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-- why weren't guards ordered to make sworn statements about the incident;
-- why didn't the government determine which guards were on duty that night;
-- why was no explanation given why guards, who brought the bodies to medics, didn't tell them what happened, and why didn't medics ask;
-- why was no one disciplined;
-- why weren't cell block guards, tower guards, and medics "systematically interviewed" about the incident; and
-- why wasn't relevant, easily accessible information reviewed and reported, including from:
-- audio and video recordings;
-- "Pass-On" books in which each shift provides information to the next one;
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