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- NOTICE: This opinion is subject to formal revision before publication in the
- preliminary print of the United States Reports. Readers are requested to
- notify the Reporter of Decisions, Supreme Court of the United States, Wash-
- ington, D.C. 20543, of any typographical or other formal errors, in order that
- corrections may be made before the preliminary print goes to press.
- SUPREME COURT OF THE UNITED STATES
- --------
- No. 91-1958
- --------
- DONALD L. HELLING, et al., PETITIONERS v.
- WILLIAM McKINNEY
- on writ of certiorari to the united states court
- of appeals for the ninth circuit
- [June 18, 1993]
-
- Justice White delivered the opinion of the Court.
- This case requires us to decide whether the health risk
- posed by involuntary exposure of a prison inmate to
- environmental tobacco smoke (ETS) can form the basis of
- a claim for relief under the Eighth Amendment.
-
- I
- Respondent is serving a sentence of imprisonment in the
- Nevada prison system. At the time that this case arose,
- respondent was an inmate in the Nevada State Prison in
- Carson City, Nevada. Respondent filed a pro se civil
- rights complaint in United States District Court under
- Rev. Stat. 1979, 42 U. S. C. 1983, naming as defend-
- ants the director of the prison, the warden, the associate
- warden, a unit counselor, and the manager of the prison
- store. The complaint, dated December 18, 1986, alleged
- that respondent was assigned to a cell with another
- inmate who smoked five packs of cigarettes a day. App.
- 6. The complaint also stated that cigarettes were sold to
- inmates without properly informing of the health hazards
- a nonsmoking inmate would encounter by sharing a room
- with an inmate who smoked, Id., at 7-8, and that certain
- cigarettes burned continuously, releasing some type of
- chemical, Id., at 9. Respondent complained of certain
- health problems allegedly caused by exposure to cigarette
- smoke. Respondent sought injunctive relief and damages
- for, inter alia, subjecting him to cruel and unusual
- punishment by jeopardizing his health. Id., at 14.
- The parties consented to a jury trial before a magis-
- trate. The magistrate viewed respondent's suit as present-
- ing two issues of law: (1) whether respondent had a
- constitutional right to be housed in a smoke-free environ-
- ment, and (2) whether defendants were deliberately
- indifferent to respondent's serious medical needs. App. to
- Pet. for Cert. D2-D3. The magistrate, after citing applica-
- ble authority, concluded that respondent had no constitu-
- tional right to be free from cigarette smoke: while -society
- may be moving toward an opinion as to the propriety of
- non-smoking and a smoke-free environment,- society
- cannot yet completely agree -on the resolution of these
- issues.- Id., at D3, D6. The magistrate found that
- respondent nonetheless could state a claim for deliberate
- indifference to serious medical needs if he could prove the
- underlying facts, but held that respondent had failed to
- present evidence showing either medical problems that
- were traceable to cigarette smoke or deliberate indifference
- to them. Id., at D6-D10. The magistrate therefore
- granted petitioners' motion for a directed verdict and
- granted judgment for the defendants. Id., at D10.
- The Court of Appeals affirmed the magistrate's grant of
- a directed verdict on the issue of deliberate indifference
- to respondent's immediate medical symptoms, McKinney
- v. Anderson, 924 F. 2d 1500, 1512 (CA9 1991). The Court
- of Appeals also held that the defendants were immune
- from liability for damages since there was at the time no
- clearly established law imposing liability for exposing
- prisoners to ETS. Although it agreed that respondent
- did not have a constitutional right to a smoke-free prison
- environment, the court held that respondent had stated
- a valid cause of action under the Eighth Amendment by
- alleging that he had been involuntarily exposed to levels
- of ETS that posed an unreasonable risk of harm to his
- future health. Id., at 1509. In support of this judgment,
- the court noticed scientific opinion supporting respondent's
- claim that sufficient exposure to ETS could endanger one's
- health. Id., at 1505-1507. The court also concluded that
- society's attitude had evolved to the point that involuntary
- exposure to unreasonably dangerous levels of ETS violated
- current standards of decency. Id., at 1508. The court
- therefore held that the magistrate erred by directing a
- verdict without permitting respondent to prove that his
- exposure to ETS was sufficient to constitute an unreason-
- able danger to his future health.
- Petitioners sought review in this Court. In the mean-
- time, this Court had decided Wilson v. Seiter, 501 U. S.
