Tuesday, April 22, 2014

Public Consultation on Research on Biological Materials of Human Origin

The Committee of Bioethics of the Council of Europe (DH-BIO) has made public a Working document on research on biological materials of human origin. The purpose of the consultation is to elicit comments which will be taken into consideration in finalising the revision process of Recommendation (2006) 4 of the Committee of Ministers of the Council of Europe, on research on biological materials of human origin.

The Committee of Bioethics would be particularly interested in receiving comment sin three areas: storage for future research of residual biological materials; removal, storage and use of biological materials from persons not able to consent; and governance. 

Comments may be made until 15th of August 2014 via email: dgl.consultation@coe.int.


The cover letter can be found here.

The Working Document on Research on Biological Materials of Human Origin can be accessed here.

Radu v. Republic of Moldova

In the case of Radu v. the Republic of Moldova (Application no. 50073/07.) the Court found a violation of Article 8 of the ECHR in relation with the dislcosure of confidential medical data of a pregnant woman to her employer.

The applicant, Ms Liliana Radu, was a lecturer at the Police Academy in Chişinău. In 2003 she underwent artificial insemination at a fertility clinic and became pregnant with twins. On 3 August 2003 a doctor from the No. 7 Centre for Family Doctors (hereafter referred to as CFD) found an increased risk of miscarriage in relation with her pregnancy and therefore ordered her immediate hospitalization. Liliana Radu was confided into CFD between 4 and 20 August 2003 of which her employer was notified via a sick note referring to her pregnancy and an increased risk of miscarriage. The President of the Police Academy however requested information from the CFD in November 2003 regarding the person who had ordered her hospitalisation, the initial and final diagnoses, and the treatment she had received. As a response, the CFD disclosed the requested data and information that: this was the applicant’s first pregnancy, she was carrying twins; the pregnancy had resulted from artificial insemination, the applicant had hepatitis B, the applicant had obstetrical complications, she had a negative blood type. The clinic further attached a copy of the applicant’s medical file to the letter. Ms Radu suffered a miscarriage shortly after the disclosure due the stress to which she had been subjected, according to the medical report.

She brought proceedings against the hospital and the Police Academy claiming compensation for a breach of her right to private life, which were ultimately dismissed in May 2007 by the Supreme Court as it considered that the hospital had been entitled to disclose the requested information to Ms Radu’s employer.


Ms Radu complained about the hospital’s disclosure of sensitive information about her health to her employer. She further alleged that the court proceedings had been unfair because the courts had adopted arbitrary decisions and failed to give reasons for them. She relied on Articles 6 and 8 of the ECHR in her application.

Violation of Article 8

The ECtHR noted at the outset that it had been undisputed between the parties that the disclosure of the applicant's health related data constituted an interference with Ms Radu's right to private life. Such an interference must comply with the requirements set out in Art. 8(2) of the Convention, namely: it shall be “in accordance with the law,” “necessary in a democratic society,”  and shall pursue one or more legitimate aims referred to therein.


As to the first element, the Court noted that the expression “in accordance with the law” relates to the quality of that law. Therefore domestic law shall
indicate with reasonable clarity the scope and manner of exercise of the relevant discretion conferred on the public authorities so as to ensure to individuals the minimum degree of protection to which citizens are entitled under the rule of law in a democratic society.
In this respect, the Government referred to section 8 of Law 982 on access to information as being, in their view, the legal basis for the interference. This provision states that providers of information may disclose personal data only if the data subject agrees to its disclosure, or when the information has previously been in the public domain. If the data subject does not consent to the disclosure, access to such information can be authorised by a court. The ECtHR however found - firstly - that "it was only the Government and not the Supreme Court of Justice that referred to such legal basis for the interference", the high court merely stated - without further explanation - that the CFD was entitled to disclose the information to the applicant’s employer. And secondly, even assuming that the Supreme Court had intended to rely on that provision, section 8 of that Law deemed it unlawful to the CFD to disclose personal data to the applicant’s employer without her consent.

The Court noted that
all the relevant domestic and international law cited above expressly prohibits disclosure of such information to the point that it even constitutes a criminal offence. There are exceptions to the rule of nondisclosure; however, none of them seems to be applicable to the applicant’s situation. Indeed, the Government did not show that any such exception was applicable.
Therefore the interference with Ms Raud' right to respect for her private life was not “in accordance with the law” within the meaning of Article 8. The ECtHR declared that the Republic of Moldova had violated Article 8 of the ECHR.

