35773/18;46080/18;48419/19;55990/20;2052/21;7399/21;8315/21;11504/21;25394/21

WyrokETPCz2024-06-06ECLI:CE:ECHR:2024:0606JUD003577318

Analiza orzeczenia

Sekcja wygenerowana przez AI na podstawie treści orzeczenia — nie stanowi cytatu.

Zagadnienie prawne
Czy niezapewnienie odpowiedniej opieki medycznej osobom pozbawionym wolności oraz brak skutecznych środków odwoławczych w tym zakresie stanowi naruszenie art. 3 i art. 13 Konwencji?
Ratio decidendi
Trybunał uznał, że władze krajowe mają obowiązek zapewnić osadzonym odpowiednią opiekę medyczną, która obejmuje szybką i dokładną diagnozę, regularny i systematyczny nadzór oraz kompleksową strategię terapeutyczną. Stwierdzono, że opieka medyczna w więzieniach musi być porównywalna z jakością opieki dostępnej dla ogółu społeczeństwa. W niniejszej sprawie Trybunał zidentyfikował niedociągnięcia w leczeniu medycznym skarżących, co doprowadziło do wniosku, że nie otrzymali oni kompleksowej i adekwatnej opieki medycznej, naruszając art. 3 Konwencji. Ponadto, Trybunał potwierdził swoje ugruntowane orzecznictwo, zgodnie z którym w Rosji brakuje skutecznych krajowych środków odwoławczych w odniesieniu do jakości opieki medycznej w areszcie, co stanowi naruszenie art. 13 Konwencji. W odniesieniu do innych skarg, Trybunał oparł się na swoim ugruntowanym orzecznictwie dotyczącym warunków detencji, transportu i długości aresztu tymczasowego.
Stan faktyczny
Skarżący, osoby pozbawione wolności w Rosji, wnieśli skargi do ETPCz, zarzucając, że nie otrzymali odpowiedniej opieki medycznej w detencji, pomimo cierpienia na poważne schorzenia, takie jak wirusowe zapalenie wątroby typu C, HIV/AIDS, przewlekłe hemoroidy, zapalenie prostaty, choroby nerek, wady wzroku, problemy stomatologiczne, urazy fizyczne i choroby psychiczne. Wskazywali na braki w diagnozie, opóźnienia w leczeniu farmakologicznym, braki w konsultacjach specjalistycznych i brak leczenia szpitalnego. Dodatkowo, skarżyli się na brak skutecznych środków odwoławczych w prawie krajowym w odniesieniu do jakości opieki medycznej. Niektórzy skarżący podnieśli również inne zarzuty dotyczące warunków transportu, użycia metalowych klatek w sądach oraz nadmiernej długości aresztu tymczasowego.
Rozstrzygnięcie
Trybunał jednogłośnie: - Postanawia połączyć skargi. - Stwierdza, że ma jurysdykcję do rozpatrzenia skarg skarżących, ponieważ dotyczą one faktów, które miały miejsce przed 16 września 2022 r. - Uznaje skargi dotyczące złej opieki medycznej w detencji oraz braku skutecznego krajowego środka odwoławczego w tym zakresie, a także inne skargi objęte ugruntowanym orzecznictwem Trybunału, za dopuszczalne i uznaje, że nie ma potrzeby odrębnego badania pozostałych skarg podniesionych przez skarżących. - Stwierdza, że niniejsze skargi ujawniają naruszenie art. 3 Konwencji z powodu nieodpowiedniej opieki medycznej w detencji. - Stwierdza, że niniejsze skargi ujawniają naruszenie art. 13 Konwencji z powodu braku skutecznego krajowego środka odwoławczego w odniesieniu do skarg dotyczących jakości opieki medycznej w detencji. - Stwierdza, że doszło do naruszenia Konwencji w odniesieniu do innych skarg podniesionych w ramach ugruntowanego orzecznictwa Trybunału (zob. załączona tabela). - Orzeka, że państwo pozwane ma zapłacić skarżącym, w terminie trzech miesięcy, kwoty wskazane w załączonej tabeli, które zostaną przeliczone na walutę państwa pozwanego według kursu obowiązującego w dniu rozliczenia. - Orzeka, że od upływu wyżej wymienionych trzech miesięcy do dnia rozliczenia od powyższych kwot będą naliczane odsetki proste według stopy równej krańcowej stopie oprocentowania Europejskiego Banku Centralnego w okresie zwłoki plus trzy punkty procentowe.

