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Súdny dvor Európskej únie·27.4.1994

C-404/92

ECLI:EU:C:1994:172

Súd
Súdny dvor Európskej únie
IČS
61992CC0404

X v COMMISSION

OPINION OF ADVOCATE GENERAL VAN GERVEN delivered on 27 April 1994

Mr President, facts, I have quoted parts of paragraph 47 of Members of the Court, the judgment in three places):

1. This case concerns an appeal against the judgment of the Court of First Instance delivered on 18 September 1992 in Joined 'l ) The applicant worked for the Commis­ Cases T-121/89 and T-13/90, 1 hereinafter sion of the European Communities on a referred to as 'the contested judgment'. The freelance basis from 29 August 1985 to appeal raises a number of legal questions 30 March 1986 and from 1 May 1986 to concerning the medical examination on 31 August 1987, and as a member of the recruitment of applicants for appointment as auxiliary staff from 1 September 1987 to officials and other members of the staff of 31 January 1988. Having been admitted the Community institutions. These legal to Competition No COM/C/655 for questions relate to the right to respect for typists, he was informed on 4 July private life, the duty to state the reasons on 1989 that he had not passed the written which a measure is based and the right to a tests. fair hearing.

Facts and procedure

2) With a view to the possibility of his being employed for a period of 6 months as a member of the Commis­ sion's temporary staff, the applicant was 2. In the light of the pleas in law which have invited, by letter from the Careers Divi­ been put forward, the following paragraphs sion of the Directorate-General for Per­ of the contested judgment and the findings sonnel and Administration of 14 Febru- of the Court of First Instance therein seem ary 1989 to undergo a medical to me to be relevant (the italics are mine; examination in accordance with Articles because of the chronological order of the 12(2)(d) and 13 of the Conditions of Employment of other Servants of the European Communities (hereinafter referred to as "the Conditions of * Original language: Dutch. 1 — [1992] ECR II-2195. Employment").

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3) That examination was carried out on T4/T8 ratio 0.39 (normal range 1-3). In view 15 March 1989 by Dr S. a medical of those results as a whole, the medical officer of the Commission. The appli­ officer concluded on 22 March 1989 that the cant underwent a clinical examination, applicant was suffering from a significant supplemented by biological tests. How­ immune deficiency which rendered him unfit ever, he declined the suggestion of the to perform the duties of a member of the medical service that he should be temporary staff. 2 screened for HIV antibodies (AIDS).

47. (contd.) By letter of the same date, he informed the applicant that he was unable to issue an opinion that the applicant was suit­ able for recruitment and asked him to give him the name, address and telephone number of his own doctor, so that he could give the latter details of the abnormalities found. In 47. The anamnesis drawn up on the basis of the opinion of the medical officer, those a questionnaire completed and signed by the abnormalities called for "further examina­ applicant revealed that he suffered from tions to clarify the diagnosis, enabling appro­ chronic acne and that in 1988 he had con­ priate treatment to be undertaken, if neces­ tracted shingles. A clinical examination sary". (See also paragraph 4 of the contested revealed shingles scars on the left haemotho- judgment). rax, signs possibly indicative of the presence of bucco-pharyngeal candida (pale tongue, pale, thick saliva), and bilateral inguinal polyadenopathy. In view of the combined results of the anamnesis and the clinical examination, the medical officer ordered blood tests in order to determine, inter alia, the T4 and T8 lymphocyte counts. The latter test yielded the following results for the applicant: T4 = 299/mm3 (normal range 675- 1575), T8 = 41/mm3 (normal range 12-44), 5) By letter of 28 March 1989, the Head of the Careers Division informed the applicant that, following the medical 2 — On this point the facts in this case differ basically from the examination, the medical officer had facts which formed the basis of the judgment delivered by concluded that he was physically unfit the Court of First Instance on 14 April 1994 in Case T-10/93 A v Commission [1994] ECR II-179. In fact on the to carry out the duties of typist in the occasion of the medical examination which he underwent with a view to recruitment, the applicant in Case Commission and that there was there­ T-10/93 informed the Commission medical officer that he fore no possibility of his being was HIV-positive and stated his willingness to undergo an HIV test (judgment in Case T-10/93, at paragraph 3). recruited.

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47. (contd.) After the applicant had given been made by the Commission's medi­ the name of his doctor to the medical officer, cal officer, who had concluded that his the two doctors spoke by telephone on patient was suffering from an opportun­ 5 April 1989 and a copy of the results of the ist infection, constituting a case of "full laboratory analyses carried out in respect of blown AIDS", and also objected to the the applicant was forwarded to the latter's fact that the applicant had, without his doctor. According to a handwritten memo­ consent, been subjected to a dissimu­ randum from the medical officer contained in lated AIDS screening test. the medical file, he informed the applicant's doctor that the immune deficiency ascer­ tained might be linked with the presence of the AIDS virus, which would justify an addi­ tional screening test not only for the HIV- 1 virus but also for the HIV-2. According to the same memorandum, the two doctors agreed that a mere HIV positive result, in the 9) By letter of 27 April 1989 the Head of absence of clinical symptoms, did not consti­ the Commission's Medical Service tute a cause of unfitness, whilst the presence informed the applicant that a Medical of AIDS at an advanced stage would justify a Committee had been convened to con­ refusal to recruit, as in the case of cancer at sider his case on 26 May 1989 and an advanced stage or a serious psychological invited him to forward all relevant med­ disorder. ical reports and documents.

7) In response to the abovementioned let­ ter from the Head of the Careers Divi­ sion, the applicant, by letter of 9 April 10) By letter of 19 May 1989, the applicant 1989, requested that his case be referred replied to the Head of the Medical Ser­ for an opinion of the Medical Commit­ vice that he possessed no medical docu­ tee provided for in the second para­ ments because he had never been seri­ graph of Article 33 of the Staff Regula­ ously ill. He also stated that he had tions of Officials of the European been treated for minor medical prob­ Communities, which applies to tempo­ lems by Dr P. rary staff by virtue of Article 13 of the Conditions of Employment.

11) By letter of 6 June 1989, the Director- 8) By letter of 26 April 1989 the applicant's General for Personnel and Administra­ doctor informed the President of the tion informed the applicant that the Commission that a diagnostic error had Medical Committee, convened at his

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request, had met on 26 May 1989 and disguised AIDS screening test but to a had confirmed the opinion issued on biological examination •— a T4/T8 lym­ 22 March 1989 by the Commission's phocyte count — which was intended medical officer. On that basis, the Com­ to evaluate the state of the patient's mission considered that the applicant immune system and was not in any way did not meet the physical fitness specific to investigation for viral or bac­ requirements for recruitment to its staff. terial infection.

12) By letter of 3 July 1989, the applicant lodged a complaint under Article 90(2) 14) By letter of 4 September 1989, which of the Staff Regulations against the deci­ was received at the Secretariat-General sion of 6 June 1989 and, so far as neces­ on 8 September 1989, the applicant sary, against the opinion of the medical lodged, under Article 90(2) of the Staff officer of 22 March 1989 and the deci­ Regulations, a "supplemental" com­ sion of 28 March 1989. In that com­ plaint, seeking payment of a lump sum plaint, he requested the annulment of of BFR 10 million in respect of material the abovementioned measures and and non-material damage caused to him sought compensation for the non- by Commission officials. material damage which he had allegedly suffered, although he did not specify the cause of such damage or quantify it.

15) Both of the applicant's complaints were rejected by decision of the Commission of 27 November 1989, which was noti­ 13) In response to the letter from the appli­ fied by a memorandum from the cant's doctor dated 26 April 1989, the Director-General of Personnel and Director-General for Personnel and Administration of 28 November 1989.' Administration stated, by letter of 26 July 1989, on behalf of the President of the Commission, that systematic and compulsory HIV screening had been abandoned in the Community institu­ tions more than a year earlier, in confor­ mity with the conclusions of the Coun­ cil and of the Ministers of Health of 15 May 1987 and 31 December 1988, 3. On 4 July 1989 the applicant brought an and the decisions of the Commission. In action, at that time still before the Court of the same letter, it was stated that the Justice, which was registered as Case 206/89, applicant had not been subjected to a for annulment of the decision of 6 June 1989,

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'in so far as necessaiy', of the opinion of the applicant's actions were dismissed on all medical officer of 22 March 1989 and of the points. decision of 26 May 1989 in which the Medi­ cal Committee confirmed that opinion and 'purely in the alternative', of the decision of 28 March 1989 by which the offer of the post of typist was withdrawn. 3 By order of 15 November 1989 the Court of Justice transferred this case to the Court of First Instance, where it was registered as Case T-121/89. On 3 March 1990 the applicant brought before the Court of First Instance a second application, registered as Case 4. On 2 December 1992 the applicant T-13/90, seeking compensation for the dam­ appealed to the Court of Justice against the age which he claimed to have suffered as a contested judgment. In addition to the appel­ result of the Commission's conduct. By lant and the Commission, the respondent, order of 24 October 1990 the Court joined the Union Syndicale, Brussels (hereinafter the two cases. Upon hearing the report of referred to as 'the Union Syndicale'), and the the Judge-Rapporteur, the Court of First Fédération Internationale des Droits de Instance (Third Chamber) first asked the l'Homme (hereinafter referred to as 'the applicant to submit his observations with International Federation') submitted obser­ regard to the possible production of his full vations to the Court of Justice. By decisions of 13 February and 24 October 1990 the medical records. The applicant stated that he Court of First Instance had allowed the had no objection to their production and the Union Syndicale to intervene in Case Court then asked the Commission to pro­ T-121/89 and Case T-13/90 respectively. By duce the medical file regarding the appli­ decision of 12 July 1993 the Court of Justice cant's physical unfitness, together with the allowed the International Federation to other relevant documents, and put a number intervene in the procedure on appeal. Both of questions to the parties in writing. 4The interveners support the appellant's claims. Commission produced the file and the par­ ties replied to the questions put to them, whereupon the Court opened the oral proce­ dure on 12 May 1992; on 18 September 1992 the Court delivered the contested judg­ ment which I shall presently analyse in greater detail (sections 5 to 10 below). The

3 — At the same time the applicant made an application for the adoption of interim measures suspending the operation of the Commission decision of 6 June 1989. By order of the The appeal is based on three pleas in law President of the Second Chamber of the Court of Justice of 31 July 1989 that application was declared inadmissible for relating to infringement of the right to pro­ lack of interest in making the application, since suspension of the operation of the Commission decision of refusal could tection of private life (below, sections 11 to not have the effect of changing the applicant's position. 29), failure to state the reasons on which the See Case 206/89 R S v Commission [19S9] ECR 2841, paragraphs 14 and 15. relevant decisions were based (below, sec­ 4 — Further details of the course of the procedure before the tions 30 and 31) and infringement of the Court of First Instance may be found in paragraphs 16 to 31 of the contested judgment. right to a fair hearing (below, sections 32 to

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39). The first plea relates to Article 8 of the marizes the arguments of the various parties European Convention for the Protection of and in paragraphs 41 to 45 calls attention to Human Rights and Fundamental Freedoms the relevant principles as follows: of 4 November 1950 (hereinafter referred to as 'the Convention') and the third to Article 6 of the Convention.

