MEDICAL REPORT ON THE HEALTH STATE OF THE 5 PRISONERS + Exclusive photo

MEDICAL REPORT ON THE HEALTH STATE OF THE 5 PRISONERS WHO ARE ON HUNGER STRIKE. The Report has been made by the doctors of the 5 hunger-strikers and has been given by their lawyers to the Juridical Authorities in Thessaloniki, Greece, on 14th November 2003.

The Report contains: (a) The Results of the physical ex-aminations of the 5 prisoners and their laboratory tests. (b) Their conclusion about the severity of their situation of health. (c) Their appeal to the Juridical Authorities to interfer-ence and for them to secure the life and health of the hunger strikers who are in custody. (A photo of the hand of Simon Chapman that proves his clubbed-finger accompany the Report).

MEDICAL REPORT ON THE HEALTH STATE

OF THE 5 PRISONERS

WHO ARE ON HUNGER STRIKE

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<![if !supportLists]> 1) <![endif]> Simon Chapman, British, born in 1973, theologian

<![if !supportLists]> 2) <![endif]> Carlos Martin-Martinez, Spanish, born in 1978

<![if !supportLists]> 3) <![endif]> Fernando Perrez-Goraiz, Spanish, born in 1981

<![if !supportLists]> 4) <![endif]> Solaiman Dakdouk, Syrian living in Greece, born in 1969, painter

<![if !supportLists]> 5) <![endif]> Spyros Tsitsas, Greek, born in 1980

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For legal use

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Thessaloniki, 14 November 2003

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The signatories doctors

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<![if !supportLists]> 1) <![endif]> Alexandra Efthimiadou-Griva, internist

<![if !supportLists]> 2) <![endif]> Kleanthis Grivas, neurologist- psychiatrist, doctor of psychiatry of Aristoteles University of Thessaloniki, Greece

<![if !supportLists]> 3) <![endif]> Maria- Myrto Griva

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Address: Chalkeon 15, 546 31 Thessaloniki

(Tel: 0030-2310-228738, Fax: 0030-2310-250129 & 0030-2310-888039)

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Declare the following facts:

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A) They have the medical supervision of the five hunger strikers from the first day of their strike (54 days ago for today) and they look after them through all the phases of their ordeal, in the Prison of Diavata were they are kept (as proved by their recording in the respective health files of the prison of Diavata), as well as in hospitals, where they were transported successively because of the worsening of their health (from 03/11/03 until 11/11/03, when they were transferred in the Prisons of Korydalos,Athens).

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B) The hunger strikers were arrested in 20 June 2003 (during the protests which took place during the EU Summit in Thessaloniki), ever since they are in custody (for 5 months) and started hunger strike having as their only demand their temporary release (with or without restricting terms) until the day of their trial.

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C) Up to date the hunger strikers have fulfilled the following days of complete denial to receive food ( hunger strike):

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1. Solaiman DAKDOUK, Syrian, born in 1969, 55 days

2. Carlos MARTIN- MARTINEZ, Spanish, born in 1978, 41 days

3. Fernando PERREZ- GORRAIZ, Spanish, born in 1981, 41 days

4. Simon CHAPMAN, British, born in 1973, 41 days

5. Spyros TSITSAS, Greek, born in 1980, 38 days

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As written in the health records of the Prison of Diavata from the signatories doctors, all the persons mentioned above after the first 10 days of hunger strike, began to have typical symptoms of the prolonged lack of food:

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GENERAL INSPECTION

- Body weight: Reduction (loss)

- Mobility: Weak

CIRCULATORY SYSTEM

- Blood pressure: Low

- Pulse: Weak

LIMBS

- Limbs: Very cold (upper and lower)

