detention. Florence and Jeanne told us that they did not feel “easy” living alongside men in the PRDC’s mixedgender sections. Others reported other various forms of compounded trauma. Faiza, who experienced sexual harassment in Turkey in transit to Greece, explained that she often had nightmares and thought someone would kill her while she slept. For SGBV survivors, the experience of being detained has therefore been observed to exacerbate existing trauma. b. Persons with serious illnesses Almost all participants in this report disclosed having various medical conditions. Many had pre-existing health conditions: one participant reported having low blood pressure and diabetes, one reported a hernia, two participants reported asthma and respiratory problems, and three reported vertigo and high blood pressure. Zain disclosed having an intestinal gastric nerve issue that causes him “deep deep pain inside my intestines. I get convulsions’’. Amir told us that he had claustrophobia, documented within multiple medical reports, and that he had fainted twice in the PRDC as he could not breathe. Hana told us that she had a liver problem that started when she was in Syria, that causes her severe pain in her liver, stomach and vaginal area. Nour told us that she has had problems with her lungs since she was in Syria, and that she has irritable bowel syndrome and bronchiolitis. Some participants had pre-existing health conditions that had followed from experiences of serious violence or injury. Zain told us that his nerves had been damaged following a shrapnel injury in Syria, while Raphael informed us that he had experienced “constant stomach aches…starts on top of my navel and goes down to my lower stomach” since he was subjected to serious gang violence in Haiti. Florence, who was gang raped in Cameroon three months after giving birth, had incurred an injury at her caesarean section that continues to cause recurring pain. Each of these individuals was detained on arrival in Kos, despite having various medical conditions, many of which are serious. Most participants described multiple health conditions, both physical and psychological, that had developed in detention. Louis described having “a lot of pimples that started coming up on my hands and feet. I didn’t have time to even go to the hospital, because I got the results of my notification. I still have them, they itch a lot and I scratch them a lot. They well up and leave marks on my feet”. Meanwhile, Haroun explained that he had a fall during quarantine, and injured his hand, which he can no longer feel, and that he had also been bleeding from his urethra for several months. Yves described experiencing hip trouble when he arrived in Kos, while Daouda told us that he had been experiencing pain while walking since his arrival. Six participants described experiencing stomach pain, which most attributed to the food provided in detention. Efe stated: “I have stomach problems. My belly is inflated, it looks as if I was pregnant. When I eat something, I immediately get a stomach-ache. This causes me digestive problems as well, I have constipations…I have had this problem since I arrived in the PRDC. I didn’t have this problem before, I believe that it is connected to the stress that I am experiencing here in the PRDC and also to the food that I am receiving here”. Louis further described being “…sick in the stomach. I was spitting blood and something black”. Many had sought, or attempted to seek, medical attention for these various conditions, but often faced various barriers to accessing adequate services. Twelve participants also described having trouble sleeping in detention. In some cases, participants attributed these problems to the conditions in detention. As Saeed stated, “There are a lot of small creatures jumping on my bed and head when I’m sleeping...I think it’s all like a nightmare, it’s not real”. Zain told us: “…when you try to sleep, the beds, they’re broken, and the mattresses are really shit, you wake up and your back is hurting you, the blankets, they only give you one, no pillows, we try to make pillows from our clothes”. Others were distressed due to their circumstances or being separated from their families. Yacouba told us: “My wife is in Athens, I don’t sleep, she is pregnant, I can’t sleep. She is alone. So it tires me”. 58 DETENTION OF MIGRANTS ON THE ISLAND OF KOS