'41. This Court observes that Articles 12(2)(d) and 13 of the Conditions of The contested judgment Employment provide that a member of the temporary staff, before being engaged, must undergo a medical examination by one of the institution's medical officers in order to establish whether "he is physically fit to per­ form his duties". Furthermore, the second paragraph of Article 33 of the Staff Regula­ tions, which is applicable by virtue of Article 5. In Case T-121/89 the applicant put for­ 13 of the Conditions of Employment, pro­ ward before the Court of First Instance four vides as follows: pleas in law, namely infringement of the right to a fair hearing (first plea), of the requirement in Article 25 of the Staff Regu­ lations of Officials of the European Commu­ nities (hereinafter referred to as 'the Staff Regulations') that a decision adversely affect­ ing an official shall state the grounds on "Where a negative medical opinion is given which it is based (second plea), of Article as a result of the medical examination pro­ 8 of the Convention and the Conclusions of vided for in the first paragraph, the candidate the Council and the Ministers for Health may, within 20 days of being notified of its concerning AIDS (third plea) and of the opinion by the institution, request that his principle of the protection of legitimate case be submitted for the opinion of a med­ expectation and good faith and the prohibi­ ical committee composed of three doctors tion of abuse of process (fourth plea). chosen by the appointing authority from among the institution's medical officers. The medical officer responsible for the initial neg­ ative opinion shall be heard by the Medical Committee. The candidate may refer the opinion of a doctor of his choice to the Med­ First and second pleas in law at first instance ical Committee ..."

6. In paragraphs 36 to 40 of the contested 42. The purpose of the medical examination judgment the Court of First Instance sum­ provided for by the abovementioned provi-

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sions is thus to allow the institution con­ 44. At the request of the candidate, the med­ cerned to determine whether the candidate's ical officer of the institution is required to state of health is such that he is capable of disclose to the candidate's doctor all relevant fulfilling all the obligations which he may be information concerning the findings of phys­ required to fulfil by virtue of the nature of ical unfitness and, more specifically, the his duties. To that end, the medical officer of results of the medical examinations carried the institution may base his finding of unfit­ out so that that doctor is in a position to give ness not only on the existence of present the person concerned the necessary informa­ physical or psychological disorders but also tion regarding the possibility of challenging on a medically justified prognosis of poten­ those findings. If the person concerned tial disorders capable of jeopardizing the wishes to challenge the merits of the negative normal performance of the duties in question opinion of the medical officer, he must for­ in the foreseeable future (judgment of the ward the opinion of his doctor to the Medi­ Court of Justice in Case 155/78 Miss M v cal Committee, together with all supporting Commission [1980] ECRI-1797, paragraphs medical documents, and, if appropriate, 10 and 11). request that his doctor be heard by the Med­ ical Committee. The purpose of the proce­ dure provided for by the second paragraph of Article 33 of the Staff Regulations is to facilitate a review of the negative medical opinion by a body established under the Staff Regulations, which must give a final opinion as to the physical fitness of the can­ didate, having regard to all the documents which, at that time, are contained in the medical file of the person concerned. It is for the Medical Committee to decide whether it 43. Moreover, a refusal to engage a candidate is appropriate to have the candidate undergo on grounds of physical unfitness constitutes a further medical examination, and it may a decision adversely affecting him within the prescribe further tests or seek the opinion of meaning of Article 25 of the Staff Regula­ specialists. tions, which must therefore state the reasons on which it is based. However, that obliga­ tion to state reasons must be reconciled with the requirements of medical confidentiality which, save in exceptional circumstances, leave the individual doctor to decide whether to communicate to those whom he is treating or examining the nature of the condition from which they may be suffering. That rec­ onciliation is effected through the ability of the person concerned to request and ensure that the grounds of unfitness are disclosed to 45. In reviewing the legality of a refusal to a doctor of his choice (judgments of the recruit a person on grounds of physical Court of Justice in Case 121/76 Moli v Com- unfitness, the Court may not substitute its mission [1977] ECR 1971, at 1978; in Case own judgment for the medical opinion on 75/77 Mollet v Commission [1978] ECR 897, specifically medical matters. However, it is at 906; and in Case 115/78, cited above). for the Court, in carrying out the task specif-

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ically assigned to it, to verify whether the cant's own doctor not only the reasons for recruitment procedure followed a lawful the finding of unfitness, namely the presence course and, more particularly, to consider of a significant immune deficiency, but also whether the appointing authority's decision all the details concerning the signs which refusing to recruit a candidate on grounds of appeared in the course of the anamnesis and physical unfitness is based on a medical the clinical examination. Moreover, the opinion which incorporates a statement of applicant's own doctor received a complete reasons establishing a comprehensible link copy of the results of the applicant's blood between the medical findings which it con­ tests. That is confirmed by the answers given tains and the conclusion as to unfitness by the applicant and the defendant to a writ­ which it draws (judgment in Case 155/78, ten question put to them by the Court in the cited above, paragraph 14; see also Case course of the procedure and by statements 189/82 Seiler and Others v Council [1984] from the applicant's representative at the ECR 229, paragraph 15). hearing. Accordingly, neither the applicant nor the intervener is justified in maintaining that the information disclosed to the appli­ cant's doctor was too concise and insuffi­ ciently comprehensive to enable him to give his patient appropriate advice and to enable the applicant to defend his interests effec­ tively. 46. It is in the light of those principles that the charges made by the applicant and the intervener in relation to the first and second pleas in law must be examined. The starting point for such an examination must be cer­ tain findings based on the documents before the Court.'

7. After setting out those findings in para­ graph 47 of the judgment (largely quoted already in section 2 in my survey of the 49. As regards the intervener's allegation facts), the Court of First Instance rejected concerning the composition of the Medical the first plea in law in paragraphs 48, 49 and Committee, it is important to note that Dr 50 in the following terms: Hoffman, Head of the Commission's Medi­ cal Service, was not a member of it. Accord­ ingly, without its being necessary to rule whether the status of Head of the Medical Service in itself constitutes a legal impedi­ ment to membership of the committee pro­ vided for in the second paragraph of Article '48. This Court finds that the Commission's 33 of the Staff Regulations, that allegation medical officer thus disclosed to the appli­ must be rejected as unfounded.

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50. Similarly, there is no basis for the inter fering from a significant immune deficiency, vener's contention that the applicant's right is in principle capable of justifying a finding to a fair hearing was undermined by the fact of physical unfitness for performance of the that the Medical Committee failed to hear duties of a member of the temporary staff, in his own doctor and did not consider it the light of the potential risk of increased appropriate to undertake a clinical examina susceptibility to infections.

The concept of tion itself. As has been pointed out, it is for physical unfitness includes not only present the candidate who has the matter referred to disorders but also potential disorders which the Medical Committee to request a hearing might prevent the person concerned from of his own doctor. In the present case, the properly performing his duties for the period applicant failed to give the Medical Commit of his engagement. Furthermore, in the med tee any medical documents whatsoever, ical opinion which was issued on the basis of whilst his doctor chose to write to the Pres the results of a clinical examination and ident of the Commission to criticize a medi blood tests, a comprehensible link is estab cal error which, in his opinion, had been lished between the medical findings which it committed and to call in question the prac contains and the conclusion as to unfitness tices of the Commission's Medical Service.' which it draws and it cannot therefore be regarded as vitiated by a manifest error of assessment, as the applicant alleges.

Secondly, although the parties agree that the abnormal ities found in the immune system do not constitute a basis for diagnosing a specific ill ness, since an immune deficiency may derive from various causes, they nevertheless dis agree as regards the possibility of drawing a definitive conclusion regarding the unfitness 8. The second plea in law, relating to Article for work of the person concerned without 25 of the Staff Regulations, was rejected by further clarification as to the aetiology of the the Court of First Instance in paragraph illness. In support of their respective posi 51 of the judgment in the following terms: tions, the parties have produced conflicting medical opinions.

This Court considers that the difference between them relates to a question which should have been raised before the Medical Committee, whose task under the Staff Regulations is to examine the merits of the medical opinion issued by the institution's medical officer. However, it must be stated, first, that the applicant's doc tor did not arrange for the additional tests '51. Finally, this Court considers that suggested by the medical officer to determine account must be taken of the following con the origin of the applicant's immune defi siderations in relation to the question ciency and, secondly, that the latter did not whether the refusal to recruit the applicant as place before the Medical Committee the a member of the temporary staff was accom opinion of any doctor, either his own or panied by a statement of reasons conforming

another. In those circumstances, this Court with the requirements of the Staff Regula considers that the applicant, whose doctor tions. Firstly, the reason given by the medical did not cooperate with the Medical Commit officer, which was confirmed by the Medical tee, is not entitled to challenge the statement Committee, namely that the applicant is suf

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of the reasons for the refusal to recruit him case. The applicant in this case has not estab­ by producing to the Court for the first time lished that he was, without his consent, sub­ medical opinions which were not submitted jected to a specific AIDS screening test or in due time for consideration by that com­ that he was requested to undergo such a test mittee. Accordingly, the applicant's allega­ by the Commission as a precondition for his tions concerning the legality and adequacy of engagement. The applicant has likewise not the statement of the reasons for the con­ shown that he was subjected to a dissimu­ tested decision must be rejected.' lated HIV antibody screening test, since the parties agree that the bloood test in question, namely, the T4/T8 lymphocyte count, is not capable of establishing whether a person is seropositive. Finally, it must be added that in the circumstances, having regard to the Third and fourth pleas in law at first instance abnormalities found in the anamnesis and clinical examination, the medical officer was entitled to request that such a test be carried out.

9. The Court of First Instance set out in paragraphs 53 to 57 of the contested judg­ ment the parties' arguments with regard to the third plea in law (in particular infringe­ ment of Article 8 of the Convention) and rejected it in paragraphs 58 and 59 in the fol­ lowing terms: 59. Accordingly, there can be no question in this case of any infringement of Article 8 of the Human Right Convention, or of the Conclusions of the Council and of the Min­ isters of Health of the Member States, what­ ever the legal status of those conclusions.' '58. The Court observes that the taking of blood in order to investigate the possible presence of HIV antibodies constitutes inter­ ference with the physical integrity of the per­ son concerned and can be carried out on a candidate only with his informed consent. However, the question what the legal conse­ quences would be of a refusal by a candidate to submit to an HIV antibody screening test which the medical officer of an institution considered necessary, having regard to the The Court then summarized, in paragraphs clinical symptomatology of the person con­ 61 and 62, the parties' arguments and stated, cerned, in order to make a medical assess­ in paragraph 63, that the rejection of the first ment of his physical fitness, is a different three pleas in law meant that the fourth plea question which does not arise in the present in law must also be rejected.

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The application for compensation 74. The Court considers that that claim for compensation must be rejected in so far as it is closely linked with the claim for annul­ ment which has itself been rejected as unfounded. The applicant has not put for­ ward any plea capable of securing the annul­ ment of the contested decision and has thus 10. The arguments of the parties with regard not established any irregularity which might to the application for compensation in Case constitute a wrongful act or omission on the T-13/90 were set out by the Court of First part of the Commission. Instance in paragraphs 66 to 72 of the con­ tested judgment and rejected in paragraphs 73, 74 and 75 for the following reasons:

'73. The Court observes that, in his reply, 75. Moreover, that claim would also have to the applicant states that his second action be rejected as inadmissible even if the alleged does not seek the annulment of the measures non-material damage were considered to to be reviewed by the Court in Case derive from conduct on the part of the Com­ T-121/89, or compensation for the material mission unrelated to the legality of the deci­ damage caused him by such measures, since sion referred to in the claim for annulment. the enforcement of a judgment of the Court In such circumstances, the administrative upholding his first action for annulment procedure must, by virtue of Article 90(1) of would constitute sufficient reparation for the Staff Regulations, start with a request that damage. The applicant explains that he from the official that the appointing author­ seeks compensation for the non-material ity make good the damage suffered. It is only damage suffered by him as a result of the against a decision rejecting such a request conduct of the Commission which, in his that the person concerned may lodge a com­ view, did not take all the necessary measures plaint with the administration, under Article to preserve the confidentiality of the grounds 90(2) (judgment of the Court of Justice in of the medical finding of unfitness, on the Case 200/87 Giordani v Comtirission [1989] basis of which the decision not to recruit ECR 1877, paragraph 22; judgment of the him was taken. That lack of confidentiality Court of First Instance in Case T-5/90 Mar- made it possible for several people to iden­ cato v Commission [1991] ECR 11-731, para­ tify him and aroused in his relations the sus­ graph 50). In the present case, the applicant picion that he was seropositive. In view of did not submit any such request to the those clarifications as to the scope of the appointing authority and, even on the forms of order sought in the second action, it assumption that the "supplemental" com­ must be recognized that the latter does not plaint of 4 September 1989 constituted a have the same subject-matter as the first request to make good the non-material dam­ action, in so far as the applicant merely seeks age allegedly suffered, the fact would never­ compensation for the non-material damage theless remain that the applicant did not which he claims to have suffered as a result lodge a complaint against the Commission's of the unlawful conduct of the Commission. adverse decision of 27 November 1989.'

