3 city of Concepción, where “he was not attended nor was he submitted to any examination. He died the day after that trip in the seat of Santa Elisa village–Sawhoyamaxa”; b) Aurelia Montanía, one year old, daughter of Maximina Galeano, died in December 2006. She exhibited “symptoms of diarrhea. Did not receive medical care”; c) Eulalio Yegros, four months old, son of María Teresa Acuña, died in December 2006. He exhibited “pain in the chest and diarrhea. Did not receive medical care”; and d) Rodrigo Marcial Dávalos, two years old, son of María Teresa Acuña, died in December 2006. He exhibited “symptoms of diarrhea and vomiting. Did not receive medical care.” The representatives indicated that, in addition, the children who died did not have “identification documents, meaning they did not have certificates of birth or death.” The representatives added that on January 9, 2007 the organization Tierraviva, which they are members of, “helped take five more children to the regional hospital in Concepción,” and that in their opinion this could represent “a health situation that is affecting more people in the [C]ommunity.” With regard to operative paragraph ten of the judgment issued in the present case (supra Having Seen 1), in the representatives’ opinion the State has not established a communications system that enables victims to contact the competent health authorities in case of emergency. “The three children died after the deadline for the establishment of the communication system [ … ], which would have been used to report the gravity of their situation.” Also, they stated that “the isolated delivery of medication and the sporadic medical care [being received] makes no sense if the members of the [C]ommunity are not submitted to a comprehensive analysis and treated according to the findings of a health assessment.” Finally, with regard to food provisions, they declared that, “although [food is] provided on a regular basis, it falls very short of meeting the standards on quality and quantity established in the judgment.” 4. The note of the Secretariat dated January 15, 2007, through which, on the instruction of the President of the Court, the State was given until January 22, 2007 to present its observations on the communication from the representatives. In particular, it was requested to: report on the medical care provided to the persons who died, if any such care had been provided; indicate if the persons who died had birth certificates and if death certificates have been issued; provide the information in the previous State’s report (supra Having Seen 2), and in general, describe the measures it has taken to comply with the judgment. 5. The briefs of the State of January 24 and 30, 2007, through which, after an extension was granted, forwarded, inter alia, a report of the Public Health & Social Welfare Ministry (Ministerio de Salud Pública y Bienestar Social), from which it detaches: a) that the State confirms the deaths of the four persons pointed out by the representatives (supra Having seen 3),