- ___ (1991), which held that, while the Eighth Amendment
- applies to conditions of confinement that are not formally
- imposed as a sentence for a crime, such claims require
- proof of a subjective component, and that where the claim
- alleges inhumane conditions of confinement or failure to
- attend to a prisoner's medical needs, the standard for that
- state of mind is the -deliberate indifference- standard of
- Estelle v. Gamble, 429 U. S. 97 (1976). We granted
- certiorari in this case, vacated the judgment below, and
- remanded the case to the Court of Appeals for further
- consideration in light of Seiter. 502 U. S. ___ (1991).
- On remand, the Court of Appeals noted that Seiter
- added an additional subjective element that respondent
- had to prove to make out an Eighth Amendment claim,
- but did not vitiate its determination that it would be cruel
- and unusual punishment to house a prisoner in an
- environment exposing him to levels of ETS that pose an
- unreasonable risk of harming his health-the objective
- component of respondent's Eighth Amendment claim.
- McKinney v. Anderson, 959 F. 2d 853, 854 (1992). The
- Court of Appeals therefore reinstated its previous judg-
- ment and remanded for proceedings consistent with its
- prior opinion and with Seiter. Ibid.
- Petitioners again sought review in this Court, contend-
- ing that the decision below was in conflict with the en
- banc decision of the Court of Appeals for the Tenth
- Circuit in Clemmons v. Bohannon, 956 F. 2d 1523 (1992).
- We granted certiorari, 505 U. S. ___ (1992). We affirm.
-
- II
- The petition for certiorari which we granted not only
- challenged the Court of Appeals' holding that respondent
- had stated a valid Eighth Amendment claim, but also
- asserted, as did its previous petition, that it was improper
- for the Court of Appeals to decide the question at all.
- Pet. for Cert. 25-29. Petitioners claim that respondent's
- complaint rested only on the alleged current effects of
- exposure to cigarette smoke, not on the possible future
- effects; that the issues framed for trial were likewise
- devoid of such an issue; and that such a claim was not
- presented, briefed or argued on appeal and that the Court
- of Appeals erred in sua sponte deciding it. Ibid. Brief for
- Petitioners 46-49. The Court of Appeals was apparently
- of the view that the claimed entitlement to a smoke-free
- environment subsumed the claim that exposure to ETS
- could endanger one's future health. From its examination
- of the record, the court stated that -[b]oth before and
- during trial, McKinney sought to litigate the degree of his
- exposure to ETS and the actual and potential effects of
- such exposure on his health,- 924 F. 2d, at 1503; stated
- that the magistrate had excluded evidence relating to the
- potential health effects of exposure to ETS; and noted that
- two of the issues on appeal addressed whether the magis-
- trate erred in holding as a matter of law that compelled
- exposure to ETS does not violate a prisoner's rights and
- whether it was error to refuse to appoint an expert
- witness to testify about the health effects of such expo-
- sure. While the record is ambiguous and the Court of
- Appeals might well have affirmed the magistrate, we
- hesitate to dispose of this case on the basis that the court
- misread the record before it. We passed over the same
- claim when we vacated the judgment below and remanded
- when the case was first before us, Pet. for Cert., O.T.
- 1991, No. 91-269, pp. 23-26, and the primary question on
- which certiorari was granted, and the question to which
- petitioners have devoted the bulk of their briefing and
- argument, is whether the court below erred in holding
- that McKinney had stated an Eighth Amendment claim
- on which relief could be granted by alleging that his
- compelled exposure to ETS poses an unreasonable risk to
- his health.
- III
- It is undisputed that the treatment a prisoner receives
- in prison and the conditions under which he is confined
- are subject to scrutiny under the Eighth Amendment. As
- we said in DeShaney v. Winnebago County Dept. of Social
- Services, 489 U. S. 189, 199-200 (1989):
- -[W]hen the State takes a person into its custody
- and holds him there against his will, the Constitution
- imposes upon it a corresponding duty to assume some
- responsibility for his safety and general well
- being. . . . The rationale for this principle is simple
- enough: when the State by the affirmative exercise of
- its power so restrains an individual's liberty that it
- renders him unable to care for himself, and at the
- same time fails to provide for his basic human
- needs--e.g., food, clothing, shelter, medical care, and
- reasonable safety--it transgresses the substantive
- limits on state action set by the Eighth Amend-
- ment. . . .-
- Contemporary standards of decency require no less.
