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Element:

5. The conduct was neither justified by the medical, dental or hospital treatment of such person or persons concerned nor carried out in such person's or persons' interest.

The Tribunal in the Medical case held that:

"[...] certain basic principles must be observed in order to satisfy moral, ethical and legal concepts:

1. The voluntary consent of the human subject is absolutely essential.

2. The experiment should be such as to yield fruitful results for the good of society, unprocurable by other methods or means of study, and not random and unnecessary in nature.

3. The experiment should be so designed and based on the results of animal experimentation and a knowledge of the natural history of the disease or other problem under study that the anticipated results will justify the performance of the experiment.

4. The experiment should be so conducted as to avoid all un- necessary physical and mental suffering and injury.

5. No experiment should be conducted where there is an a priori reason to believe that death or disabling injury will occur; except, perhaps, in those experiments where the experimental physicians also serve as subjects.

6. The degree of risk to be taken should never exceed that determined by the humanitarian importance of the problem to be solved by the experiment.

7. Proper preparations should be made and adequate facilities provided to protect the experimental subject against even remote possibilities of injury, disability, or death.

8. The experiment should be conducted only by scientifically qualified persons. The highest degree of skill and care should be required through all stages of the experiment of those who conduct or engage in the experiment.

9. During the course of the experiment the human subject should be at liberty to bring the experiment to an end if he has reached the physical or mental state where continuation of the experiment seems to him to be impossible.

"10. During the course of the experiment the scientist in charge must be prepared to terminate the experiment at any stage, if he has probably cause to believe, in the exercise of the good faith, superior skill and careful judgment required of him that a continuation of the experiment is likely to result in injury, disability, or death to the experimental subject."[1]

"[...] in every single instance appearing in the record, subjects were used who did not consent to the experiments; indeed, as to some of the experiments, it is not even contended by the defendants that the subjects occupied the status of volunteers. In no case was the experimental subject at liberty of his own free choice to withdraw from any experiment."[2]

"In the tyranny that was Nazi Germany, no one could give such a consent to the medical agents of the State; everyone lived in fear and acted under duress."[3]

In the Hoess Trial, the Chamber held that:

"[The experiments were] performed in terrible conditions which often led to chronic illness, permanent injury or even death. Neither the doctors nor the assistant personnel were properly trained for the purposes. Unsterilised instruments and dressings were often used"."[4]

In Akayesu, the Trial Chamber held that:

"Threats, intimidation, extortion and other forms of duress which prey on fear or desperation may constitute coercion, and coercion may be inherent in certain circumstances, such as armed conflict or the military presence of Interahamwe among refugee Tutsi women at the bureau communal."[5]

5.1. The conduct was neither justified by the medical, dental or hospital treatment of their person or persons concerned; AND

Footnotes:

[1] Trial of K. Brandt and Others ('The Medical Case'), Trials of War Criminals Before the Nuremberg Military Tribunals under Control Council No. 10, October 1946- April 1949, Vol. II, pp. 181-2.

[2] Trial of K. Brandt and Others ('The Medical Case'), Trials of War Criminals Before the Nuremberg Military Tribunals under Control Council No. 10, October 1946- April 1949, Vol. II, p.183.

[3] Trial of K. Brandt and Others ('The Medical Case'), Trials of War Criminals Before the Nuremberg Military Tribunals under Control Council No. 10, October 1946- April 1949, Vol. I, Opening statement of the Prosecutor.

[4] Trial of Obersturmbannf&uumlhrer Rudolf Franz Ferdinand Hoess, Law Reports of Trials of War Criminals, UNWCC, Vol. VII, p.15.

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