Lebanon: Sharp increase of deaths in custody must be a wake-up call for authorities

Lebanon: Sharp increase of deaths in custody must be a wake-up call for authorities

Lebanese authorities must urgently prioritize the health of prisoners as deaths in Ministry of Interior-run prisons nearly doubled in 2022 compared to 2018, the year before the ongoing acute economic crisis began, Amnesty International said today.

Judicial authorities must conduct prompt, impartial and effective investigations into all deaths in custody to determine to what extent prison officials’ misconduct or negligence may have contributed to these deaths and hold anyone found responsible to account. The authorities should also investigate to what extent the sharp increase in deaths is linked to structural factors such as overcrowding, lack of adequate resources and impunity for ill-treatment, all exacerbated by the economic crisis.

An Amnesty International investigation “Instead of Rehabilitation, He Found Death: Deaths in Custody Doubled Amidst Four-Year Economic Crisis” explores the reasons behind the sharp rise in deaths in Lebanon’s prisons. Ministry of Interior figures shared with the organization paint a stark picture of rising mortality rates as deaths increased from 14 in 2015 to 18 in 2018 and 34 in 2022.

“The sharp increase in custodial deaths must be a wake-up call to the Lebanese government that their prisons need urgent and drastic reform. They must decongest prisons, including through utilizing non-custodial measures as alternatives to pre-trial detention, and must commit additional resources to ensure people in prison are receiving adequate healthcare and have immediate access to emergency medical care,” said Aya Majzoub, Amnesty International’s Deputy Director for the Middle East and North Africa.

“The economic crisis is no excuse for prison authorities to deny prisoners access to medication, shift the cost of paying for hospitalisation to the families of prisoners or delay prisoners’ transfers to hospitals. The judiciary should promptly and impartially investigate every death in custody, and any shortcomings and neglect on the part of the authorities must be addressed, including, where appropriate, through prosecution of those responsible.”

The Ministry of Interior provided no explanation of the causes of these deaths in custody. Amnesty International’s investigation raises concerns that the marked increase in deaths in custody is linked to the economic crisis crippling the country, as well as shortcomings in prison and health authorities in the provision of adequate and timely medical care to people in custody, including in cases where emergency treatment was required.

Between September 2022 and April 2023, Amnesty International interviewed 16 people, including prisoners and family members of individuals who died in custody. It reviewed several medical reports as well as photos and videos taken by people in prison. Amnesty International wrote to the Ministry of Interior and the Ministry of Health with questions on deaths in custody. Both ministries responded, and their responses were incorporated into the investigation.

Reports of denial of timely medical care

While the authorities have blamed the economic crisis for the deterioration in the health of prisoners, in at least three cases of deaths in custody in 2022, families of the deceased told Amnesty International that prison officials dismissed the complaints and symptoms of those detainees prior to their death, delaying their treatment and transfer to hospitals and causing their conditions to worsen.

Khalil Taleb, 34, died in Roumieh prison on 21 August 2022. According to his brother, Khalil’s health started deteriorating upon his arrival. Even though his family provided funds to pay for his treatment, they told Amnesty International that the prison pharmacist dismissed his pains and the prison guards delayed his hospital transfer.

His brother said: “He either arrived [to the hospital] already dead or unconscious… Instead of rehabilitation, he found death.”

In accordance with the UN Minnesota Protocol on the Investigation of Potentially Unlawful Death, prison directors must report all deaths in custody to the ordinary judiciary, which is independent of the prison administration, to conduct prompt, impartial and effective investigations into the circumstances and causes of these deaths.

Prisons lack basic healthcare

Overcrowding in prisons has become particularly acute in recent years. Lebanese prisons are 323% over capacity, and around 80% of detainees are held pre-trial. The combination of overcrowding and dire detention conditions has led to the deterioration in the health of the prison population. Meanwhile, in light of depreciating currency and skyrocketing inflation, resources for the provision of healthcare have drastically decreased.

The real value of the Ministry of Interior’s budget for providing healthcare to people in prison decreased from 7.3 million US dollars in 2019 to around 628,000 US dollars in 2022.

As a result, prisons are not adequately staffed, and prison pharmacies lack basic medication such as painkillers and antibiotics.

Since the start of the economic crisis, the government has failed to pay hospitals bills related to the treatment of people in custody which has resulted in many hospitals refusing to admit patients from prison or requiring upfront payment, even in emergency treatment cases, which is a violation of Lebanese law. According to the figures shared by the Ministry of Interior with Amnesty International, 846 people in custody were hospitalised in 2018 and only 107 in 2022.

While Lebanese law specifies that the Ministry of Interior is responsible for providing healthcare to all individuals held in its custody, Amnesty International found that prison authorities were requiring families to pay for their relatives’ medical care, including in cases where emergency medical treatment was needed.