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First plea in law on appeal: infringement of the protection of health or morals, or the right to protection of private life for the protection of the rights and free­ doms of others.'

11. In the first plea in law the appellant states that the Court of First Instance wrongly decided that his right to protection of private life, as guaranteed by Article 8 of the Convention, was not infringed by the manner in which he was medically examined In the context of the question now before and declared physically unfit. Before consid­ the Court, namely the permissibility of cer­ ering the three parts of this plea separately I tain tests carried out during an examination should like briefly to examine Article 8 of on recruitment it is the first of the four the Convention and the Commission's argu­ rights protected by Article 8 of the Conven­ ment that the first plea in law is partially tion which is relevant. If it appears that this inadmissible. case involves interference with private life, 5

it will be necessary to consider whether it is justified in accordance with Article 8(2).

12. Article 8 of the Convention is worded as follows:

6 As is well-known, the Convention does not '1 . Everyone has the right to respect for his form a direct part of Community law but private and family life, his home and his does so indirectly since the basic rights and correspondence. fundamental freedoms protected therein are also enforceable as general principles of Community law. 7 In that connexion the Court expressly stated in its judgment in Case C-62/90 Commission v Germany that

2. There shall be no interference by a pub­ lic authority with the exercise of this 5 — This must be interference by a public authority. However, in right except such as is in accordance this case it is not contested that that condition is met. 6 — Both the contested judgment and the observations submitted with the law and is necessary in a dem­ to the Court by all parties show that this point is generally ocratic society in the interests of appreciated. 7 — Cf. inter alia the judgment in Case 222/84 Johnston v Chief national security, public safety or the Constable of the Royal Ulster Constabulary [1986] ECR economic well-being of the country, for 1651, at paragraph 19, and section 30 of my Opinion in Case C-159/90 Society for the Protection of Unborn Children Ire- the prevention of disorder or crime, for land v Grogan [1991] ECR 1-4703.

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the right to respect for private life and the order from that sought at first instance shall right to the protection of medical confidenti­ not be sought in an appeal. ality constituted fundamental rights pro­ tected by the Community legal order (see in addition section 22 below). 8

13. In its response the Commission contends that the appellant's first plea in law is inad­ missible in so far as it calls in question the compatibility with Article 8 of the Conven­ tion of any AIDS test prior to the appoint­ I do not think there is any reason to declare ment of officials and temporary employees. the appellant's first plea in law inadmissible. This question, it states, was not discussed in There is no doubt that he has complied with the proceedings before the Court of First Articles 113(1) and 116(1) of the Rules of Instance where it was only a matter of the Procedure since the form of order sought on applicant's assertion that he had been sub­ appeal (declaration that the decision not to jected to a concealed AIDS test. In support appoint him is void and claim for compensa­ of its objection of inadmissibility the Com­ tion) is the same as that sought at first mission relies on the judgment in Case instance. But the first plea in law, relating to C-18/9IP V v Parliament, in which the infringement of the right to protection of Court stated that: private life, as guaranteed by Article 8 of the 10 Convention, is not new either. The appli­ cant raised this matter already at first instance, as is perfectly clear from the con­ tested judgment. 11It is true that he has elab­ orated this plea further on appeal, inter alia by going further into the general meaning 'as follows from Articles 113(2) and 116(1) and structure of Article 8 of the Convention of the Rules of Procedure, fresh submissions and by formulating a number of additional not contained in the original application may 9 arguments, such as precisely the argument not be raised in an appeal' (my italics). with regard to the incompatibility with Arti­ cle 8 of AIDS tests on recruitment. With regard to such new arguments the Court

10 — Moreover I am doubtful whether the quotation from the judgment in Case C-18/91P must be interpreted in the Articles 113(1) and 116(1) of the Rules of sense suggested by the Commission. No single provision of Procedure provide that a different form of the Statute of the Court of Justice of the EEC or of the Rules of Procedure prohibits reliance in an appeal upon pleas in law not put forward at first instance. A number of the pleas in law typically put forward in an appeal (for example those regarding defective statement of reasons in the contested judgment) cannot even be put forward at first 8 — [1992] ECR 1-2575. at paragraph 23. instance. 9 — [1992] ECR I-3997, at paragraph 21. 11 — See paragraphs 35 and 53 et seq. of the contested judgment.

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decided in a judgment as long ago as 12 June First part: permissibility of AIDS tests on 1958 that: recruitment

14. This part may itself be divided into two sub-divisions. The first (section 15 below) concerns the statement of the Court of First Instance that AIDS tests may be effected on 'a distinction must be drawn between the a candidate for appointment if he has introduction of new submissions in the expressly given his consent; the second sub­ course of the proceedings and, on the other division (section 16 below) concerns the con­ hand, the introduction of certain new argu­ clusions drawn by the Court of First ments. In the present case the Court's view is Instance from the finding that the applicant's that the applicant did not introduce new own doctor did not arrange for the supple­ submissions but merely developed those mentary tests suggested by the medical made in its application by invoking a num­ officer. ber of arguments, some of which were adduced for the first time in the reply. In those circumstances there is nothing to pre­ 12 vent the Court from considering them'.

15. In paragraph 58 of the contested judg­ ment, already quoted (section 9 above) the Court of First Instance stated that

That judgment seems to me to be entirely applicable to this case. I therefore propose to the Court that the Commission's objection of inadmissibility should be rejected, and 'the taking of blood in order to investigate shall now proceed to analyse the various the possible presence of HIV antibodies con­ parts of the appellant's first plea in law. stitutes interference with the physical integ­ rity of the person concerned and can be car­ ried out on a candidate only with his informed consent' (in French: 'avec le con­ 12 — Case 2/57 Hauts Fourneaux de Chasse v High Authority [1957 and 1958] ECR 199, at p. 206. sentement éclairé de celui-ci').

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According to the appellant, the Court of Although the appellant's statement, by its First Instance is thus suggesting that an HIV absolute nature, and the Commission's last antibodies test (hereinafter referred to as 'an statement 4seem to me to be questionable, I HIV test') as part of the recruitment proce­ agree with the Commission that the appel­ dure is compatible with Article 8 of the lant's argument cannot be upheld because it Convention if the person concerned refers to a statement in the contested judg­ expressly agrees to it. That, he states, is an ment which in no way serves as a basis for infringement of Article 8 of the Convention the operative part of the judgment. The con­ which is so compelling that even the consent tested judgment contains no finding of fact of the person concerned cannot justify any to the effect that the applicant was subjected interference with his private life which is to an HIV test with his express consent (it incompatible with that article. appears incontestably from the facts estab­ lished that that was not the case) and a forti- ori nowhere indicates that the test was rightly carried out.

In answer to that argument the Commission states first that its practice of offering candi­ dates on the occasion of their medical exam­ 16. The second sub-division of the first part ination on recruitment an optional HIV test of the appellant's first plea in law relates to and informing them that an asymptomatic paragraph 51 of the contested judgment, HIV positive result does not entail rejection quoted in section 8 above. From its finding for physical unfitness — though 'the later that the applicant's own doctor did not 15 stage of clinical signs of the illness' does — is arrange for the supplementary HIV tests fully in accord with the points of view suggested by the medical officer, the Court adopted by the Council and the Govern­ of First Instance, he states, wrongly deduced ments of the Member States on screening in that paragraph that his own doctor did 13 tests. The Commission adds that it would not cooperate with the Medical Committee. be lacking in a recognized public health duty if it were not to offer an HIV test on the occasion of the medical examination 14 — The Council and the Governments have in fact opposed on recruitment and the annual medical compulsory screening tests: see in particular the Conclu­ check-up. sions of the Council and the Representatives of the Gov­ ernments of the Member States, meeting within the Council of 31 May 1988 concerning AIDS (OJ 1988 C 197, p. 8); the Conclusions of the Council and the Ministers for Health of the Member States, meeting within the Council on 15 December 1988 concerning AIDS and the place of work (OJ 1989 C 28, p. 2, see in particular paragraph 7) and the 13 — In this connection the Commission refers in particular to Resolution of 22 December 1989, above, previous footnote. the Conclusions of the Council of 13 November 19S9, As far as I know, however, they have never recommended which it adds as an annex to its reply. On closer scrutiny it optional tests. appears to involve a document published at a later date, the Resolution of the Council and the Ministers for Health of 15 — As appears from paragraph 47 of the contested judgment the Member States, meeting within the Council of already quoted (in section 2), the proposed supplementary 22 December 1989 on the fight against AIDS (OJ 1990 examinations consisted in 'an additional screening not only C 10, p. 3). for the HIV-1 virus but also for the HIV-2'.

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

In fact, according to the appellant, his own quence of this, according to the Court, was doctor could not carry out the proposed that the applicant could not produce to it for examinations because Article 8 of the Con­ the first time supplementary medical opin­ vention prevents any HIV test as part of an ions (the third plea in law, to be considered examination on recruitment and thus also an later, deals with this point: below, section HIV test effected by a candidate's own doc­ 32 et seq.). Considered in the context of this tor. By failing to acknowledge that, the reasoning, the appellant's interpretation of Court of First Instance infringed Article 8 of the passage in question is by no means of the Convention. such a nature as to affect the final decision arrived at by the Court of First Instance in paragraph 51. That plea must therefore be rejected.

It is perhaps possible to see in the passage referred to by the appellant from paragraph Second part: proof that an AIDS test was car- 51 an indication that the Court of First ried out Instance saw no objection to a candidate for appointment being required to undergo an HIV test carried out by his own doctor and that a refusal to do so might lead to the rejection of the candidate. However, I regard such an interpretation as rather implausible, seeing that the Court actually stated later, in paragraph 58 of the contested judgment, that an AIDS test constitutes an interference with 17. With the second part of his first plea in the physical integrity of the person con­ law the appellant challenges the statement of cerned and may be carried out on a candi­ the Court of First Instance in paragraph date only with his informed consent (see 58 of the contested judgment (section above, sections 8 and 9 in which the para­ 9 above) that 'the applicant in this case has graphs in question are quoted). not established that he was, without his knowledge, subjected to a specific AIDS screening test'.

