202. The Commission asked the Court to order the State to “adopt all necessary measures to avoid similar incidents occurring in future, in compliance with the obligations of prevention and guaranteeing rights recognized by the American Convention.” 203. The State did not refer specifically to this measure of reparation. 204. The Court observes that, in the Compliance Agreement, the State undertook “to conduct planned permanent training sessions for health care professionals on patients’ rights in both the public and the private sphere.” 205. In Chapter IX of this Judgment, the Court declared the violation of the obligation to guarantee the right to personal integrity of Melba Suárez Peralta in relation to the medical attention provided to her and considered that no supervision and control were exercised in this case, both as regards the control of the services provided in the State entity, and as regards the private institution (supra para. 155). 206. The Court recalls that, in the Judgment in the case of Albán Cornejo v. Ecuador, 238 it had already ordered as a measure of reparation that “[t]he State must, within a reasonable time, offer an education and training program for agents of justice and health care professionals on the laws and regulations that Ecuador has implemented on patients’ rights, and the penalty for failing to comply with them.” 207. Nevertheless, the Court observes that, as revealed by the corresponding proceeding of monitoring compliance with judgment, more than five years after this measure was decided, it has not yet been executed completely. Owing to this, in an Order of this Court of February 5, 2013, it was considered necessary to reiterate the State’s obligation to comply with the education and training programs ordered in the said Judgment. 239 Consequently, this Court reiterates this obligation of the State and does not find it appropriate to order an additional measure to the one decided in the said case, added to the absence of the respective causal nexus. D. Compensation 1. Arguments of the Commission and of the parties 208. The representative asked the Court to order the State to “pay pecuniary compensation to the victims and their families for the damages to the family’s capital assets suffered as a result of the medical malpractice, and the search for justice, truth and reparation over the subsequent years,” in the amount of US$750,426.57 (seven hundred and fifty thousand, four hundred and twenty six United States dollars and fifty-seven cents). 240 In addition, the representative requested the payment of US$432,000.00 (four hundred and thirty-two thousand United States dollars) for loss of earnings. 238 Case of Albán Cornejo et al., supra, para. 7. 239 Case of Albán Cornejo et al. v. Ecuador. Monitoring compliance with judgment. Order of the Inter-American Court of Human Rights of February 5, 2013, para. 19. 240 The representative detailed the expenses for pecuniary damage as follows: “(1) Hospitalization for appendicitis: Minchala Clinic $2,000.00; (2) Hospitalization for medical malpractice: Luis Vernaza Hospital $50,000.00; (3) Operation to correct injuries: Medi-Houston Medical Center $20,000.00; (4) Treatment: CEMEFA $300.00; (5) Continuing treatment: Cemefa $80.00; (6) Emergency hospitalization: Kennedy Clinic $150.00; 7) Emergency attention: Moreno Clinic $120.00; (8) Emergency hospitalization: Punto Médico Familiar $586.19; (9) Emergency attention: Punto Médico Familiar $118.48; (10) Hospitalization: San Francisco Clinic $630.89; (11) Hospitalization in the San Francisco Clinic $527.27; (12) Emergency hospitalization in the San Francisco Clinic 55

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