Separate facilities exist to provide for Guantanamo detainees' medical care. A 2013 Institute on Medicine as a Profession report concluded that health professionals working with the military and intelligence services "designed and participated in cruel, inhumane and degrading treatment and torture of detainees". Medical professionals were ordered to ignore ethical standards during involvement in abusive interrogation, including monitoring of vital signs under stress-inducing procedures. They used medical information for interrogation purposes and participated in force-feeding of hunger strikers, in violation of World Medical Association and American Medical Association prohibitions.