Doctors believe that the next day may be critical for Mikhail Khodorkovsky who has started a complete hunger strike. The head of the Federal Punishment Administration Service claims that Khodorkovsky had not embarked on a hunger strike and said that rumors about a hunger strike are being spread by his lawyers.
Yuri Kalinin, Director of the Federal Punishment Administration Service, denied on Wednesday morning that Mikhail Khodorkovsky, ex-chief of NK YUKOS, had gone on a hunger strike. “We don’t have any information about that; Khodorkovsky is taking his meals regularly and receiving food packages,” he said in explaining what he understood about the situation to the Interfax agency. However, any further explanations are somewhat strange and constitute nothing more than Mr. Kalinin’s personal opinion. “Some lawyers have the jitters. Khodorkovsky is receiving food packages worth $1,000 once a month. Can he be starving himself when he is taking such good care of his health? Someone needs all this news about a hunger strike,” Kalinin stated in an interview given to Russian news agency Novosti. It may be that Kalinin contradicted the claim that Khodorkovsky was on a hunger strike simply because the former head of YUKOS had not notified the detention center director in writing about his refusal to take food or water.
Arestant.ru project director Oleg Trunov told Gazeta.ru, “Usually prisoners submit notifications that read: “I am embarking on a hunger strike for such and such reasons,” and then state their claims. Even if he goes on strike without giving any notification, he still must be looked after by a doctor. The condition of his health must be monitored regardless of the status of the hunger strike.”
In a statement posted on the Khodorkovsky press center website, attorney Yuri Schmidt says he cannot understand why Mr. Kalinin is making such statements in the first place, since prisoners in detention centers are not his domain.
It is quite clear why the head of the FPAS hates to recognize that Khodorkovsky has gone on a hunger strike. “No one needs it,” says Trunov. “The hunger strike itself is not a riot, active resistance or a violation of internal rules. It is a passive form of protest to which he is entitled.”
Internal regulations of detention centers state that DC management cannot take any repressive measures against persons who are on a hunger strike. Conversely, they must identify reasons for the strike, and measures that can be taken to end it, and implement these measures where possible.
Though Khodorkovsky embarked on a hunger strike out of solidarity with Lebedev and made no demands, he still must be monitored by a doctor. Mr. Kalinin also admitted this fact. “As soon as the person is weakened to the point at which hunger can seriously harm his health or very life, doctors must force-feed him,” Trunov pointed out. Under the appendix to the Ministry of Justice order “Rations for Compulsory Treatment” of August 2, 2005, detainees should receive 50 grams of semolina or oatmeal, 800 ml of milk, 200 g of meat for bouillon, 30 g of butter, 2 chicken eggs, salt, sugar, and vitamin C. The head of Arestant.ru was at a loss when asked how all this can be forced on a person who is refusing to eat. He says it is possible when “everything is going okay.”
“Detainees are fed in any way possible – for instance, bouillon can be delivered through a stomach tube; vitamin C and glucose through an intravenous drip. What happens in real life? Different things. Sometimes beatings,” Trunov adds.
It is not known how long Khodorkovsky has been on a hunger strike. Lawyer Anton Drel refused to disclose the day it started and said only that it had begun “not one or two days ago.” It is known that the former head of NK YUKOS is already unwell. According to his lawyer, Khodorkovsky decided to keep his hunger strike quiet from the detention center authorities, since he was afraid he would be barred from going on this act of support for his friend Platon Lebedev, former head of MFO MENATEP who has been in a punishment cell since August 19.
"Sometimes a person doubts that he has the willpower and starts a hunger strike without formal notification. When he has adapted to it, he informs the administration,” adds lawyer Yuri Schmidt. He believes that the DC authorities will admit to the hunger strike today. “If I had the power to make decisions, I would have liked it to end today,” said Drel.
Doctors say that a person can live without water for three to seven days. Valery Mironov, Head of the 4th Medical Ward of Municipal Hospital No. 68 and the leading expert in this area in Moscow, told Gazeta.ru that adaptation mechanisms can go wrong during any hunger regimen. “The cardio-vascular system is the usual casualty. Dry hunger is prohibited because the kidneys need a supply of water. Filtration must be normal, which requires dilution of blood and salts that accumulate in it. By rejecting water, we increase the salt concentration in our blood and threaten our kidneys.”
Not a single expert ventured to forecast the outcome of Khodorkovsky’s hunger strike.
“You never know when a person’s health will suddenly deteriorate. It can catch you unawares," says Oksana Plotnikova, Head Doctor of the Clinic at the Nutrition Institute of the Russian Academy of Science. It can of course lead to death, due to cardiac failure or dehydration. "We can’t forecast that if Khodorkovsky goes on a hunger strike, he will survive three days and then die after that. We cannot make any guesses like that. But sometimes even in regular, not dry hunger strikes, people die of blockages of the atriaventricles to the heart, let alone hunger strikes that involve no intake of water.” According to Plotnikova, even a short spell of dry hunger can have an impact on the cardiac and pulmonary systems as well as the metabolism.
You may recall that we learned on Tuesday evening that Mikhail Khodorkovsky had gone on a dry hunger strike as a protest against the measures taken by DC No.1 authorities against Platon Lebedev who had been put in a punishment cell. It is understood that August 24 was the third or fourth day of the hunger strike.
(Gazeta.ru via
MBK press-center, 8.24.2005)