have enough money to go to a private doctor”. Yacouba further described detainees’ financial barriers to accessing adequate medical services, stating: “It’s not easy to see the doctor, we don’t have money to pay the doctor, I don’t work, I’m an immigrant, I’m detained. We have to pay to go to the hospital. The doctor in the camp only deals with small things, small headaches, paracetamol, things like that, tooth hurt, but not big things – we have to go to the hospital for that and you have to pay”. Meanwhile, Mado mentioned having to purchase medications, which he could not always afford. Detained asylum seekers’ financial circumstances therefore prove an additional barrier in accessing adequate health services. However, even getting a referral to a private doctor is, generally, an arduous process for most people. During our 13 July meeting, the doctor stated to two of our lawyers that he generally refused to refer people to private specialists for fear that he would be accused of taking money in exchange for making referrals. e. Limited COVID-19 prevention measures Many participants noted that few measures were being implemented to prevent against COVID-19 in the PRDC. Several confirmed that detained persons are not provided masks to wear in detention and are only offered masks when they are required to attend meetings with external actors, including lawyers, doctors, or the asylum service. Saeed explained: “The only times they give us masks is when we go to make interviews with asylum service or when we go to the doctor or something, that’s the only time that they offer us masks”. Emmanuel further clarified: We don’t wear masks…only when we go out to go to the hospital, then we do. But we don’t wear them inside here in the caravans and outside”. Five participants additionally noted that the policemen in detention do not always wear masks. Messan informed us that police mask practices were inconsistent: “Some wear masks, some don’t. They usually do when they enter our rooms, when they are outside, they usually don’t”. However, Daouda reported that sometimes, police did not wear masks even when entering the containers: “The police wear masks when they come into the containers, sometimes, and there are some who don’t wear masks at all. Yesterday there were two who came without masks”. On Equal Rights’ visits to the PRDC, we have also observed that police do not consistently wear masks in both open and closed spaces during their interactions with detained persons. Provision and use of masks in the PRDC therefore appears inconsistent and inadequate. Many participants additionally noted that social distancing was not possible in detention. Afran explained that his section was crowded: “We’re almost 65 people inside it, I think the capacity should be 25, so it’s almost impossible to have social distancing”. Kamal concurred that his section was too crowded to effectively implement any social distancing measures, stating: “…there’s almost 60 people inside the section, what sort of distance we can take…It’s a small space and we’re sharing the rooms so it’s not possible”. Although the PRDC was operating at less than half than capacity during the entire period covered in this report, social distancing measures appear to be unenforced in some cases and impossible to follow in others. A few participants expressed their fears of contracting the virus in detention, highlighting that certain conditions in detention made them particularly vulnerable to infection. Rashid expressed his concerns regarding the danger of living in small, crowded spaces during a pandemic: “If someone got coronavirus inside the detention, definitely everyone around him will get it, the rooms are really small, and we can’t make any social distance between each other and also it’s unclean and unhealthy”. Saeed stated: “…about cleaning the situation is really bad, it’s all unclean…there is no possibility to be safe or take care of yourself while you’re in detention, to not get the virus”. Daouda further highlighted: “We are really exposed to corona, there are people who come here to give food, and people go out as well, so we can be contaminated for that, we’re really exposed”. In general, participants were dissatisfied with the COVID-19 prevention measures implemented in the PRDC and highlighted the facility’s crowdedness and poor hygiene as areas of particular concern. 56 DETENTION OF MIGRANTS ON THE ISLAND OF KOS