Amnesty International is cognizant of the impact of the broader economic crisis on the medical sector and on the resources of the prison authorities. But even governments struggling through an economic crisis have an obligation to ensure that they are not discriminating against the prison population in the provision of the right to health. Under both Lebanese and international law, the provision of healthcare for prisoners is a state responsibility and must be free of charge.

Amnesty urges the Lebanese government, with the support of the international community, to allocate additional resources to ensure that prison authorities can improve conditions and healthcare in prisons and other places of detention.

Ill-treatment

Amnesty International frequently documents torture and other ill-treatment in detention in Lebanon, including the case of one individual who died in custody in 2019 amid allegations of torture that were not adequately investigated.

The Ministry of Interior told Amnesty International that 14 members of the Internal Security Forces were internally disciplined for “beating and blackmailing” people in custody.

Rugged Hank

Typically thought of as being an easy to clean area of the home, hard floors have risen in popularity in recent decades. Globally, hard floors are the most common floor type,2 and research released today by Dyson has uncovered poor cleaning habits that mean hard floors are likely to be harbouring an array of hidden nasties.     This comes as 32% of Brits – equating to 21.6 million people in the UK – will use the same dirty mop head for six months or more before replacing it. What’s more, one in 20 also admit to keeping the same mop for a year or longer, and one in 10 think it is acceptable to use the same mop 100 times, spreading dirt around their floors every time they use it.   Cross contamination is a primary issue for most common and traditional mopping methods with germs and bacteria further being unknowingly spread around homes as Brits use dirty water to clean floors.3 45% only change the water to new water between rooms, whereas 41% wait even longer until it looks dirty. This could mean that floors are being washed with dirty water, adding more dirt rather than taking it away. Surprisingly, almost one in 10 (9%) even admit to not changing the dirty water at all when mopping.   Over a quarter (28%) admit to mopping their floors once a fortnight or less while over half (53%) admit they don’t regularly clean behind appliances and leave dirt to build up for as long as six months at a time.   image002.jpg   On how to achieve a perfect barefoot clean feel after mopping, Geli Lee, Dyson Engineer and Home Cleaning Expert offers their top tips for eliminating dirt around the home:   1.     Create a cleaning schedule to stay on top of dirt build-up. In the last year, there has been a 15% global reduction in the number of people who maintain regular cleaning schedules. 47% of the British public admitted to only being motivated to clean when they spot visible dirt or dust.4 Regular floor cleaning with a wet hard floor cleaner like the Dyson WashG1™ removes more stubborn dirt than vacuuming alone.    It is important to have a debris free surface, clear any clutter from the floor or other surfaces.      Choose the right machine: Different vacuums are designed for different floor types and home sizes. Some machines will be engineered with hard floors in mind and will struggle on thick pile carpets, for example. Choosing the right machine for your home will make a big difference to the ease and speed with which you’re able to clean your home.      Clean your floors ‘little and often’. Washing your floors frequently in areas that receive more foot fall will help to stop dirt building up and getting trodden into your floor. Using a dedicated wet floor cleaner on hard flooring such as the Dyson WashG1 is helpful for this, as the versatile format means it vacuums and washes the floor simultaneously.   Cleaning schedules have also become less regimented. In recent years only 41% of people claim to have a regular cleaning schedule, and 60% admit to cleaning reactively; being motivated to clean only when there is visible dirt or dust5. It’s perhaps not surprising, that a fifth of people are still concerned their floors are dirty after they’ve mopped them (22%) and one in four6 feel extremely worried about indoor dust at home.  Geli Lee, Dyson Engineer and Home Cleaning Expert reveals why it is important to change the way we mop: “Cleaning your hard floors properly and regularly is important for maintaining a healthy environment around your home. Without a proper cleaning routine, dirt may unknowingly build up and spread around your home. It is evident from our research that current mopping habits mean British households aren’t cleaning their floors as effectively as they should.   “From ignoring problem areas where dust and debris build up, cross contamination with dirty water to not replacing mop heads or inconsistent cleaning, current mopping behaviours may be making floors dirtier as opposed to cleaner. Moving away from traditional methods, wet floor cleaners like the Dyson WashG1 simplify the floor cleaning experience and provide a modern efficient and hygienic solution”  To help take the guesswork out of mopping, the brand new WashG1 is Dyson’s first dedicated wet floor cleaner that tackles wet and dry debris in one go. Engineered for hygienic cleaning and maintenance, the WashG1 is revolutionising wet floor cleaning, removing the need for multi-products and multi-steps to achieve a barefoot clean feel around the home.   To put the product to the test, Dyson have cleaned one of London’s most iconic landmarks The Victoria and Albert Museum. From cleaning the grand marble floors housing the most prestigious exhibits, to cleaning up leftover food in the Gamble Room Cafe, the WashG1 had a dirt busting tour of the museum leaving it spotless. Images can be found here.    The WashG1 introduces Dyson’s engineering expertise to cleaning hard floors. With a 1 litre clean-water tank to cover flooring up to 290m2, the Dyson WashG1 uses a combination of hydration, absorption, and extraction technologies to remove wet and dry spills and stains simultaneously.   The Dyson WashG1 is available to purchase now from Dyson.co.uk, retailing at £599.99.

