Scandal of force-fed prisoners 

Hunger strikers are tied down and fed through nasal tubes, admits Guantánamo 
Bay doctor 

David Rose
Sunday January 8, 2006
The Observer 


New details have emerged of how the growing number of prisoners on hunger 
strike at Guantánamo Bay are being tied down and force-fed through tubes pushed 
down their nasal passages into their stomachs to keep them alive.
They routinely experience bleeding and nausea, according to a sworn statement 
by the camp's chief doctor, seen by The Observer.

'Experience teaches us' that such symptoms must be expected 'whenever 
nasogastric tubes are used,' says the affidavit of Captain John S Edmondson, 
commander of Guantánamo's hospital. The procedure - now standard practice at 
Guantánamo - 'requires that a foreign body be inserted into the body and, 
ideally, remain in it.' But staff always use a lubricant, and 'a nasogastric 
tube is never inserted and moved up and down. It is inserted down into the 
stomach slowly and directly, and it would be impossible to insert the wrong end 
of the tube.' Medical personnel do not insert nasogastric tubes in a manner 
'intentionally designed to inflict pain.'

It is painful, Edmonson admits. Although 'non-narcotic pain relievers such as 
ibuprofen are usually sufficient, sometimes stronger drugs,' including opiates 
such as morphine, have had to be administered.

Thick, 4.8mm diameter tubes tried previously to allow quicker feeding, so 
permitting guards to keep prisoners in their cells for more hours each day, 
have been abandoned, the affidavit says. The new 3mm tubes are 'soft and 
flexible'.

The London solicitors Allen and Overy, who represent some of the hunger 
strikers, have lodged a court action to be heard next week in California, where 
Edmondson is registered to practise. They are asking for an order that the 
state medical ethics board investigate him for 'unprofessional conduct' for 
agreeing to the force-feeding.

Edmonson's affidavit, in response to a lawsuit on behalf of detainees on hunger 
strike since last August, was obtained last week by The Observer, as a 
Guantánamo spokesman confirmed that the number of hunger strikers has almost 
doubled since Christmas, to 81 of the 550 detainees. Many have been held since 
the camp opened four years ago this month, although they not been charged with 
any crime, nor been allowed to see any evidence justifying their detention.

This and other Guantánamo lawsuits now face extinction. Last week, President 
Bush signed into law a measure removing detainees' right to file habeas corpus 
petitions in the US federal courts. On Friday, the administration asked the 
Supreme Court to make this retroactive, so nullifying about 220 cases in which 
prisoners have contested the basis of their detention and the legality of 
pending trials by military commission.

Although some prisoners have had to be tied down while being force-fed, 'only 
one patient' has had to be immobilised with a six-point restraint, and 'only 
one' passed out. 'In less than 10 cases have trained medical personnel had to 
use four-point restraint in order to achieve insertion.' Edmondson claims the 
actual feeding is voluntary. During Ramadan, tube-feeding takes place before 
dawn.

Article 5 of the 1975 World Medical Association Tokyo Declaration, which US 
doctors are legally bound to observe through their membership of the American 
Medical Association, states that doctors must not undertake force-feeding under 
any circumstances. Dr David Nicholl, a consultant neurologist at Queen 
Elizabeth's hospital in Birmingham, is co-ordinating opposition to the 
Guantánamo doctors' actions from the international medical community. 'If I 
were to do what Edmondson describes in his statement, I would be referred to 
the General Medical Council and charged with assault,' he said.

· Yesterday the new German Chancellor Angela Merkel became the latest leader to 
condemn the United States for practices at the prison. In a magazine interview 
days before her first visit as premier to the US, Merkel said Washington should 
close Guantánamo and find other ways of dealing with terror suspects.

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