Pełny tekst orzeczenia

FIRST SECTION CASE OF YANOV AND OTHERS v. RUSSIA (Applications nos. 35773/18 and 8 others – see appended list)             JUDGMENT   STRASBOURG 6 June 2024   This judgment is final but it may be subject to editorial revision. In the case of Yanov and Others v. Russia, The European Court of Human Rights (First Section), sitting as a Committee composed of:  Lətif Hüseynov, President,  Ivana Jelić,  Erik Wennerström, judges, and Viktoriya Maradudina, Acting Deputy Section Registrar, Having deliberated in private on 16 May 2024, Delivers the following judgment, which was adopted on that date: PROCEDURE 1.  The case originated in applications against Russia lodged with the Court under Article 34 of the Convention for the Protection of Human Rights and Fundamental Freedoms (“the Convention”) on the various dates indicated in the appended table. 2.  Notice of the applications was given to the Russian Government (“the Government”). THE FACTS 3.  The list of applicants and the relevant details of the applications are set out in the appended table. 4.  The applicants alleged that they did not receive adequate medical care in detention and that there was no effective remedy in that regard. Some applicants also raised other complaints under the provisions of the Convention. THE LAW JOINDER OF THE APPLICATIONS 5.  Having regard to the similar subject matter of the applications, the Court finds it appropriate to examine them jointly in a single judgment. JURISDICTION 6.  The Court observes that the facts giving rise to the alleged violations of the Convention occurred prior to 16 September 2022, the date on which the Russian Federation ceased to be a party to the Convention. The Court therefore decides that it has jurisdiction to examine the present applications (see Fedotova and Others v. Russia [GC], nos. 40792/10 and 2 others, §§ 68‑73, 17 January 2023). ALLEGED VIOLATION OF ARTICLE 3 OF THE CONVENTION 7.  The applicants complained principally that they were not afforded adequate medical treatment in detention. They relied on Article 3 of the Convention. 8.  The Court notes that the applicants suffered from serious medical conditions, as indicated in the appended table, which affected their everyday functioning. Therefore, they could have experienced considerable anxiety as to whether the medical care provided to them was adequate. 9.  The Court reiterates that the “adequacy” of medical assistance remains the most difficult element to determine (see Blokhin v. Russia [GC], no. 47152/06, § 137, ECHR 2016). It has clarified in this context that the authorities must ensure that diagnosis and care are prompt and accurate (see, for example, Gorbulya v. Russia, no. 31535/09, § 62, 6 March 2014, with further references, and Pokhlebin v. Ukraine, no. 35581/06, § 62, 20 May 2010, with further references) and that ‒ where necessitated by the nature of a medical condition ‒ supervision is regular and systematic and involves a comprehensive therapeutic strategy aimed at successfully treating the detainee’s health problems or preventing their aggravation (see, inter alia, Ukhan v. Ukraine, no. 30628/02, § 74, 18 December 2008, with further references, and Kolesnikovich v. Russia, no. 44694/13, § 70, 22 March 2016, with further references). The Court stresses that medical treatment within prison facilities must be appropriate and comparable to the quality of treatment which the State authorities have committed themselves to providing for the entirety of the population. Nevertheless, this does not mean that each detainee must be guaranteed the same level of medical treatment that is available in the best health establishments outside prison facilities (see, for instance, Sadretdinov v. Russia, no. 17564/06, § 67, 24 May 2016, with further references, and Konovalchuk v. Ukraine, no. 31928/15, § 52, 13 October 2016, with further references). 10.  