i. “Adopt the measures necessary for an effective investigation of the facts of the case at hand and to punish, within a reasonable time, the judicial officials whose actions led to the excessive delays in the pursuit of the criminal proceedings and the resultant denial of the victims’ access to justice; ii. Adopt the measures necessary to provide appropriate redress to Melba del Carmen Suárez Peralta and to her mother, Melba Peralta Mendoza, for the human rights violations identified in this report, including both pecuniary and non-pecuniary damages. Given the particular nature of the facts in this case, this redress must include payment of the expenses incurred by the victims in their pursuit of justice and an acknowledgement of international responsibility and public apology by the State; iii. Adopt the measures necessary to provide the required medical care immediately and without charge, through its specialized health agencies, and at the place of residence of Ms. Suárez Peralta, including the medicines she requires based on her ailments; iv. Adopt the measures necessary to ensure that the laws relating to the exercise of the medical profession are regulated and effectively implemented, in accordance with the relevant national and international standards, and v. Adopt all the measures necessary to prevent similar incidents from occurring in the future, in compliance with the duties of prevention and of guaranteeing the rights enshrined in the American Convention.” d) Notification to the State. On July 26, 2011, the Merits Report was notified to the State, which was granted two months to provide information on compliance with the recommendations; e) Compliance Agreement. On September 8, 2011, Johana Pesantez Benítez, Minister of Justice, Human Rights and Worship, and Melba del Carmen Suárez Peralta, signed a document entitled “Compliance Agreement,” in order to ensure compliance with “the recommendations ordered by the Commission in Merits Report No. 75/11, Case 12,683, Melba del Carmen Suárez Peralta – Ecuador”; f) Extension. On October 24, 2011, the Commission granted the State a three-month extension to comply with the recommendations made in Report No. 75/11. On January 25, 2012, the State provided the Commission with information on compliance with some of the said recommendations (infra para. 79 to 81), and g) Submission to the Court. On January 26, 2012, based on “the need to obtain justice for the victims, owing to the failure by the State of Ecuador to comply with the recommendations, as well as the serious health problems suffered by Melba del Carmen Suárez Peralta,” the Commission submitted the case to the Court. The Commission appointed Commissioner Dinah Shelton and the Executive Secretary at the time, Santiago A. Canton, as its delegates before the Court, and Elizabeth AbiMershed, Deputy Executive Secretary, and Tatiana Gos and Karin Mansel, Executive Secretariat lawyers, as legal advisers. 3. Requests of the Inter-American Commission. Based on the above, the Commission asked the Court to declare the international responsibility of the State for the violation of Articles 8(1) and 25(1) of the Convention, in relation to Article 1(1) of this instrument, to the detriment of Melba del Carmen Suárez Peralta, and her mother, Melba Peralta Mendoza. In addition, the Commission asked the Court to order the State to undertake certain measures of reparation, which will be described and analyzed in Chapter X of this Judgment. 5

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