who was told that tissue had been removed from her husband’s body prior to the funeral by the
experts of the Forensic Centre. Under a State-approved agreement, some of his body tissue had
been removed and later sent to a pharmaceutical company in Germany to be modified into bio
implants. On 9 October 2003, Ms Elberte was recognised as an injured party.
In December 2005 and January 2006, the prosecutors decided to discontinue the inquiry. They
accepted that, under the 2004 amendments to the Law on the Protection of the Bodies of Deceased
Persons and the Use of Human Organs and Tissues (“the Law”), the Latvian system was one of
“presumed consent”. According to the Forensic Centre specialists, this meant that “everything which
was not forbidden was allowed” as opposed to an “informed consent” system, whereby tissue
removal was permissible only when it was expressly allowed by the donor during his or her lifetime
or by the relatives.
On two occasions, on 24 February 2006 and 3 December 2007, superior prosecuting authorities
examined the case-file and concluded that the inquiry should not have been discontinued. They
established that the experts at the Forensic Centre had breached provisions of the Law and that the
tissue removal had been unlawful. The decision to discontinue was quashed on both occasions and
the case file sent back to the Security Police.
During the course of the fresh investigation which started in March 2008, it was established that in
1999 tissue had been removed from 152 people; in 2000, from 151 people; in 2001, from 127
people; and in 2002, from 65 people. In exchange for the supply of tissue to the company in
Germany, the Forensic Centre had organised the purchase of different medical equipment,
instruments, technology and computers for medical institutions in Latvia.
On 27 June 2008 a new decision to discontinue the criminal inquiry was adopted, in which it was
reiterated that the experts did not have any legal obligation to inform anyone about their right to
consent to or refuse organ or tissue removal. Notably, the Law provided for the right of the closest
relatives to object to the removal of the deceased person’s organs and tissue, but did not impose
such an obligation. Consequently, the Forensic Centre experts could not be convicted of breaching
an obligation which was not clearly established by law.
Complaints, procedure and composition of the Court
Relying on Article 8 (right to respect for private and family life), Ms Elberte complained that the
removal of her husband’s tissue had been carried out without her prior consent. Further relying on
Article 3 (prohibition of inhuman or degrading treatment), Ms Elberte complained of emotional
suffering as she had been left in a state of uncertainty regarding the circumstances of the removal of
tissue from her husband, her husband’s body having been returned to her after the autopsy with his
legs tied together. Lastly, relying on Article 13 (right to an effective remedy), she alleged that there
were several possible interpretations of domestic law on the right for closest relatives to express
consent or refusal in relation to tissue removal.
The application was lodged with the European Court of Human Rights on 5 December 2008.
Judgment was given by a Chamber of seven judges, composed as follows:
Päivi Hirvelä (Finland), President,
Ineta Ziemele (Latvia),
George Nicolaou (Cyprus),
Nona Tsotsoria (Georgia),
Zdravka Kalaydjieva (Bulgaria),
Krzysztof Wojtyczek (Poland),
Faris Vehabović (Bosnia and Herzegovina), judges,
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