B.1. Measures of rehabilitation B.1.1. Arguments of the Commission and the parties 204. The Commission asked that the State make full reparation to the surviving victims, and to the next of kin and loved ones of all the victims, by immediately adopting the necessary measures to ensure that they received comprehensive medical treatment, in keeping with international standards, including, among other requirements: (i) conducting complete diagnoses and periodic follow-up tests; (ii) ensuring the permanent and uninterrupted provision of the required antiretroviral drugs and any others they may need arising from their specific health situation; (iii) mental health care for the victims who so wish, and (iv) the differentiated care required by the women victims in this case, with special consideration for their reproductive capacity. In this regard, the Commission reiterated the importance that the State ensure that the victims do not face obstacles to accessibility or of any other nature, in order to obtain comprehensive treatment as provided for in this recommendation. 205. The representatives asked the Court to order the State to guarantee comprehensive and accessible medical care for the surviving victims. Accordingly, they asked that Guatemala adopt the necessary measures to provide comprehensive medical care for any medical condition, together with any other action needed to remedy the harm caused to the victims, which should include the elements of prevention, treatment, care and support that they require. The representatives asked that the State be ordered to ensure, immediately, promptly, adequately, effectively, permanently and free of charge, through its public health facilities, the medical, psychological or psychiatric treatment required by the surviving victims in this case, which should include the free supply of antiretroviral drugs, as well as those necessary for the treatment of HIV-related opportunistic diseases and infections.247 They also asked that the medical care be provided, insofar as possible, in the center nearest to their place of residence, and that the State assume the expenses of food and transport so that the victims may attend the Comprehensive Care Units, without this causing them additional expenses. In this regard, the representatives underlined that, when it might be necessary to resort to care in private clinics, the State must assume the necessary expenses. They also asked that the State guarantee good quality nutrition and psychological, spiritual and social support to all the victims, as well as gender-based family, community and home-based care. 206. The representatives also considered that the State should provide condoms, lubricants, sterile injection equipment, antiretroviral drugs and the necessary treatment to prevent vertical transmission permanently and free of charge. Added to this, they asked that the comprehensive care be culturally appropriate for the victims in this case; in particular, for those who speak an indigenous language. Lastly, in this regard, they argued that, in view of the effets of lipodystrophy on the integrity of the individual, the State should provide immediately the necessary care to treat this illness for all the victims suffering from it, including the surgery required, within no more than six months of delivery of the judgment. 207. Second, the representatives asked the Court to require the State to guarantee psychological and medical care to the surviving next of kin of the victims who are deceased. They requested that the State provide adequate care for the physical and psychological In this regard, they asked that this measure include conducting CD4 counts, and viral load and genotype testing and any other test required, as well as other technologies related to the treatment of HIV, opportunistic infections, and other illnesses (merits file, folio 1837). 247 70