In my view the passage referred to implies nothing more than that for whatever reason the applicant's own doctor chose not to sub­ mit any opinion either of his own or of The applicant had already stated at first another doctor to the Medical Committee, instance that he had been subjected to a con­ from which the Court of First Instance cealed AIDS test. More specifically, he was deduced his failure to cooperate. The conse­ subjected to a T4/T8 lymphocyte count

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(hereinafter referred to as a T4 / T8' test) for once more a finding of fact by the Court of the sole reason that he had refused to First Instance — more specifically the undergo a 'normal' HIV test. The fact that Court's finding that it was not shown that the T4/T8 test was applied as an alternative the T4/T8 test constitutes a concealed AIDS method of HIV testing is incompatible, he test (see also section 24 below). In his reply claims, with Article 8 of the Convention and the appellant makes it clear, however, that he with the Commission's stated practice of not is challenging only the statement of reasons systematically testing for HIV. In this con­ on which the contested judgment was based, nection the appellant draws attention, as he inasmuch as the Court of First Instance did did before the Court of First Instance, to a not take into account the report of the meet­ report drawn up on the occasion of a meet­ ing on 5 June 1989. ing of the Commission's medical officers on 5 June 1989 stating in point 8 that in the event of refusal of the HIV test the following tests were to be applied:

The Commission retorts that the Court of First Instance was indeed in possession of that report but was obviously convinced by the Commission's explanations at first T4/T8 lymphocyte count, electrophoresis of instance, according to which the wording of proteins and IgA, IgG and IgM. point 8 of the report (referred to in the fore­ going section) was based upon an error, that the report was never approved by the Medi­ cal Service and that the statement at issue was contradicted in a memorandum of 11 August 1989 from the head of that service and in various public statements, including those from the President of the Commission and the Director General for Personnel and Administration. In accordance with the 18. The Commission contends that this part Medical Service's settled practice, a of the appellant's first plea in law is inadmis­ T4/T8 test is carried out only where there sible because, contrary to Article 168A of the are external signs of immune deficiency. EC Treaty and Article 51 of the Protocol on the Statute of the Court of Justice of the 16 EEC , it amounts to calling in question

16 — See the Protocol on the Statute of the Court of Justice of the EEC , signed at Brussels on 17 April 1957, as amended by Article 7 of Council Decision of 24 October 1988 estab­ lishing a Court of First Instance of the European Commu­ nities (88/591/ECSC, EEC , Euratom) (OJ 1988 L 319, p . 1; corrected version: OJ 1989 C 215, p . 1). See also the judg­ ment of the Court in Case C-238/90P Vidrányi v Commis- 19. The fact that the Court of First Instance sion [1991] ECR 1-4339, paragraphs 11 and 12, as confirmed did indeed have knowledge of the report by the judgment in Case C-346/90P F v Commission [1992] ECR 1-2691, paragraph 7). in question and of the applicant's views

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

thereon is clear from paragraph 31 of the had no reason to subject him to a biological contested judgment, worded as follows: examination of that kind, which is not a suit­ able basis for a reliable diagnosis. According to the applicant, the only reason for the refusal to recruit him was therefore a mere suspicion that he was seropositive.'

'In response to a request made by the Court at the hearing, the defendant lodged at the Registry of the Court of First Instance, on 20 May 1992, a report of the meeting of the doctors in the Commission's Medical Service held on 15 June 1989 and a confidential memorandum from the head of that service dated 11 August 1989, addressed to Mr L. By letter of 27 May 1992, the applicant and Paragraphs 56 and 57 of the contested judg­ the intervener submitted their observations ment summarize the Commission's argu­ on those documents.' ments in reply as follows:

Moreover the Court of First Instance paid great attention to the parties' views and in paragraph 55 of the contested judgment reports the applicant's viewpoint as follows: 'With respect to the alleged infringement of Article 8 of the Human Rights Convention, the Commission contends that no screening test for AIDS is carried out in connection with the pre-recruitment medical examina­ tion without the informed consent of the 'In the applicant's view, Article 8 of the candidate ... Human Rights Convention was infringed in his case, as were the abovementioned Con­ clusions of the Council and of the Ministers of Health, because he was subjected by the Commission Medical Service, against his will and without his knowledge, to a dissimulated AIDS screening test, that is to say a T4 and T8 lymphocyte count. The applicant main­ tains that, in current medical practice, that blood test is used only in the case of persons Furthermore, the Commission contends that who are seropositive and, very exceptionally, its medical officer never carried out a dissim­ people who have been exposed to radiation. ulated HIV antibody screening test but that, Since the applicant displays no signs of irra­ having found a number of clinical signs that diation, the Commission's medical officer suggested an immune deficiency, he pre-

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scribed a number of blood tests to determine 5 June 1989 — but that it rejected those the Immunoglobuline count, the lymphocyte arguments as being unfounded in fact. I con­ count and the shortfall thereof ...'. clude therefore that the second part of the appellant's first plea in law must also be rejected.

Finally the fact that the Court of First Instance was convinced by these counter­ Third part: permissibility of a T4/T8 test arguments appears from this passage in para­ graph 58:

'The applicant in this case has not established 21. The third part of the appellant's first plea that he was, without his consent, subjected in law is directed against the statement of the to a specific AIDS screening test or that he Court of First Instance in paragraph 58 of was requested to undergo such a test by the the contested judgment 'that in the circum­ Commission as a precondition for his stances, having regard to the abnormalities engagement. The applicant has likewise not found in the anamnesis and clinical examina­ shown that he was subjected to a dissimu­ tion, the medical officer was entitled to lated HIV antibody screening test, since the request that such a test' (the T4/T8 test) 'be parties agree that the blood test in question, carried out'. The appellant claims that the namely the T4/T8 lymphocyte count, is not Court of First Instance infringed Article 8 of capable of establishing whether a person is the Convention by regarding it as unneces­ seropositive. Finally, it must be added that in sary for a candidate in a situation such as his the circumstances, having regard to the to give his informed consent to the carrying abnormalities found in the anamnesis and out of a T4/T8 test. clinical examination, the medical officer was entitled to request that such a test be carried out.'

It is not contested that the appellant was in 20. It may be seen sufficiently clearly from fact subjected to a T4/T8 test without his the passages quoted from the contested judg­ being individually and expressly informed ment that the Court of First Instance did thereof in advance and without his consent indeed take the applicant's arguments into being sought. However, the Commission has consideration — and did take account in its argued both before the Court of First reasoning of the report of the meeting of Instance and before the Court of Justice that

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these facts do not constitute an infringement is whether, when certain facts which might of Article 8 of the Convention because the indicate immune deficiency have come to medical officer, in the course of completing light during a medical examination, the his examination, had effected a T4/T8 test Commission may carry out a T4/T8 test only after he had observed external signs of (and, partly on the basis of the negative immune deficiency and because a candidate results obtained, may refuse appointment) in who agrees to undergo an examination on the case of a candidate for recruitment as an recruitment consents by implication but official or other member of staff without unequivocally to the medical officer's com­ informing the candidate in advance or seek­ pleting his task, that is to say investigating ing that person's consent and in the knowl­ whether the candidate meets the requirement edge that the candidate has expressly refused of physical fitness. Moreover a T4/T8 test is to undergo an HIV test. That is the only fundamentally different from an HIV test, question I shall consider here and only in the which does in fact require the candidate's context of the specific facts of the case as specific and express consent. they were established by the Court of First Instance including for example the fact that the appellant was a candidate for a six-month appointment.

The Court of First Instance concurs in the contested judgment with the Commission's point of view. In paragraphs 56 to 59 it states to begin with that an HIV test in fact consti­ tutes an interference with physical integrity and may be carried out on a candidate only with his informed consent, but that in this case no such test was carried out. Next it states that in the circumstances of the case the medical officer was entitled to request a T4/T8 test, and decides that there was no First of all (sections 23 and 24 below) I shall infringement of Article 8 of the Convention. consider whether there was an interference with the appellant's private life (and the related right to medical confidentiality) inas­ much as, with a view to his recruitment by the Commission, a T4/T8 test was carried out on the appellant without his informed consent being sought in advance. In the event of an answer in the affirmative I shall then (sections 25 to 29 below) inquire whether or not this interference was justi­ 22. It seems to me important, before analys­ fied. This supplementary investigation is nec­ ing in detail the third part of the appellant's essary because the right to respect for private first plea in law, to define the legal issue life and to protection of medical confidenti­ which it raises. In my view the only question ality are not absolute rights, as the Court of

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Justice stated in the aforementioned judg­ integrity or inviolability and the right to ment in Case C-62/90: decide for himself to whom he will divulge information with regard to his state of health — are affected by the carrying out of tests such as that to which he was subjected (the T4/T8 test) or which were suggested to him (the HIV test) as well as by the consequences attached to such tests or to the refusal to undergo them.

'Those rights, however, do not constitute unfettered prerogatives and may be restricted, provided that the restrictions in fact correspond to objectives of general interest pursued by the Community and that The fundamental right of respect for private they do not constitute, with regard to the life covers in principle the protection of both 19 objectives pursued, a disproportionate and these aspects of private life. However, the intolerable interference which infringes upon Commission states that in this case the the very substance of the rights guaran­ appellant cannot invoke this fundamental 7 right: by consciously choosing to take part in teed.' 1 a recruitment procedure which includes a medical examination he has assented to inter­ ference in his private life. In support of its viewpoint the Commission refers to the fol­ lowing passage from a report of 1977 by the Commission of Human Rights:

In considering whether there has been inter­ ference with private life I shall have regard, as the parties have done before the Court of Justice, to the judgments of the European 'The claim to respect for private life is auto­ Court of Human Rights and the opinions of matically reduced to the extent that the indi­ the European Commission of Human vidual himself brings his private life into Rights.

18 — In paragrapli 58 of the contested judgment the Court of First Instance too has already observed that 'the taking of blood in order to investigate the possible presence of HIV antibodies constitutes interference with the physical integ­ rity of the person concerned'. 19 — See respectively the judgment of the European Court of Human Rights of 26 March 1985 Case of X and Y v The Netherlands, Publications of the European Court of Hmnan Rights (hereinafter referred to as 'Publications'), Series A: Judgments and Decisions {hereinafter referred to as 'Series A'), Vol.91, 1985, paragraph 22 ('"private life", a concept 23. The appellant rightly points out that two which covers the physical and moral integrity of the per­ son') and the Report of the European Commission of aspects of his private life — his physical Human Rights of 1 March 1979, Application N° 7654/76 D. Van Oostcrwijh against Belgium, Publications, Senes B Pleadings, Oral Arguments and Documents, Vol. 36, 1983, p. 10, paragraph 44 ('The disclosure or improper discovery by third persons of facts relating to physical condition, 17 — Paragraph 23 of the judgment, previously cited in health or personality may undoubtedly interfere with the applicant's privacy and private life"). footnote 8.

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

contact with public life or into close connec­ information must be provided for the consent tion with other protected interests.' of the individual concerned to be complete, which means to enable consent to be given in 24 knowledge of the facts. Both the failure to give sufficient information and the failure to seek the consent of the individual concerned may therefore entail interference with the right to respect for private life. The question It seems to me that this argument of the whether the requirements of information and Commission must be examined on the basis consent are met must be determined in the of the principle of medical law in accordance specific case on the basis of factors such as with which the informed consent of the per­ the physical or psychological impact (the son concerned is required for any medical nature) of the medical treatment, whether it action (treatment, examination, test or exper­ is usual or unusual (its seriousness) and the iment). This principle, frequently referred to implications, for the person concerned and by the expression 'informed consent', which 21 his circle, of the knowledge obtained as a comes from the United States, appears to result of this treatment. Depending on the be generally accepted in the medical law of 22 specific context, information and consent, in the Member States and is generally the case of commonplace, routine or minor deduced from the right to physical integrity treatment, may be relatively quickly assumed and from a (wider) right of self- determination. 23 to be (by implication) present or to follow naturally upon one another, whereas with more invasive, serious or potentially far- reaching forms of treatment more detailed or in-depth information and more explicit con­ sent are required.

