Постановление Европейского суда по правам человека от 30.07.2009 «Дело Алехин (Alekhin) против России» [англ.]

remand centre. That request had not yet been examined.
39. On 20 December 2007 counsel for the applicant lodged an application for release before the Moskovskiy District Court. He submitted that the applicant's health had deteriorated after his transfer to the remand centre, that he had again been taken to the prison hospital and that he had been granted disability status.
40. On the same day the Moskovskiy District Court rejected the request. It noted that on 18 December 2007 the applicant had been discharged from hospital and that, given the gravity and nature of the charges, he might reoffend or interfere with the proceedings.
41. On 17 March 2008 the Moskovskiy District Court extended the applicant's detention until 9 July 2008, referring to the gravity of the charges and the risk of his reoffending or interfering with the proceedings.
42. On 19 May 2008 the applicant lodged an application for release before the Moskovskiy District Court. He submitted that his flat had been burgled several times while he had been in custody and that his wife and children had received threats from unidentified persons. He asked to be released to be able to protect his family and his property. He also referred to his poor health and disability status.
43. On the same date the Moskovskiy District Court rejected his request. The applicant had not submitted any evidence in support of his allegation about threats to his family. In any event, the protection of his family and property was a matter for the police. Nor could his disability status warrant release, as he was receiving sufficient medical assistance in the remand centre.

B. Medical assistance

44. On 14 February 2006 the applicant was placed in remand centre SIZO-3 in St Petersburg. On the same day he was examined by the remand centre doctor. He complained of chest pains and numbness of the left arm. The doctor diagnosed him with hypertension and ischaemic heart disease and found that his general state was satisfactory. The doctor further noted that the applicant had refused the proposed treatment.
45. According to a certificate of 14 April 2008 from the authorities at the facility, produced by the Government, during the entire period of his detention in SIZO-3 the applicant received adequate medical assistance. There was a medical unit in the remand centre which was open for eight hours each day, excluding weekends and public holidays. An ambulance was immediately called whenever the applicant was unwell. He received treatment appropriate to his condition. However, he occasionally refused the medicines offered, claiming that he did not recognise them. He demanded that the doctor provide him with specific medicines rather than the generics available in the medical unit.
46. On an unspecified date in mid-August 2006 the applicant went on hunger strike.
47. On 16 August 2006 the applicant complained of heart pains and was taken to Haass prison hospital (УС 20/12 ФГЛПУ Областная больница им. доктора Ф.П. Гааза ГУ ФСИН России по СПб и ЛО). There he underwent numerous examinations (blood and urine tests, coronary angiography, ultrasound examination, etc.), was diagnosed with hypertension and ischaemic heart disease and prescribed treatment. He was discharged on 24 August 2006.
48. On the same day he complained to the remand centre doctor of a tumour beneath his right ear. The doctor applied an alcohol compress. The tumour receded. On 29 August 2006 it reappeared.
49. On 31 August 2006 the applicant was diagnosed with lymphadenitis (inflammation of a lymph node). On the same day he was taken into Haass prison hospital for surgery.
50. In hospital he was subjected to several medical tests and on 1 September 2006 underwent surgery. He received post-surgery treatment and treatment for high blood pressure. He continued his hunger strike a

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