 Miguel Lucas Vail. The petitioners claimed that CD4 cell count and viral load testing have not been conducted periodically or regularly. They contended that it has caused him to contract opportunistic diseases such as oral candidiasis, infections of the upper respiratory tract and diarrhea. The State did not refute the petitioners’ allegations. It noted that Mr. Vail shows up for medical appointments at Coatepeque hospital and his health status is good.  Dora Marina Martínez. The petitioners claimed that CD4 cell count and viral load testing have not been conducted periodically or regularly. They contended that it has caused her to contract opportunistic diseases. They further alleged that the inconsistency in antiretroviral treatment has caused lipodystrophy in her. The State did not refute the petitioners’ allegations. It noted that Mrs. Martínez shows up for medical appointments at Coatepeque hospital and her health status is good.  Melvin Yovani Ajtún. The petitioners claimed that CD4 cell count and viral load testing have not been conducted periodically or regularly. They contended that it has caused him to contract opportunistic diseases such as skin rashes, atypical pneumonia, oral candidiasis, pharyngitis, oral papilomatosis, and oral leukoplakia vellosa. The State did not refute the petitioners’ allegations. It noted that Mr. Ajtún shows up for medical appointments at Coatepeque hospital and his health status is good.  Teresa Magdalena Ramírez Castro. The petitioners claimed that CD4 cell count and viral load testing have not been conducted periodically or regularly. They contended that it has caused her to contract opportunistic diseases such as cryptocococcus, toxoplasmosis, fibromatosis and hyperglycemia. The State did not refute the petitioners’ allegations and did not submit information on the situation of Mrs. Ramírez.  José Rubén Delgado. The petitioners claimed that CD4 cell count and viral load testing have not been conducted periodically or regularly. They contended that it has caused him to contract opportunistic diseases such as Cryptococcus on the skin, scabies, eye trauma, trauma ocular, pruritic papular eruption, herpes, grade II malnutrition, lipotomy, diarrhea, dizziness, otitis and cephalea. The State did not refute the petitioners’ allegations. The Commission notes that the State only indicated that Mr. Delgado died in 2009. 2.3 Information on family members of the alleged victims 69. The petitioners provided a list of the family members of the alleged victims, who they considered affected in the instant case. The individual identity of said family members and their respective link to the alleged victims is listed in the Single Annex to this merits report. 3. 3.1 officials Recourses Pursued Letters addressed to the President of the Republic at the time and other senior 70. The petitioners and other civil society representatives engaged in strategies and initiatives to raise the profile of persons living with HIV/AIDS in Guatemala in order to demand comprehensive medical care for said persons, including provision of the necessary medicines. Accordingly, they sought the support of the State by sending letters to different officials, as explained hereunder. 71. Additionally, on November 23, 2001, the Association for the Coordination of Sectors in the Fight Against AIDS sent a letter to then Minister of Health Mario Bolaños in order to request a meeting with 18

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