24. The requirement of informed consent entails two closely-related aspects: sufficient

20 — Report of 12 July 1977, Application No 6959/75 Briigge- mann and Scheuten v Federal Republic of Germany, Deci­ sions and Reports, Vol. 10, 1978, p . 100, paragraph 56. 21 — According to A. Nieuw, 'Informed Consent', Medicine and Law, 1993, p. 125, this expression was established in the United States in Natanson v Kline [186 Kan 393, 350 P2d 1093 (1960)]: 'The law requires that the inroads made upon a person's body take place only with informed voluntary consent of that person'. See also R. Faden, T. Beauchamp and N . King, A History and Theory of Informed Consent, Oxford, 1986, and the basic study in comparative law by T. Vansweevelt: De civielrechtlijke aansprakelijkheid van tie geneesheer en het ziekenhuis, Reeks aansprakelijkheidsrecht, The Commission's statement that it follows Antwerp, 1992, pp. 262 to 306, 313 and 314. by definition from the mere decision to take 22 — See for example H . Leenen, S. Gevers and G. Pinet: The Rights of Patients in Europe, World Health Organization part in a recruitment procedure with a med­ — Regional Office for Europe, Kluwer, Deventer, 1993, pp. 7 to 47. ical examination that no unacceptable inter- 23 — See for example H . Leenen, Handboek gezondheidsrecht- Rechten van mensen in de gezondheidszorg, Alphen 1988, pp. 26 et seq., 160 et seq. and 170 et seq.; H . Nys, Geneeskunde — Recht en medisch handelen, Algemene Practische Rechtsverzameling, Brussels 1991, pp. 135 to 24 — See the works, mentioned in the previous footnote, by 138, 143 and 144. H . Leenen, p . 161, and H . Nys, pp. 135 and 136.

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ference with the protected private life of the person or through his own doctor) should be applicant can take place during that medical informed in such circumstances of the pro examination seems to me to conflict with the posal to effect a T4/T8 test and should be specific appreciation inherent in the require acquainted with the scope of the test and the ment of informed consent. In the light of the possible consequences of carrying it out or considerations mentioned in the previous of refusing to undergo it. Of course an

paragraph it does indeed seem to me that in appreciation of 'such circumstances' involves the specific circumstances of this case that a finding of fact and is thus a matter for the requirement is inconsistent with the manner Court of First Instance. The fact that that in which the appellant was subjected to a Court entirely omitted to make such an T4/T8 test. Apart from the factual question appreciation and thus did not think it neces whether or not the T4/T8 test constitutes a sary to put the requirement of informed con

25 concealed AIDS test, it is established that sent to the test constitutes, however, an the medical officer, followed in this matter infringement of the law since, as previously by the Medical Committee and the Commis stated, it is clear that there may in certain cir sion itself, attached (and from the beginning cumstances be interference with the appel intended to attach) very far-reaching conse lant's private life and with the right to med quences to the outcome of the T4/T8 test. ical confidentiality which is part thereof Inter alia — and, as far as can be seen, above provided that it is not possible to invoke any all ·—· the medical officer took the view on justification in law for such interference. the basis of the outcome of that test that the appellant was in the terminal stage of AIDS

26 ('full-blown AIDS') and was therefore physically unfit for recruitment even for a temporary post of six months. Moreover it is not possible to regard the T4/T8 test as a normal incident in the context of a medical examination upon recruitment since, as the Court of First Instance itself stated, the med ical officer decided to carry out the test only after, and because, he had noted a number of possible symptoms of immune deficiency. Finally the appellant had expressly refused to undergo an HIV test.

25. The fact that there may be such interfer ence as already defined is not sufficient to conclude that there has been an infringement of the right to protection of private life and The requirement of informed consent the right to medical confidentiality. Accord demands, in my view, that the appellant (in ing to the case-law of the Court, 27 those rights may be restricted provided that such restrictions do in fact correspond to objec 25 — As regards that question, which involves an appreciation of tives of general interest pursued by the fact, the Court of First Instance made the definitive finding Community and do not constitute with in paragraph 58 of the contested judgment that 'the appli cant has .

. . not shown that he was subjected to a dissimu lated HIV antibody screening test'. 26 — In his appeal and in his observations during the oral proce dure before the Court of Justice, the appellant remarked that he was still normally active, which would be a factual 27 — See the judgment in Case C-62/90, previously cited in refutation of the medical officer's diagnosis. This last ques footnote 8, and paragraph 23 thereof, quoted in tion is of course not a matter for the Court of Justice. section 22 above.

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regard to the objectives pursued a dispropor­ appointed only on condition that 'he is tionate and intolerable interference which physically fit to perform his duties', whilst infringes upon the very substance of the the first paragraph of Article 13 of the Con­ rights guaranteed. The provisions of Article ditions of Employment and the first para­ 8(2) of the Convention, previously quoted in graph of Article 33 of the Staff Regulations section 12, are guidelines for this purpose: provide that before being engaged a success­ according to those provisions, interference ful candidate: by a public authority in private life may be justified if it is 'in accordance with the law', pursues one or more of the objectives set out 28 — exclusively — in Article 8(2) of the Convention and 'is necessary in a democratic society' for attaining the objective or objec­ tives pursued. That last condition means that interference in private life may not go fur­ '... shall be medically examined by one of the ther than necessary but must on the contrary institution's medical officers in order that the 29 be proportionate to the aim pursued. I institution may be satisfied that he fulfils the shall now consider whether in this case the requirements' of the relevant article. three conditions set out in Article 8(2) of the 30 Convention are met.

According to the appellant and the Interna­ tional Federation those provisions are not a sufficient legal basis because they are not suf­ 31 ficiently accessible and precise. I cannot agree with that. The accessibility of the Con­ ditions of Employment and the Staff Regula­ 26. As regards the first condition, it must be tions is ensured by the fact that both legal noted that, according to Article 12(2)(d) of texts have been approved by the Council in the Conditions of Employment and Article accordance with the appropriate procedures 28(e) of the Staff Regulations, an official or a 32 and published in the Official Journal. The member of the temporary staff may be

31 — Cf. the judgment of the Court of Human Rights of 28 — Exceptions to the general law laid down in Article 8(1) of 25 March 1985, Barthold Case, Publications, Series A, Vol. the Convention must be strictly interpreted. Cf. also the 90, paragraph 45, according to which the requirement of a judgment of the Court of Human Rights of 21 February legal basis means that 'the interference must have some 1975, Publications, Series A, Golder, Vol. 18, 1975, para­ basis in domestic law, which itself must be adequately graph 44. accessible and be formulated with sufficient precision to 29 — Cf. the judgment of the Court of Human Rights of enable the individual to regulate his conduct, if need be 24 March 1988, Olssen Case, Publications, Series A, Vol. with appropriate advice'. 130, 1988, paragraph 67: 'The notion of necessity implies 32 — See, as regards the articles in question, Council Regulation that the interference corresponds to a pressing social need No 31 (EEC), 11 (EAEC) of 18 December 1961 (OJ, and, in particular, that it is proportionate to the legitimate English Special Edition 1959-1962, p . 135), Council Regu­ aim pursued'. lation (EEC, Euratom, ECSC) No 259/68 of 29 February 30 — I can leave aside here the question whether that article also 1968 (OJ, English Special Edition 1968 (I), p . 30), Council has horizontal effect since the interference at present in Regulation (Euratom, ECSC, EEC) No 912/78 of 2 May question emanates from a 'public authority'. It does not 1978 (OJ 1978 L 119, p. 1) and Council Regulation (ECSC, seem to me relevant here that the authority was acting not EEC, Euratom) No 2799/85 of 27 September 1985 (OJ as a legislative authority but as an employer. 1985 L 265, p. 1).

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Commission points out in addition that the International Federation, to the 'econom­ competition notices invariably mention the ic well-being of the country'. According to obligation to undergo a medical examination. the Commission, the practice of medical As regards precision and predictability, the examination upon recruitment of members argument of the appellant and the Interna­ of staff corresponds to a social choice gener­ tional Federation that every medical exami­ ally accepted in Europe with regard to the nation carried out in connection with a distribution of social burdens (and more spe­ recruitment procedure must be separately cifically of the costs of sickness and invalid­ and expressly provided for by law seems to ity), namely that an employer does not have me obviously wrong. to bear the economic cost of sickness or invalidity resulting from a risk which the employee incurred before his recruitment. That argument does not convince me: the 'social choice' to which the Commission refers need not necessarily involve a refusal of appointment but may be effected by recourse to the second paragraph of Article 27. As regards the second condition with 28 of the Conditions of Employment. which interference in private life must com­ According to that provision, if the medical ply in order to be justifiable under Article examination shows the candidate to be suf­ 8(2) of the Convention, the Commission fering from sickness or invalidity, the argues in the first place that the medical appointing authority 'may decide that examination is for the protection of health. expenses arising from such sickness or inval­ In principle I can agree: in so far as the obli­ idity are to be excluded from the reimburse­ gation for a candidate for appointment to ment of expenditure' relating to sickness undergo a medical examination prevents his cover. being recruited to a post which might dam­ age his state of health, the examination does indeed serve to protect health. Moreover the appointment of a person who, in view of his state of health, would not be able to perform his duties properly may result in overwork and additional stress for colleagues so that the medical examination may be regarded also as protecting the health of other per­ 33 sons.

Finally the Commission invokes 'the rights and liberties of others'. More specifically the Community institutions have, it claims, the right to ensure the physical fitness of their staff for the duties assigned to them. This argument too seems to me to be in general Next the Commission refers, in the rejoinder acceptable. It is not only the Community and in the response to the observations of institutions which have a direct interest in the proper functioning of their services per­ forming tasks of public utility but the citi­ 33 — I therefore do not agree with the appellants statement that zens too. Such proper functioning is com­ the medical examination is prescribed exclusively in the interests of the institutions. promised if the services are performed by

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employees who are frequently absent on ment to a temporary post for six months and grounds of ill-health. in spite of his express refusal to undergo an HIV test — is in no way proportional to the objective pursued, which consists in check­ ing physical fitness for the post involved for the purpose of protecting the appellant's health and the health and rights of others. A clinical examination (supplemented by the However, the question is whether, in this usual biological tests) effected on the basis of specific case, the Commission can reasonably the general consent of the person concerned rely on the two grounds of justification to undergo a medical examination with a which, as just stated, are in principle view to appointment is undeniably propor­ regarded as acceptable, in view of the fact tionate to that objective. The position is dif­ that it is clear that the appellant was seeking ferent however if, on the occasion of that only an appointment for a period of six examination, findings are made with make a months and it was doubtful whether in that more searching examination necessary. In short period his health would have changed such a case the doctor must ask the person so rapidly as to make him physically unfit concerned for permission and give him or at for that appointment. That brings us to the least his own doctor (if the medical officer, in third condition, the requirement of propor­ view of the seriousness of the findings, tionality. expects an unfavourable psychological reac­ tion from the patient) the necessary informa­ tion so that consent may be given in full knowledge of the facts. That is so particu­ larly where the more searching examination includes a test which, whilst not an HIV test, nevertheless constitutes an immune defi­ 28. An interference in a person's private life ciency test, the findings from which may — more specifically with his physical integ­ point to the presence of the AIDS virus, and rity and right not to communicate to third where the person concerned has refused to persons facts concerning his state of health 34 undergo an HIV test. — which, as in this case, may be justified on grounds of the protection of the health or the rights and liberties of others, or both, complies with the requirement of propor­ tionality if it is not disproportionate to the objective pursued by the interference and does not infringe upon the very substance of the right guaranteed.