- Plantar reflex: Weak

URINARY SYSTEM

- Oliguria

- Urine: dark-colored and reduction

SKIN

- Dryness

- Atrophy

- Loss of elasticity

- Anemic appearance

DIGESTIVE SYSTEM

- Fur and dryness of the tongue

- Dryness of the gums

- Constipation

GENERAL PHENOMENA

- Feeling of bad general condition

- Loss of physical strength

- Diffused muscular aches

- Muscular weakness

- Dysfunctions in the co-ordination of movements

- Occasional tremor

EYES

- Paleness of palpebral conjuctiva

- Eyes: Penetrate and enlarged

- Direct reflex of pupil: Decreased

- Indirect reflex of pupil: Decreased

- Occasional dysfunction of vision

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Besides the above symptoms which characterized ( in different extend for each patient) all five persons, each of them had and personalized problems, mentioned below:

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<![if !supportLists]> 1) <![endif]> Simon Chapman had serious clubbed-finger, which denotes respiratory deficiency and hepatic (liver) tiredness (see the included relative picture).

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<![if !supportLists]> 2) <![endif]> Carlos Martin- Martinez had haemoptysis (spitting of blood), after his transfer at St. Paul’s Hospital of Thessaloniki

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<![if !supportLists]> 3) <![endif]> Fernando Perrez- Goraiz had great difficulty in excretion of urine (dysuria) and blue disease of lower limbs (cyanosis).

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<![if !supportLists]> 4) <![endif]> Solaiman Dakdouk had strong signs of impairment of the synergic moves of upper and lower limbs, due to muscular resistance.

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<![if !supportLists]> 5) <![endif]> Spyros Tsitsas had diffused thoracic aches and swallowing difficulties

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On 31/10/03 the signatories doctors wrote down in the Health Record of the above patients (which is kept in the Prison of Diavata) their warnings about the expected fast recrudescence of their health.

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And this recrudescence of health did happen indeed 3 days later (3/11/2003), so that the patients were transferred in different hospitals of Thessaloniki, in the following order:

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3-11-2003

Carlos Martin- Martinez

St. Pavlos Hospital

5-11-2003

Fernando Perrez- Gorraiz

Spyros Tsitsas

Papanikolaou Hospital

3rd Clinic of Internal Medicine

Head of Clinic: Dr. Michael Sion

7-11-2003

Solaiman Dadkouk

Simon Chapman

Carlos Martin- Martinez

Fernando Perrez- Gorraiz

Spyros Tsitsas

Ippokrateio Hospital

Surgery Clinic

Head of Clinic:

Dr. George Hatzitheoharis

8-11-2003

All five are

urgently transferred in:

Papanikolaou Hospital

3rd Clinic of Internal Medicine

Head of Clinic: Dr. Michael Sion

11-11-2003

All five are “kidnapped”

at 02:30 in the morning

and transferred

(500 Km farfrom) at the

Hospital of Korydalos Prison, Athens without the authorities informing their families, their lawyers and their personal doctors

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During their staying at the above hospitals (3-11-2003 until 11-11-2003), their health became worse, as proved by the disorders of many laboratory values in their blood and biochemical examinations, which took place in at the hospitals.(All the examinations are included in our report file)

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CONCLUSION

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In our opinion, the continuation of hunger strike

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1) Due to total denial of receiving food, includes most certainly the risk of causing irreversible health damages (irreparable damage), because nutrition is the most important biological need

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2) Due to denial of receiving water, in addition, will result in certain death.

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About the time period required for the above results to occur, we are referred to the teacher of Forensic Medicine,dr Epivatianos, who denotes in his book “Forensic Medicine and Toxicology” (pages 69- 70)

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“In total undernourishment, one person can remain alive for a long period of time and, usually, the death becomes from a different and relevant illness ( such as a general infection), because of the reduction of albumins, and mainly of globulins.

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In undernourishment, failure of satisfactory function of both exocrine and endocrine glands takes place, due to their atrophy, and therefore appearance of diabetes mellitus occurs, along with acidosis, hypothyreosis, sexual inability and amenorrhea (disruption of menstrual cycle). Additionally various types of vitamin deficiencies appear (Ben-Ben, Pelagra etc)

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The time that death will take place due to undernourishment varies and depends on the following factors:

<![if !supportLists]> a) <![endif]> The total lack of water or not.

