privacy and to health, in relation to the obligations to respect and to ensure these rights and the duty to adopt domestic legal provisions. B.4 The medical attention received by Manuela during her detention 230. Pursuant to the principle of non-discrimination, the right to health of persons deprived of liberty entails the provision of a regular medical check-up377 and, when necessary, adequate, prompt and, if appropriate, specialized medical treatment in keeping with the special care needs of those deprived of their liberty.378 231. In order to examine the care that Manuela received during her detention, and based on the arguments of the parties and the observations of the Commission, the Court’s analysis will focus on the following: (a) whether a comprehensive medical examination was performed, and (b) the medical care that Manuela received. Regarding the alleged use of handcuffs while Manuela was detained in the Rosales National Hospital, the Court notes that it has insufficient evidence substantiating this allegation. B.4.a A comprehensive medical examination 232. On the basis of the right to personal integrity, the Court has interpreted that States must perform a comprehensive medical examination of persons deprived of liberty as promptly as possible. The 1995 Standard Minimum Rules for the Treatment of Prisoners indicated, inter alia, that “[t]he medical officer shall see and examine every prisoner as soon as possible after his admission and thereafter as necessary, with a view particularly to the discovery of physical or mental illness and the taking of all necessary measures.”379 233. The Court notes that Manuela was initially detained while she was hospitalized. Subsequently, on March 6, 2008, she was taken to the cells of the Morazán headquarters of the National Civil Police where she remained until her transfer to the prison in San Miguel.380 There is no record in the case file that any medical examination was carried out when Manuela arrived at the police headquarters or at the San Miguel prison, despite the fact that she had been hospitalized for an obstetric emergency and had visible lumps in her neck that had not been examined in the establishment where she was hospitalized (supra para. 196). Cf. Case of Tibi v. Ecuador, supra, para. 156 and 157, and Case of Rodríguez Revolorio et al. v. Guatemala, supra, para. 90. 377 Case of Chinchilla Sandoval et al. v. Guatemala, supra, para. 171, and Case of Rodríguez Revolorio et al. v. Guatemala, supra, para. 90. 378 1995 United Nations Standard Minimum Rules for the Treatment of Prisoners, supra, Rule 24. It is also pertinent to recall that Principle 24 of the Body of Principles for the Protection of All Persons under Any Form of Detention or Imprisonment (adopted by the UN General Assembly in its resolution 43/173 of December 9, 1988) established that: “A proper medical examination shall be offered to a detained or imprisoned person as promptly as possible after his admission to the place of detention or imprisonment, and thereafter medical care and treatment shall be provided whenever necessary. This care and treatment shall be provided free of charge.” The Principles and Best Practice on the Protection of Persons Deprived of Liberty in the Americas of the Inter-American Commission (Principle IX.3) indicate that: “[a]ll persons deprived of liberty shall be entitled to an impartial and confidential medical or psychological examination, carried out by idoneous medical personnel immediately following their admission to the place of imprisonment or commitment, in order to verify their state of physical or mental health and the existence of any mental or physical injury or damage; to ensure the diagnosis and treatment of any relevant health problem; or to investigate complaints of possible ill‐treatment or torture.” 379 Cf. National Civil Police, Morazán headquarters. Communication addressed to the Second Trial Judge on March 7, 2008 (evidence file, folio 1870); Communication of March 7, 2008 (evidence file, folio 1871); Communication of the director of the San Miguel Prison of September 9, 2009 (evidence file, folio 3313), and prisoner transfer authorization of September 10, 2009 (evidence file, folio 3314). 380 66

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