ordered the Greek authorities to ensure that the applicants "have full access to reception conditions which respect human dignity and take into account their multiple vulnerabilities".611 Leros: “According to the UNHCR, at the end of March (2023) there were two doctors and a psychologist inside the CCAC. At the local hospital, staff shortages, which make the medical care of all patients problematic, have been repeatedly denounced. The hospital does not have an interpreter” 612. Lesvos: In a letter addressed to the authorities dated 12 December 2023 regarding access to food and medical care in Lesvos CCAC, 16 non-governmental organisations stated that in: “CCAC Lesvos […] people in need of international protection do not effectively have access to medical care, medication and mental health and psychosocial support […] due to a severe lack of capacity and lack of qualified staff, applicants are systematically not correctly examined, and many don’t have their vulnerabilities correctly acknowledged or acknowledged at all, especially when non-visible. Also, […] in many cases, no initial mental health assessment is conducted. […] On Lesvos, there are currently 2 doctors of […] EODY responsible for conducting the medical examinations in the CCAC. However, considering that there are regularly more than 100 new arrivals per week, and that these doctors are also in charge of the public healthcare provision of approximately 5200 residents, it is clear that the capacity of EODY does not meet the needs of the facility and must urgently be adapted”.613 Moreover, according to a report of FENIX dated April 2023: “vulnerability assessments only consist of a medical examination on Lesvos - psychosocial assessments may only be conducted whether the doctor who conducts the medical assessment requests it, raising the likelihood of leaving unrecognised many non-visible vulnerabilities. If the asylum applicants go through a psychosocial assessment, the doctor who conducted the initial medical examination has to accept and agree with the observations by the psychologist. Asylum applicants can request a reassessment; however, in practice, this is challenging for applicants who do not have legal representation and delays are frequent. More recently, reassessments for persons between asylum applications stopped being conducted. […]”614. Moreover, “since November 2022, no psychosocial assessments have been conducted on Lesvos without an explicit request by the doctor responsible for the medical examination, contradicting Greek legislation”.615 Rhodes: According to a report of RSA dated 21 December 2023: “In recent months, due to delays in people’s transfer to other areas outside Rhodes where there is adequate infrastructure, the majority of new arrivals on the island – including families with young children – end up sleeping in parks, pavements, squares, on cardboard boxes, in tents and makeshift sheds. According to UNHCR data, 6,290 people had arrived in Rhodes from the beginning of the year to December 10. […] newcomers on neighbouring islands such as Kastelorizo are also initially transferred to Rhodes. There is no formal or informal accommodation structure in Rhodes, while the closest infrastructure for asylum seekers’ first reception and identification procedures is on the island of Kos […] newcomers’ countries of origin are mainly Syria and Palestine, i.e., people with a purely refugee profile. According to UNHCR, Rhodes has had the highest number of arrivals in the Dodecanese in recent months. This creates huge delays in registration, preventing the people’s transfer to Kos, Leros or the mainland”.616 Crete & Gavdos: According to a publication by RSA dated 19 December 2023: “In recent months, there has been an increase in the number of ships arriving in Crete and Gavdos, islands which have no official 611 612 613 614 615 616 GCR, Press release, Absolutely inadequate conditions in the new Closed Controlled Access Center (CCAC) of Kos: The European Court of Human Rights has granted Interim Measures, 14 December 2023, available at: https://tinyurl.com/46rjsrjr. Refugee Support Aegean (RSA) / PRO ASYL, What is happening today in the refugee structures on the Aegean islands – Serious problems in the EU-funded structures, May 2023, available at: https://tinyurl.com/ycy45tjs, p. 50. Letter of 16 non-governmental organisations to the authorities, Human Rights, But Not for All: Open Letter on Access to Food and Medical Care in Lesvos Closed Controlled Access Center, 12 December 2023, available at: https://tinyurl.com/mv4xmram. FENIX – Humanitarian Legal Aid, Unrecognised Vulnerability- Greece’s systematic failure to identify and certify Victims of Torture, April 2023, pp. 13-14, available at: https://tinyurl.com/mwpxajcv. FENIX – Humanitarian Legal Aid, Modern Slavery and Human Trafficking of Forcibly Displaced Persons in Greece and Turkiye, October 2023, p. 46, available at: https://tinyurl.com/5ekpxev9. Refugee Support Aegean-RSA, Rhodes: Newly arrived refugees with no shelter and adequate food, at the mercy of winter, 21 December 2023, available at: https://bit.ly/448Y5Pt. 133