- In total lack of water death occurs within 8 to 10 days

- In receiving only water, deaths occurs after 4 or more weeks

b) The environmental temperature: Low temperature contribute to the faster loss of life, than in higher temperature

c) The age: adults are stronger than children and old people”

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Having in mind that all five of the hunger- strikers have low levels of White Blood Cells (denoting weak immune system), they are very liable in inflammations, which can be fatal for their lives.

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The prevention of these possibilities depends only on the Juridical Authorities, which can take action in spirit of justice, magnanimity, breadth of views and, above all, humanism.

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As doctors we appeal to the Juridical Authorities for their interference and for them to secure the life and health of the hunger strikers who are in custody.

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Thessaloniki 14 November 2003

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The attendant doctors

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Alexandra Efthimiadou-Griva Kleanthis Grivas Maria- Myrto Griva

από ... 16/11/2003 6:26 πμ.


1) Laboratory Test Values

 

Carlos MARTIN-MARTINEZ

 

GENERAL HOSPITAL ‘PAPANIKOLAOU’ OF THESSALONIKI

 

Á) BIOCHEMICAL RESULTS

 

ABNORMAL VALUES OF INDICES

 

TEST

8/11/03

10/11/03

NORMAL VALUES

Glucose

98

76

75-115

Creatinine

0.9

0.8

0.9 - 1.7

Phosphorus

3.4

4.8

3.6 - 4.5

ã-GT

10

9

20 - 75

Albumin

5.6

5.2

3.1 - 5.1

Bilirubin Total

1.36

1.22

0.10 - 1.10

Bilirubin Direct

0.35

0.28

0.01 – 0.3

Bilirubin Indirect

1.01

0.90

0.10 - 0.70

Uric acid

8.5

6.5

2.8 - 7.7

A/G albumin ratio

 

2.7

1.5 - 2.5

Cl

91

 

98 - 107

 

Â) BLOOD TEST RESULTS

 

ABNORMAL VALUES OF INDICES

 

Hematocrit

40.3

42.4

43.5 - 53.7

Mean volume of PLT

7.96

7.8

9 – 13

PDW

 

17.5

9 – 17

 

C) URINE TEST

 

ABNORMAL RESULTS OF INDICES

 

Ketones

 

15 mg/dL

 

Blood traces

 

YES

 

 

 

 

Note: During a hunger strike, due to the blood condensation which occurs, many of the blood tests values may be “normal” or “almost normal”. Such values are FALSE and NOT RESPECTIVE to the bad health state of the hunger-striker.

από ... 16/11/2003 6:28 πμ.


2) Laboratory Test Values

 

Fernando PERREZ-GORRAIZ

 

GENERAL HOSPITAL “PAPANIKOLAOU” OF THESSALONIKI

 

Á) BIOCHEMICAL TESTS

 

ABNORMAL VALUES OF INDICES

 

TEST

8/11/03

10/11/03

NORMAL VALUES

Glucose

 

67

75 -115

Creatinine

 

1.0

0.9 - 1.7

ã-GT

 

9

20 - 75

Bilirubin,Total

 

0.94

0.10 - 1.10

Bilirubin,Indirect

 

0.80

0.10 - 0.70

LDH

 

243

120- 230

Cl

 

95

98 -107

 

Â) BLOOD TESTS

 

ABNORMAL VALUES OF INDICES

 

White Blood Cells

3.35

4.0

4 – 11ê/ìl

Neutrophils

 

24.3

45 - 85

Lymphocytes

 

59.9

20 - 45

Monocytes

 

10.6

2 -10

Mean PLT volume

 

7.8

9 -13

 

C) URINE TEST

 

ABNORMAL VALUES OF INDICES

 

Ketone

 

15 mg/dL

 

 

 

 

Note: During a hunger strike, due to the blood condensation which occurs, many of the blood tests values may be “normal” or “almost normal”. Such values are FALSE and NOT RESPECTIVE to the bad health state of the hunger-striker.

