supplies shall be proper for the medical care and treatment of sick prisoners, and there shall be a staff of suitable trained officers.77 64. In this regard, the Court notes that, in accordance with the expert report of Mr. Hans Petter Hougen and Önder Özkalipci rendered in this case (supra para. 20), if Mr. Vera Vera “had been subject to an adequate physical examination in the police medical unit, the doctor responsible should have objected [sic] to the discharge of [the alleged victim] and [...] would have returned [Mr. Vera Vera] immediately to the hospital, particularly [given that] there was no way for him to receive the proper monitoring in the detention center [given his] condition.” 65. In addition to the foregoing, it is not clear from the body of evidence that Mr. Vera Vera was subject to special medical examinations at the time he was admitted at the Police Unit. The Court notes that without the necessary equipment, radiographic equipment in particular, to detect complications that could require treatment and supervision by specialized doctors, the doctor of the Police Unit concluded that the extraction of the bullet lodged in Mr. Vera Vera's side was not necessary, and thus Mr. Vera Vera was not taken to the hospital until five days later, upon showing signs of complications (supra paras. 55 and 62). All this occurred despite what was stated in the report and recommendations of medical experts appointed by the Second National Police Commissioner after the completion of Mr. Vera Vera’s medical examination (supra para. 59). Therefore, the Court finds that the medical care received by Mr. Vera Vera in the police station was negligent. B.2.4. Second admission at the Public Hospital of Santo Domingo de los Colorados, transfer to the Eugenio Espejo Hospital of Quito, and subsequent death of Mr. Pedro Miguel Vera Vera 66. The Court notes that it was not until April 17, 1993, at approximately 13:00 hours, that Mr. Vera Vera was transferred again to the Hospital of Santo Domingo de los Colorados,78 where he remained until April 22, 1993. During his second admission in that hospital, he was diagnosed with “acute traumatic abdomen,” “[i]njury caused by the projectile of a fire arm to the left hemothorax” and “sepsis.”79 Pursuant to the statement of Ms. Vera Valdez rendered during the public hearing (supra para. 21), at this stage of medical care, “her son was in poor shape, he no longer ate [nor] slept [and,] was handcuffed to a hospital bed, and was unable to relieve himself.” Moreover, 77 Rule 22(2) of the the UN Standard Minimum Rules for the Treatment of Prisoners, adopted by the First United Nations Congress on Crime Prevention and Treatment of Offenders, held in Geneva en 1995, and approved by the Economic and Social Council in its resolutions 663C (XXIV) of July 31, 1957 and 2006 (LXVII) of May 13, 1977. 78 Cf. Clinical history of Pedro Miguel Vera Vera, Second Internment, Emergency Services, Hospital of Santo Domingo de los Colorados (case file of annexes to the application, annex 14, folio 48). 79 Official letter 123-DHSD-93 addressed to Elsie Monge, President of the CEDHU, signed by the Director of the Hospital of Santo Domingo de los Colorados, of July 13, 1993, to which the clinical history no. 100036 is attached, of the Internal Medical Services (case file of annexes to the brief of pleadings and motions, annex 14, folios 572 to 574). 27

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