12 "el infiernito" in Escuitla, the Boquerón in Cuilapa Santa Rosa and in some sectors of the Pre-Trial Detention Center for Men of the 18th zone, where confined people, especially those who were sentenced to death and young members of gangs, are subjected to extreme seclusion during 24 hours per day, under inhumane prison conditions, without access to work-related, educational and health programs.” 41. That the Commission pointed out that “is waiting for the State to tak[e] those measures necessary to adapt the incarceration conditions to international standards in accordance with the order delivered by the Court.” 42. That this President notes that the State has taken steps towards the compliance with this obligation, but that it would be advisable to receive further information. * * * 43. That with regard to the obligation to provide Mr. Raxcacó Reyes, prior manifestation of his consent, and for the time necessary, with adequate medical and psychological treatment, including the medication prescribed (operative paragraph ten of the Judgment), the State submitted a description of several steps taken in order to comply with this aspect since January 15, 2002 until June 15, 2007. 44. That the representatives pointed out that even though it is true that the State "has provided Mr. Raxcacó with medical care and the proper authorizations in order for him to attend certain appointments, the State has failed to provide the medicines prescribed for his health condition", which "are being bought by Mr. Raxcacó himself or his family.” 45. That the Commission asserted that the State's obligation contained in this part of the Judgment "is clear inasmuch as it is the State's duty to provide the medication prescribed by duly qualified specialists, without any costs for Mr. Raxcacó Reyes.” 46. That this President considers it is essential that the State provides information on this aspect pending compliance. * * * 47. That as to the duty to adopt the necessary measures to enable Mr. Raxcacó to receive periodic visits from Mrs. Olga Isabel Vicente (operative paragraph eleven of the Judgment), the State informed that Mrs. Vicente is confined in the Centro de Orientación Femenino (Female Orientation Center) and that "for these visits to be effective, they have to be periodically requested in the same form the other inmates do it.” 48. That the representatives asserted that “Mrs. Olga Isabel Vicente has never visited the criminal center where Mr.Raxcacó Reyes is confined" and that it is " a contempt of the State” to demand from Mrs. Vicente a request for every visit she wishes to make. 49. That the Commission is still waiting for further information in such regard. 50. That this President considers it is essential that the State provides information on this aspect pending compliance. * * *