A poster of Julian Assange is attached to the gate at the entrance the High Court in London on Wednesday.

A poster of Julian Assange is attached to the gate at the entrance the High Court in London on Wednesday.Credit:AP

On Wednesday,lawyers for the US government opened their appeal againstJudge Vanessa Baraitser’s January ruling,saying that the judge was obligated to have sought assurances about the conditions in which he’d be held if her concerns were strong enough to justify blocking his extradition.

James Lewis QC set out four binding promises the US government had given the UK,including the guarantee that Assange would receive all recommended clinical and psychological treatment,would not be held under SAMs conditions or be sent to a top-security “supermax” prison in Colorado,and that he could apply to serve out any prison term in his native Australia.

Lewis told the court that the binding promises amounted to a “sea change” in the long-running saga surrounding Assange,and that there had never been a single instance of the US reneging on assurances provided in previous extradition cases.

However,he said that if Assange were to do anything that compromised US national security while in the US,he could still be subjected to SAMs conditions.

Further,the US government argued that the psychiatrist whose evidence convinced the judge in January that Assange could take his own life had misled the court. The psychiatrist had failed to reveal that he knew Assange had formed a relationship with lawyer Stella Moris and fathered two boys with her while hiding in the Ecuadorian embassy to avoid extradition to Sweden to face possible sexual assault charges there,the US government said.

Stella Moris and her two sons.

Stella Moris and her two sons.Credit:Liliana Zaharia

The court has been told that Assange previously resisted suicidal ideations out of concern for the wellbeing of another of his five children.

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Assange’s lawyers said the US government’s assurances should be dismissed.

“These assurances have come very late in the day and there’s no reason why they should be admitted,” Edward Fitzgerald,QC,said.

Assange attended his hearing only periodically amid concerns from his fiancee that his health is deteriorating.

Fitzgerald told the court at the start of the proceedings that Assange was too unwell to attend because of a higher dosage of new medication.

Supporters of Julian Assange hold up a sign as they gather outside the Royal Courts of Justice during an appeal hearing for his extradition in London on Thursday.

Supporters of Julian Assange hold up a sign as they gather outside the Royal Courts of Justice during an appeal hearing for his extradition in London on Thursday.Credit:Getty Images

But Assange did later attend,although intermittently throughout the 5½ hours of hearings.

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He appeared dishevelled,wearing an untucked shirt,baggy trousers,a dark tie and a face mask covering only his mouth. His white hair reached his shoulders.

Earlier this week,Morris told a press briefing in London that she was shocked by how thin and unwell the father of her sons had appeared when she saw him in person on the weekend.

The appeal hearing continues at the Royal Courts of Justice on Thursday.

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