In view of the conclusion the Cour held that no separate issue arises under Article 6 of the Convention.

***

Since the Court  reasonably found that the interference with Ms Radu right to respect for private life was not in accordance with the relevant domestic and international law, I would like to add only that the ECtHR should have stressed more explicitly its reasoning followed in - for instance - the case of Avilkina and Others v. Russia. In that judgment the Court found the following:
[...] the protection of personal data, including medical information, is of fundamental importance to a person’s enjoyment of the right to respect for his or her private and family life guaranteed by Article 8 of the Convention. Respecting the confidentiality of health data is a vital principle in the legal systems of all the Contracting Parties to the Convention. The disclosure of such data may seriously affect a person’s private and family life, as well as their social and employment situation, by exposing them to opprobrium and the risk of ostracism […]. Respecting the confidentiality of health data is crucial not only for the protection of a patient’s privacy but also for the maintenance of that person’s confidence in the medical profession and in the health services in general. Without such protection, those in need of medical assistance may be deterred from seeking appropriate treatment, thereby endangering their own health […].

Wednesday, November 27, 2013

Databses on Health and Human Rights Issues



I would like to draw your attention to two new databases on the internet. The first one, the Global Health and Human Rights Database, containes information related to the helath and human rights law of the countries of the world. In this you can search for different health and human rights topics, for regional or international bodies, for national, regional or international juggments related to helath and human rights, and - of course - for national constitutions and other legal instruments as well. The databses can be found here.

The second database issued by the University of Southern California contains the syllabi related to the health and human rights issues. This database can be found here.

Saturday, November 23, 2013

Human Rights and Reproductive Self-Determination

source: www.hhrjournal.org
The article "Human rights versus legal control over women's reproductive self-determination" by Diya Uberoi and Maria de Bruyn will be published in the next issue of Health and Human Rights.



Here is the abstract:
States have a duty under international human rights law to protect people’s health. Nonetheless, while some health-related policies and laws protect basic human rights, others violate fundamental rights when they criminalize, prohibit, and restrict access to necessary health services. For example, laws and regulations related to protection of life from conception, contraception, actions of pregnant women, and abortion can harm women and place women and health care providers in jeopardy of legal penalization. Given the adverse consequences of punitive and restrictive laws related to pregnancy, advocates, civil society groups, human rights groups, and government institutions must work together to promote, protect, and fulfill women’s fundamental reproductive rights.

Articles concerning the Case-Law of the ECtHR

Recently some very interesting articles have been published regarding the practice of the ECtHR.

A critical discussion of the recent First Section and Grand Chamber judgments of the European Court of Human Rights in the case of S.H. and Others v. Austria, which upheld an Austrian ban on in-vitro fertilisation (IVF) using donor gametes (ova and sperm). The author argues that the regulatory regime adopted by Austria is overbroad insofar as the regime it adopts fails to accurately reflect the legitimate interests of the state. This is not a conventional “controversial morals” case where, in the absence of a clear moral and/or policy consensus among the Council of Europe member states, states are properly accorded a wide margin of appreciation. The regime adopted by Austria embodies a clear sex bias (with their respective gametes standing as near perfect proxies for the sex of the applicants) with exceptions being made to address male infertility while leaving women without medical remedy. As such, the margin of appreciation should be significantly restricted and the classifications embodied by the regime subject to the highest possible scrutiny.
This article serves as an introduction to this special edition of the Irish Journal of Legal Studies on the recent developments on abortion law in Ireland. It briefly explains what were the two main drivers behind the introduction of the Protection of Life During Pregnancy Bill 2013, namely the European Court of Human Right’s judgment against Ireland in the case of A., B. & C. v. Ireland, no. 25579/05 [2010] E.C.H.R. 2032 (16 December 2010) and the untimely death of Savita Halappanavar. It then reviews a series of public hearings, heard by the Joint Committee on Health and Children in January and May 2013, on how to best meet Ireland’s obligations under the European Convention on Human Rights and under the Constitution. Finally it details the genesis of this special edition and introduces the work of the contributors.
Finally, the Irish Journal of Legal Studies published the article "Article 40.3.3 and the Protection of Life During Pregnancy Bill 2013: The Impetus for, and Process of, Legislative Change" from Catherine O'Sullivan, Jennifer Schweppe and Eimear A. Spain. This is the abstract:
This article serves as an introduction to this special edition of the Irish Journal of Legal Studies on the recent developments on abortion law in Ireland. It briefly explains what were the two main drivers behind the introduction of the Protection of Life During Pregnancy Bill 2013, namely the European Court of Human Right’s judgment against Ireland in the case of A., B. & C. v. Ireland, no. 25579/05 [2010] E.C.H.R. 2032 (16 December 2010) and the untimely death of Savita Halappanavar. It then reviews a series of public hearings, heard by the Joint Committee on Health and Children in January and May 2013, on how to best meet Ireland’s obligations under the European Convention on Human Rights and under the Constitution. Finally it details the genesis of this special edition and introduces the work of the contributors.

