ii. Recommendations. Consequently, recommendations to the State: it made the following 1. Make full reparation to the surviving victims and to the next of kin and loved ones of all the victims for the human rights violations declared in the report, of both a material and moral nature. 2. Immediately adopt the necessary measures to ensure that all the surviving victims in this case receive comprehensive medical care, in keeping with international standards, including, among other requirements: (i) a thorough diagnosis and periodic follow-up testing; (ii) the permanent and uninterrupted provision of the required antiretroviral drugs and any others that they may need owing to their specific health situation; (iii) mental health care for the victims who so wish; (iv) the differentiated care required by the women victims in this case, giving special consideration to their reproductive capacity. The State must ensure that the victims do not face obstacles of accessibility or of any other nature to obtaining comprehensive treatment as provided for in this recommendation. 3. Provide non-repetition mechanisms to include: (i) free, comprehensive and uninterrupted health care and treatment for the people with HIV/AIDS who are unable to afford this; (ii) implementation of genuine and effective mechanisms for periodic monitoring and supervison of public hospitals in order to ensure that comprehensive health care is being provided to people living with HIV/AIDS, who cannot afford it, and (iii) implementation of public hospital staff training programs to ensure that their duties are performed in a way that is compatible with the internationally recognized standards described in the report. d. Notification to the State. The Merits Report was notified to the State on June 2, 2016, and it was granted two months to provide information on compliance with the recommendations. The State of Guatemala presented a brief in which it advised that meetings had been held with the petitioners and asked for an extension of the time limit. The Commission granted an additional three months. Subsequently, the State presented a further report in which it referred to general measures taken for people living with HIV/AIDS in Guatemala. 3. Submission to the Court. On December 2, 2016, the Commission submitted all the facts and supposed human rights violations described in the Merits Report to the jurisdiction of the Inter-American Court. 4. The Commission’s requests. Based on the foregoing, the Commission asked the Court to find and to declare the international responsibility of Guatemala for the violation of the rights indicated in the conclusions to the Merits Report. It also asked the Court to order the Estate to comply with specific measures of reparation. II.. PROCEEDINGS BEFORE THE COURT 5. Notification to the State and the representatives. The State and the representatives of the presumed victims were notified that the case had been submitted on January 27, 2017. 6. Brief with motions, pleadings and evidence. On March 30, 2017, Cristina Calderón, the Asociación de Salud Integral (ASI) and the Center for Justice and International Law (CEJIL) (hereinafter “the representatives”) presented their brief with motions, pleadings and 4