87. On February 6, 2009, Manuela was referred to the Rosales National Hospital. The hospital recorded that Manuela had a “one-year history of the appearance of a lump in the left side of her neck and that, in the last three months, she had lost approximately 30 pounds in weight, and suffered from high temperatures and jaundice.”171 On February 12, she was diagnosed with nodular sclerosis Hodgkin’s lymphoma.172 Chemotherapy was prescribed and she underwent this treatment over the following months. 173 88. On September 10, 2009, Manuela was transferred to the Women’s Rehabilitation Center of Ilopango to facilitate her treatment.174 On January 10, 2010, the presumed victim was admitted to the Prisoners’ Ward of the Rosales National Hospital where she died on April 30, 2010.175 K. Subsequent judicial remedies 89. In 2011, the representatives: (i) asked for an investigation of the fact that Manuela had never accepted to be represented by the public defender assigned to her; 176 (ii) requested Manuela’s file from the hospital where she had died, which was refused;177 (iii) filed a remedy of complaint against the Women’s Rehabilitation Center of Ilopango owing to the failure to transfer Manuela to chemotherapy sessions in April and November 2009,178 which was declared inadmissible,179 and (iv) filed an appeal for review against the judgment convicting Manuela.180 90. On January 22, 2012, the Trial Court of San Francisco Gotera declared the appeal for review inadmissible, indicating that the evidence used by the trial court had “reasonably and legitimately convinced us of the offense, and the direct connection of the defendant to its perpetration.”181 San Miguel Prison of August 26, 2008 (evidence file, folio 170), and communication of the director of the San Miguel Prison of September 9, 2009 (evidence file, folio 3313). Cf. Medical appraisal in the case of Manuela. Review of clinical and hospital treatment in the Cacaopera Health Unit and the San Francisco National Hospital” (evidence file, folio 190). 171 Cf. Medical appraisal in the case of Manuela. Review of clinical and hospital treatment in the Cacaopera Health Unit and the San Francisco National Hospital” (evidence file, folio 191). 172 See, for example, Medical appraisal in the case of Manuela. Review of clinical and hospital treatment in the Cacaopera Health Unit and the San Francisco National Hospital” (evidence file, folio 191); Rosales National Hospital. Chemotherapy protocol No. 283009 (evidence file, folios 2553 and 2554). 173 Cf. Communication of the director of the San Miguel Prison of September 9, 2009 (evidence file, folio 3313), and Sworn statement of María Marina Pérez Martínez on September 3, 2017 (evidence file, folio 2295). 174 Cf. Medical appraisal in the case of Manuela. Review of clinical and hospital treatment in the Cacaopera Health Unit and the San Francisco National Hospital” (evidence file, folio 191). 175 Cf. Request for an investigation filed with the Prosecutor General on October 27, 2011 (evidence file, folios 2143 and 2144); Request for an investigation filed with the Attorney General on October 27, 2011 (evidence file, folios 2145 and 2146). 176 Cf. Request presented to the Rosales National Hospital on November 17, 2011 (evidence file, folio 2140), and Communication of the Rosales National Hospital of November 17, 2011 (evidence file, folio 2141). 177 178 Cf. Remedy of complaint against the Women’s Rehabilitation Center of Ilopango (evidence file, folio 196). The court indicated that the action to hear the judicial complaint had a statute of limitation of 15 working days from the date on which the fact had occurred. Cf. Ruling of November 11, 2011 (evidence file, folio 200). 179 180 Cf. Appeal for review filed on December 20, 2011 (evidence file, folio 2148). 181 Cf. Trial Court of San Francisco Gotera. Judgment of January 22, 2012 (evidence file, folios 2154 to 2156). 29

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