- Families and individuals with special needs and vulnerabilities that were not being addressed such as, at Kos CCAC, an Afghan family with three children, the oldest of whom, a boy of 10, had complex intellectual disabilities, and the youngest of one year had severe developmental delays after having had brain surgery. The family was sleeping on the floor in a container designed to be a shop and had not seen any healthcare or other staff members to discuss their specific needs since their arrival ten days earlier. The delegation also noted that families with children were not offered dry warm clothes when they arrived at the centres, despite cold temperatures and constant rain. 138. The delegation was concerned that no proper assessment of special needs and vulnerabilities or medical screening (see paragraphs 141-142) was being carried out upon arrival at the CCACs visited. The current admission process does not address the individual circumstances of newly arrived persons, and especially those with special needs and vulnerabilities, such as: unaccompanied and separated children, families with small children and notably single mothers with children, pregnant women or persons with serious health conditions, as well as survivors of torture or other forms of ill-treatment, trafficking in human beings or sexual and gender-based violence. It appears that far too little is being done by the Greek authorities to identify such persons. Initial screening is also essential for the prompt identification of illness or transmissible diseases, allowing for the patients to be prioritised and accommodated in a suitable environment. The screening should take the form of a written healthcare checklist on the day of arrival to identify medical emergencies. Ideally, there should be a second screening after several days to identify special needs and vulnerabilities flagged during the initial screening. On a basic level, such screening should also identify whether persons require food supplements due to pregnancy or breast feeding, and whether growing children or infants need to be supplied with nappies or baby formula on an ongoing basis, as well as appropriate footwear and clothing. 139. Remedying such a situation requires urgent action at the three CCACs. The delegation invoked Article 8, paragraph 5, of the Convention and requested that the Greek authorities take immediate steps to establish a proper risk and needs assessment together with a comprehensive medical screening for all new arrivals in the CCACs of Lesvos, Kos and Samos – on the day of their arrival – in order to identify persons in a vulnerable situation and subsequently develop appropriate care plans for them before allocating them to accommodation. In addition, a properly regulated accommodation allocation policy must be put in place. This will require reviewing the current procedures and reinforcing the staffing levels, as necessary. 140. By communication of 5 February 2024, the Greek authorities indicated that, in all CCACs, the Medical Control and Psychosocial Support Unit staffed by EODY personnel is tasked with performing the initial medical screening and vulnerability assessment. This includes an initial triage process to identify medical emergencies and cases that may require special assistance, a subsequent medical screening and assessment of vulnerabilities by a medical doctor, and a quick assessment of special reception needs through a standardised questionnaire. Each CCAC also has appointed focal points for (a) gender-based violence, victims of torture and trafficking in human beings, (b) child protection and unaccompanied children, and (c) other vulnerabilities. Moreover, it is planned to issue standardised allocation procedures that will ensure a suitable allocation of foreign nationals even in times of increased arrivals, as well as an information management software tool for monitoring shelter allocation. The CPT welcomes the approach outlined by the Ministry of Migration and Asylum. However, its findings during the 2023 visit clearly showed that such procedures were not operating, and it considers that the staffing resources need to be significantly enhanced to ensure that all persons in a situation of vulnerability are effectively identified upon arrival (see also paragraph 143). The CPT recommends that the Greek authorities take the necessary steps to reinforce the personnel tasked with assessing special needs and vulnerabilities in all CCACs. See also the recommendation in paragraph 144 below. Women and Domestic Violence (GREVIO) of 14 November 2023 – GREVIO/Inf(2023)23, paragraph 354. 42