issued by the Registrar of the Court
ECHR 274 (2017)
12.09.2017
Judgments of 12 September 2017
The European Court of Human Rights has today notified in writing two Chamber judgments1,
summarised below, which are available only in English.
Rõigas v. Estonia (application no. 49045/13)
The applicant, Anneli Rõigas, is an Estonian national who was born in 1963 and lives in Tallinn. The
case essentially concerned her complaint of a lack of investigation into her son’s alleged
maltreatment in hospital and into the circumstances of his death.
Ms Rõigas’ son, O., born in 1983, was diagnosed with malignant melanoma in 2006. In that year, he
underwent surgery and regular check-ups. In April 2009 he had more surgery, in which a metastasis
was removed from his brain, and he received radiation therapy. Following a deterioration of his
health, he was admitted to hospital again in September 2009. After computerised tomography (CT)
and magnetic resonance imaging scans of his brain had been performed, a hospital medical council
decided to proceed with palliative care. It found that, because O.’s tumour had spread, oncological
treatment would not be effective. For one week, in October 2009, O. was physically restrained to a
bed, apparently in order to prevent him from hurting himself, because he was in a disturbed state of
mind. When he was additionally suffering from progressive respiratory failure, he was transferred to
an intensive care unit, where, on 12 October, he stopped breathing and mechanical ventilation was
applied. On the next day, the characteristics corresponding to brain death were ascertained. O. died
on 15 October 2009. An autopsy was performed on the following day. The medical death certificate
indicated cerebral oedema as the immediate cause of death and melanoma with multiple
metastases as the medical condition that had brought it about.
According to Ms Rõigas, O. did not sign the medical council’s decisions not to provide him with
oncological treatment and to proceed with palliative care. She also maintains, in particular, that O.
fell into a coma following an overdose of medicine, that the protocol for verifying brain death was
not properly carried out by the hospital and that the administration of food and medicines was not
resumed, despite her requests.
Following O.’s death, Ms Rõigas complained to the police about his treatment in the hospital and
requested an expert examination. After she had additionally complained to the Health Board, the
case was transmitted to the Expert Committee on the Quality of Health Care Services, which, after
examining O.’s medical records, obtaining explanations from the hospital staff and obtaining expert
opinions, found no medical malpractice. Ms Rõigas’ action to have the Expert Committee’s report
declared unlawful was dismissed by a final judgment of the Supreme Court in December 2015. In
parallel, following an offence report lodged by her, criminal proceedings were initiated. They were
eventually terminated in October 2012 as on the basis of the gathered evidence the commission of
an offence had not been proven.
1
Under Articles 43 and 44 of the Convention, Chamber judgments are not final. During the three-month period following a Chamber
judgment’s delivery, any party may request that the case be referred to the Grand Chamber of the Court. If such a request is made, a
panel of five judges considers whether the case deserves further examination. In that event, the Grand Chamber will hear the case and
deliver a final judgment. If the referral request is refused, the Chamber judgment will become final on that day. Under Article 28 of the
Convention, judgments delivered by a Committee are final.
Once a judgment becomes final, it is transmitted to the Committee of Ministers of the Council of Europe for supervision of its execution.