E/C.12/MDA/CO/2 water quality of local sources is very low and deteriorating, as mentioned in the periodic report (art. 11). The Committee recommends that the State party urgently adopt the draft Water Law, and take all necessary urgent measures to ensure sufficient, safe, acceptable and physically accessible and affordable water for personal and domestic uses, paying particular attention to the most disadvantaged and marginalized individuals and groups, including Roma. The Committee requests the State party to include disaggregated data, by region, on progress made in this regard in its next periodic report. 22. The Committee is concerned that a significant segment of the population is not insured under the compulsory health insurance scheme, and that nearly a quarter of Roma households do not have a medical insurance policy. The Committee also expresses concern about reports that emergency ambulance services have routinely not responded to calls from Roma living in excluded settlements, as well as from older persons. It furthermore expresses concern about the lack of family doctors, particularly in rural areas, and about reports that the list of reimbursed medicines in the single compulsory health insurance package is too limited (art. 12). The Committee recommends that the State party take urgent measures to ensure universal access to affordable primary health care, including by increasing the number of family doctors and community health centres, and include all members of society, including Roma, in the compulsory health insurance scheme. The Committee also recommends that the State party take measures to ensure that emergency ambulance services are extended to Roma and older persons, without exception, and establish a special centre for the submission of complaints regarding the provision of such services. 23. The Committee expresses its concern about the practice of disclosure of a patient’s HIV status by doctors and nurses to other medical personnel and third parties, especially in rural areas, as well as about the negative consequences for the employment situation of the affected person and the treatment of their children in schools and kindergartens (art. 12). The Committee recommends that the State party ensure the confidentiality of a patient’s HIV status, including through reforming the Law on HIV/AIDS, and reform of the data management system on HIV/AIDS. The Committee also recommends that the State party take steps to eliminate the mandatory indication of disease codes on all medical sick leave forms. 24. The Committee is concerned about the treatment of patients in psychiatric care, including the deprivation of legal capacity by the medical psychiatric board, the absence of basic necessities in some wards, no daily access to a shower or public telephone in most wards, and the reported punitive application of medications when patients object to treatment. The Committee is furthermore concerned about the lack of independent and effective monitoring of patient treatment in psychiatric institutions (art. 12). The Committee recommends that the State party take measures to provide alternative forms of mental health treatment, in particular outpatient treatment. In cases where confinement in a psychiatric institution is the only alternative, the Committee calls upon the State party to ensure full respect for human rights of patients, including through independent and effective monitoring of patient treatment in psychiatric institutions and effective judicial control of psychiatric confinement. It also recommends that the State party incorporate into the law the abolition of violent and discriminatory practices against children and adults with disabilities in the medical setting, including deprivation of liberty, the use of restraint and the enforced administration of 6