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CLEVELAND (AP) — A federal appeals court opened the way again Friday for the Justice Department to deport alleged Nazi death camp guard John Demjanjuk to Germany to face 29,000 counts of accessory to murder.

The three-judge ruling from the 6th U.S. Circuit Court of Appeals in Cincinnati denied a stay of deportation for the 89-year-old retired autoworker from his suburban Cleveland home. The decision could be appealed.

An arrest warrant in Munich alleges he was a guard in Nazi-occupied Poland in 1943. Demjanjuk says he was a prisoner of war, not a camp guard.

His family says he's too old and sick to be sent to Germany, but the government says he gets around for his age and says surveillance video proves that.

The appeals court said it believed the government would provide appropriate care for Demjanjuk while deporting him.

"Based on the medical information before the court and the government's representations about the conditions under which it will transport the petitioner, which include an aircraft equipped as a medical air ambulance and attendance by medical personnel, the court cannot find that the petitioner's removal to Germany is likely to cause irreparable harm sufficient to warrant a stay of removal," the court said.

The family made it clear that it would fight the latest deportation threat.

Demjanjuk's son, John Demjanjuk Jr., said Friday that a lawsuit has been filed in Berlin "to stop the acceptance of my father as a deportee." The issue is whether Germany can accept him without having filed a formal request for extradition.

Demjanjuk's lawyer in Germany, Ulrich Busch, could not be reached at his office, and the administrative court in Berlin was closed Friday, a national holiday.

The ruling was the latest in a series of developments in a case spanning decades. On April 14, immigration officers carried Demjanjuk in his wheelchair out of his home to deport him on a flight on an executive jet waiting on the tarmac. But within hours, the appeals court blocked the deportation while it reviewed his latest appeal.

As he was carried from his home, Demjanjuk had his head flung back, his mouth hung open and he moaned in apparent pain, infuriating relatives who said he had been promised a stretcher in consideration of his back pain.

The government responded by sending surveillance video to the court showing Demjanjuk walking unassisted to a doctor's office on April 6. The family said that Demjanjuk has good days and that the video didn't reflect his overall health situation.

Demjanjuk has said he suffers severe spinal, hip and leg pain and has a bone marrow disorder, kidney disease, anemia, kidney stones, arthritis, gout and spinal deterioration.