Physicians Roles in Promoting Human Rights (A. Keller. “Human Rights and Advocacy: An Integral Part of Medical Education and Practice., Virtual Mentor, Ethics Journal of the American Medical Association , Jan 2004)
Awareness of prevalence of human rights concerns, identifying human rights concerns in clinical context and in the community
providing medical, mental health and social services
Research, g. Prevalence/health impact of human rights abuses
Exposing and condemning human rights violations
Education colleagues, the public and policy makers
Individual Role/participation in professional organizations
Diabetic Ketoacidosis in Prisoners Without Access to Insulin A Keller, R Link, N Bickell, M Charap, A Kalet, M Schwartz JAMA February 3, 1993 Vol 269 No. 5
Retrospective chart review of adult males admitted to Bellevue with diabetic ketoacidosis (DKA), 1/1/89-6/30/91
41% of of adult male patients admitted for DKA were prisoners
(Among all admissions prisoners only constituted 15%)
38(70%) of 54 admissions for DKA among prisoners occurred because prisoners had not received insulin during period immediately following their arrest
Inadequate access to medication results in serious sequelae for recently arrested prisoners in NYC with insulin dependent diabetes. Access to care for recently arrested prisoners needs to be improved.
Beatings, suspension in painful positions, electric shocks, asphyxiations, chemical exposures, Exposure to loud noises, bright lights, sexual assault, poor conditions of detention-starvation.
Verbal abuse, threats of death, further torture, harm to self or family/friends, mock execution. Forced behaviors (ex. forced sexual intercourse or forced to engage in practices against ones religion). Sleep deprivation