
"i"
must be dotted and every
"t"
must be crossed but general principles in the Rule book of a penal institution
should be set out with a fair degree of clarity. The present regime of
regulations is conceded to be obsolete and to be ignored in many vital respects
pertaining to the health and welfare of a prisoner. It is unfair that there
should be uncertainty as to which rules the Minister and the Prison Governors
regard as being extant and which rules the Prison Governor feels should be
ignored with impunity.
46.
It is ironic that Rule 124 (1) of the Prison Rules states that the Governor
must comply strictly with the Rules. There has been blatant and systematic
breach of Rule 16 with regard to medical examinations. Times have changed and
so has medical practice but the Rules have not been revised. This is unfair to
the Doctors, to the prison staff and to the prisoners. It is regrettable that
successive Ministers and the Department of Justice, responsible for prisons,
have allowed actual practice to diverge from the Rules. The Governors and
staff are put in an untenable position in that the authorities are obliged to
cherry-pick as to which Rules on the one hand are to be enforced and in respect
of which rules there is to be compliance, while on the other hand there are
Rules which are to be ignored and not observed. In any particular community
there should be a regime which is practical, fair, known and reasonably
certain. In default of this then injustice, whimsy, caprice and autocratic
unfairness tend to flourish. It is regrettable that the Rules have not been
revised so that in many cases they have become obsolete and are ignored by the
authorities as being outmoded and impractical. It is a tribute to the Prison
Governors that they are not accused of arbitrary and capricious application of
the Rules. If such a system of divergence between the Rules and practice
persists for any length of time then this becomes oppressive and unfair in an
institution in which the inmates are necessarily deprived of certain basic
rights.
47. Finally,
Counsel on behalf of the Applicant urged the Court to have regard to the
provisions of the European Convention on Human Rights (1953). Counsel for the
Applicant concedes that the convention is not yet part of Irish Law. It seems
to me that this Court can look to the European Convention as being an
influential guideline with regard to matters of public policy. However, the
convention has never been incorporated into domestic Irish Law and while it
applies to Ireland it does not apply within Ireland. An Irish citizen who
believes that the Irish State is infringing the Convention, as in
Norris
-v- Attorney General
[1984] IR 36 may bring a case against Ireland for failing to respect
obligations under this convention; but Senator Norris could not rely on the
Convention in the Irish Courts because under domestic law the State is not
bound to comply with the Articles of the Convention.
(See In Re. O'Laighleis [1960] IR 93).
No
doubt the Convention does state that no one should be subjected to torture or
to inhuman or degrading treatment or punishment and that the notion of inhuman
treatment covers at least such treatment as deliberately causes suffering
physical or mental, which in the particular situation is unjustifiable.
Nevertheless it seems that the Irish Constitution both by enumerated and
unenumerated rights gives appropriate protection in particular to those who are
deprived under law of their liberty whether by way of being mental patients or
convicts duly sentenced.