Annual Report 2014 there is no specific requirement established regarding the conditions and procedures of quarantine and confinement unlike in mental health facilities. Article 46 (1) of the Mental Health Act stipulates the conditions of the imposition of physical restrictions, such as confinement or restraints of a patient and regulates that such measures should be minimum necessary within the facility for the purpose of treating or protecting the patient. Moreover, Article 18-2 of the Mental Health Act and Article 11-3 (1) v of the Enforcement Regulations of the Mental Health Act states the need to document and preserve the records of the following: grounds for isolation and constraint; details of such measures; direct diagnosis at the time of hospitalization; symptoms at the time of hospitalization; names of the person who orders and imposes such measures; and the start time, duration, and finish time. As the measures of quarantine and confinement are directly imposing physical restrictions of a patient, it restricts the patient’s personal liberty significantly and may undermine the human rights and health of the patient in cases of abuse, therefore such measures should be carefully undertaken. While the same standards should be applied to cases when similar measures of quarantine and confinement are imposed in general medical facilities other than mental health facilities, at present there is no provision regarding confinement or constraint as a means of treatment in the Medical Service Act. Therefore, the Commission recommended the Minister of Health and Welfare to establish and implement the appropriate conditions and procedures pertaining to the confinement and constraint imposed on a patient as a means of treatment in general health institutions on May 28, 2014. In response, the Minister accepted the recommendations and enacted and distributed the “Guidelines on the Reduced Use of Physical Restriction Measures and Tools.” The 30 ▪▪▪ Part II. Major Activities of the Commission