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40.04. There are effective procedures for identifying personal factors, including clinical depression, that may put individual detainees at risk of hunger strike.

40. Hunger StrikesE. Health Services

40.05. There are effective procedures for identifying, anticipating, preparing for and monitoring conditions or high-risk events that may provide triggers for hunger strike.

40. Hunger StrikesE. Health Services

40.06. There is a protocol for clinical management and care of detainees who refuse food and/or fluids and for the recovery and psychological care of those who have ceased hunger strike.

40. Hunger StrikesE. Health Services

40.07. Physicians are familiar with international guidelines on the ethics of clinical management of hunger strikers and act accordingly.

40. Hunger StrikesE. Health Services

40.08. The individual’s intentions and mental competence to refuse nourishment are medically assessed early.

40. Hunger StrikesE. Health Services

40.09. Separation or isolation, in any form, are not used as a method for non-clinical management of hunger strikers.

40. Hunger StrikesE. Health Services

40.10. Hunger strikers are not given medical treatment against their will, including rehydration and artificial feeding.

40. Hunger StrikesE. Health Services

40.11. The right to treatment is unconditional, and the right to refuse some forms of treatment and not others is respected.

40. Hunger StrikesE. Health Services

40.12. Forcible feeding is prohibited.

40. Hunger StrikesE. Health Services

40.13. Clinical safeguards include confirmation of a detainee’s capacity to understand the consequences of his/her voluntary refusal of nourishment by at least one other independent physician.

40. Hunger StrikesE. Health Services

40.14. Physicians have complete clinical independence in deciding upon the care of a person on hunger strike.

40. Hunger StrikesE. Health Services

40.15. Where a child begins a hunger strike, an early assessment is made of the child’s mental competence to refuse nourishment, and the views of the child are given due weight in accordance with the age and maturity of the child.

40. Hunger StrikesE. Health Services

40.16. Physicians unable for reasons of conscience to abide by a hunger striker’s refusal of treatment or artificial feeding make early referrals to physicians willing to do so.

40. Hunger StrikesE. Health Services

40.17. There is a care policy that enables a detainee on hunger strike to die with dignity.

40. Hunger StrikesE. Health Services

40.18. There is a policy of actively and, as far as possible, alleviating the aspects of detention likely to trigger hunger strikes.

40. Hunger StrikesE. Health Services

40.19. Physicians providing clinical care in places of detention have access to professional support and training on professional and ethical standards of treatment, and ready access to debriefing and counselling services.

40. Hunger StrikesE. Health Services

41.01. If women are detained, an onsite medical officer has specialist knowledge and experience in women’s health issues and there is pre-natal and post-natal care and treatment readily available.

41. Women and BabiesE. Health Services

41.02. If pregnant women are detained, their babies are, as far as practicable, born in a hospital outside the place of detention. If a baby is born in detention, this is not recorded on the child’s birth certificate.

41. Women and BabiesE. Health Services

41.03. If babies and their mothers are detained, an onsite medical officer has specialist knowledge and experience in paediatrics and maternal and child health care.

41. Women and BabiesE. Health Services

41.04. Special accommodation is available for all necessary pre-natal and post-natal care and treatment.

41. Women and BabiesE. Health Services
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