77. With regard to the medical care provided to the inmates, the expert report indicated that the infirmary lacked "basic medical supplies," since it only had "acetaminophen, diclofenac, silicon gel," and further noted that the inmates were not given medical examinations "even when they requested them”. There was "an almost total absence of medical supplies and a serious lack of trained personnel".92 78. In addition, Mr. Rodríguez Revolorio pointed out at the public hearing held before this Court that he witnessed the execution of Mr. Martínez Coronado, which was broadcast on the prison television.93 According to Ms. Castro-Conde's expert opinion, Mr. Rodríguez Revolorio suffered from a moderate level of anxiety and stress, mild depression, and that he suffered from post-traumatic stress disorder.94 The Court notes that Mr. Rodríguez Revolorio remained under these conditions for approximately 6 years.95 (ii) Mr. López Calo's prison conditions 79. During the first four and a half years of his imprisonment, Mr. López Calo remained in the Zone 18 Preventive Prison. On May 29, 1999, he was transferred to the maximum security prison "El Infiernito", Annex to the Granja Penal Canadá.96 With respect to the limitations relating to the general conditions of the prison, the cells, access to medical care, food, medicine and water, the Court refers to what has already been stated in paragraphs 74 to 77 above. 80. With regard to the situation of Mr. López Calo in particular, the Court observes that, at least as of June 15, 2005, he was diagnosed with diabetes mellitus, secondary neuropathy and erectile dysfunction.97 The doctor who issued the medical certificate attesting to this condition recommended, inter alia, that Mr. López Calo should follow a "hypocaloric diet prescribed by a nutritionist and/or this physician", prescribed medicine for him, and requested that he undergo certain medical exams.98 According to Ms. Castro-Conde's expert opinion, "[t]here were no special diets for diabetics, hypertension patients or inmates with ulcers, such as Mr. López Calo, who should have had a special diet due to his diabetic condition. Since Mr. López Calo did not have a special diet nor did he receive the medical attention necessary for his diabetic condition, he had breathing difficulties, headaches, cramps, itching, eye pain and dizziness”. The report also indicated that Mr. López Calo, due to his ailments, had to be "treated in a hospital, not in the clinic of the Escuintla High Security Prison, since they lack adequate equipment for specific exams; and thus give him the appropriate treatment". It also pointed out that Mr. López Calo had a "significant psychological disorder," suffered from anguish and a high level of anxiety, high levels of stress, social dysfunction, and depression. It further noted on March 8, 2019. 92 Cf. Expert report of Aída Castro-Conde Barrios on the state of mental health of Miguel Ángel López Calo and Miguel Ángel Rodríguez Revolorio, of June 23, 2005 (evidence file, folio 267). 93 Cf. Testimony of Miguel Ángel Rodríguez Revolorio given at the public hearing before the Inter-American Court held on March 8, 2019. 94 Cf. Expert report of Aída Castro-Conde Barrios on the state of mental health of Miguel Ángel López Calo and Miguel Ángel Rodríguez Revolorio, of June 23, 2005 (evidence file, folios 271, 272, 273 and 274). 95 Cf. Testimony of Miguel Ángel Rodríguez Revolorio given at the public hearing before the Inter-American Court held on March 8, 2019, in which Mr. Rodríguez Revolorio indicated that "[his children] could not [enter the prison] because in El Infiernito there was no physical contact and for all that time that I was there, which was 6 years, I could not hug them". 96 Cf. Testimony of Miguel Ángel Rodríguez Revolorio given at the public hearing before the Inter-American Court held on March 8, 2019. 97 Medical report issued by Dr. Ricardo Estrada Estrada on the state of health of Mr. Miguel Ángel López Calo, dated June 15, 2005 (evidence file, folio 1430). 98 Such as evaluation by an ophthalmologist and the practice of the following clinical laboratory tests: (i) pre- and post-prandial glycemia and (ii) glycosylated hemoglobin. Medical report issued by Dr. Ricardo Estrada Estrada on the state of health of Mr. Miguel Ángel López Calo, dated June 15, 2005 (evidence file, folio 1430). 23

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