INTRODUCTION Médecins Sans Frontières/Doctors Without Borders (MSF) is an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural and manmade disasters, and exclusion from healthcare. MSF has been providing medical and humanitarian MSF’s work in immigration detention assistance to migrants and asylum seekers in Greece facilities in Greece since 1996, using its own funds. Since 2008, this has included responding to the urgent medical and hu- MSF teams have been providing medical and humani- manitarian needs of migrants confined in administra- tarian assistance to migrants and asylum seekers tive detention. During this period, MSF has repeatedly held in detention since 2008, in the absence of health- communicated its concerns about the harmful impact care provision by the authorities. Over this time, MSF of detention on the health and wellbeing of migrants has provided 9,921 individual medical and mental and asylum seekers, and the unacceptable conditions health consultations and run seven separate projects: in which they are detained, to the authorities respon- • Pagani on Lesvos island (summer of 2008 and 2009) sible in Greece and to the European Union (EU). • Fylakio in Evros; Venna in Rodopi (Aug 2009-April 2010) This report outlines MSF’s grave concerns about the • Tychero and Soufli in Evros (Dec 2010-April 2011) situation of migrants and asylum seekers in admin- • Fylakio Tychero, Soufli, Feres in Evros; Venna in istrative detention in Greece today, based on MSF’s Rodopi (Aug 2011-Oct 2012) recent work in three pre-removal centres and four po- • Fylakio, Tychero, Soufli, Feres in Evros; Komotini in lice and border police stations in the north of Greece , Rodopi; Paranesti in Drama (Dec 2012-April 2013) 2 as well as on the findings of assessments conducted • Police stations on Lesvos island (Oct-Dec 2012) during 2013 and 2014 in another 27 regular and border • Fylakio, Soufli and Feres in Evros; Komotini and Iasmos police stations, coastguard facilities and pre-removal in Rodopi; (Oct 2013-Mar 2014) centres across Greece . 3 5|

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