INTRODUCTION: Oluwatoyin (Deji) Sorinmade is a Capacity Australia collaborator and Old Age Psychiatrist from the UK.
HIGHLIGHTING SOME OF THE CHALLENGES COVID-19 HAS POSED TO THE EUROPEAN CONVENTION ON HUMAN RIGHTS (ECHR)
Highlighting some of the challenges COVID-19 has posed to the European Convention on Human Rights (ECHR).
Oluwatoyin A. Sorinmade, Consultant Older Adults Psychiatrist, Oxleas NHS Foundation Trust.
The European Convention on Human Rights (ECHR) came into force in 1953 to guarantee specific rights and freedoms of people in countries that belong to the Council of Europe and to protect their human rights and prohibit unfair and harmful practices.
COVID-19 took the world by storm and invaded all aspects of humanity. The “normal approach” we had to life and issues relating to everyday living changed.
New norms/ways of thinking as well as laws emerged to tackle the sweeping public health crisis with consequent implications on accepted rights and freedoms under the ECHR.
Governments’ world over (including Europe) variously imposed lock down measures to limit the spread of the disease and subsequently introduced schemes to alleviate the financial difficulties imposed on their populace and pioneered schemes e.g. volunteer services to help the less able with shopping, collecting medication from pharmacies etc., to lessen the hardship(s) imposed by lock down measures.
The powers available to public authorities under Article 5(1) (e) of the ECHR to lawfully detain persons for the prevention of the spreading of infectious diseases were imposed by governments across Europe with the consequence that health and law enforcement agencies acquired powers to confine otherwise healthy individuals to their homes and to isolate and screen individuals suspected to have contracted COVID-19 using powers under Article 5(1) (b) of the ECHR.
The promotion of powers under article 5(1e) of the ECHR did not seem to have been extended to the promotion of provisions of Article 5(4) of the same convention which allows for everyone deprived of their liberty by arrest or detention to be entitled to take proceedings by which the lawfulness of their detention shall be decided speedily by a court and their release ordered if the detention is not lawful.
The exigencies of COVID-19 especially in the early stages meant that health resources were diverted to combat/contain the pandemic with the consequent effect that the care of some individuals were delayed and, in some instances, cancelled e.g. clinics, operations etc. possibly leading to death as an indirect consequence of COVID-19 and interference with Article 2 rights of these individuals.
There were concerns about issues relating to the blanket approach taken to writing “DNAR” on the notes of Older Adults and people with Learning Disability without proper consultation in disregard of their Article 8 rights.
There were also problems with the supply and availability of PPE to health and care professionals, with consequence on the human rights of workers to be protected from toxic exposures at work.
There were concerns that the exigencies of the pandemic had the potential to cause doctors to consider factors such as the availability and capacity of current resources when making decisions about whether to continue life-saving treatment on an individual with a potential scenario where an individual could be deprived of continued treatment, consequently interfering with their Article 2 rights.
A Court of Protection judgment considered the interface between the right to private and family life (Article 8), right to liberty and security (Article 5) and right to life (Article 2) and drew out the primacy of absolute rights under ECHR such as Article 2 rights over qualified and limited rights (Article 8 and Article 5 rights respectively).
Patient consultation via telephone and video calls has grown in popularity and acceptance with possible implications for Article 8 rights of patients.
The effect of the lockdown on the physical and mental health of the populace as well as mortality rates, including suicides will become apparent as time goes on.
Time will tell with regard to whether the exigencies of COVID-19 impacted on the speed of hospital discharge as well as the care of people in care homes and the care and survival of the less able and whether this interfered with their Article 2, Article 3 and Article 8 rights.
Some of the measures put in place to tackle the exigencies of COVID-19 will endure long after the pandemic has abated in the UK – otherwise we would have learnt nothing from the pandemic and forgotten nothing.
There is therefore the need, going forward, to carefully calibrate the fine balance between public health needs and safety with human rights.
The understanding is that the European Charter of Fundamental Rights that brings together the fundamental rights of everyone living in the EU, including the rights protected by the ECHR (as brought into UK law by the Human Rights Act) will stop having effect in the UK after the UK leaves the European Union. The government has however guaranteed UK’s continued commitment to “respect the framework” of the ECHR.
1. https://www.equalityhumanrights.com/en/what-european-convention-human-rights, (Accessed 4th May 2020)
2. Corona Virus Act 2020
3. McVeigh and Others v. United Kingdom (Rep.), no. 8022/77, 18 March 1981
5. R (Tracey) v Cambridge University Hospitals NHS Foundation Trust & Anor  EWCA Civ 33
6. https://www.theguardian.com/world/2020/apr/27/german-doctors-pose-naked-in-protest-at-ppe-shortages?CMP=Share_iOSApp_Other, https://www.telegraph.co.uk/business/2020/04/19/inside-britains-ppe-shortages-uk-really-ill-equipped/,(Accessed 4th May 2020)
7. Brincat and Others v Malta, application nos. 60908/11, 62110/11, 62129/11,62312/11 and 62338/11, 24 July 2014
8. Principles on human rights and the protection of workers’ rights from exposure to toxic substances, United Nations Human Rights Council, Forty second session, A/HRC/42/4
10. Oyal vs Turkey, application no.4864/05, 23 March 2010
11. BP v Surrey County Council & Anor  EWCOP 17
12. https://www.attendanywhere.com/,(Accessed 4th May 2020)
13. Volintiru vs Italy, application no. 8530/08, March 2013, see also  UKSC 33.
14. https://commonslibrary.parliament.uk/brexit/how-might-brexit-affect-human-rights-in-the-uk/, (Accessed 4th May 2020)
Source: Sorinmade, O 2020, Highlighting some of the challenges COVID-19 has posed to the European Convention on Human Rights (ECHR), Cambridge University Press, viewed 18 May 2020, <https://www.cambridge.org/core/journals/psychiatric-bulletin/article/new-procedure-for-submitting-letters/C32BBDBC94C609037261C8A97D3BB73C#fndtn-comments>
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This article originally appeared in Cambridge University Press and was reproduced with permission