22. E  nsure that non-state legal and clinical actors have access to all relevant information, such as case files and investigations, in medico-legal cases of alleged torture or other ill-treatment, as well as of deaths in custody; 23. Ensure that prosecutors utilize and process medical evidence in accordance with national standards and procedures, and that prosecutors and judges order independent forensic evaluation, where appropriate; and 24. Encourage independent health experts to review state examinations and to conduct their own independent assessments. Regarding medical ethics, it is recommended that states: 25. E  nsure that all health professionals working with detainees are made aware of their ethical obligations, including the need to report torture and other ill-treatment, to maintain confidentiality and to seek the consent of victims prior to examination, and ensure that national legislation is clear that health professionals must abide by their ethical obligations at all times. Regarding capacity-building and training, it is recommended that states: 26. E  nsure that there is a sufficient number of forensic experts trained in the documentation of torture (Istanbul Protocol) and available to carry out examinations in line with demand; 27. Bring together key professionals, comprising both officials and civil society actors with established forensic expertise, to promote forensic capacity-building and to develop strategies and practices on how best to document and investigate torture cases, with a view to ensuring accountability and reparation; 28. Enhance the skills of health and legal professionals on the effective medical documentation of torture and other ill-treatment, through training on the use of the Istanbul Protocol and other relevant materials for forensic pathologists, medico-legal officers, general practitioners, psychiatrists, psychologists, Ministry of Health officials and social workers, as well as for lawyers, state investigators, prosecutors, judges, prison officials, police officers, immigration officers, CSO activists, members of national human rights commissions and similar bodies, and representatives of the Ministry of Justice, the Ministry of Defence and the Ministry of the Interior; 86

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