Monday, October 14, 2013

Gross v. Switzerland: Referral to the GC

On the 7th of October 2013, a panel of 5 judges decided to accept the refferral of the judgment in the case of Gross v. Switzerland to the Grand Chamber of the ECtHR.

This case concerns the complaint of an elderly woman, who wishes to end her life but does not suffer from a clinical illness, that she was unable to obtain the Swiss authorities’ permission to be provided with a lethal dose of a drug in order to commit suicide. In its Chamber judgment of 14 May 2013 the Court found that there had been a violation of Article 8 of the ECHR. The ECtHR found that
"Swiss law, while providing the possibility of obtaining a lethal dose of a drug on medical prescription, did not provide sufficient guidelines ensuring clarity as to the extent of this right. This uncertain situation was likely to have caused Ms Gross a considerable degree of anguish. At the same time, the Court did not take a stance on the question of whether she should have been granted the possibility to acquire a lethal dose of medication allowing her to end her life."
The press release can be found here.

Thursday, October 10, 2013

Two Articles on Reproductive Rights

In the August issue of International Journal of Gynecology & Obstetrics Johanna Westeson from the Center for Reproductive Rights published the article "Reproductive Health Information and Abortion Services: Standards Developed by the European Court of Human Rights".The article analyses 3 important judgments of the ECtHR, RR. v. Poland, P. and S. v. Poland and A. B. & C. v. Ireland, and related standards of care that was considered by the Court.

Here is the abstract:
In 3 recent judgments, the European Court of Human Rights addressed the issue of access to abortion and related reproductive health services. In 2 of the judgments, the Court declared that the state violated women’s rights by obstructing access to legal health services, including abortion. In so doing, it referred to the state’s failure to implement domestic norms on prenatal testing and conscientious objection, and recognized the relevance of international medical guidelines. This illustrates that domestic and international medical standards can serve as critical guidance to human rights courts. In the third case, the Court showed its unwillingness to declare access to abortion a human right per se, which is troubling from the perspective of women’s right to health and dignity. The present article outlines the relevance of these cases for the reproductive health profession and argues that medical professional societies can influence human rights courts by developing and enforcing medical standards, not only for the benefit of abortion rights domestically but also for the advancement of women’s human rights worldwide.
The October issue of the International Journal of Gynecology and Obstetrics contains the Article "Human Rights to In Vitro Fertilisation" written by Fernando Zegers-Hochschild, Bernard Dickens and Sandra Dughman-Manzur. This work explores the judgment of the ACtHR in relation with the ban on in vitro ferltilisation by Costa Rica.

Here is the abstract:
The Inter-American Court of Human Rights (the Court) has ruled that the Supreme Court of Costa Rica’s judgment in 2000 prohibiting in vitro fertilization (IVF) violated the human right to private and family life, the human right to found and raise a family, and the human right to non-discrimination on grounds of disability, financial means, or gender. The Court’s conclusions of violations contrary to the American Convention on Human Rights followed from its ruling that, under the Convention, in vitro embryos are not “persons” and do not possess a right to life. Accordingly, the prohibition of IVF to protect embryos constituted a disproportionate and unjustifiable denial of infertile individuals’ human rights. The Court distinguished fertilization from conception, since conception—unlike fertilization—depends on an embryo’s implantation in a woman’s body. Under human rights law, legal protection of an embryo “from conception” is inapplicable between its creation by fertilization and completion of its implantation in utero.