Age discrimination, How to have the best Sunday in L.A., according to Rainn Wilson, Schiff reports major cash advantage over Porter and Lee in Senate race, The Ultimate L.A. Bookshelf: 110 essential Los Angeles books, Scooter operators say strict rules, rampant theft threaten business in San Diego, Mayor Bass seeks $250-million expansion of homelessness program in first State of the City speech, Federal court slows a California ban on natural gas appliances, Striking Medieval Times workers struck by car on picket line, 17 arrested in connection with 11 gang-related Sikh shootings in Northern California. Hunger strikers often rely on the moral force of their protest, as some may be determined to even die for their cause. Physicians working in prisons, despite what may be their best intentions, may not be trusted by prisoners, and may be perceived, perhaps wrongly, as part of the coercive authority. Hunger strikes by prisoners all over the world are a much more common occurrence than in the past, as any prison governor (and the media) is well aware. In cases of real voluntary total fasting, usually by politically motivated prisoners or prisoners supporting a specific cause, be it ethnic, religious or otherwise, there may be a will to go all the way and accept the physiological consequences of a prolonged fast. A hunger strike is a method of protest during which food is refused. over 60 days. The World Medical Association has since adopted the 1991 Declaration of Malta on hunger strikes. The thought that government might entitle her to favored treatment, because she (and I for that matter) is considered disadvantaged is an insult! Although these declarations may apply to different situations, they share the obvious common denominator of being concerned with the patients welfare. Indian activist Irom Sharmila ended her hunger strike in 2016 after refusing food for 16 years -- arguably the longest such fast in the world. One has to determine exactly how motivated the strikers are, as this will influence possible ethical dilemmas when the strike is at an advanced stage. Galaxy Group of Companies and the Fondation Universit Franaise en Armnie (UFAR) have entered into a new format of cooperation. However, a protester can die much sooner -- after three weeks if they're seriously ill. A joint project of Galaxy Group of Companies and theState Symphony Orchestra of Armenia, Largest Corporate Bond Program at the Securities Market of Armenia Completed Successfully, A willpower to live the life re-found. We are deeply concerned about the danger to their health in the sacrifice they have been making. In countries where prisoners rights are not fully respected, hunger strikes may be a last resort for prisoners wanting to protest against their situation The World Medical Association (WMA) hasestablished Guidelines for doctors involved in hunger strikes. Prison doctors in relatively benign systems will carry out whatever medical duties are prescribed in such cases. See also Ismir in the last hunger strikes Dr. Zaki Gul, in Toplum ve Hekim, Eyll-Aralik 1996.) If the prisoner has clearly stated that he refuses to be force-fed, then the doctor must use his clinical and moral judgement to do his best for the patient. According to a study written by Kevin Grant, a professor of history at Hamilton College in New York, one of these hunger strikes was recorded in 1878, when political prisoners held in the Peter and Paul Fortress in St. Petersburg refused food to protest against inhumane prison conditions. India's Mahatma Gandhi staged several hunger strikes to protest British rule, the longest said to have been 21 days. Second, the act of feeding through a forcibly introduced naso-gastric tube can be dangerous in itself, as was demonstrated by two deaths in the region in the early 1980s. The links between situations of torture and hunger strikes in the context of imprisonment will also be reviewed, leading to a discussion on the two World Medical Association declarations that specifically deal with hunger strikes. Viva-MTS Survey: What women want to get as a gift for March 8? and others, will be particularly relevant here. The term hunger strike can refer to a wide variety of situations. Within the next week, he or she may suffer from vision loss or other neurological problems. It is inappropriate to assert, however, that hunger strikers should be placed in the same category as persons intending to commit suicide. Physicians are duty-bound to care for their patients, and this includes hunger- striking prisoners, against the background of trust established in a true doctor-patient relationship. Hunger strikes by protesters not actually in custody can take various forms, but are not the issue here. Ever since gaining independence, Armenia has seen numerous other cases of hunger-strikes, including in penitentiary institutions. On October 20, after camping out on strike for 32 days in front of City Hall, about a dozen New York City taxi drivers and allies started a hunger strike. Therefore any patients who, for example, try to starve themselves to death as a result of extreme depression are automatically ruled out. * Re: UCI, Protesters Ignore Deadline (Oct. 29). It is mostly used by those who have no other form of protest available -- usually prisoners. Even political hunger strikes are not all deadly serious, and many may peter out within a few days after generating sufficient publicity. If, however, there is reason to believe that the fast really is serious, there are several issues that any doctor involved has to consider. In many of these hunger strikes prisoners decided to abandon their fast, after receiving medical advice on their specific conditions. In a few cases, it was the families of prisoners who asked doctors to intervene at an advanced stage to save their sons'lives, a request that was complied with. Do Not Sell or Share My Personal Information, The actor, the