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Open letter to the UK Home Secretary Priti Patel and Shadow Home Secretary
Diane Abbott
We write this open letter, as medical doctors, to express our serious concerns
about the physical and mental health of Julian Assange. Our professional
concerns follow publication recently of the harrowing eyewitness accounts of
Craig Murray and John Pilger of the case management hearing on Monday 21
October 2019 at Westminster Magistrates Court. The hearing related to the
upcoming February 2020 hearing of the request by the US government for Mr
Assange’s extradition to the US in relation to his work as a publisher of
information, including information about alleged crimes of the US government.
During the seven years spent in the Embassy in confined living conditions, Mr
Assange was visited and examined by a number of experts each of whom
expressed alarm at the state of his health and requested that he be allowed
access to a hospital. No such access was permitted. Mr Assange was unable to
exercise his right to free and necessary expert medical assessment and
treatment throughout the seven-year period.
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• On 31 July 2015, a dentist reported that Mr Assange’s ‘upper right first
premolar (UR4) tooth had fractured along with the filling that was in it
and the dental pulp of the tooth was exposed’ and ‘that failure to treat
this promptly would lead to infection of the root leading to a dental
abscess and pain.’ The dentist advised ‘saving this tooth would require
root canal treatment’, however, ‘due to the specialised equipment and
radiographic requirements this treatment could not be completed in the
domiciliary setting.’ ‘Extraction of the tooth’ was identified as ‘another
option but […] it may need a surgical extraction.’ This was ‘not
recommended in a domiciliary setting especially as we would need
preoperative radiographs to assess the root shape and the proximity of
the root to the floor of the maxillary sinus. Extractions in this area carry
a risk of creating a communication between the mouth and the sinus
which could need surgical closure hence radiographs would be essential
to assess this risk.’ The dentist ‘advised Mr Assange he should seek
treatment in a clinical setting to prevent further progression of his
symptoms as soon as possible.’ 1
1
Dr [Redacted], BChD MFGDP(UK) MSc, Dental Surgeon, carried out an emergency dental appointment at the
Embassy on 8 May 2015: https://file.wikileaks.org/file/cms/Dentist%20report%20310715.pdf
2
Opinions adopted by the Working Group on Arbitrary Detention at its seventy-fourth session, 30 November-4
December 2015, Opinion No. 54/2015 concerning Julian Assange (Sweden and the United Kingdom of Great
Britain and Northern Ireland): http://www.ohchr.org/Documents/Issues/Detention/A.HRC.WGAD.2015.docx
https://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=17012&LangID=E
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requires an MRI scan to determine the exact diagnosis in order to inform
a suitably qualified physiotherapist as to how best to treat him in an
appropriately equipped medical facility. His current circumstances
significantly compromise the ability to satisfactorily investigate and treat
him.’ 3 Mr Assange was refused access to a hospital by the Foreign and
Commonwealth Office. 4
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three days. 7 In an article for the Guardian published on 24 January 2018
they wrote: ‘We examined Julian Assange, and he badly needs care – but
he can’t get it’; ‘We call on the British Medical Association and
colleagues in the UK to demand safe access to medical care for Mr
Assange and to oppose openly the ongoing violations of his human right
to healthcare.’ 8
• On 22 June 2018, Dr Sean Love, who over the course of the previous
year had visited Mr Assange several times at the Ecuadorian embassy,
reiterated his concerns regarding Mr Assange’s health and repeated his
call in the British Medical Journal for him to be given access to
healthcare. 10 Dr Love wrote that ‘Assange’s detention continues to cause
a precipitous deterioration in his overall condition’ and that ‘Because of
his health issues, in 2015, Ecuadorian authorities requested that he be
permitted humanitarian safe passage to a hospital in London; however,
this was denied by the UK.’ Dr Love stated that ‘To this day, Assange
remains unable to access hospital based diagnostic testing and
treatment—even for a medical emergency. In effect, he has gone
without proper access to care for the duration of his six years in
confinement.’
Bioethics and Human Rights department at the Boston University School of Public Health. Dr Brock Chisholm is
a Consultant Clinical Psychologist with a degree in Psychology, a Masters in Psychological Research Methods
and a Doctorate in Clinical Psychology and extensive experience in working with victims of trauma.
7
https://www.theguardian.com/media/2018/jan/24/julian-assanges-health-in-dangerous-condition-say-
doctors; https://www.theguardian.com/commentisfree/2018/jan/24/julian-assange-care-wikileaks-
ecuadorian-embassy; https://blogs.bmj.com/bmj/2018/06/22/sean-love-access-medical-care-must-
guaranteed-julian-assange/#_ftn1
8
https://www.theguardian.com/commentisfree/2018/jan/24/julian-assange-care-wikileaks-ecuadorian-
embassy
9
https://www.hrw.org/news/2018/06/19/uk-should-reject-extraditing-julian-assange-us
10
https://blogs.bmj.com/bmj/2018/06/22/sean-love-access-medical-care-must-guaranteed-julian-assange/
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upon and promote the rule of law do not like to be confronted with their
own violations of the law, that is understandable. But when they
honestly admit these violations, they do honour the very spirit of the
rule of law, earn enhanced respect for doing so, and set worldwide
commendable examples.’ It added: ‘The WGAD is further concerned that
the modalities of the continued arbitrary deprivation of liberty of Mr
Assange is undermining his health, and may possibly endanger his life
given the disproportionate amount of anxiety and stress that such
prolonged deprivation of liberty entails.’ 11
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conversation with Mr Assange, an hour-long physical examination and a
two-hour psychiatric examination.
