3 responsable por la violación de los derechos a la integridad psíquica y moral, a las garantías judiciales y protección judicial, establecidos en los artículos 5, 8 y 25 de la Convención Americana en relación con las obligaciones establecidas en los artículos 1.1 del mismo instrumento en perjuicio de la madre y el hermano de TGGL. By virtue of the foregoing conclusions, the Commission recommended: 1. Make reparations in full to TGGL and her mother for the violations of the human rights set forth in the present report, including both the material and moral aspects. 2. Provide, in consultation of TGGL, immediately and permanent, the medical treatment that she needs. 3. Provide, in consultation with TGGL, primary education, high school and university, for free. 4. Undertake a complete and effective investigation into the violations of human rights highlighted in the present report. 5. Put in place procedures to prevent a repetition, including: i) the implementation of serious and effective mechanisms of periodic supervision and control of the operations and register system of the Blood Banks that function in Ecuador, including public and private sector; ii) the implementation of serious and effective mechanisms of periodic supervision and control of the public and private hospitals to verify the security of the blood products that are used for transfusions; iii) the implementation of training programs for the workers of the Blood Banks that operate in Ecuador, in order to grant that they exercise their duties in a compatible way with the minimum technical standards internationally recognized; and iv) the provision of treatment and free health assistance to children with HIV that do not have the economic resources for that propose. In addition to the need to obtain justice as a result of the failure to comply with the recommendations of the merits report, the Commission deems that the case raises issues of InterAmerican public order. Specifically, the instant case provides an opportunity for the Court to expand legal precedents regarding the duty of States to ensure, supervise and control private entities, which provide health service and, consequently, may infringe the right to life and humane treatment. In this case, the Honorable Court will be able to rule on the special duty of States with regard to certain activities linked to human health, which by their very nature entail a high risk, such as dealing with blood bank and transfusion services. Additionally, the case poses an opportunity for the Inter-American Court to expand legal precedents on obligations, which are imposed on States by the American Convention, in light of applicable international standards, when it comes to human immunodeficiency virus carriers, who are in a situation of particular vulnerability. Inasmuch as these issues have a consequential effect on Inter-American public order, as provided under Article 35.1.f of the Rules of Procedure of the Inter-American Court, the Commission proffers the following expert witnesses: 1. xxxxxxxxxxxx, who will provide testimony on international standards pertaining to the duty to ensure the right to life and humane treatment, in connection with the right to health. Specifically, the expert will address the scope and content of the obligations of supervision and control of private entities providing health services. The expert will discuss specific obligations, when it comes to human healthrelated activities, which may pose a high risk, such as dealing with blood banks and transfusion services.

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