The foregoing considerations relate particu­ larly to the right to physical integrity. As

It seems to me that the Commission's con­ 34 — I leave out of account here — because, as the Court of First Instance states in paragraph 58 of the contested judgment, it duct — in having a T4/T8 test carried out does not arise — the question whether the Commission without informing the appellant and without may refuse to appoint a candidate "who does not wish to proceed with the question of informed consent to a more his knowledge, with a view to his appoint­ searching examination.

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regards the other aspect of the protection of 'that in the circumstances, having regard to private life which arises here, namely the the abnormalities found in the anamnesis and right that facts concerning a person's state of clinical examination, the medical officer was health should not be communicated to third entitled to request that such a test be carried persons (in this case the future employer), it out' is still more obvious that the requirement of proportionality is not met if, without the informed consent of the person concerned having been obtained, facts come to light by means of a more thorough medical examina­ tion than is normal, and are brought to the attention of the future employer. As a result — that is to say, a T4/T8 lymphocyte count of the failure to obtain informed consent for — contradicts the principle set out in para­ the communication of such medical facts, the graph 45 of the judgment that: protected right is infringed in substance.

'the Court may not substitute its own judg­ 29. Since the requirement of proportionality ment for the medical opinion on specifically recognized in the case-law of the Court of medical matters'. Justice and in Article 8(2) of the Convention is thus not met, I can only come to the con­ clusion that the third part of the appellant's first plea in law must be accepted as well founded.

The second part of this plea relates to para­ graph 45 of the contested judgment in which it is stated that it is for the Court Second plea in law on appeal: contradictory statement of the reasons on which the con­ tested judgment is based

'in carrying out the task specifically assigned to it, to verify whether the recruitment pro­ cedure followed a lawful course and, more 30. A distinction must be made between two particularly, to consider whether the parts of the appellant's second plea in law. appointing authority's decision refusing to The first part alleges a contradiction in the recruit a candidate on grounds of physical grounds of the contested judgment. He unfitness is based on a medical opinion claims that the finding in paragraph 58 of the which incorporates a statement of reasons judgment: establishing a comprehensible link between

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

the medical findings which it contains and fact made by the Court of First Instance. the conclusion as to unfitness which it In paragraph 51 of the contested judgment draws' (my italics). (section 8 above) that Court stated unequiv­ ocally that the medical opinion established a comprehensible link between the medical findings which it contained and the conclu­ sion as to unfitness which it drew. As may be seen from the Vidrányi judgment of 1 Octo­ 36 ber 1991, that constitutes a finding of fact According to the appellant the medical opin­ on the part of the Court of First Instance ion in this case did not establish any compre­ from which no appeal lies. In connection hensible link. The medical officer and the with a similar plea in law also put forward in Medical Committee merely noted the exist­ an appeal, the Court of Justice stated: ence of an immune deficiency without explaining its origin.

'With regard to the appellant's second sub­ mission, it is sufficient to point out that Mr Vidrányi disputes the Court of First 31. As regards the first part of the appel­ Instance's appraisal of the facts which led it lant's second plea in law, I do not regard the to declare that the medical report established passages quoted from paragraphs 58 and a comprehensible link between the findings 45 as being contradictory. In my view, the which it made and the conclusion to which it finding in question in paragraph 58 of the led. contested judgment is taken out of context by the appellant. In that paragraph the Court of First Instance was dealing with the appli­ cant's third plea in law at first instance regarding the infringement of Article 8 of the Convention. With its finding that the medi­ ... such an appraisal of the facts cannot be cal officer was entitled to request that a reviewed by the Court, which has jurisdic­ T4/T8 test be carried out, the Court simply tion only to examine whether the contested wished to state (wrongly in my view, as has judgment complied with the rules of law. already been shown) that it did not regard an infringement of Article 8 of the Convention as proved and by no means wished to give a medical opinion.

It follows that that plea also is inadmissi­ 37 ble.'

I agree with the Commission that the second 35 — Moreover the appellant relies on exactly the same facts as at first instance. part of the second plea is inadmissible 36 — Footnote 16, above. because it calls in question again findings of 37 — Vidrányi judgment, paragraphs 16, 17 and 18.

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Having regard to the foregoing consider­ In paragraph 51 the Court of First Instance ations, I conclude that both parts of the sec­ applied that principle as follows to the cir­ ond plea in law must be rejected. cumstances of the case:

Third plea in law on appeal: infringement of the right to a fair hearing

'The applicant, whose doctor did not cooper­ ate with the Medical Committee, is not enti­ tled to challenge the statement of the reasons for the refusal to recruit him by producing to the Court for the first time medical opin­ ions which were not submitted in due time for consideration by that committee. Accordingly, the applicant's allegations con­ 32. The appellant's third plea in law relates cerning the legality and adequacy of the to paragraphs 44 and 51 of the contested statement of the reasons for the contested judgment. In paragraph 44 the Court of First decision must be rejected.' Instance lays down the following principle:

'If the person concerned wishes to challenge 33. The appellant, supported on this point the merits of the negative opinion of the by the Union Syndicale and the International medical officer, he must forward the opinion Federation, argues that the Court's refusal to of his doctor to the Medical Committee, check the validity of the Medical Commit­ together with all supporting medical docu­ tee's opinion and the statement of the rea­ ments, and, if appropriate, request that his sons on which it was based in the light of the doctor be heard by the Medical Committee. medical opinions which he had produced is The purpose of the procedure provided for incompatible with the right to a fair hearing by the second paragraph of Article 33 of the as guaranteed by Article 6 of the Conven­ Staff Regulations is to facilitate a review of tion. That article guarantees to everyone, the negative medical opinion by a body when a question arises as to 'the determina­ established under the Staff Regulations, tion of his civil rights and obligations', in which must give a final opinion as to the particular the right 'to a fair ... hearing ... by physical fitness of the candidate, having an independent and impartial tribunal'. The regard to all the documents which, at that Medical Committee, it is contended, is by no time, are contained in the medical file of the means independent since in the words of the person concerned.' second paragraph of Article 33 of the Staff

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

Regulations, it is 'composed of three doc­ right to a fair hearing, as a general principle, tors chosen by the appointing authority from forms part of Community law quite apart among the institution's medical officers' (my from that article. There can therefore be no italics). In those circumstances, the appellant question of an inadmissible new plea in law 39 states, the Court of First Instance has being raised. infringed the right to a fair hearing by declaring that the Medical Committee must give 'a final opinion' as to the physical fit­ ness of a candidate.

As regards the substance of the plea, the Commission contends that the doctors in its Medical Service enjoy full freedom of assess­ ment, guaranteed by the Court, with regard to their medical conclusions. In its judgment in Joined Cases 59 and 129/80 Turner v Commission the Court stated:

34. The Commission argues primarily that the appellant's plea is new — the incompati­ bility of the second paragraph of Article 33 of the Staff Regulations with Article 6 of the Convention was raised only before the Court of Justice — and is therefore inadmis­ sible. Let me say straight away that I cannot 'The administration has the right to define agree with that. At first instance the appli­ the nature and the scope of the various med­ cant's first plea in law concerned the ical tasks arising in those different areas, save infringement of his right to a fair hearing, only that it may not impair the independence and his second plea in law the statement of of judgment and decision of the doctors reasons on which the Commission's refusal whom it employs when they are carrying out was based. The Court of First Instance the duties assigned to them in that frame­ rejected both those pleas in law, inter alia on work as thus defined and when they are the basis of the consideration that the appli­ required to carry out certain kinds of medi­ cant cannot produce medical opinions for cal work of a preventive or therapeutic the first time before the Court of First nature on their own responsibility. Instance. By contesting that decision now before the Court of Justice the appellant is, by implication but unmistakably, referring back to his pleas in law at first instance. I regard the fact that the appellant now refers for the first time to Article 6 of the Conven­ tion as a subsidiary matter in view of what is stated below (in section 35), namely that the Those principles also apply to the practice of conducting medical examinations of new

38 — Applicable by analogy by virtue of the second paragraph of Article 13 of the Conditions of Employment. 39 — Cf. section 13, above.

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staff. It is for the administration to determine sial question of whether this case actually the nature and scope of the examinations and concerns a 'determination of civil rights and to give appropriate instructions to the doc­ obligations' within the meaning of Article tors responsible for undertaking them. 6 of the Convention. Within that framework doctors enjoy free­ dom of assessment in regard to their medical findings and assessment of the fitness of can­ 40 didates.'

It seems to me, without wishing to call in question the Commission's statements with regard to the freedom of assessment of the doctors in its Medical Service and the objec Finally the Commission states that the file in tivity and impartiality of the Medical Com this case does not contain the least sugges mittee (which moreover the appellant does tion that the Medical Committee did not not do), that the composition of the Medical come to its decision with all the objectivity Committee may give at least an appearance

44 and impartiality required. of dependence or partiality. That does not in itself constitute an infringement of the right to a fair hearing, although even an 45 appearance of dependence is best avoided. The Court of Human Rights and the Com mission of Human Rights, in their case-law on Article 6 of the Convention, have 35. First I should like to emphasize that the accepted that certain litigation may be dealt right to a fair hearing is not guaranteed sim with at first instance by bodies, in particular ply by Article 6 of the Convention on which administrative bodies, which do not comply the appellant's observations are centred but with all the requirements of Article 6 of the also constitutes a general principle of law 41 Convention. In this connection, however, (more specifically expressed in Article 6 of the Convention) the observance of which the Court of Justice and the Court of First Instance have always ensured-in staff cases as 43 — The European Commission of Human Rights has fre 42 quently decided that 'litigation concerning access to, or dis well as others. The Court of Justice can missal from, civil service falls outside tile scope of .

. . the Convention'. See the Decision of 10 October 1983, Appli therefore consider the appellant's third plea cation No 9248/81 Leander v Sweden, D&R, Vol. 34, 1983, in law without first going into the controver p. 78 at p. 83 (English) and p. 91 (French) (with references to previous decisions). On the other hand there is the point that access to an appointment with the Commission has important consequences as regards rights which are indeed of a 'civil' nature, such as the right to a pension and the right to social security. The International Pedcration points 40 — [1981] ECR 1883, .it paragraphs 41 and 42. in that connection to a recent judgment of the Court of Human Rights on pension rights of officials: judgment of 41 — Sec inter alia the judgments in Case 322/81 Michelin v 26 November 1992, Lombardo, Publications, Senes A, Vol. Commission [1983] ECR 3461, at paragraph 7; in Case 249-C 1992, paragraph 16. 85/87 Dow Benelux v Commission [1989] ECR 3137, at paragraph 25; in Case C-49/88 Al-Jubail Feitlhzer v Coim- 44 — The composition of other committees established by the ai [1991] ECR I-3187, at paragraph 15; and in Case Staff Regulations docs not give such an appearance.

