- 51 - The situation was critical at Moria and Pyli Pre-removal Centres and at Fylakio RIC, as none of the centres had a doctor. At Moria, medical services were only occasionally provided by the doctors of the adjacent RIC. Pyli had only two nurses six days a week who had started working ten days prior to the delegation’s visit and, once a week, detained persons were sent to the local hospital (including to the dermatologist and the GP) for assessment. At Fylakio RIC, only three nurses (one of whom was on leave at the time of the visit) were working in two shifts, six days a week. These numbers were totally insufficient. In particular, on Sundays and holidays, there were neither a doctor nor a nurse in any of the centres. The delegation also noted that the absence of a doctor was compromising the care that was provided to detained persons. Only some of the centres had a psychologist. Even if there was some psycho-social assistance available, as was the case at Fylakio Pre-removal Centre, it was totally insufficient given the number of detained persons. Further, with the exception of the centre at Amygdaleza, where two dedicated interpreters were available, no interpretation services were at the disposal of health-care staff in any of the other centres visited. This presented a significant impediment not only for detained persons and healthcare staff but also for the effective provision of adequate health care to detained persons. On 3 July 2018, the Greek authorities informed the CPT about their on-going efforts to recruit health-care staff for all pre-removal centres with a total budget of several million euros. In particular, the recruitment of additional doctors (only at 38% of the initial provision), nurses (at 60%), health visitors (at 37%) and psychiatrists (at 12%) was pending. The CPT recommends that the Greek authorities continue their efforts to increase the number of health-care staff and interpreters assisting them in fulfilling their task in these establishments. In particular, there should be at least one permanent doctor at Moria and Pyli Pre-removal Centres and at Fylakio RIC and a nursing presence should be ensured at all times, including during weekends or holidays; at least one psychologist and one social worker should be present at Fylakio RIC. Further, the outstanding vacant positions should be rapidly filled in all pre-removal centres. 114. Moreover, in most of the centres, even the most basic medical equipment and medication was lacking. For instance, at Fylakio Pre-removal Centre, no ECG machine, defibrillator, nebuliser, oxygen or blood pressure measuring machine was available. Further, at Fylakio RIC, the two bottles of oxygen available at the centre proved to be empty (see paragraph 118). As regards medication, it appears that paracetamol was issued to treat most kinds of diseases in the pre-removal centres and, at the centre in Moria, many complained that the prescribed medication was not provided. The CPT recommends that the necessary basic medication and medical equipment is made available in these establishments. Prescribed medication should be provided to detained persons and the equipment regularly maintained. 115. The importance of effective medical screening of irregular migrants on admission cannot be overstated. Such screening is indispensible, in particular in the interests of identifying those with potential or acute health problems (including mental health problems and post-traumatic stress disorder), screening for transmissible diseases and the timely recording of injuries. Further, all newly-arrived persons should be assessed regarding their vulnerabilities.