9 19. That the representatives stated that the medical care he is receiving is inadequate and that the prescribed medicines are insufficient and irregularly administered to him. Moreover, Mr. Fermín Ramírez has not received any deontological treatment. The acknowledged that he received psychological therapy by specialized staff; notwithstanding, they informed that the people who were in charge of that area, have been removed and by January, 2008 no new personnel has been hired. 20. That the Commission requested the Court to order the State to submit updated information. 21. That this President notes contradictions between the information provided by the parties, for there it considers relevant to receive further information in order to establish compliance with this aspect. * * * 22. That with reference to the duty to adopt, within a reasonable period of time, the measures necessary so that the conditions of the prisons adjust to the international rules of human rights (operative paragraph twelve of the Judgment), the State indicated that the "Prison Act" was approved by means of Decree N°33-2006 of the Republic of Guatemala Congress and that it was published in the Diario de Centro América (“Central American Newspaper”) on October 6, 2006. Said Law governs the National Prison System of Guatemala, the pre-trial detention centers and those centers built to serve sentences. Said Act was completed with the “Internal Regulation of the Model Farms for Rehabilitation and Compliance with the Sentences under the Charge of the General Bureau of the Prison System”, published in the Diario de Centro America on November 29, 2006. As to Mr. Fermín Ramírez, it informed that he is detained in sector B-4 of the Canada High Security Center, in the city of Escuintla, where there are toilets and space in the corridor and a yard; he works as a cook, he makes handicrafts and is attending the last phase of a literacy campaign. 23. That the representatives stated that on April 6, 2007 the Prison Act entered into force. Nevertheless, by December 2007, such Act has not been implemented, due to the fact that the budget has not been assigned and the necessary regulations have not been drawn up. Furthermore, they sustained that said law fails to comply with the international standards since it establish Maximum Security Centers where there are no programs on social readaptation and the regulation of such system is vested in the prison authorities. As to Mr. Fermín Ramírez, they stated that in the place where he is confined, water is permanently lacking, and the number of toilets is not enough. Moreover, the center does not count with any work-related or professional training program nor even any workshops. He manages the handicrafts activities on his own, as well as the educational programs. Resides, no out-door activity is allowed. 24. That the Commission took note of the important reforms carried out by the State in this regard, but it considered that its effectiveness and the compliance with the order delivered by the Court must be taken into consideration as from the application of the new legislation and the effective improvement of the general prison conditions. Moreover, it considered that the State should provide further detailed and updated information. 25. That this President notes that the State has made improvements in order to comply with this obligation, but that it is time to receive more information in order to establish compliance with this aspect.