Email includes charts, which summarize detainee deaths that have occurred in Iraq and Afghanistan. The charts list the case number, manner of death, and whether an investigation is pending. One chart lists six unnatural/homicides in Iraq.
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111.111111111111 Mr Army G3/AOC (OW
From: (b)(6) -z-
Sent: Fn 004 6:35 AM
To: MAJ PMG (b)(b)" 2"
Subject: : Discussion on detainee deaths
Attachments: Prison deaths v3.ppt
---Original Message
From: Ryder, Donald J. MG
Sent: Friday, May 21 2004 6:3 A
To: Mr.; ararriNMea_(a) -
_COL CIDC G3_
Subject: FW: Discussion on detainee deaths COL;
Looks like they made no changes or did not get our input.
_Original Message
From: 1.1111111tol OASD(HA) ( 6)( 6)" 2--
Sent: Thursda May 20, 2004 6:56 PM
To: 0504111111111110LTC, OSD;_ ASD-PA;_ OASD-PA; Ryder, Donald 3 MG PMG;
OL PMG; Lovelace, James 3 LTG DAS_ OL CSA' DoD OGC_ WW1-Subject: Discussion on detainee deaths
are s ra or tomorrow morning s 30 meeting with M
I will bring folders to the meeting.
VR
Col IMP (b)(6)-z
Prison deaths
v3.ppt (106 KB)
1111.11111 Colonel, USAF, NC S ecial Assistant to the Assistant Secretary of Defense for Health Affairs
(1b)ig)-z-(fax)1
016028
1
Deaths of Detainees
Under US Military Control
016029
1
Purpose
• To clarify the number, cause of death, investigations conducted and disposition of cases of deaths occurring among detainees in US custody
2
This could be the place for "where we are going." The four items I've place
here are in various stages of development:
•At least some QA policies are in effect and some monitoring by components and DOD is already occurring (Can we provide examples?)
-Health surveillance data that can be (and at some point is) turned to individual (and force) health. As deployment examples, the data collected on health or health perceptions acquired during the post-deployment assessment process (in greater detail than is now available), the long term health using visits, the utility of the clinical practice guideline, and perhaps of environmental sampling. Might include the numbers of visits following deployments, although this seems a mixed message and will require better detail.
'Integration and standardization of health information documentation and collection from the services and components, as well as of the assessments and preventive services offered.
•The initiatives and developments that recognize the important status of reserve components, especially during deployments. One could tick off the related policies and public laws, but actual accomplishments would
016030
2
Detainee Deaths in US-Controlled Prisons
As of May 20, 2004
• TOTAL: 59
—Iraq: 55
—Afghanistan: 4
—Guantanamo Bay: 0
3
This could be the place for "where we are going." The four items I've place
here are in various stages of development:
•At least some QA policies are in effect and some monitoring by components and DOD is already occurring (Can we provide examples?
'Health surveillance data that can be (and at some point is) turned to
individual (and force) health. As deployment examples, the data collected on health or health perceptions acquired during the post-deployments assessment process (in greater detail than is now available), the long term health using visits, the utility of the clinical practice guideline, and perhaps of environmental sampling. Might include the numbers of visits following deployments, although this seems a mixed message and will require better detail.
•
Integration and standardization of health information documentation and collection from the services and components, as well as of the assessments and preventive services offered.
•
The initiatives and developments that recognize the important status of reserve components, especially during deployments. One could tick off the related policies and public laws, but actual accomplishments would
016031
OPMG Document
DOD-048235
Iraq
• 55 detainee deaths (all prisons)
—21 killed by enemy mortar attack at Abu Gharib
— 8 died during riots or escape attempts
—11 died of natural causes (tuberculosis, heart disease, medical conditions)
—
1 accidental death (heat stroke)
—
6 died of "unnatural causes"
—
5 died of "unknown causes"
—
3 pending medical examiner ruling
4
This could be the place for "where we are going." The four items I've place
here are in various stages of development:
-At least some QA policies are in effect and some monitoring by
components and DOD is already occurring (Can we provide examples?)
•Health surveillance data that can be (and at some point is) turned to individual (and force) health. As deployment examples, the data collected on health or health perceptions acquired during the post-deployment assessment process (in greater detail than is now available), the long term health using visits, the utility of the clinical practice guideline, and perhaps of environmental sampling. Might include the numbers of visits following deployments, although this seems a mixed message and will require better detail.
'Integration and standardization of health information documentation and collection from the services and components, as well as of the assessments and preventive services offered.
