 Forcible feeding is never ethically acceptable. Even if intended to benefit, feeding accompanied by threats, coercion, force or use of physical restraints is a form of inhuman and degrading treatment.  The Tokyo Declaration- Guidelines for Physicians Concerning Torture and other Cruel, Inhuman or Degrading Treatment or Punishment in Relation to Detention and Imprisonment, approved by the 29th World Medical Assembly held in Tokyo of Japan, October 1975, and revised by the 170th session of the World Medical Assembly Council, held in Divonne-Les-Bains, France, May 2005.  Recommendation no. R (96) 11 of the Council of Europe Committee of Ministers. Its point 60 foresees the refusal of hunger strikers medical treatment. According to this point of the Recommendation: “In case of medical treatment refusal, the physician should ask for an written declaration by the side of the patient, in the presence of a witness. The physician should fully inform the patient in relation to the possible benefits from the treatment, possible therapeutic alternatives and should warn him/her of the risks deriving from the medical treatment refusal. In any case, the patient must fully understand his/her situation. If this understanding is hampered by factors such as the language spoken by the patient, the presence of an experienced interpreter should be required”. The contents of such acts make it clear that the conditions of the hunger strike are imposed by strikers themselves, but only physicians can manage the strike. According to these acts, the hunger strikers are the ones that decide on their own artificial feeding, but forcible feeding is not acceptable. Meanwhile, according to these acts, the hunger strikers must not be hampered to use liquids containing sugar, such as tea, glucose, coffee or water containing trisol. They also hamper threatening acts, physical restrains or other actions performed by physicians or any other state authority that target interruption or suspension of the hunger strike. Regarding the above-mentioned, it was recommended to:  Adopt the necessary measures to offer 24 hour medical care for foreigners that are in hunger strike in the premises of the Closed Reception Center for Irregular migrants in Karec.  Adopt the necessary measures to inform the medical staff of the regional and international acts about the treatment and management of the hunger strike, as defined above. The National Reception Center for Asylum Seekers in Babrru Tirana – Date 17.09.2015 During 2015 year, a periodical monitoring visit of experts of the People's Advocate Institution at the National Reception Center of Asylum Seekers in Babrru, Tirana, was carried out in accordance with the monitoring procedures of the National Mechanism of Torture Prevention. The target of the visit was gathering information in relation to the rights, conditions and treatment of asylum-seekers in the institution, and verifying the level of implementation of the People's Advocate Recommendations presented at letter no. 201401745 Protocol number 82