5 13. That the information provided by the State on this point has not been fully in keeping with the terms set out in the Secretariat’s notes mentioned in the preceding considering paragraph. 14. That the State reported, inter alia, that the National Environmental Health Service (hereinafter “SENASA”) delivered two 5,000-liter fiberglass tanks for the Community’s water supply, and that this institution coordinated with other public institutions “to ensure that the Community was regularly supplied with drinking water.” That, regarding the health care of the members of the Community, they “receive every month: medical and dental care, vaccinations and, if necessary, […] hospitalization.” It also indicated that the National Emergency Secretariat (hereinafter “SEN”) delivered “monthly the different types of food for the families of the Community.” In addition, it indicated that SENASA had “provided 10 latrines and conducted promotional and training activities concerning hygiene.” Lastly, the State indicated that the Ministry of Education and Culture had provided the Community with bilingual material and conducted a “training course […] in Concepción with the teachers of the indigenous schools to enable them to make the best use of the bilingual educational material.” 15. That the representatives indicated that “[t]he scant amount of water that has been delivered to the Community was insufficient and not suitable for human consumption; in addition, delivery was irregular and sporadic.” That the quantity of water delivered was only enough “for one day.” That, during 2007, “less than ten deliveries were made, and these with significant delays of up to several months.” In addition, regarding general health issues they indicated that the Community “requires preventive, palliative and curative care” and that “the State merely provides palliative care on an irregular basis.” That “28.9% of the boys and girls aged from 2 to 18 years have a tendency towards atrophy in their growth and 34.2% of them have moderate to severe atrophy,” that the morbidity rate is 13%. That “8% of boys and girls […] do not have a vaccination record, and none of the pregnant women receive adequate pre-natal care.” They also reported that “several medicines with altered labels” had been delivered. They said that the deliveries of food “were irregular and the food was of an insufficient variety and quantity to be considered a nutritional substitute for their traditional types of food or to avoid the malnutrition of the members of the Community.” They added that, on several occasions, the food delivered “were insufficient to keep a family for 30 days.”5 Regarding the management of toxic waste, they indicated that the 10 outdoor latrines supplied “were of little use,” because the holes were “shallow [and] the biological matter accumulated.”6 Lastly, they indicated that, although the State had provided school materials, these “were not […] in their language; the quality of the available education […] has suffered several setbacks owing to lack of resources, […] lack of infrastructure and lack of a school lunch.” 5 The representatives presented a report dated January 18, 2008, prepared by Dr. Iván Allende Criscioni, stating that the members of the Community “do not have access to regular, balanced food provisions so that it can be expected that they will not achieve the growth and development indicators appropriate to their age; also that their health is affected by chronic anemia, due to parasites and malnutrition, with a lack of essential nutrients for the adequate development of the immunological system and the maintenance of homeostasis.” 6 Dr. Allende Criscioni’s report (supra note 5) indicates that the members of the Community “do not have access to an adequate way of disposing of faeces,] so that they are exposed to the risk of infection from agents transmitted through the mouth or the faeces, which are the principal causes of acute and chronic diarrhea and hepatitis A, which are the most prevalent ailments.”