- 50 In contrast, most foreign nationals detained in Moria Pre-removal Centre were locked in their rooms for around 21 hours per day, as only two rooms were granted outdoor exercise at a given time for security reasons. At Fylakio Pre-removal Centre, access to outdoor exercise was only granted for 10 to 20 minutes per day, which was clearly insufficient, especially given the severe overcrowding and appalling material conditions observed at the centre. Outdoor exercise had not been granted at all during the Orthodox Easter holiday period. With the exception of Fylakio, the outdoor space available had no means of shelter from inclement weather and only in Amygdaleza were there some benches to rest. Neither the gravel forecourts in Amygdaleza and Pyli, nor the bleak, fenced yard in Fylakio (much too small for the number of detainees), nor the concrete yard space between the housing units in Moria provided decent conditions for outdoor exercise. Further, in all the pre-removal centres visited, there was an almost total lack of purposeful or recreational activities on offer to detained foreign nationals. Kicking a ball around occasionally in the exercise yards was the only distraction at Amygdaleza, Pyli and Moria. Further, none of the centres had communal rooms for association or television. Only Fylakio was equipped with televisions along the corridor wall opposite the cells (detainees had to stand with their heads against the metal bars to watch). Pyli was the only facility that had a dedicated place for worship. 111. The CPT calls upon the Greek authorities to take the necessary steps to ensure that, in all pre-removal centres: - the emerging practice of unrestricted access to outdoor exercise throughout the day is implemented; outdoor exercise areas are appropriately equipped (benches, shelters, etc.); a programme of activities (educational, recreational and vocational) is developed; at least one common association room, equipped with television and games, and one multi-faith room are set up. 5. Health-care services 112. In its previous reports, the CPT has urged the Greek authorities to improve the provision of health-care services in immigration detention facilities given the deficiencies observed regarding medical screening upon arrival or access to health care. These problems were compounded by the severe shortage of resources, including staffing resources, and the complete lack of integrated management of health-care services; combined with the lack of hygiene and appalling detention conditions, the Committee considered that they even presented a public health risk. The findings of the April 2018 visit clearly demonstrated that the situation has not improved since the previous visits in 2015 and 2016. 113. As regards health-care staffing, the CPT’s delegation again noted the chronic lack of sufficient health-care staff in most of the pre-removal centres and the RIC visited. At Amygdaleza Pre-removal Centre, two doctors and one nurse were present five days a week, in addition to one health visitor. At Fylakio Pre-removal Centre, one doctor was present five days a week and four nurses worked in two shifts six days a week. This was, however, entirely insufficient for the number of foreign nationals detained at the centre.