FLASH
Shkruar nga Pamfleti
The Albanian Helsinki Committee has reacted to the loss of life of prisoner Besnik Koçiu in the premises of the "Jordan Misja" Penitentiary Institution on July 23.
In a statement, they state that the 51-year-old remained in the cell for 8 days despite the concerns he had. AHC adds that from the verifications, it was found that no documented practices were maintained for the steps followed to keep citizen BK under observation as he had health problems.
The Albanian Helsinki Committee writes that "on the evening of 23.07.2025, notes were made in the 24-hour activity book that at 20:45, the detainee BK was in a bad mood. At 21:00 and 22:05, the assistant doctor had gone to his room and had measured his blood pressure. It turns out that from this moment, for approximately 9 hours until the next morning when he was found unconscious, there was no practice to document further notification of his health condition by the police or health staff."
AHC calls for further, objective and comprehensive verifications by the Ministry of Justice and the General Directorate of Prisons regarding the event, to identify responsibilities as appropriate and prevent other similar cases in the future.
Full announcement:
According to media reports published on 26.07.2025, the family members of citizen BK appealed through an open letter for an investigation into the loss of his life in the “Jordan Misja” detention facility. Based on this report, AHC conducted a monitoring on the premises of the “Jordan Misja” Penitentiary on 29.07.2025, in order to verify the issues raised by the family members of the deceased.
Citizen BK was accommodated in the "Jordan Misja" Penitentiary Institution on 16.07.2025 and at the moment of admission to the institution he reported that he was being treated for several complex diagnoses such as: Diabetes Mellitus type. 2, under insulin, HTA st. IIII, Dyslipidemia. He also reported that 6 months ago he had suffered an acute ischemic stroke.
It turns out that, during the first days of his accommodation (according to the Medical Record, dated 18.07.2025), citizen BK had complained of headaches, body weakness and burning. From the examination of the documentation, it was found that such complaints were continuous. For this reason, on 21.07.2025, citizen BK was transferred from Building A where he had stayed until that moment, to Building B of the institution, due to the better accommodation conditions it offers.
The detainee was initially placed in room no. 2, together with 3 other citizens, but due to his poor condition and the concerns he presented, he was transferred again, this time to room no. 6, where he had been staying alone. His poor health condition also appears to have been visible to the police officers in the sector, as on 22.07.2025, in the Book of Leaving Duties, by the Police Specialist GR, a note was left: To keep the detainee of room no. 6, floor -1, sector 2, BK under constant observation and to inform the information specialist of any concerns. However, from the AHC verifications, it was not found that documented practices had been maintained for the steps followed to keep citizen BK under observation. This can only be concluded from a careful verification of the security cameras placed in the corridor where the room where the detainee was accommodated was located.
On the evening of 23.07.2025, notes were made in the 24-hour activity book that at 20:45, the pre-detainee BK was in a bad mood. At 21:00 and 22:05, the assistant doctor had gone to his room and had measured his blood pressure. It turns out that from this moment, for approximately 9 hours until the next morning when he was found unconscious, there was no practice to document further notification of his health condition by the police or health staff.
The first shift employees, at 7:00 on 24.07.2025, had found that the citizen BK accommodated in room no. 6 was not responding when spoken to. The person in charge was immediately notified, as was the assistant doctor, who had entered the room at 07:03. At 07:05, he was escorted to the emergency room of the QSUT, where the emergency doctor concluded that the detainee BK had suffered Exitus letatis (death) with the diagnosis: Suspect Cardiac Arrest.
From the above monitoring, it results that the citizen has been accommodated in the “Jordan Misja” Penitentiary Institution for about 8 days, but despite his repeated requests to be taken to the hospital, this was not done because according to the findings of the medical staff, his parameters were normal and it was recommended to perform his following laboratory examinations. However, AHC raises questions about the fact that the complex diagnoses of this citizen as well as his ongoing suffering, confirmed by the pre-trial detainees who shared the room with him, required a rapid response for his examination and specialized treatment immediately after his admission to the Penitentiary Institution.
KShH vëren se ekzaminimi dhe mbikëqyrja e vazhdueshme e gjendjes shëndetësore të shtetasve që akomodohen në ambientet e institucioneve të privimit të lirisë, është detyrim që buron edhe nga nenet 15 dhe 20 të Rregullores së Përgjithshme të Burgjeve, pikërisht me qëllim parandalimin e rasteve të humbjes së jetës apo vetëvrasjeve. Shërbimi i kujdesit shëndetësor duhet të sigurohet 24 orë dhe në rast sëmundjesh, të cilat nuk mund të diagnostikohen apo kurohen në këto institucione, shtetasve të burgosur u njihet e drejta e transferimit pranë Qendrës Spitalore të Burgjeve apo Qendrës Spitalore Universitare Tiranë. Referuar parashikimeve të nenit 41 të ligjit nr. 81/2020, personeli mjekësor i IEVP-ve ka detyrën të evidentojë dhe njoftojë menjëherë për sëmundjet që kërkojnë trajtim të specializuar.
Në këtë drejtim vlen të përmendim edhe standardet e elaboruara nga jurisprudenca e Gjykatës së Strasburgut, e cila pavarësisht se vëren se “përshtatshmëria” e ndihmës mjekësore mbetet elementi më i vështirë për t’u përcaktuar në sistemin e burgjeve, ajo udhëhiqet nga testi i kujdesit të duhur, duke paswur në konsideratë mjetet që shteti ka ndjekur dhe jo rezultatin. Sipas nenit 3 të Konventë (KEDNJ), vlerësohet nëse autoritetet përkatëse vendase kanë marrë në kohën e duhur të gjitha masat mjekësore të arsyeshme të mundshme në një “përpjekje të ndërgjegjshme për të penguar zhvillimin e sëmundjes në fjalë (Goginashvili kundër Gjeorgjisë, 2011, § 71). Vetë fakti që një i paraburgosur vizitohet nga një mjek dhe i përshkruhet një formë e caktuar trajtimi nuk mund të çojë automatikisht në përfundimin se ndihma mjekësore ishte e mjaftueshme (Hummatov kundër Azerbajxhanit, 2007, § 116). Autoritetet duhet gjithashtu të sigurojnë që kur është e nevojshme nga natyra e një gjendjeje mjekësore, mbikëqyrja të jetë e rregullt dhe sistematike dhe të përfshijë një strategji gjithëpërfshirëse terapeutike që synon trajtimin adekuat të problemeve shëndetësore të të paraburgosurit ose parandalimin e përkeqësimit të tyre, në vend që t’i adresojë ato në bazë simptomatike (Amirov kundër Rusisë, 2014, § 93).
KSH bën thirrje për verifikime të mëtejshme, objektive dhe të gjithanshme nga Ministria e Drejtësisë dhe Drejtoria e Përgjithshme e Burgjeve lidhur me ngjarjen, për identifikimin e përgjegjësive sipas rastit dhe parandalimin e rasteve të tjera të ngjashme në të ardhmen.
In conclusion, AHC notes with deep concern that the criminal policy consistently followed by our justice system against the excessive use of the security measure “prison arrest” continues to be problematic. This is not the first time that citizens with serious health problems and who do not pose a significant social or criminal risk for which they are being investigated, lose their lives in the detention system. This policy is not in line with international standards which strongly encourage the non-use of restrictive measures of restriction of liberty during investigations, especially considering the medical history of citizen BK in this specific case.
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