This field manual interim (FMI) establishes guidelines for medical support to detainee operations (DO) as part of the Army Health System (AHS) in the theater. It discusses command structure and staff operations necessary to provide medical support to detainees. This FMI is designed for use by commanders and their staffs in the planning and execution of providing medical support to detainees. Field Manual Interim 4-02.46 is not a stand-alone manual and must be used in combination with other publications. These publications are noted throughout the manual and a consolidated listing is provided in the references.
From October 2010 to August 2011, the United Nations Assistance Mission in Afghanistan (UNAMA) interviewed 379 pre‐trial detainees and convicted prisoners at 47 detention facilities in 22 provinces across Afghanistan. In total, 324 of the 379 persons interviewed were detained by National Directorate of Security (NDS) or Afghan National Police (ANP) forces for national security crimes ‐ suspected of being Taliban fighters, suicide attack facilitators, producers of improvised explosive devices, and others implicated in crimes associated with the armed conflict in Afghanistan. Interviews were conducted at facilities including ANP detention centres, NDS facilities, Ministry of Justice prisons and juvenile rehabilitation centres; as a result of transfers, the interviews dealt with detainees located in 24 of Afghanistan’s 34 provinces. With two exceptions, Government officials from the ANP, NDS, Ministry of Justice and other departments cooperated with UNAMA and provided full access to detainees and facilities. UNAMA acknowledges the critical and extremely difficult role that NDS and ANP have in safeguarding national security in the current situation of armed conflict in Afghanistan. Torture and Abuse of Detainees by NDS and ANP UNAMA’s detention observation found compelling evidence that 125 detainees (46 percent) of the 273 detainees interviewed who had been in NDS detention experienced interrogation techniques at the hands of NDS officials that constituted torture, and that torture is practiced systematically in a number of NDS detention facilities throughout Afghanistan. Nearly all detainees tortured by NDS officials reported the abuse took place during interrogations and was aimed at obtaining a confession or information. In almost every case, NDS officials stopped the use of torture once detainees confessed to the crime of which they were accused or provided the requested information. UNAMA also found that children under the age of 18 years experienced torture by NDS officials. More than one third of the 117 conflict‐related detainees UNAMA interviewed who had been in ANP detention experienced treatment that amounted to torture or to other cruel, inhuman or degrading treatment.
A reportedly “Top Secret” document that was obtained and published by the Guardian. It details rules and procedures allowing members of British intelligence, specifically MI5 and MI6 to obtain information from detainees that have been subject to torture in other jurisdictions. The memo notes that obtaining such information may be in violation of both UK and international law.
Under my current restrictions, in addition to being stripped at night, I am essentially held in solitary confinement. For 23 hours per day, I sit alone in my cell. The guards checked on me every five minutes during the day by asking me if I am okay. I am required to respond in some affirmative manner. At night, if the guards can not see me clearly, because I have a blanket over my head or I am curled up towards the wall, they will wake me in order to ensure that I am okay. I receive each of my meals in my cell. I am not allowed to have a pillow or sheets. I am not allowed to have any personal items in my cell. I am only allowed to have one book or one magazine at any given time to read. The book or magazine is taken away from me at the end of the day before I go to sleep. I am prevented from exercising in my cell. If I attempt to do push-ups, sit-ups, or any other form of exercise I am forced to stop by the guards. Finally, I receive only one hour of exercise outside of my cell daily. My exercise is usually limited to me walking figure eights in an empty room.