- Estelle v. Gamble, supra, at 103-104. In Estelle, we
- concluded that although accidental or inadvertent failure
- to provide adequate medical care to a prisoner would not
- violate the Eighth Amendment, -deliberate indifference to
- serious medical needs of prisoners- violates the Amend-
- ment because it constitutes the unnecessary and wanton
- infliction of pain contrary to contemporary standards of
- decency. 429 U. S., at 104. Wilson v. Seiter, 501 U. S.
- ___ (1991), later held that a claim that the conditions of
- a prisoner's confinement violate the Eighth Amendment
- requires an inquiry into the prison officials' state of mind.
- -`Whether one characterizes the treatment received by [the
- prisoner] as inhuman conditions of confinement, failure to
- attend to his medical needs, or a combination of both, it
- is appropriate to apply the -deliberate indifference- stan
- dard articulated in Estelle.'- Id., at ___ (slip op., at 9).
- Petitioners are well aware of these decisions, but they
- earnestly submit that unless McKinney can prove that he
- is currently suffering serious medical problems caused by
- exposure to ETS, there can be no violation of the Eighth
- Amendment. That Amendment, it is urged, does not
- protect against prison conditions that merely threaten to
- cause health problems in the future, no matter how grave
- and imminent the threat.
- We have great difficulty agreeing that prison authorities
- may not be deliberately indifferent to an inmate's current
- health problems but may ignore a condition of confinement
- that is sure or very likely to cause serious illness and
- needless suffering the next week or month or year. In
- Hutto v. Finney, 437 U. S. 678, 682 (1978), we noted that
- inmates in punitive isolation were crowded into cells and
- that some of them had infectious maladies such as hepati-
- tis and venereal disease. This was one of the prison
- conditions for which the Eighth Amendment required a
- remedy, even though it was not alleged that the likely
- harm would occur immediately and even though the
- possible infection might not affect all of those exposed.
- We would think that a prison inmate also could success-
- fully complain about demonstrably unsafe drinking water
- without waiting for an attack of dysentery. Nor can we
- hold that prison officials may be deliberately indifferent
- to the exposure of inmates to a serious, communicable
- disease on the ground that the complaining inmate shows
- no serious current symptoms.
- That the Eighth Amendment protects against future
- harm to inmates is not a novel proposition. The Amend-
- ment, as we have said, requires that inmates be furnished
- with the basic human needs, one of which is -reasonable
- safety.- DeShaney, supra, at 200. It is -cruel and un-
- usual punishment to hold convicted criminals in unsafe
- conditions.- Youngberg v. Romeo, 457 U. S. 307, 315-316
- (1982). It would be odd to deny an injunction to inmates
- who plainly proved an unsafe, life-threatening condition
- in their prison on the ground that nothing yet had
- happened to them. The Courts of Appeals have plainly
- recognized that a remedy for unsafe conditions need not
- await a tragic event. Two of them were cited with
- approval in Rhodes v. Chapman, 452 U. S. 337, 352, n. 17
- (1981). Gates v. Collier, 501 F. 2d 1291 (CA5 1974), held
- that inmates were entitled to relief under the Eighth
- Amendment when they proved threats to personal safety
- from exposed electrical wiring, deficient firefighting
- measures, and the mingling of inmates with serious
- contagious diseases with other prison inmates. Ramos v.
- Lamm, 639 F. 2d 559, 572 (CA10 1980), stated that a
- prisoner need not wait until he is actually assaulted
- before obtaining relief. As respondent points out, the
- Court of Appeals cases to the effect that the Eighth
- Amendment protects against sufficiently imminent dangers
- as well as current unnecessary and wanton infliction of
- pain and suffering are legion. See Brief for Respondent
- 24-27. We thus reject petitioners' central thesis that only
- deliberate indifference to current serious health problems
- of inmates is actionable under the Eighth Amendment.
