FIFTH SECTIONCASE OF SHCHURKO AND OTRYSHKO v. UKRAINE(Applications nos. 29857/19 and 3529/21)     JUDGMENT STRASBOURG16 November 2023    This judgment is final but it may be subject to editorial revision. In the cases of Shchurko and Otryshko v. Ukraine,The European Court of Human Rights (Fifth Section), sitting as a Committee composed of: Carlo Ranzoni, President, Lado Chanturia, María Elósegui, judges,and Viktoriya Maradudina, Acting Deputy Section Registrar,Having deliberated in private on 12 October 2023,Delivers the following judgment, which was adopted on that date:PROCEDURE1.  The case originated in applications against Ukraine lodged with the Court under Article 34 of the Convention for the Protection of Human Rights and Fundamental Freedoms (“the Convention”) on the various dates indicated in the appended table.2.  Notice of the applications was given to the Ukrainian Government (“the Government”).THE FACTS3.  The list of applicants and the relevant details of the applications are set out in the appended table.4.  The applicants alleged that they did not receive adequate medical care in detention. In application no. 3529/21 the applicant also raised a complaint under Article 13 of the Convention.THE LAWJOINDER OF THE APPLICATIONS5.  Having regard to the similar subject matter of the applications, the Court finds it appropriate to examine them jointly in a single judgment.ALLEGED VIOLATION OF ARTICLE 3 OF THE CONVENTION6.  The applicants complained principally that they were not afforded adequate medical treatment in detention. They relied on Article 3 of the Convention.7.  The Court notes that the applicants suffered from serious medical conditions, as indicated in the appended table, which affected their everyday functioning. Therefore, they could have experienced considerable anxiety as to whether the medical care provided to them was adequate.8.  The Court reiterates that the “adequacy” of medical assistance remains the most difficult element to determine (see Blokhin v. Russia [GC], no. 47152/06, § 137, ECHR 2016). It has clarified in this context that the authorities must ensure that diagnosis and care are prompt and accurate (see, for example, Gorbulya v. Russia, no. 31535/09, § 62, 6 March 2014, with further references and Pokhlebin v. Ukraine, no. 35581/06, § 62, 20 May 2010, with further references) and that ‒ where necessitated by the nature of a medical condition ‒ supervision is regular and systematic and involves a comprehensive therapeutic strategy aimed at successfully treating the detainee’s health problems or preventing their aggravation (see, inter alia, Ukhan v. Ukraine, no. 30628/02, § 74, 18 December 2008, with further references and Kolesnikovich v. Russia, no. 44694/13, § 70, 22 March 2016, with further references). The Court stresses that medical treatment within prison facilities must be appropriate and comparable to the quality of treatment which the State authorities have committed themselves to providing for the entirety of the population. Nevertheless, this does not mean that each detainee must be guaranteed the same level of medical treatment that is available in the best health establishments outside prison facilities (see, for instance, Sadretdinov v. Russia, no. 17564/06, § 67, 24 May 2016, with further references and Konovalchuk v. Ukraine, no. 31928/15, § 52, 13 October 2016, with further references)9.  Having examined all the material submitted to it, the Court has identified the shortcomings in the applicants’ medical treatment, which are listed in the appended table. The Court has already found a violation in respect of issues similar to those in the present case (see Nevmerzhitsky v. Ukraine, no. 54825/00, §§ 103-05, ECHR 2005 II, Melnik v. Ukraine, no. 072286/01, §§ 104-06, 28 March 2006 and Logvinenko v. Ukraine, no. 13448/07, §§ 68-78, 14 October 2010). Bearing in mind its case-law on the subject, the Court considers that in the instant case the applicants did not receive comprehensive and adequate medical care whilst in detention.10.  These complaints are therefore admissible and disclose a breach of Article 3 of the Convention.OTHER ALLEGED VIOLATIONS UNDER WELL-ESTABLISHED CASE-LAW11.  In application no. 3529/21 the applicant also submitted a complaint under the Article 13 of the Convention about the lack of an effective remedy in domestic law in respect of inadequate medical treatment in detention facilities (see appended table). This complaint is not manifestly ill-founded within the meaning of Article 35 § 3 (a) of the Convention, nor is it inadmissible on any other ground. Accordingly, it must be declared admissible. Having examined all the material before it, the Court concludes that it discloses a violation of Article 13 of the Convention in the light of its well-established case-law (see Melnik, cited above, §§ 113-16, and Logvinenko, also cited above, §§ 84-85).APPLICATION OF ARTICLE 41 OF THE CONVENTION12.  Article 41 of the Convention provides:“If the Court finds that there has been a violation of the Convention or the Protocols thereto, and if the internal law of the High Contracting Party concerned allows only partial reparation to be made, the Court shall, if necessary, afford just satisfaction to the injured party.”13.  Regard being had to the documents in its possession and to its case‑law (see, in particular, Logvinenko, cited above, §§ 89-95), the Court considers it reasonable to award the sums indicated in the appended table.FOR THESE REASONS, THE COURT, UNANIMOUSLY,Decides to join the applications;Declares the applications admissible;Holds that these applications disclose a breach of Article 3 of the Convention on account of the inadequate medical care in detention;Holds that there has been a violation of the Convention as regards the other complaints raised under the well-established case-law of the Court (see appended table);Holds(a)  that the respondent State is to pay the applicants, within three months, the amounts indicated in the appended table, to be converted into the currency of the respondent State at the rate applicable at the date of settlement;(b)  that from the expiry of the above-mentioned three months until settlement simple interest shall be payable on the above amounts at a rate equal to the marginal lending rate of the European Central Bank during the default period plus three percentage points.Done in English, and notified in writing on 16 November 2023, pursuant to Rule 77 §§ 2 and 3 of the Rules of Court.  Viktoriya Maradudina Carlo Ranzoni Acting Deputy Registrar President APPENDIXList of applications raising complaints under Article 3 of the Convention(inadequate medical treatment in detention)No.Application no.Date of introductionApplicant’s nameYear of birth Representative’s name and locationPrincipal medical conditionShortcomings in medical treatmentOther complaints under well-established case-lawAmount awarded for pecuniary and non-pecuniary damage per applicant(in euros)[1]Amount awarded for costs and expenses per application(in euros)[2]   29857/1927/05/2019Vitaliy Valentynovych SHCHURKO1971 Kychenok Andriy SergiyovychKyivTuberculosis         lacking/delayed drug therapy 30/06/2015 to27/08/20172 years and1 month and29 days lacking/delayed drug therapy 01/09/2017 to27/11/20181 year and2 months and27 days 7,500250   3529/2115/01/2021Viktor Ivanovych OTRYSHKO1956 Zakharova Maryna VolodymyrivnaKryvyy Rigstroke           lack of/delay in consultation by a specialist, lack of/delay in medical examination, lacking/delayed diet, lacking/delayed drug therapy 31/12/2020 to05/01/20216 days lack of/delay in medical examination, lacking/delayed drug therapy, lacking/delayed diet 11/01/2021 to19/01/20219 daysArt. 13 - lack of any effective remedy in domestic law in respect of inadequate medical treatment in detention.7,500250 [1] Plus any tax that may be chargeable to the applicants.[2] Plus any tax that may be chargeable to the applicants.