Having examined all the material submitted to it, the Court has identified the shortcomings in the applicants’ medical treatment, which are listed in the appended table. The Court has already found a violation in respect of issues similar to those in the present case (see Blokhin, cited above, §§ 120-50, ECHR 2016, Reshetnyak v. Russia, no. 56027/10, §§ 49-101, 8 January 2013, and Koryak v. Russia, no. 24677/10, §§ 70-110, 13 November 2012). Bearing in mind its case-law on the subject, the Court considers that in the instant case the applicants did not receive comprehensive and adequate medical care whilst in detention. 11.  These complaints are therefore admissible and disclose a breach of Article 3 of the Convention. ALLEGED VIOLATION OF ARTICLE 13 OF THE CONVENTION 12.  The applicants also complained that no effective domestic remedies regarding the quality of the medical care in detention were available to them. Their complaints fall to be examined under Article 13 of the Convention. 13.  The Court has on many occasions established that there is a lack of effective domestic remedies to complain about the quality of medical treatment in detention (see, among many other authorities, Reshetnyak, cited above, §§ 49-101, and Koryak, also cited above, §§ 70-110). In the aforementioned cases the Court established that none of the legal avenues suggested by the Government constituted an effective remedy to prevent the alleged violations or stop them from continuing, or to provide the applicants with adequate and sufficient redress for their complaints under Article 3 of the Convention. 14.  The Court sees no reason which would justify departure from its well‑established case-law on the issue. It finds that the applicants did not have at their disposal an effective domestic remedy for their complaints, in breach of Article 13 of the Convention. OTHER ALLEGED VIOLATIONS UNDER WELL-ESTABLISHED CASE-LAW 15.  Some applicants submitted other complaints which also raised issues under the Convention, given the relevant well-established case-law of the Court (see appended table). These complaints are not manifestly ill-founded within the meaning of Article 35 § 3 (a) of the Convention, nor are they inadmissible on any other ground. Accordingly, they must be declared admissible. Having examined all the material before it, the Court concludes that they also disclose violations of the Convention in the light of its findings in Svinarenko and Slyadnev v. Russia [GC], nos. 32541/08 and 43441/08, ECHR 2014 (extracts), concerning detention in a metal cage during court hearings; Dirdizov v. Russia, no. 41461/10, 27 November 2012, regarding unjustified pre-trial detention; and Tomov and Others v. Russia, nos. 18255/10 and 5 others, §§ 92-156, 9 April 2019, concerning conditions of detention during transport and the lack of an effective remedy in that respect. REMAINING COMPLAINTS 16.  Some applicants, in addition, complained under Articles 3, 13 and 14 of the Convention about conditions of detention after conviction and lack of an effective remedy in this connection. Having regard to the facts of the case, the submissions of the parties, and its findings above, the Court considers that it has dealt with the main legal questions raised by the case and that there is no need to examine these complaints (see Centre for Legal Resources on behalf of Valentin Câmpeanu v. Romania [GC], no. 47848/08, § 156, ECHR 2014). APPLICATION OF ARTICLE 41 OF THE CONVENTION 17.  Regard being had to the documents in its possession and to its case‑law (see, in particular, Kolesnikovich, cited above, §§ 82-92, Tselovalnik v. Russia, no. 28333/13, §§ 70-77, 8 October 2015 and Budanov v. Russia, no. 66583/11, §§ 77-83, 9 January 2014), the Court considers it reasonable to award the sums indicated in the appended table. FOR THESE REASONS, THE COURT, UNANIMOUSLY, Decides to join the applications; Holds that it has jurisdiction to deal with the applicants’ complaints as they relate to facts that took place before 16 September 2022; Declares the complaints about poor medical assistance in detention and about the lack