Typically thought of as being an easy to clean area of the home, hard floors have risen in popularity in recent decades. Globally, hard floors are the most common floor type,2 and research released today by Dyson has uncovered poor cleaning habits that mean hard floors are likely to be harbouring an array of hidden nasties. This comes as 32% of Brits – equating to 21.6 million people in the UK – will use the same dirty mop head for six months or more before replacing it. What’s more, one in 20 also admit to keeping the same mop for a year or longer, and one in 10 think it is acceptable to use the same mop 100 times, spreading dirt around their floors every time they use it. Cross contamination is a primary issue for most common and traditional mopping methods with germs and bacteria further being unknowingly spread around homes as Brits use dirty water to clean floors.3 45% only change the water to new water between rooms, whereas 41% wait even longer until it looks dirty. This could mean that floors are being washed with dirty water, adding more dirt rather than taking it away. Surprisingly, almost one in 10 (9%) even admit to not changing the dirty water at all when mopping. Over a quarter (28%) admit to mopping their floors once a fortnight or less while over half (53%) admit they don’t regularly clean behind appliances and leave dirt to build up for as long as six months at a time. image002.jpg On how to achieve a perfect barefoot clean feel after mopping, Geli Lee, Dyson Engineer and Home Cleaning Expert offers their top tips for eliminating dirt around the home: 1. Create a cleaning schedule to stay on top of dirt build-up. In the last year, there has been a 15% global reduction in the number of people who maintain regular cleaning schedules. 47% of the British public admitted to only being motivated to clean when they spot visible dirt or dust.4 Regular floor cleaning with a wet hard floor cleaner like the Dyson WashG1™ removes more stubborn dirt than vacuuming alone. It is important to have a debris free surface, clear any clutter from the floor or other surfaces. Choose the right machine: Different vacuums are designed for different floor types and home sizes. Some machines will be engineered with hard floors in mind and will struggle on thick pile carpets, for example. Choosing the right machine for your home will make a big difference to the ease and speed with which you’re able to clean your home. Clean your floors ‘little and often’. Washing your floors frequently in areas that receive more foot fall will help to stop dirt building up and getting trodden into your floor. Using a dedicated wet floor cleaner on hard flooring such as the Dyson WashG1 is helpful for this, as the versatile format means it vacuums and washes the floor simultaneously. Cleaning schedules have also become less regimented. In recent years only 41% of people claim to have a regular cleaning schedule, and 60% admit to cleaning reactively; being motivated to clean only when there is visible dirt or dust5. It’s perhaps not surprising, that a fifth of people are still concerned their floors are dirty after they’ve mopped them (22%) and one in four6 feel extremely worried about indoor dust at home. Geli Lee, Dyson Engineer and Home Cleaning Expert reveals why it is important to change the way we mop: “Cleaning your hard floors properly and regularly is important for maintaining a healthy environment around your home. Without a proper cleaning routine, dirt may unknowingly build up and spread around your home. It is evident from our research that current mopping habits mean British households aren’t cleaning their floors as effectively as they should. “From ignoring problem areas where dust and debris build up, cross contamination with dirty water to not replacing mop heads or inconsistent cleaning, current mopping behaviours may be making floors dirtier as opposed to cleaner. Moving away from traditional methods, wet floor cleaners like the Dyson WashG1 simplify the floor cleaning experience and provide a modern efficient and hygienic solution” To help take the guesswork out of mopping, the brand new WashG1 is Dyson’s first dedicated wet floor cleaner that tackles wet and dry debris in one go. Engineered for hygienic cleaning and maintenance, the WashG1 is revolutionising wet floor cleaning, removing the need for multi-products and multi-steps to achieve a barefoot clean feel around the home. To put the product to the test, Dyson have cleaned one of London’s most iconic landmarks The Victoria and Albert Museum. From cleaning the grand marble floors housing the most prestigious exhibits, to cleaning up leftover food in the Gamble Room Cafe, the WashG1 had a dirt busting tour of the museum leaving it spotless. Images can be found here. The WashG1 introduces Dyson’s engineering expertise to cleaning hard floors. With a 1 litre clean-water tank to cover flooring up to 290m2, the Dyson WashG1 uses a combination of hydration, absorption, and extraction technologies to remove wet and dry spills and stains simultaneously. The Dyson WashG1 is available to purchase now from Dyson.co.uk, retailing at £599.99.