Hunger strike (in prison)

Definition
A Hunger strike is a form of protest where a person, often with no other recourse, uses the threat of their own death and subsequent publicity as a bargaining tool. They refuse food, but may take water and nutritious fluids, depending on the terms they set. A hunger striker receiving only water will die after four or more weeks.

A death fast is similar, but the striker refuses fluids as well. With no water or food, death occurs at eight to ten days.

While hunger-striking can lead to severe medical conditions and death, the purpose and focus of partisan medical aid is to support the striker’s dignity. And to work to build medical, legal, and public support for the striker.
 * The supporter should not focus on convincing the striker to make lifestyle changes and do his strike in the “healthiest” way possible. Nor should the supporter try to convince the striker that “it’s time to back down,” or conversely, “never back down.”
 * The supporter should strive to be consistent and worthy of trust, and to support the striker’s decisions;
 * To understand clearly the striker’s goals, felt needs, and fears;
 * To listen to the striker as he works through his conflicts, decisions, and fears;
 * To unfailingly advocate for the striker, always describing his demands alongside his health condition;

Recommendations
Avoiding coffee and cigarettes (which are not food) during the strike may do more than any other self-care measure to prevent very serious, long-term health conditions. HOWEVER, STRIKERS WILL ALMOST NEVER LIMIT THEIR INTAKE, and it is absolutely not a support person's job to convince them. These drugs are appetite suppressant and mood elevating. Hunger strikers are not trying to stay healthy. The point of the tactic is to get as sick and close to death as possible as quick and painlessly as possible, and die or win as quick as possible.

A SUPPORT PERSON'S MOST IMPORTANT ROLE: To force the prison to allow a sympathetic Doctor not in the employ of the prison to check up on the prisoner as part of a campaign to bring pressure on the prison. Good medical records can provide a lot of pressure in court.

A SUPPORT PERSON'S SECOND MOST IMPORTANT ROLE is dual:
 * To be consistent, emotionally present, provide anticipatory guidance, help the hunger striker maintain morale, and to know he is not forgotten.
 * To publicize the situation widely, so the hunger striker will not be forgotten. If the hunger striker's sympathetic doctor is too involved in publicity, and the campaign is not strong enough, the doctor may be denied access to the striker. There must be a campaign, not just one doctor.

A SUPPORT PERSON'S THIRD MOST IMPORTANT ROLE is to maintain pressure on the correctional institution after the strike has ended, and ensure that the correctional facility does not retaliate. Specifically, to endure that staff follow doctor’s orders about food. Hunger strikers are most likely to die when they resume eating after a long time. Prison guards are often sadistic to just-off-strike prisoners, often by altering their food in ways that can be deadly.

It is illegal (cruel and unusual / torture) and unethical to force-feed an A+O hunger striker. This may include IV feeding.

Long-term (after)care for chronic health conditions acquired during the strike: bowel conditions, neurological/muscular conditions, heart conditions, liver and kidney conditions, infections. Two years ago, a British protester ended his hunger strike with 10 days in the ICU.

Most prisons do not allow prisoners to place calls to cell-phones. If calls to your landline are being restricted, call and harass Sprint to get restrictions taken off your phone. They are the service provider for most US prisons.

Well-documented cases: for partisan medical support
Google "Simon Chapman," Thessaloniki, "Saloniki 5." Long hunger strike following arrest at anti-globalization protest and detention. Statements from their doctors: Dr. Kleanthis Grivas (11-11-2003), The Tragedy of Five Hostages Dr. Alexandra Efthimiadou-Griva, et.al. (11-14-2003), Medical Report on the Health State of the Five Prisoners Who are on Hunger Strike

Google "1981 Irish hunger strike" Diary of Bobby Sands (first seventeen days of this Irishman’s hunger strike – he died after sixty-six days):

What to do: for partisan medical support
World Medical Association’s 1991/92 Declaration on Hunger Strikers (Declaration of Malta) is a standard of behavior and protocol for doctors treating hunger strikers.

Very basic health and safety overview from Anarchy in Action

Case study and answer about force-feeding in UK / international hunger strikes

People to help you: for partisan medical support
Dan Cahill (Akron? OH) went on hunger strike in prison twice (the second time for sixty days; which I think is the longest recorded in the US), and on death fast once for six days.

Famous (NYC) has lots of experience both as a care provider and as a striker, and when the Chinese Staff and Worker's Association did a hunger strike in NYC, she gave a talk to them, provided them with written info, etc. Additionally, some of that written info may have been translated, since the strikers spoke eight different languages.

Annie (NJ) is a NP who has taken care of just about any radical political injury imaginable over her 40 years as a StreetMedic.