of an effective domestic remedy in that regard and other complaints under the well-established case-law of the Court, as indicated in the table appended below, admissible, and considers that it is not necessary to examine separately the remaining complaints raised by the applicants; Holds that these applications disclose a breach of Article 3 of the Convention on account of the inadequate medical care in detention; Holds that these applications disclose a breach of Article 13 of the Convention on account of the lack of an effective domestic remedy regarding complaints about the quality of the medical care in detention; Holds that there has been a violation of the Convention as regards the other complaints raised under the well-established case-law of the Court (see appended table); Holds (a)  that the respondent State is to pay the applicants, within three months, the amounts indicated in the appended table, to be converted into the currency of the respondent State at the rate applicable at the date of settlement; (b)  that from the expiry of the above-mentioned three months until settlement simple interest shall be payable on the above amounts at a rate equal to the marginal lending rate of the European Central Bank during the default period plus three percentage points. Done in English, and notified in writing on 6 June 2024, pursuant to Rule 77 §§ 2 and 3 of the Rules of Court.    Viktoriya Maradudina Lətif Hüseynov  Acting Deputy Registrar President   APPENDIX List of applications raising complaints under Articles 3 and 13 of the Convention (inadequate medical treatment in detention and lack of any effective remedy in domestic law) No. Application no. Date of introduction Applicant’s name Year of birth   Representative’s name and location Principal medical condition Shortcomings in medical treatment Dates Other complaints under well-established case-law Amount awarded for pecuniary and non‑pecuniary damage and costs and expenses per applicant (in euros)[1]     35773/18 04/07/2018 Sergey Nikolayevich YANOV Andreyev Ashot Aleksandrovich Syktyvkar hepatitis C lacking/delayed drug therapy, lack of/delay in medical examination   from 13/10/2016 and possibly ongoing as of 16/09/2022 5 year(s) and 11 month(s) and 4 day(s) Art. 3 - inadequate conditions of detention during transport - numerous occasions of transport between the detention facility and the courthouse in the period between 13/10/2016 and 11/04/2018; overcrowded van and detention in an overcrowded collection cell in the courthouse; and poor conditions of the applicant’s transport between detention facilities in April-May 2018 and on 21-22/02/2019 (by train and van); 0.4 sq. m of personal space (insufficient number of sleeping places, no or restricted access to toilet),   Art. 3 - use of metal cages and/or other security arrangements in courtrooms - Syktyvkar Town Court of the Komi Republic, 15/01/2018,   Art. 13 - lack of any effective remedy in domestic law to complain about poor conditions of transport 19,500     46080/18 11/09/2018 Kurbonali Radzhabaliyevich SATTOROV   chronic external haemorrhoids lack of/delay in consultation by a specialist, lack of/delay in medical examination, lack of surgery, lack of drug therapy   from 05/08/2013 and possibly ongoing as of 16/09/2022 9 year(s) and 1 month(s) and 12 day(s)   15,000     48419/19 01/08/2019 Andrey Ivanovich LABUSHKIN     HIV/AIDS, hepatitis lack of/delay in medical testing, lack of/delay in medical examination   from 20/08/2020 and possibly ongoing as of 16/09/2022 2 year(s) and 28 day(s) Art. 3 - inadequate conditions of detention during transport - Inadequate conditions of transport in a van, train (insufficient number of sleeping places, lack of fresh air, lack of or inadequate hygienic facilities, overcrowding, no or restricted access to toilet) from 03/03/2019 to 25/05/2019,   Art. 13 - lack of any effective remedy in domestic law in respect of inadequate conditions of detention during transport 16,000     55990/20 28/12/2020 Ivan