including self-harming and suicidal acts among children. According to MSF, the indefinite detention, sense of limbo and systematic violence further traumatised people seeking protection 1131. Also, according to an MSF announcement on the provision of health care on Lesvos island, there are still significant gaps in asylum applicants ‘s access to health services due to delays in the registration process, with the example of “a patient with a chronic heart problem and a history of heart attack, who lost his medication during the trip, (and who) was not registered at the camp for about 4 weeks and did not have access to the necessary support […]””.1132 Moreover, in a recent joint statement of twenty civil society organisations on the living conditions and vulnerability assessment in Samos CCAC: “Any person who resides in the CCAC and especially those who are de facto detained, have insufficient and inconsistent access to medical care. Additionally, due to the absence of healthcare and individual vulnerability assessments, asylum applicants with communicable diseases risk remain undetected or unable to seek medical treatment for several weeks after arrival which causes a serious risk of contagion”.1133 Testimonies of asylum applicants accommodated in Samos CCAC – gathered in a report of NGO I Have Rights highlight the inhuman living conditions in the structure: 1134 ‘Our container is not locked, it is not safe. I don't feel safe in this environment. They can always enter the containers when they want. no privacy. Of course it’s bad, especially we ladies need privacy. of course it stresses you, but there is nowhere you can go and complain.’1135 ‘Sometimes I use some sleeping tablets. MSF [Médecins Sans Frontières] gave them to me and I use them, but otherwise I cannot sleep because of the camp stress. If there was no MSF in the camp for us, some people would die there. Because the camp doctor makes no effort. You tell them you are feeling bad, they simply tell you to go out. The workers in the camp are very, very wicked. Sometimes I feel like harming myself because of the stress of being in the camp.’1136 The ESTIA scheme on Samos, which had offered safe apartments to vulnerable applicants in the past, including victims of sexual and gender-based violence, was discontinued. Due to a lack of alternative accommodation, even sexually abused persons stayed in tents in a separate section of Vathy camp, where the alleged perpetrators also stayed. On Lesvos, following the closure of the Kara Tepe site, a model facility offering dignified accommodation in prefabricated containers, vulnerable persons were transferred to tents in Mavrovouni camp. Owing to the reduced numbers of alternatives to camps on both islands, there are significant difficulties in finding dignified accommodation even for persons with serious health issues, as reported by MSF. 1137 In Chios CCAC (Vial camp), no separate accommodation is foreseen for vulnerable persons, and rub halls with single room and no beds (only mattresses on the floor) are used for the accommodation of monoparental families, together with single men and nuclear families.1138 1131 1132 1133 1134 1135 1136 1137 1138 MSF, Constructing Crisis at Europe’s Borders: The EU plan to intensify its dangerous hotspot approach on Greek islands, June 2021, available at: https://bit.ly/3WfEpY5. MSF, Ελλάδα: Εν μέσω αυξημένων αφίξεων, οι Γιατροί Χωρίς Σύνορα καταγράφουν σημαντικά κενά στην πρόσβαση των αιτούντων άσυλο σε υπηρεσίες υγείας στη Λέσβο, 1 September 2023, available in Greek at: https://tinyurl.com/44hwvunn. Joint Statement of 20 civil society organisations, NOT AGAIN IN 2024 – Call for upholdinghuman rightsin the Samos Closed Controlled Access Centre, 31 January 2024, p. 1-4, available at: https://tinyurl.com/3dxhybnk; for more information regarding health and vulnerabilities witnessed on Samos and Lesvos arrivals see: MSF, In plain sight – The Human Cost of Migration Policies and Violent Practices at Greek Sea Borders, 2 November 2023, pp. 12-13, available at: https://tinyurl.com/m63dcr7d. I Have Rights, They are killing minds – Life in the Samos Closed Controlled Access Centre, 20 June 2023, available at: https://tinyurl.com/565hmbzb. Ibid., p. 5. Ibid., p. 10. MSF, Constructing Crisis at Europe’s Borders: The EU plan to intensify its dangerous hotspot approach on Greek islands, June 2021, available at: https://bit.ly/3tVzwFg; FRA, Migration: Key fundamental rights concerns - Bulletin 2 – 2021, September 2021, available at: https://bit.ly/3LopAcY. Information shared by Chios UNCHR Field Office during GCR mission (January 2024). 229

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