15
https://metro.co.uk/2019/05/30/wikileaks-grave-concerns-julian-assange-moved-prison-hospital-9738883/;
https://www.theguardian.com/media/2019/may/30/julian-assange-too-ill-appear-court-via-video-link-
lawyers-say; https://news.sky.com/story/julian-assange-moved-to-medical-wing-in-belmarsh-prison-over-
significantly-deteriorated-health-11731364
16
https://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=24665
17
https://www.craigmurray.org.uk/archives/2019/10/assange-in-court/
18
https://youtu.be/GLXzudMCyM4
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alleviates his inhumane situation, Mr Assange’s continued exposure to
arbitrariness and abuse may soon end up costing his life.’ 19
19
https://www.ohchr.org/EN/NewsEvents/Pages/DisplayNews.aspx?NewsID=25249&LangID=E
20
https://www.who.int/news-room/fact-sheets/detail/human-rights-and-health
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APPENDIX
The United Nations Special Rapporteur on Torture and Other Cruel, Inhuman
or Degrading Treatment or Punishment, Nils Melzer, visited Mr Assange in
Belmarsh Prison on 9 May 2019, over six months ago. Mr Melzer was
accompanied by two medical experts specialised in examining victims of
torture and other ill-treatment. The team was able to speak with Mr Assange
in confidence and to conduct a thorough medical assessment.
‘It was obvious that Mr Assange’s health has been seriously affected by the
extremely hostile and arbitrary environment he has been exposed to for many
years,’ the expert said. ‘Most importantly, in addition to physical ailments, Mr
Assange showed all symptoms typical for prolonged exposure to psychological
torture, including extreme stress, chronic anxiety and intense psychological
trauma.
‘The evidence is overwhelming and clear,’ the expert said. ‘Mr Assange has
been deliberately exposed, for a period of several years, to progressively
severe forms of cruel, inhuman or degrading treatment or punishment, the
cumulative effects of which can only be described as psychological torture.
‘In 20 years of work with victims of war, violence and political persecution I
have never seen a group of democratic States ganging up to deliberately
isolate, demonise and abuse a single individual for such a long time and with so
little regard for human dignity and the rule of law,’ Mr Melzer said. ‘The
collective persecution of Julian Assange must end here and now!’
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investigate or redress their alleged involvement in his abuse as required of
them under human rights law.’
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Addendum
21
Dr [Redacted], Trauma and Psychosocial Expert, interviewed Mr Assange on five occasions between June
2014 and June 2015, and interviewed Mr Assange on two further occasions to validate previous findings:
https://file.wikileaks.org/file/cms/Psychosocial%20Medical%20Report%20December%202015.pdf.
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Signed:
Mr Patrick John Ramsay Boyd (signed John Boyd) MRCS LRCP MBBS FRCS FEBU
Consultant Urologist (retired) (UK)
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Dr Marco Chiesa MD FRCPsych Consultant Psychiatrist and Visiting Professor,
University College London (UK)
Dr Owen Dempsey MBBS BSc MSc PhD General Medical Practitioner (retired)
(UK)
Miss Kamilia El-Farra MBChB FRCOG MPhil (Medical Law and Ethics)
Consultant Gynaecologist, Essex (UK)
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Professor Derek A. Gould MBChB MRCP DMRD FRCR Consultant Interventional
Radiologist (retired): BSIR Gold Medal, 2010; over 110 peer-reviewed
publications in journals and chapters (UK)
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Dr David Morgan DClinPsych MSc Fellow of British Psychoanalytic Society
Psychoanalyst, Consultant Clinical Psychologist and Consultant Psychotherapist
(UK)
Dr Alison Payne BSc MBChB DRCOG MRCGP prev FRNZGP General Medical
Practitioner, Coventry; special interest in mental health/trauma and refugee
health (UK)
Professor Allyson M Pollock MBChB MSc FFPH FRCGP FRCP (Ed) Professor of
Public Health, Newcastle University (UK)
Mr John H Scurr BSc MBBS FRCS Consultant General and Vascular Surgeon,
University College Hospital, London (UK)
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Dr Wilhelm Skogstad MRCPsych BPAS IPA Psychiatrist & Psychoanalyst,
London, United Kingdom (UK and Germany)
Dr John Stace MBBS (UNSW) FRACGP FACRRM FRACMA MHA (UNSW) Country
Doctor (retired), Perth (Australia)
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Dr Matthew Yakimoff BOralH (DSc) GDipDent General Dental Practitioner
(Australia)
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