31 dizziness, headaches, and nausea, for which reason the professional who signed the report suggested 129 she be assessed by a neurologist. In spite of that, the State has submitted no information on any specialized medical follow-up. 144. In its 1997 Annual Report, the IACHR said that “prison conditions, in general, are deplorable throughout Peru [and] particularly severe for persons incarcerated for ‘terrorism’ or ‘treason 130 against the fatherland’.” Similarly, a 1995 report by Human Rights Watch concluded that terrorism and 131 treason prisoners suffer severe restrictions on food, family visits, and activities within prison. 145. In its Second Report on the Situation of Human Rights in Peru, the IACHR said that after visiting several detention centers, it noted that the Challapalca and Yanamayo facilities were “in totally inhospitable places, both cold and geographically isolated... [making] it very difficult, in practice, for 132 relatives to visit, because of the distance and other related obstacles.” 146. After assessing the situation at Yanamayo Prison, the United Nations Committee Against Torture noted that it was at more than 3800 meters above sea level and that detention conditions there entailed cruel and inhuman treatment and punishment, and it recommended that the Peruvian State 133 should close it down. 147. On August 25, 1999, the People’s Defender, Jorge Santistevan de Noriega, published 134 Ombudsman’s Report No. 28, titled Report on the Penal Establishment of Yanamayo, Puno. In its analysis of general detention conditions at Yanamayo, that report found that in the maximum-security area, the cells had no natural light and there was one fluorescent tube in the corridors for each two cells. It also stated that: Prison services are deficient, particularly as regards inmate health, with the services of only one general physician, no specialized treatment, no facilities for care to be given at local hospitals, and a regular shortage of medicines [which] is further complicated to worrying levels by the combination of insufficient food, extreme weather conditions, and long hours of confinement, conditions which 135 some inmates have endured for more than six years. 148. This report also contains a narrative of the acts of violence against Gladys Carol Espinoza and another four inmates of Block 1D of Yanamayo Prison during an inspection carried out on August 5, 1999, by members of the National Special Operations Directorate (DINOES) of the Peruvian National Police. It also reports that during an inspection performed on August 13 and 14, 1999, by Mr. Julio Mágan Zevallos, a Commissioner sent by the Office of the People’s Defender, the inmates who suffered the attack described the events of August 5 of that year. According to Gladys Carol Espinoza’s 129 Annex 22: Report No. 433-99-INPE-DRAP-EPMSY-MIN, December 17, 1999; enclosed with the State’s communication of June 13, 2000, and received by the IACHR on June 15 of that year. 130 IACHR, Annual Report of the Inter-American Commission on Human Rights 1997, Chapter V, Human Rights Developments in the Region, Peru, para. 4, available at: www.cidh.oas.org/annualrep/97span/cap.5d.htm. 131 Human Rights Watch, Peru: The Two Faces of Justice, July 1, 1995, Prosecution of Terrorism and Treason Cases, Prison; available at: www.unhcr.org/refworld/docid/3ae6a7ed4.html. 132 IACHR, Second Report on the Situation of Human Rights in Peru, OEA/Ser.L/V/II.106, doc. 59 rev., June 2, 2000, Chapter IX, Prison Situation, para. 17, available at: www.cidh.oas.org/countryrep/Peru2000sp/capitulo9.htm. 133 UN, Committee against Torture, Inquiry under Article 20: Peru, 16/05/2001. A/56/44, paras. 144-193, paras. 183 and 184, reference available in: I/A Court H. R., Case of García Asto and Ramírez Rojas, Judgment of November 25, 2005, Series C No. 137, para. 224. 134 Annex 23: Ombudsman’s Report No. 28, Report on the Yanamayo Penal Establishment, Puno, August 25, 1999, available at: www.defensoria.gob.pe/accesibilidad/biblio.php. 135 Annex 23: Ombudsman’s Report No. 28, Report on the Yanamayo Penal Establishment, Puno, August 25, 1999, para. 60, available at: www.defensoria.gob.pe/accesibilidad/biblio.php.