Overview

• Italian authorities presented a detailed, personalized case citing Cospito’s criminal record, role in subversive groups, and prison communications that, according to evidence, helped identify targets and encourage attacks.
• The court found no violation of the European Convention on human rights regarding inhuman treatment or protection of health.
• Strasbourg concluded that Cospito’s physical decline stemmed from his voluntary hunger strike, noting he was warned of the risks but chose to continue.
• Medical oversight was described as continuous, with daily checks by prison doctors and external NHS physicians, and Italian judges relied on multiple expert assessments in denying suspension on health grounds.
• The ruling aligns with Italy’s 2023 Court of Cassation decision and leaves the 41-bis regime in force for Cospito, while broader political and ethical debate over its use continues.