- The United States as amicus curiae supporting petition-
- ers does not contend that the Amendment permits -even
- those conditions of confinement that truly pose a signifi-
- cant risk of proximate and substantial harm to an inmate,
- so long as the injury has not yet occurred and the inmate
- does not yet suffer from its effects.- Brief for United
- States as Amicus Curiae 19. Hutto v. Finney, the United
- States observes, teaches as much. The Government
- recognizes that there may be situations in which exposure
- to toxic or similar substances would -present a risk of
- sufficient likelihood or magnitude-and in which there is
- a sufficiently broad consensus that exposure of anyone to
- the substance should therefore be prevented-that- the
- Amendment's protection would be available even though
- the effects of exposure might not be manifested for some
- time. Brief for United States as Amicus Curiae 19. But
- the United States submits that the harm to any particular
- individual from exposure to ETS is speculative, that the
- risk is not sufficiently grave to implicate a -`serious
- medical nee[d],'- and that exposure to ETS is not contrary
- to current standards of decency. Id., at 20-22. It would
- be premature for us, however, as a matter of law to
- reverse the Court of Appeals on the basis suggested by
- the United States. The Court of Appeals has ruled that
- McKinney's claim is that the level of ETS to which he has
- been involuntarily exposed is such that his future health
- is unreasonably endangered and has remanded to permit
- McKinney to attempt to prove his case. In the course of
- such proof, he must also establish that it is contrary to
- current standards of decency for anyone to be so exposed
- against his will and that prison officials are deliberately
- indifferent to his plight. We cannot rule at this juncture
- that it will be impossible for McKinney, on remand, to
- prove an Eighth Amendment violation based on exposure
- to ETS.
- IV
- We affirm the holding of the Court of Appeals that
- McKinney states a cause of action under the Eighth
- Amendment by alleging that petitioners have, with
- deliberate indifference, exposed him to levels of ETS that
- pose an unreasonable risk of serious damage to his future
- health. We also affirm the remand to the District Court
- to provide an opportunity for McKinney to prove his
- allegations, which will require him to prove both the
- subjective and objective elements necessary to prove an
- Eighth Amendment violation. The District Court will
- have the usual authority to control the order of proof, and
- if there is a failure of proof on the first element that it
- chooses to consider, it would not be an abuse of discretion
- to give judgment for petitioners without taking further
- evidence. McKinney must also prove that he is entitled
- to the remedy of an injunction.
- With respect to the objective factor, McKinney must
- show that he himself is being exposed to unreasonably
- high levels of ETS. Plainly relevant to this determination
- is the fact that McKinney has been moved from Carson
- City to Ely State Prison and is no longer the cellmate of
- a five-pack-a-day smoker. While he is subject to being
- moved back to Carson City and to being placed again in
- a cell with a heavy smoker, the fact is that at present he
- is not so exposed. Moreover, the Director of the Nevada
- State Prisons adopted a formal smoking policy on January
- 10, 1992. This policy restricts smoking in -program, food
- preparation/serving, recreational and medical areas- to
- specifically designated areas. It further provides that
- Wardens may, contingent on space availability, designate
- nonsmoking areas in dormitory settings, and that institu-
- tional classification committees may make reasonable
- efforts to respect the wishes of nonsmokers where double
- bunking obtains. See App. to Brief for United States as
- Amicus Curiae A1-A2. It is possible that the new policy
- will be administered in a way that will minimize the risk
- to McKinney and make it impossible for him to prove that
- he will be exposed to unreasonable risk with respect to
-
- his future health or that he is now entitled to an injunc-
- tion.
- Also with respect to the objective factor, determining
- whether McKinney's conditions of confinement violate the
- Eighth Amendment requires more than a scientific and
- statistical inquiry into the seriousness of the potential
- harm and the likelihood that such injury to health will
- actually be caused by exposure to ETS. It also requires
- a court to assess whether society considers the risk that
- the prisoner complains of to be so grave that it violates
- contemporary standards of decency to expose anyone
- unwillingly to such a risk. In other words, the prisoner
- must show that the risk of which he complains is not one
- that today's society chooses to tolerate.
- On remand, the subjective factor, deliberate indifference,
- should be determined in light of the prison authorities'
- current attitudes and conduct, which may have changed
- considerably since the judgment of the Court of Appeals.
- Indeed, the adoption of the smoking policy mentioned
- above will bear heavily on the inquiry into deliberate
- indifference. In this respect we note that at oral argu-
- ment McKinney's counsel was of the view that depending
- on how the new policy was administered, it could be very
- difficult to demonstrate that prison authorities are ignor-
- ing the possible dangers posed by exposure to ETS. Tr.
- of Oral Arg. 33. The inquiry into this factor also would
- be an appropriate vehicle to consider arguments regarding
- the realities of prison administration.
-
- V
- The judgment of the Court of Appeals is affirmed and
- the case is remanded for further proceedings consistent
- with this opinion.
- So ordered.
-