E/C.12/UZB/CO/2 forms of mental health treatment and the availability of judicial review in case of confinement to psychiatric institutions (art. 12). The Committee urges the State party to further improve its health-care system, including by taking the necessary measures to ensure that rural hospitals are sufficient in quantity and are adequately staffed and equipped. It recommends including secondary and tertiary services and outpatient pharmaceuticals in the Stateguaranteed benefits package. It encourages the State party to establish a national health insurance scheme with universal coverage, as announced during the dialogue. It refers the State party to its general comment No. 14 (2000) on the right to the highest attainable standard of health. Health situation 24. The Committee notes that, despite the significant decrease in maternal and child mortality, those rates remain relatively high. It remains concerned about the level of malnutrition in the country, notwithstanding the efforts made by the State party to address the issue. It is also concerned about the increased prevalence of diet-related diseases, such as overweight individuals; increased alcohol and tobacco consumption, especially among children; persistent tuberculosis; and the growing incidence of HIV/AIDS, particularly among injecting drug users (arts. 10–12). The Committee urges the State party to strengthen its efforts to improve mother and child health, especially during prenatal and neonatal periods, and its treatment and prevention of tuberculosis and HIV/AIDS, including by resuming the opioid substitution therapy, as announced during the dialogue. It calls on the State party to address malnutrition and diet-related diseases as well as alcohol and tobacco consumption. Focus should be on preventive care, in particular raising awareness of harmful effects of unhealthy diets and alcohol and tobacco consumption, the monitoring of those practices, the prohibition of the sale of alcohol and tobacco to children and the promotion of healthy lifestyles. Water and sanitation 25. The Committee is concerned that, despite the steps taken by the State party to improve water and sanitation management, substantial numbers of the population of Uzbekistan lack access to adequate sanitation and safe drinking water, especially in the Khorezm and Karakalpakstan regions affected by the drought and the Aral Sea catastrophe. It notes with concern that the deficiency and pollution of water, an inadequate sewage system and the contamination of soil, as a result of the extensive use of chemicals in agriculture, contributed to the increase in waterborne diseases and morbidity. It is also concerned that airborne diseases are reportedly the second largest cause of mortality and morbidity in the country (art. 12). The Committee urges the State party to invest more resources in the improvement of safe water supply and sanitation, in particular in rural areas, and to take expeditious measures to protect water, soil and air from contamination. It calls on the State party to take the necessary steps to prevent and treat water- and airborne diseases, including through policy and awareness-raising measures. It encourages the State party to pursue cooperation on water management with neighbouring countries, with a view to finding viable solutions to the Aral Sea catastrophe. It refers the State party to its general comment No. 15 (2002) on the right to water and its statement on the right to sanitation. 9