The T-I1/S9 Shell v Commission [1992] ECR 11-757, at para Invalidity Committee, for example, established by Article graph 39. 9 of the Staff Regulations, 'shall consist of three doctors, one appointed by the institution to which the official con 42 — See inter aha the judgments in Case 115/80 Démont v cerned Dclongs, one appointed by the official concerned and Commission [1981] ECR 3147, at paragraphs 6 to 12 (see one appointed by agreement between the first two doctors' particularly paragraph 11); in Case 319/85 Misset v Coimai (Article 7 of Annex II to the Staff Regulations). [19SS] ECR 1861, at paragraph 7; in Case T-S2/S9 Murato v Commission [1990] ECR 11-735, at paragraph 7S; and in 45 — Cf. the judgment of the Court of Human Rights of Case T-109/92 Lacruz Bassols v Court of Justice [1994] 22 October 1984, Sramek, Publications, Scries A, Vol. 84, ECR 11-105, at paragraphs 67 to 70. 1984, paragraph 42.

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they stress — and I think that this must extend to the actual medical appraisals made apply equally as regards the right to a fair by the committee, but can relate only to the hearing in Community law — that an appeal legality of its composition and decision­ 47 must be available against the decisions of making. The conclusions of a Medical such bodies to a judicial body which fully Committee must therefore be regarded by complies with the requirements of Article the Community judicature as definitive pro­ 6 of the Convention and has sufficiently vided that they have been arrived at in cir­ 48 wide jurisdiction to review the legality of the cumstances which are not irregular. 46 contested decision.

36. In the light of the foregoing, the appel­ 37. In the contested judgment the Court of lant's third plea in law raises the question First Instance correctly recapitulates the whether the Court of First Instance, by principles of Community law just men­ refusing to go into medical opinions (and tioned. In paragraph 45 it states that arguments based on them) which had not first been submitted to the Medical Commit­ tee, has assessed too narrowly the scope of its judicial review of the decision of the Medical Committee and has thus infringed the appellant's right to a fair hearing. I think that question must be answered in the nega­ tive.

'the Court may not substitute its own judg­ ment for the medical opinion on specifically medical matters. However, it is for the

47 — The decision-making process of a Medical Committee is not lawful if the procedure before it was irregular or if the As both the Court of Justice and the Court committee relied on erroneous concepts or if there is no of First Instance have consistently held, the comprehensible link between its medical findings and the conclusions of its report. See the judgments in Case review by the Community judicature of the 189/82 Seingry, née Seller v Council [1984] ECR 229, at paragraph 15; in Case 277/84 Jänsch v Commission [1987] decisions of a Medical Committee cannot ECR 4923, at paragraph 15; and in Case T-154/89 Vidrányi v Commission [1990] ECR II-445, at paragraph 48. There is also an irregularity if the report of a Medical Committee does not contain a statement of reasons from which it is possible to judge what considerations served as the basis for the findings contained therein. Judgments in Case 257/81 K. 46 — Judgments of the Court of Human Rights of 23 June 1981, v Council [1983] ECR 1, at paragraph 17; in Case Le Compte, Van Leuven and De Meyere, Publications, T-165/89 Plug v Commission [1992] ECR II-367, at para­ Series A, Vol. 43, 1981, paragraph 51, and of 10 February graph 75; and in Case T-43/89-RV Gill v Commission 1983, Albeit and Le Compte, Publications, Seríes A, Vol. 58, [1993] ECR 11-303, at paragraph 36. 1983, paragraph 29; Opinion of the Commission of Human Rights (as formulated in the Report of 3 July 1985), pub­ 48 — See the judgments in Case 156/80 Morbelli v Commission lished as annex to the judgment of 23 April 1987, Ettl and [1981] ECR 1357, at paragraph 20; in Case 265/83 Suss v Others, Publications, Series A, Vol. 117, p. 21, paragraphs Commission [1984] ECR 4029, at paragraph 11; in Case 77 and 78; see also P. Van Dijk and G. van Hoof, 'De 2/87 Biedermann v Court of Auditors [1988] ECR 143, at Europese Conventie in theorie en praktijk', Nijmegen, paragraph 8; the Plug case (previous footnote), at paragraph 1990, pp. 340 and 341. 75; the Vidrányi case (previous footnote), at paragraph 48.

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X v COMMISSION

Court, in carrying out the task specifically the institution's medical officers. The medical assigned to it, to verify whether the recruit­ officer responsible for the initial negative ment procedure followed a lawful course opinion shall be heard by the Medical Com­ and, more particularly, to consider whether mittee. The candidate may refer the opinion the appointing authority's decision refusing of a doctor of his choice to the Medical to recruit a candidate on grounds of physical Committee. Where the opinion of the Medi­ unfitness is based on a medical opinion cal Committee confirms the conclusions of which incorporates a statement of reasons the medical examination provided for in the establishing a comprehensible link between first paragraph, the candidate shall pay 50% the medical findings which it contains of the fees and of the incidental costs.' and the conclusion as to unfitness which it draws (judgment in Case 155/78, cited above, paragraph 14; see also Case 189/82 Seiler and Others v Council [1984] ECR 229, paragraph 15).'

38. It was for the appellant, if he wished, in accordance with that paragraph of Article Did the Court of First Instance fail in that 33 of the Staff Regulations (and as in fact he task by refusing to take cognizance of medi­ did by letter of 9 April 1989), to submit his cal opinions which had not first been sub­ case to a Medical Committee and then, if he mitted to the Medical Committee? I do not wished, to submit to the committee the opin­ think so. Before elucidating this, it seems to ion of a doctor of his choice. The appellant me appropriate to recall the text of the sec­ did not take the latter course, although he ond paragraph of Article 33 of the Staff Reg­ had already been informed on 22 March ulations (as the Court of First Instance did in 1989 of the unfavourable opinion of the paragraph 41 of the contested judgment, medical officer and had been asked for the quoted in section 6 above). That provision is name, address and telephone number of his worded as follows: own doctor (the same doctor with whom the medical officer had then made contact by telephone on 5 April 1989: see paragraph 47 of the contested judgment, quoted in sec­ tion 2 above). Nor did the appellant by 26 May 1989, the date on which — as he had been informed (see paragraph 9 of the con­ tested judgment, quoted in section 2) — the 'Where a negative medical opinion is given as Medical Committee was to meet, provide the a result of the medical examination provided committee with the medical opinion of a for in the first paragraph, the candidate may, doctor of his choice. However, the Head of within 20 days of being notified of this opin­ the Commission Medical Service had insis­ ion by the institution, request that his case tently requested the appellant to send him all be submitted for the opinion of a medical reports or medical documentation which he committee composed of three doctors cho­ wished to submit to the Medical Committee sen by the appointing authority from among (ibid.).

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

It was in the light of these findings — and of doctor did not cooperate with the Medical the finding that the applicant's own doctor Committee, is not entitled to challenge the had been informed of the reasons for the statement of the reasons for the refusal to opinion that he was unfit and had received recruit him by producing to the Court for all the details concerning the signs which had the first time medical opinions which were come to light in the anamnesis and the clini­ not submitted in due time for consideration cal examination, together with a complete by that committee.' copy of the results of the blood tests carried out on the applicant (see paragraph 48 of the contested judgment, quoted in section 7) —• that the Court of First Instance had come to the conclusion in paragraph 50 that the applicant's right to a fair hearing had not been prejudiced 'by the fact that the Medical Committee failed to hear his own doctor and did not consider it appropriate to undertake a clinical examination itself'. The Court added: 'As has been pointed out, it is for the candidate who has the matter referred to the I cannot find in that reasoning by the Court Medical Committee to request a hearing of of First Instance any infringement of law or his own doctor'. more specifically any failure in the Court's task of reviewing the regularity of the Med­ ical Committee's decision-making process. In my opinion the Court of First Instance correctly formed the view that a candidate for appointment who has requested a fresh examination of his case by a Medical Com­ 39. The refusal of the Court of First mittee must himself take the initiative, if he Instance to take cognizance of medical opin­ so wishes, to provide the committee with ions which were not first submitted to the supplementary opinions by a doctor of his Medical Committee is based on its apprecia­ choice and to request the committee to hear tion of the findings already mentioned. Para­ that doctor. By neglecting to do that, the graph 51 of the contested judgment is applicant acquiesced in the committee's car­ worded as follows: rying out its investigation on the basis of the information known to it and the applicant (and his own doctor). It is therefore only on the basis of that information that the Court of First Instance can and must carry out its judicial review. The appellant's third plea in 'It must be stated, first, that the applicant's law must therefore be rejected. If the Court doctor did not arrange for the additional of Justice were to take a different view and tests suggested by the medical officer to to accept that the applicant was entitled to determine the origin of the applicant's provide the Court of First Instance for the immune deficiency and, secondly, that the first time with supplementary medical docu­ latter did not place before the Medical Com­ ments which it had to review, then that mittee the opinion of any doctor, either his Court would unavoidably be compelled to own or another. In those circumstances, this substitute its appraisal for that of a doctor, Court considers that the applicant, whose which it is not empowered to do.

I - 4772

X v COMMISSION

Further course of the proceedings and the mission considered that the applicant did not claim for compensation fulfil the conditions of physical fitness for appointment. In Case T-13/90 he sought payment by the Commission of a lump sum of BFR 10 000 000 as compensation for the damage which he alleged its officers had caused him.

40. It may be seen from the foregoing that I regard the third part of the first plea in law on appeal to be admissible and well founded. If the Court agrees with me in this, it must to that extent quash the contested judgment As regards the appellant's claim for annul­ on the basis of Article 54 of the Protocol on ment, which was the subject of Case the Statute of the Court of Justice of the EEC. It may itself then give final judgment if it regards the state of the proceedings as so permitting or refer the case back to the Court of First Instance for judgment.

T-121/89, the Court has before it, in my view, all the matters of fact (as determined by the Court of First Instance) and of law which it needs to give final judgment itself. If the Court, as already proposed, holds the third part of the appellant's first plea in law to be admissible and well founded, it must In Case T-121/89 the applicant requested the accede to the appellant's claim for annulment 49 Court of First Instance to annul primarily of the letter of 6 June 1989. That letter is in the letter of 6 June 1989 in which the Com­ fact vitiated by illegality in view of the fact mission's Director General for Personnel that the decision contained therein is based and Administration informed him that the on medical opinions which have infringed Medical Committee had confirmed the opin­ the appellant's right to protection of his pri­ ion of the medical officer of 22 March vate life by subjecting him without his 1989 and that on the basis thereof the Com­ informed consent to a T4/T8 count.

49 — As he did at first instance (section 3 above) the appellant is also claiming 'in so far as is necessary' the annulment of the decision of 22 March 1989 by which the Commission's medical officer gave a negative medical opinion and of the decision of 26 May 1989 in which the Medical Committee confirmed that opinion. 'Purely in the alternative' the appellant also claims the annulment of the letter of 28 March 1989 in which the Head of the Careers Division 41. As regards the claim for compensation, a informed the appellant that he could not be recruited. I do not think it is necessary to go into these claims: if, as pro- distinction must be made between the appel­ lant's claims in Case T-121/89 and those in posed in this section, the letter of 6 June 1989 is annulled or the reasons I have given, the medical opinion of the medical officer and its confirmation by the Medical Com­ T-13/90. In Case T-121/89 the appellant mittee — assuming that they constitute acts which may be stated before the Court of First Instance (see challenged by an action for annulment — will no longer be of any effect as regards the appellant. paragraph 73 of the contested judgment,

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

quoted in section 10 above) that if his appli­ before the Court of First Instance, the appel­ cation for annulment in that case were lant gave the reasons for this claim as fol­ upheld, that would constitute sufficient rep­ lows: aration for the material damage caused him by the measures to be annulled. In that case he therefore made no application to the Court of First Instance for the reparation of that damage. In Case T-13/90 he claimed, 'The applicant has suffered serious non- apart from the annulment of the contested material damage as a result of the accusations measures, an order that the Commission made against him by the Commission's med­ should pay him a lump sum of BFR ical officer. 10 000 000 as compensation for non-material damage which he claims to have suffered owing to the Commission's conduct. In his appeal the appellant claims that the contested judgment should be quashed and that his claims at first instance be upheld. These accusations, which might have had serious consequences both morally and psy­ chologically, caused and continue to cause the applicant damage which the Commission is required to make good.