hairstylist and the eye surgeon: Drugs and death in a Malibu beach house, Have guests in town? It is essential to know exactly what the situation is to be able to respond in the most constructive way and avoid making false assumptions. This was acknowledged by the World Medical Association in its Declaration of Tokyo in 1975. Hunger helps the organism overcome the ordinary monotonous condition. ICRC physicians, as independent outside doctors, often have a crucial role to play as medical intermediaries in such situations. The phenomenon is known for both its positive and negative impacts. A climate of trust is obviously essential here, as in any doctor-patient relationship. The reasons for fasting in custody can be extremely varied (Restellini 1989, Johannes Wier Foundation 1995), from protesting against perceived petty offences to higher moral, political or philosophical considerations. After much debate, in which the ICRC was officially involved, with the author of this paper actively lobbying and working on the issue, the WMA decided to draw up a new statement, the 1991 WMA Declaration of Malta on hunger strikes. In other situations, however, forcible nourishment will be a crucial issue, and will lead to much soul-searching for the physicians involved. To simplify the issue, it is possible to divide hunger strikers according to this criterion into two sub-groups, best described as determined and not-so-determined hunger strikers. We are going to remain deeply engaged in diplomacy to end the violence. In Turkey, in the summer of 1996, hundreds of political prisoners went on hunger strike, protesting about various issues concerning their imprisonment. A hunger strike is a special type of protest in which participants are prepared to harm themselves to achieve a goal. For the sake of clarity, fasting prisoners should be divided into two quite separate groups, even if they all describe themselves as hunger strikers. One prison doctor in the Middle East told the author: When such a large number of prisoners" (over 2.000 in this particular case) go on a hunger strike, of course I have to order them to be force-fed to save their lives . Facing permanent damage to his health and the prospect of being force-fed, he ended the hunger strike on October 6, 2018. If such prisoners went on a hunger strike, doctors would not be compelled to force-feed or resuscitate them, thereby making them fit enough to go back to the torture chamber. She was eventually swapped for two Russian prisoners in May 2016 after serving two years of her sentence. Seasoned prison doctors, who have spent whole careers working in prison environments, will be best at handling such prisoners, carefully balancing respect for the patient with a firm approach on what they can and should do from a medical point of view. The Geneva-based organizations visits to prisoners around the world are just one part of its varied work protecting victims of conflict and violence everywhere. One suffers a [physical or mental] breakdown, while another has positive feelings and new energy. On his personal website, the Armenian clinical psychologist, Mihrdat Madatyan, speaks of a special method of fasting designed for treating depressions. Then there are the normal, mentally able prisoners who decide to suspend their food (and sometimes liquid) intake for a certain period of time, most often for some personal reason or (rarely) on behalf of the group they may represent. Galaxy Group of Companies and Fondation Universit Franaise en Armnie Sign Memorandum of Understanding, "The Woman": Viva-MTS project dedicated to women's month, We believe in the potential of our team and Armenia. Many were released from prison, but others were forcibly fed. Although the ICRC sent a team with a medical doctor to see the fasting prisoners (as was widely reported in the press at time), the hunger strikers in this case refused to accept any outside medical mediation. In tolerant systems, they may tax the patience of both the prison authorities and the prison doctor. With the increasing number of drone pilots and drones becoming more mainstream, the fun factor of drones is certainly a huge contributing factor to the growth of the industry. The element of coercion in custodial situations, whereby the prison authorities have to define their position vis--vis a form of protest that is most likely to be against the internal rules, possibly even against the law of the land, substantially complicates the issue. If a prisoner has clearly stated that he refuses to be force-fed, then the doctor must use his clinical and moral judgement to do his best for the patient without resorting to any form of coercion. Thus, contemporary science knows Paul Braggs method, which allows fasting for up to 7-10 days without a doctors observation. Disadvantages of Agrarian Culture. The second type of food refuser is the determined food refuser . All of these solutions are very plausible and would not cost that much Usually, though not always, they are carried out by individuals or groups of persons in custody. What will that do for me? He said, Well, you can graduate with only a 2.4 [grade-point average]! To which I replied: Thats stupid! The key aspect here is not the pressure the prisoner hopes to exert by fasting, but rather the despair which generates an unclear cry for help by the only means he or she can think of - a hunger strike. Introductory illustration by Carlos Coelho, Edited by Grant Podelco and Coilin O'Connor, Sources: AFP, BBC, Guidelines for the clinical management of people refusing food in immigration removal centers and prisons, Human Rights Watch, The Lancet, U.K.'s National Institute for Health and Care Excellence, Reuters, media reports. Format of cooperation deeply engaged in diplomacy to end the violence a of... To their health in the last hunger strikes Dr. Zaki Gul, in Toplum ve,... 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