από ... 16/11/2003 6:30 πμ.


3) Laboratory Test Values

 

Solaiman DAKDOUK

 

ÃGENERAL HOSPITAL “PAPANIKOLAOU” OF THESSALONIKI

 

Á) BIOCHEMICAL BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

TEST

8/11/03

10/11/03

NORMAL VALUE

Glucose

82

76

75-115

Creatinine

1.0

0.9

0.9 - 1.7

Calcium (Ca)

10.6

9.5

8.5 – 10.5

ã-GT

11

10

20 - 75

Bilirubin, Indirect

0.69

0.80

0.10 - 0.70

HDL

29

 

35 - 55

LDH

85

106

120 - 230

CPK

41

19

25 - 190

Ô3

1.9

 

2.1 - 4.7

TSH

0.031

 

0.4- 4.0

Cl

96

 

98 - 107

 

Â) BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

White blood cells

4.3

3.6

4.6 – 10.2

Hematocrite

41.3

45.2

43.5 - 53.7

Mean PLT volume

8.22

8.52

9 – 13

 

C) URINE TEST

 

ABNORMAL VALUES OF INDICES

Not observed

 

 

Note: During a hunger strike, due to the blood condensation which occurs, many of the blood tests values may be “normal” or “almost normal”. Such values are FALSE and NOT RESPECTIVE to the bad health state of the hunger-striker.

από ... 16/11/2003 6:31 πμ.


4) Laboratory Test Values

 

Simon CHAPMAN

 

GENERAL HOSPITAL “PAPANIKOLAOU” OF THESSALONIKI

 

Á) BIOCHEMICAL BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

TEST

8/11/03

10/11/03

NORMAL

VALUES

Glucose

84

48

75-115

SGPT

7

8

 

ã-GT

10

10

20 – 75

 

HDL

34

 

34 – 55

LDH

119

150

120 - 230

Cl

100

 

98 -107

 

Â) BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

Hematocrite

39.2

42.8

43.5 -53.7

MCH

31.5

31.2

26 – 32

RDW

15.7

12.1

11- 15

 

C) URINE TEST

 

ABNORMAL VALUES OF INDICES

 

SP

<1.005

 

 

 

 

 

Note: During a hunger strike, due to the blood condensation which occurs, many of the blood tests values may be “normal” or “almost normal”. Such values are FALSE and NOT RESPECTIVE to the bad health state of the hunger-striker.

από ... 16/11/2003 6:32 πμ.


5) Laboratory Test Values

 

Spiridon TSITSAS

 

GENERAL HOSPITAL “ PAPANIKOLAOU” OF THESSALONIKI

 

Á) BIOCHEMICAL BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

TEST

8/11/03

10/11/03

NORMAL VALUES

Glucose

81

77

75-115

Creatinine

0.9

0.8

0.9 - 1.7

Phosphorus

2.9

4.2

3.6 - 4.5

ã-GT

8

6

20 - 75

Uric Acid

10.2

9.7

2.8 - 7.7

HDL

30

 

35 - 55

LDH

106

200

120 - 230

Cl

97

 

98 - 107

T3

1.5

 

2.1 - 4.7

TSH

0.122

 

0.4- 4.0

 

Â) BLOOD TEST

 

ABNORMAL VALUES OF INDICES

 

Hematocrite

39.7

45.3

43.5 - 53.7

White Blood Cells

4.06

4.1

4.6 -10.2

Monocytes

15.6

10.3

2 -10 %

Mean PLT volume

7.96

7.8

9 – 13

RDW

15.4

12

11 -15

 

C) URINE TEST

 

ABNORMAL VALUES OF INDICES

 

Ketone

Traces

 

 

S.P

<1.005

 

 

 

 

 

Note: During a hunger strike, due to the blood condensation which occurs, many of the blood tests values may be “normal” or “almost normal”. Such values are FALSE and NOT RESPECTIVE to the bad health state of the hunger-striker.

από ... 16/11/2003 6:34 πμ.


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