example, a respondent recalled a situation whereby an individual who was suffering committed suicide and died following the insufficient response. This issue of dismissiveness, and arguably negligence, led to several reports of detainees attempting to self harm, in order to be taken to hospital. Respondents described detainees stabbing themselves or beating themselves up severely, so that they would reach the threshold of being taken seriously. This was reported in our conversations with multiple people who were detained in Corinth, Paranesti and Amygdaleza. Furthermore, the previous issues discussed pertaining to a lack of translation are applicable to access to medical care too, limiting detainees’ capability to express their needs clearly. Overall, the lack of healthcare, amplified by the general poor hygiene conditions of facilities resulted in individuals' health deteriorating drastically whilst in detention. Detainees reported the development of breathing problems and skin conditions, especially after cold winters. Coldness in the cells was emphasised by more than 20% of the testimonies. The European Court of Human Rights considers that “suffering from cold and heat cannot be underestimated as such conditions may affect one’s well-being, and may in extreme circumstances affect health.”[228] Several respondents reported longer-term conditions, including cancer, diabetes and joint problems. However, the lack of medical access and support persisted, and detainees indicated that people were treated neglectfully in detention. Despite European legislation not providing specific details on the health services of detention centres, the ECtHR has expressly clarified that state acts and deprivation of healthcare can, in certain circumstances, trigger responsibility to prevent a violation of Article 3 ECHR. In the ECtHR judgment Kudła v. Poland in 2000, specifically rules that the state must ensure: “that a person is detained in conditions which are compatible with respect for his human dignity, that the manner and method of the execution of the measure do not subject him to distress or hardship of an intensity exceeding the unavoidable level of suffering inherent in detention and that, given the practical demands of imprisonment, his health and well-being are adequately secured by, among other things, providing him with the requisite medical assistance”.[229] Furthermore, the Court also ruled that national authorities must ensure that treatment in prisons is prompt, and regular monitoring should be implemented for sick detainees to prevent their conditions from worsening.[230] In situations where this is not possible, detention could be found to be in violation of Article 3 ECHR, as was the case in the 2016 judgment of Sakir v. Greece. And then, if you were sick and wanted to see the doctor, it was very difficult. Sometimes it takes you months. The clinical surgeon because there is one doctor who is taking care of thousands of people here so before you can get assessed by him, even when you report when you say you are sick, you want to see the doctor, it will take like one month or two months or five months. Emmanuel, Corinth He had cancer and it was urgent to be treated, so they just told him that you can go if you want, but you have to drive by yourself, it’s up to you to find the place, to find the doctor. And yeah that’s it. Esfandiar, Drama 66