Finally the Commission published in the Official Journal a summary of the claims and From that I deduce that, in the appellant's pleas in law put forward by the applicant in view, if the letter of 6 June 1989 referred to his claim for annulment. in Case T-121/89 were to be annulled, judg­ ment would at the same time be given as to any material damage arising therefrom. As the appellant is not claiming any compensa­ tion for that, the Court would be acting ultra petita if it were to award any. By publishing in the preamble to that docu­ ment the initials of the applicant and his place of residence in Portugal, the Commis­ sion has infringed the principle of strict con­ fidentiality which it should have observed in such a delicate matter.

In so doing the Commission has committed 42. There remains the appellant's claim for a further wrongful act towards the applicant compensation for non-material damage, the and once more failed in its duty of care subject of Case T-13/90. In the proceedings towards him.'

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X v COMMISSION

It may be seen from that quotation that the be rejected for the sole reason that that claim appellant is demanding compensation for is closely linked to the claim for annulment. non-material damage for two reasons: first The justification of the claim for compensa­ because the medical officer made 'accusa­ tion for non-material damage will then nec­ tions' against him (I assume that by that he essarily have to be considered afresh on con­ means primarily the diagnosis of 'full-blown dition, of course, that it is previously AIDS'), and secondly because the Commis­ established that the claim is admissible. sion has failed in its duty of confidentiali­ 50 ty. In his reply lodged before the Court of First Instance in Case T-13/90 the applicant specifies in greater detail the exact nature of that infringement.

44. As regards its admissibility it must be observed that the admissibility of a claim for 43. In paragraph 74 of the contested judg­ annulment entails in principle the admissibil­ ment (quoted in section 10 above) the Court ity of a claim for compensation closely con­ 51 of First Instance rejected the applicant's nected therewith. In the very recent judg­ claim for compensation for non-material ments in Cases T-3/92 and T-82/91 the damage on the ground that it was closely Court of First Instance confirmed this prin­ connected with the claim for annulment ciple, in my view correctly, as follows: which the Court had rejected as unfounded. 'The applicant', it is stated in paragraph 74, 'has not put forward any plea capable of securing the annulment of the contested decision and has thus not established any irregularity which might constitute a wrong­ ful act or omission on the part of the Com­ mission'.

'it is only where a direct link exists between an action for annulment and an action for damages that the latter action is admissible as being ancillary to the action for annulment without its necessarily having to be preceded If the Court of Justice, as proposed above, by a request made to the appointing author­ accepts the third part of the first plea in law ity for compensation for the damage alleg­ on appeal and finds the appellant's claim for edly suffered and by a complaint challenging annulment, on those grounds, admissible and well founded, his claim for compensation for non-material damage can naturally no longer 51 — The opposite is also true: the inadmissibility of a claim for annulment leads to the inadmissibility of a claim for com­ pensation for damage which is closely connected therewith. See inter AHA the judgments in Case 129/75 Hirschberg v Commission [1976] ECR 1259, at paragraph 22; in Case 50 — Paragraph 73 of the contested judgment might wrongly give 33/80 Albim v Council and Commission [1981] ECR 2141, the impression that the applicant was claiming compensa­ at paragraph 18; and in Case T-5/90 Marcato v Commission tion for non-material damage solely for the second reason. [1991] ECR II-731. at paragraph 49.

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

the correctness of the implied or express damage is not closely connected with the rejection of the request.' claim for annulment since it is connected with conduct by the Commission other than that referred to in the application for annul­ 53 ment. Its admissibility cannot therefore be deduced from the admissibility of the appli­ cation for annulment but must be examined on the basis of principles which are to be traced back to the Staff Regulations and have Since the admissibility of the appellant's been clarified in judgments of the Court of claim for annulment is established (and Justice and the Court of First Instance. In moreover was not called in question by the that respect the judgment in Case Court of First Instance), it must be deduced 200/87 Giordani v Commission, to which the from the case-law quoted above that the Court of First Instance calls attention in appellant's claim for compensation for non- paragraph 75, should in particular be taken material damage is also admissible inasmuch into account. In that judgment the Court of as it is closely connected with the claim for Justice stated inter alia as follows with annulment. In so far as the appellant claims regard to the admissibility of a claim for compensation for the non-material damage compensation: which, he alleges, results from the conduct of the medical officer on which the Commis­ sion's refusal to recognize his physical fitness is based (section 42 above), such a close link with the application for annulment does, in my view, exist, and his claim for compensa­ tion for non-material damage must be declared admissible. The Court of Justice, which has at its disposal all the matters of 'It should be borne in mind that Articles law necessary to give final judgment on this 90 and 91 of the Staff Regulations have the point, may itself establish such admissibility. effect of making an appeal admissible only if the administrative procedure prescribed in those provisions has first been duly fol­ lowed. In cases such as the present one, in which an official seeks a decision by which the administration acknowledges its own infringement of Article 40(4)(d) of the Staff Regulations and consequently compensates 45. With his claim, however, the appellant is him for the damage he has suffered as a also seeking compensation for the non- result, the administrative procedure must be material damage resulting from an alleged initiated by a request from the official con­ failure by the Commission to comply with cerned that the administration take that deci­ its duty of confidentiality (section 42 above). sion, in accordance with Article 90(1) of the In my view that aspect of the appellant's claim for compensation for non-material

53 — The appellant is contesting here not the Commission's deci­ sion to subject him without his knowledge to a T4/TS test and to find him, partly on the basis thereof, physically unfit 52 — Latham v Commission [1994] ECR II-61, at paragraph 34, but the Commission's conduct in publishing in the Official and [1994] ECR II-83, at paragraph 37. Journal his initials and his place of residence in Portugal.

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X v COMMISSION

Staff Regulations. The official may submit a such damage to be made good. It is only complaint to the administration only against against the decision rejecting such a request a decision rejecting that request, in accor­ that the person concerned may submit a 54 dance with Article 90(2).' complaint to the administration, pursuant to Article 90(2).' 55

In the same paragraph of the contested judg­ ment (75) the Court of First Instance also refers to the judgment in Case T-5/90 Mar- cato v Commission in which it stated as fol­ lows with regard to situations in which — as here •—· there is no close link between a claim for compensation and a claim for annulment: 46. In the light of that case-law it can only be concluded that in paragraph 75 of the contested judgment the Court of First Instance rightly decided that the applicant's claim for compensation for the non-material damage resulting from a breach by the Com­ mission of the principle of confidentiality 'The admissibility of the claim for compen­ was inadmissible. Since the Commission's sation must be determined independently of conduct resulting in the publication in the that of the application for annulment. It Official Journal of the applicant's initials and should be noted in this regard that the address cannot be regarded as an act admissibility of such an application is condi­ adversely affecting the applicant within the tional upon the prior administrative proce­ meaning of Article 90(2) of the Staff Regula­ dure following the normal course, as laid tions, the applicant should first have submit­ down in Artcile 90 and 91 of the Staff Regu­ ted a request under Article 90(1) for the lations. damage suffered as a result of that conduct to be made good and — after its rejection — have submitted a complaint to the Commis­ sion under Article 90(2). In this case he sim­ ply lodged a 'supplemental' complaint on 4 September 1989 without previously having Where, as in this case, the application is for submitted to the Commission a request for the making good of damage allegedly caused compensation. If that 'complaint' were to be by conduct which, having no legal effect, construed as a prior request within the cannot be termed an act having an adverse meaning of Article 90(1), then, as the con­ effect on the official concerned, the adminis­ tested judgment correctly states, the appli­ trative procedure must commence, pursuant cant did not lodge a complaint against the to Article 90(1) of the Staff Regulations, with rejection of that request by the Commis­ the submission of a request by the person sion's decision of 27 November 1989 (which concerned to the appointing authority for

55 — Judgment previously cited in footnote 51, paragraphs 49 54 — [1989] ECR 1877, at paragraph 22. — en

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OPINION OF MR VAN GERVEN — CASE C-404/92 P

on that hypothesis would be the act put forward before either the Court of First adversely affecting him within the meaning Instance or the Court of Justice regarding of Article 90(2) of the Staff Regulations). the non-material damage which the appellant alleges that he suffered as a result of the con­ duct of the medical officer and of the Com­ mission decision based thereon. In any event, any consideration of, in particular, the extent of the non-material damage suffered and the causal link between that damage and the Accordingly 'the administrative procedure unlawful nature of the Commission's con­ did not follow that normal course, which is duct constitutes an appreciation of fact 56 mandatory under the Staff Regulations' which the Court of Justice has no jurisdic­ and on that ground the contested judgment tion to entertain in the context of an 57 correctly decided that that part of the claim appeal. I therefore propose that the Court for compensation was inadmissible. of Justice refer the case back to the Court of First Instance for a decision as to the validity of the claim for compensation for the non- material damage which the appellant alleg­ edly suffered as a result of the conduct of the medical officer and the Commission's refusal, based thereon, to recognize the 47. On the basis of the foregoing consider­ appellant's physical fitness. ations I propose that the Court, giving judg­ ment itself, should declare the appellant's claim for compensation for non-material damage to be admissible, but only in so far as that claim is connected with the conduct of the medical officer on which the Commis­ sion's refusal to recognize the appellant's Costs physical fitness is based.

Such a declaration of partial admissibility 48. Finally as regards the costs of the pro­ naturally implies no decision as to the valid- ceedings, I can be brief. From the foregoing ity of the claim for the payment of a lump (proposal that the contested judgment be sum of BFR 10 000 000 (which in any case partially quashed and partially referred back was based on the two reasons mentioned in to the Court of First Instance) it follows that section 42 above, of which I regard only the the decision of the Court of First Instance first as admissible). In that respect it should on costs must be set aside. Under the first be observed that hardly any arguments were paragraph of Article 122 of the Rules of Pro-

56 — Marcato judgment, paragraph 50, where the applicant had 57 — See sections 19 and 25 of my Opinion in relation to the also failed to submit a prior request for compensation for judgment in Case C-68/91 P Moritz v Commission [1992] the damage of which he complamed. ECR I-6849.

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cedure of the Court of Justice, the Court is judgment in the case'. Since neither of those to make a decision as to costs 'where the two situations applies, I propose that the appeal is unfounded or where the appeal is decision as to costs be reserved. well founded and the Court itself gives final

Conclusion

49. In conclusion I propose that the Court should:

(1) declare the third part of the first plea in law on appeal admissible and well founded and reject the other parts of that plea and the remaining pleas;

(2) quash the contested judgment in so far as it declares that:

— the medical officer was entitled in the circumstances of the case to subject the appellant to a T4/T8 lymphocyte count;

— the parties should bear their own costs;

(3) giving judgment itself, annul the letter of 6 June 1989 in which the Commis­ sion's Director General for Personnel and Administration informed the appel­ lant that the Commission took the view that he did not comply with the con­ ditions of physical fitness for recruitment;

(4) giving judgment itself, declare admissible the appellant's claim for compensa­ tion for the non-material damage which he allegedly suffered as a result of the conduct of the medical officer and the Commission's decision, based thereon, to regard him as physically unfit;

(5) refer the case back to the Court of First Instance for a decision as to the valid­ ity of the claim referred to in the foregoing subparagraph;

(6) reserve the costs.

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