CRPD/C/25/D/58/2019 2.4 On 19 February 2018, the author claimed that there were impediments to the enforcement of his deportation order. He submitted new medical reports as evidence to substantiate that he suffers not only from post-traumatic stress disorder but also from paranoid schizophrenia. He also referred to the worsening security situation in Afghanistan. On 11 June 2018, the Migration Agency found that the medical certificates he had submitted, including the author’s diagnosis of paranoid schizophrenia, did not constitute new circumstances that would warrant a fresh examination of the case owing to the fact that his mental health had already been the subject of an examination in the previous set of procedures. The Migration Agency further noted that the deterioration in the author’s mental health must be linked to the rejection of his asylum application rather than an indication of a serious mental health problem. 2.5 The author appealed this decision and claimed that the authorities had failed to assess whether adequate medical treatment would be available to him in Afghanistan for his paranoid schizophrenia. He also indicated, for the first time in the asylum procedures, that he had been a victim of sexual assault prior to his departure from Afghanistan. On 17 July 2018, the Migration Court dismissed the appeal. The Migration Court stressed that it can be the symptoms and not necessarily the diagnosis that are of relevance in the domestic authorities’ assessment of the available medical treatment in Afghanistan. In view of the fact that the author’s symptoms were brought before the authorities in the context of his post-traumatic stress disorder diagnosis and constituted part of the asylum authorities’ consideration, the diagnosis of paranoid schizophrenia could not lead to a different assessment. Furthermore, even though the Migration Court did not question the fact that the author may have been a victim of sexual violence in the past, it concluded that there was nothing in the file to suggest that he would continue to face a risk of ill-treatment on this ground 10 years after the alleged incident. On 5 September 2018, the author’s request for leave to appeal was denied. 2.6 The author submitted an application to the European Court of Human Rights, which, on 10 January 2019, sitting in a single-judge formation, rejected the author’s request for interim measures and decided to declare the application inadmissible. 3 2.7 In his submission to the Committee, the author provides up-to-date medical reports to prove that his health condition has not improved. The documents indicate that the author is unable to care for himself or run a household due to his paranoid schizophrenia. His condition is life-threatening because he is experiencing hallucinations and suicidal ideation. In fact, he already tried to take his own life on an unspecified date. His hallucinations are more frequent when he feels threatened, for example, when he sees Afghan persons and thinks that they might want to kill him. He also suffers from a sleep disorder. Although he has already been referred to the Crisis and Trauma Center in Sweden, patients without a residence permit cannot commence treatment. Complaint 3.1 The author claims that, by deporting him to Afghanistan, the State party would violate his rights under articles 10 and 15 of the Convention, as his removal would lead to a grave risk of suicide and to other risks to his life and health. He claims that the medical certificates submitted to the domestic authorities establish that he has been diagnosed with long-term mental illnesses, and he claims that the lack of proper medical treatment for his condition in Afghanistan would expose him to a serious, rapid and irreversible decline in his state of health resulting in intense suffering or to a significant reduction in life expectancy.4 In this respect, he relies on several country reports,5 which indicate that people with mental health problems are stigmatized in Afghanistan, medical workers are not properly trained and there are only 3 4 5 The decision states that: “Having regard to all the material in its possession and in so far as it had jurisdiction to examine the allegations made, the Court considered that the conditions of admissibility provided for in Articles 34 and 35 of the Convention were not fulfilled.” The author refers to European Court of Human Rights, Paposhvili v. Belgium, Application No. 41738/10, Judgment of 13 December 2016, and Aswat v. the United Kingdom, Application No. 17299/12, Judgment of 16 April 2013. See, for example, World Health Organization (WHO), “Afghanistan Country Office 2019”, updated in December 2018. 3

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