care provided, constitutes a violation of his right to the best attainable state of health as provided in Article 16 of the African Charter. He further avers that the conditions of his detention severely affected his mental well-being in ways that continue to impact him even after his release on 9 September 2014. 170. The Commission notes that the facts establish that the Complainant sustained injuries to his head and left leg as a result of the abuse of 10 June 2014. The Complainant further submits that these injurie were worsened by the deplorable conditions of detention at al-Nuhood prison, where he was remanded for a period of twenty (20) days. These condition as highlighted above include: detention in a severely overcrowded prison cell, the absence of adequate sanitary facilities, poor food and nutrition and the psychological toll of being held indefinitely without charge.1°7 171. The right to health implies not only the freedom from diseases, but the complete physical, mental and social wellbeing of a person. 108 As a result, the interpretation of the right to health is not limited to medical care but must be construed as inclusive of access to food, water, sanitation and the basic conditions of living that are determinants of health. 109 This principle was substantiated by the Commission in Purohit n.nd Moore v The Gambia where it held that the right to health is " ... crucial to the realisation of all the other fundamental human rights and freedoms. This right includes the right to health facilities, access to goods and services to be guaranteed to all without discrimination of any kind."110 172.The Commission notes the Complainant's submissions that he had migraines which intensified at night, and he was unable to eat, drink or sleep for several days due to the pain. However, his persistent requests to visit a doctor were rejected, and he was only taken to a hospital seven (7) days after his detention, upon the intervention of a visiting lawyer. The Complainant also submits that his request for a full body examination was refused, and he was subsequently prescribed malaria and pain medication after undergoing a urine and blood test. These averments have not been contested by the Respondent State. 173.Regarding the denial of medical care, the Commission recalls its jurisprudence in International PEN and Others (on behalfof Ken Saro-Wiwa Jnr) v Nigeria wherein it held that State responsibility is heightened in cases where an individual is in its custody, as the detainee's well-being and integrity is completely dependent

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