The emergency court that handed down these verdicts did not adhere to minimum fair trial guarantees, and the sentences were not subject to appeal. Dr. Aboulfotouh's communications with his legal counsel remain severely restricted, and he continue to be held in solitary confinement and subject to constant surveillance by prison authorities. Dr. Aboulfotouh's health condition Dr. Aboulfotouh's health condition severely deteriorated due to several episodes of ischemic heart disease (angina), advanced prostate disease, and inadequate medical care. On 23 March 2022, Mr. Aboulfotouh was physically assaulted by forces led by the Inspector of the Prisons Authority for the Tora Prisons Area to which he was transferred to receive visits. The attack allegedly occurred in retaliation for his request to register an official complaint about the Tora Prison Administration's visitation restrictions. As a result, he suffered an angina attack. The prison administration allowed him to take an arterial dilator twice over a six-hour period until his condition stabilized. Dr. Aboulfotouh suffered several heart attacks on 6 June 2022, 1 July 2022, 3 August 2022, and 25 August 2022. The administration of Al-Mazraa Prison , where he is permanently detained, reportedly refused to conduct a medical examination after these events. Although persons associated with him continued to offer that they cover all costs for necessary medical care, prison authorities did not respond to their offers. Although Dr. Aboulfotouh´s legal counsel had also requested the prosecutor's office and the prison administration to transfer him to a private hospital at his own expense due to his deteriorating health condition, the prison authorities rejected this request. On 21 September 2022, persons associated with Dr. Aboulfotouh were reportedly informed of the occurrence of a new heart attack, but no details on the circumstances of this event were made available. Inadequate provision of medical care to detainees in Egyptian prisons Dr. Aboulfotouh's case is reportedly an illustration of a practice in Egyptian prisons of deliberately denying medical care to prisoners due to their political beliefs, often resulting in their deaths. It is alleged that the frequency of such incidents indicates a potential systematic nature of this practice. Furthermore, emergency court verdicts, as in the case of Dr. Aboulfotouh, reportedly reflect the continuation of the Egyptian State's policy of retaliation against political dissidents and rights activists who are carrying out their legitimate activities of expressing opinions and defending human rights. While we do not wish to prejudge the accuracy of the details of these allegations, we wish to reiterate our serious concern about renewed information that 3

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