The Egyptian Initiative for Personal Rights (EIPR) holds the State Security Prosecution, the Ministry of Interior – represented by the 10th of Ramadan Prison administration – and the Badr Terrorism Circuits in charge of renewing Sherif El-Rouby's detention responsible for his safety. It calls for the immediate release of El-Rouby to enable him to get the healthcare he needs. It also calls for stopping the renewal of his detention after he exceeded the legal maximum limit of pretrial detention.

On 6 November 2024, the First Terrorism Circuit, headed by Judge Mohamed Al-Saeed El-Sherbiny, decided to renew El-Rouby's detention for an additional 45 days, although he has been held in pretrial detention for two years in connection with Case No. 1634 of 2022. During the detention renewal session, which was held via video conference, El-Rouby said it was the third detention renewal session in which he asked to be checked by a doctor to receive the appropriate treatment, as he has Bell's palsy. However, he has yet to receive a response.

During a detention renewal hearing in July, El-Rouby requested to have an X-ray of his face as he suffered severe facial pain. However, he has yet to receive an answer. During the hearing, the EIPR lawyer argued that El-Rouby should be released due to the lack of reasons for his detention, in addition to exceeding the maximum limit of pretrial detention stipulated in Article 143 of the Criminal Procedures Law. The EIPR lawyer stressed that El-Rouby was subjected to medical negligence, as the prison administration intransigently denied him access to medical treatment.

The First Terrorism Circuit attached to the case papers a request signed by El-Rouby's lawyers to present it to a doctor provided that the State Security Prosecution would ask the prison administration to take El-Rouby to a doctor. The State Security Prosecution, however, did not respond to any of the requests and complaints it received regarding El-Rouby.

El-Rouby has been facing apparent intransigence over the past six years, as the State Security Prosecution investigated him in Case No. 621 of 2018 on charges of spreading false news and joining a terrorist group. Then, in December 2020, he was interrogated in Case No. 1111 of 2020 on the exact charges without being faced with any evidence or witnesses. In 2022, he was released alongside a number of political prisoners upon a recommendation by the "Presidential Pardon Committee", which was formed in the same year. Three months later, the Supreme State Security Prosecution interrogated El-Rouby again on charges of joining a terrorist group and spreading false news, after he spoke over the phone to a TV channel about the living and security difficulties faced by former political prisoners.

EIPR calls on Public Prosecutor Mohamed Shawky to end the policy of keeping citizens in pretrial detention beyond the legal maximum limit without actual evidence. It holds the Ministry of Interior, represented by the Community Protection Sector (formerly the Prisons Authority), responsible for El-Rouby's safety and calls for enabling him to exercise his legal and human right to urgent medical care.