•The initiatives and developments that recognize the important status of reserve components, especially during deployments. One could tick off the related policies and public laws, but actual accomplishments would
_4
016032
6 "Unnatural Causes"
Case # Circumstances
A03-51 03-273 03-504 03-571 1 strangulation Found outside isolation unit 1 closed head injury; Died 12 hrs after escape attempt 1 blunt force trauma and choking Died during interrogation 1 blunt force trauma and choking Died during interrogation
04-014 1 blunt force trauma and choking Gagged in standing restraint
None 1 gunshot wound to abdomen: "Shot without provocation"
Autopsy Done?
Yes Yes Yes Yes
Yes
No/not reported
Investigation / Disposition
5
016033
5 "Unknown Causes"
Case # None None Circumstances 3 reported as heart attack 1 found dead in bed Autopsy Done 0 015 No/not reported No/not reported Investigation / Disposition
None 1 died after falling in hospital (was having chest pain) No/not reported
6
016031
OPMG Document
Case # 04-309 3 Pending Medical Examiner Ruling Circumstances Autopsy Done 3 of 3 Investigation / Disposition 1 died sleeping after interrogation Yes; results pending
04-357 1 suspected heart attack Yes; results pending
04-358 1 unknown history Yes; results pending
7
7
016035
OPMG Document
DOD-048239
Afghanistan
• 4 detainee deaths
—3 died of unnatural causes
• autopsies completed; all ruled by Medical Examiner as homicides
—1 died in custody; circumstances unknown •• no autopsy done
B
This could be the place for "where we are going." The four items I've place here are in various stages of development:
•
At least some QA policies are in effect and some monitoring by components and DOD is already occurring (Can we provide examples?)
•
Health surveillance data that can be (and at some point is) turned to individual (and force) health. As deployment examples, the data collected on health or health perceptions acquired during the post-deployment assessment process (in greater detail than is now available), the long term health using visits, the utility of the clinical practice guideline, and perhaps of environmental sampling. Might include the numbers of visits following deployments, although this seems a mixed message and will require better detail.
•
Integration and standardization of health information documentation and collection from the services and components, as well as of the assessments and preventive services offered.
•
The initiatives and developments that recognize the important status of reserve components, especially during deployments. One could tick off the related policies and public laws, but actual accomplishments would
016 0 33
3 "Unnatural Causes"
Case # Circumstances Autopsy Done? 3 of 3 Investigation / Disposition
A02-93 A02-05 A03-144 1 blunt force injuries found restrained in cell 1 blunt force to lower extremities 1 blunt force trauma Yes Yes Yes
S
9
9
016037
OPMG Document
DOD-048241
C6Ari --(
016033_10
Recommendation #2
•
11
016039
11
016)40_12
References
•
DODD 2310.1; DoD Enemy POW Detainee Program
— Designates Secretary of the Army as the Executive Agent for DoD for the administration of the DoD Enemy Prisoners of War Detainee Program (OPR is ASD/ISA)
•
Army Regulation 190.8/0PNAVINST 3461.6/ AFJI 317-304, MCO 3461.1; Enemy Prisoners of War, Retained Personnel, Civilian Internees and Other Detainees
•
ASD Health Affairs Memorandum April 10, 2002
— "DoD Policy on Medical Care for Enemy Persons Under US Control Detained in Conjunction with Operation ENDURING FREEDOM"
13
016041_
13
Forensic Definitions
•
Cause of death:
— The disease, injury or abnormality that alone or in combination is responsible for initiating the sequence of functional disturbances that eventually ends in death
•
Manner of death:
—
A classification of the way in which the cause of death came about with reference to personal causation. It is the way in which the cause of death came about and designates the circumstance under which the cause of death arose. It explains how the cause of death came about. An opinion of the forensic pathologist based on the known facts concerning the circumstances leading up to and surrounding the death, the autopsy findings, and laboratory tests.
—
Accepted manners of death are: Natural, Accident, Suicide, Homicide, and Undetermined.
•
Homicide: '
—
A death that results from the intentional (explicit or implied) or grossly reckless behavior of another person or persons.
—
Homicide is not synonymous with murder (a legal determination) and includes both criminal actions and excusable incidents (i.e. self-defense, law enforcement, combat).
•
Accident:
— A death that results inadvertently or where no harm was intended (explicit or implicit).
•
Undetermined manner of death:
— Indicates there is insufficient information about the circumstances of the death to make a
ruling or when the cause of death is unknown. 14
416 04
-14
OPMG Document
DOD-048246
U1604)