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The U.S. State Department country report on Cuba offers a overview, and provides some information on extrajudicial killings, and called out government agents for their role in the killing of a 36 year old black man on July 12, 2021 and cited "oncologist Carlos Leonardo Vazquez Gonzalez, also known as “agent Fernando,” admitted on state television to working as an informant for State Security for 25 years."

After the revelation "multiple sources came forward and credibly accused him of intentionally denying medical care to dissidents. Friends and relatives of deceased activist Laura Pollan and independent journalists accused Vazquez and other doctors of playing a role in her 2011 death and falsifying the medical certificate of death."