The United Nations war crimes tribunal ruled on Friday that a geriatric Rwandan genocide suspect, previously deemed unfit to stand trial, is also not medically fit to be transferred to Rwanda — leaving him confined indefinitely to a UN detention unit as no state has agreed to accept him.

A Rwandan man accused of participating in the 1994 genocide has been extradited from Norway to face charges in Kigali, Rwanda’s prosecutor’s office confirmed on Friday.