Grigoryevich KLYAYN Vikhlyantseva Marina Valentinovna Tomsk prostatitis, incontinence, pyelonephritis lack of/delay in medical examination, lacking/delayed drug therapy, lack of inpatient treatment   30/11/2020 to 13/01/2021 1 month(s) and 15 day(s) Art. 3 - use of metal cages and/or other security arrangements in courtrooms - Kirovskiy District Court, 14/11/2020,   Art. 5 (3) - excessive length of pre-trial detention - from 13/11/2020 and possibly ongoing as of 16/09/2022, Kirovskiy District Court of Tomsk, Tomsk Regional Court - failure to assess the applicant’s personal situation reducing the risks of re-offending, colluding or absconding use of assumptions, in the absence of any evidentiary basis, of the risks of absconding or obstructing justice failure to examine the possibility of applying other measures of restraint fragility of the reasons employed by the courts 19,500     2052/21 03/12/2020 Yulian Yevgenyevich NEMTSEV     kidney and urinary disease, lower limbs varicose veins, osteochondrosis lacking/delayed drug therapy, lack of/delay in medical examination   from 30/07/2019 and possibly ongoing as of 16/09/2022 3 year(s) and 1 month(s) and 18 day(s) Art. 3 - inadequate conditions of detention during transport 1) train, 08/08/2021 - 09/08/2021, 0.4 sq. m per inmate inadequate temperature, insufficient number of sleeping places, lack of or insufficient natural light, overcrowding, lack of or insufficient electric light; 2) train, 02/11/2021, 0.4 sq. m per inmate: inadequate temperature, insufficient number of sleeping places, lack of fresh air, lack of or insufficient electric light, lack of or insufficient natural light, overcrowding,   Art. 13 - lack of any effective remedy in domestic law in respect of inadequate conditions of detention during transport       16,000     7399/21 13/01/2021 Anton Nikolayevich DEMIN Andreyev Ashot Aleksandrovich Syktyvkar heart condition, hepatitis, myopia, undiagnosed back pain lack of/delay in consultation by a specialist, lack of/delay in medical examination, lack of/delay in medical testing, lacking/delayed diet, lacking/delayed drug therapy   from 07/01/2016 and possibly ongoing as of 16/09/2022 6 year(s) and 8 month(s) and 10 day(s)   15,000     8315/21 18/01/2021 Aleksey Vladimirovich KVASHIN     failure to provide medical care related to serious dental problems, lack of proper dental prosthetics care lack of/delay in consultation by a specialist, lack of/delay in medical examination, failure to provide the prosthetic dentistry   from 09/12/2016 and possibly ongoing as of 16/09/2022 5 year(s) and 9 month(s) and 8 day(s)             15,000     11504/21 29/01/2021 Sergey Olegovich YELISEYEV     physical injury, left shoulder, complications after the surgeries lack of/delay in medical examination, lack of/delay in medical testing, lack of/delay in consultation by a specialist, delay in surgery   from 31/05/2014 and possibly ongoing as of 16/09/2022 8 year(s) and 3 month(s) and 17 day(s)   15,000     25394/21 19/04/2021 Dmitriy Vyacheslavovich STARKIN     mental disease, psychopathy lack of/delay in consultation by a specialist, lacking/delayed drug therapy, lack of/delay in medical examination   from 10/01/2021 and possibly ongoing as of 16/09/2022 1 year(s) and 8 month(s) and 7 day(s) Art. 3 - inadequate conditions of detention during transport - Conditions of the applicant’s transport by train, van from 31/10/2020 to 30/01/2021: 0.35 sq. m. of personal space, applicant transported on numerous occasions, overcrowding, insufficient number of sleeping places, lack or insufficient quantity of food, lack of requisite medical assistance, no or restricted access to toilet, no or restricted access to potable water;   Art. 13 - lack of any effective remedy in domestic law in respect of inadequate conditions of detention during transport 16,000     [1] Plus any tax that may be chargeable to the applicants.

© Rada Europy / Europejski Trybunał Praw Człowieka, źródło: HUDOC (hudoc.echr.coe.int), pozyskano 29.07.2026. · Źródło