A/HRC/19/73 (v) States should ensure training and education for each public health structure on early diagnosis and treatment of noma, including in respect to the crucial relevance of malnutrition as a risk factor of noma; (vi) Oral checks during health investigation of infants and children should be mandatory in order to identify the first signs of noma, usually acute necrotizing gingivitis; (vii) Mouth-rinses, antibiotics and nutritional supplements should be made available and free of charge for children with acute necrotizing gingivitis; (viii) States should to the maximum of their available resources ensure access to reconstructive surgeries for children and adults with sequelae from noma and to rehabilitation and should seek international cooperation and assistance to that end; (ix) States should ensure that no bureaucratic barriers or hurdles stemming from corruption are preventing the activity of international organizations and NGOs related to awareness raising, prevention, primary health surgery and rehabilitation in relation to noma; (x) States should promote collaborative programmes involving the Government, NGOs and private institutions to raise funds and develop programmes to improve the standard of living of children affected by noma and adults with sequelae; (xi) States should appoint a noma focal person to liaise with the World Health Organization, the United Nations Children's Fund, NGOs and other actors working on noma. 14. States are encouraged to include in their State party reports to the relevant treaty bodies, specifically, the Committee on the Rights of the Child, information on the adopted noma action plans and on the progress as well as problems encountered during implementation. 25