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Russian doctors refused to authorize opposition politician Alexei Navalny’s transfer to a German hospital from the Siberian city of Omsk on Friday, The Associated Press reported.

Navalny, one of President Vladimir Putin’s fiercest critics, remains in a coma in intensive care after a suspected poisoning his allies link to his political activity and believe was engineered by the Kremlin.

“The chief doctor said that Navalny is non-transportable. (His) condition is unstable. Family’s decision to transfer him is not enough,” Navalny spokeswoman Kira Yarmysh tweeted. Omsk is about 4,200 kilometers (2,500 miles) east of Berlin, roughly a six-hour flight.

The 44-year-old Navalny fell ill on a flight back to Moscow from the Siberian city of Tomsk on Thursday and was taken to a hospital after the plane made an emergency landing in Omsk. His team says a plane with all the necessary equipment is waiting at Omsk airport to take Navalny to a German clinic.