© Evgenia Chorou/MSF
09 Jun 21 25 May 22

Greece: New MSF report shows scale of suffering caused by EU hotspot system on asylum seekers, refugees and migrants

10 June 2021: In a report released today, Médecins Sans Frontières/ Doctors Without Borders (MSF) once again calls on EU leaders to completely change their approach to migration and to stop intensifying their existing containment and deterrence policies, which are causing avoidable harm to the health and wellbeing of asylum seekers, refugees and other migrants.

"Tremendous human suffering"

“For more than five years, the EU policy of containing people and processing their asylum applications in hotspots on the Greek islands has created an unprecedented crisis and tremendous human suffering. These are not unintended consequences,” said Reem Mussa, MSF humanitarian advisor on migration and one of the authors of the report.

Refugees look through a fence during a rain storm as they wait to be registred at the Moria Reception Centre on Lesbos island.

“The EU’s hotspot model is designed not only to process migrants’ asylum applications, but also to deter others who dare to seek safety in Europe.”

"This system has inflicted misery, put lives in danger and erodes the right to asylum"

The report, ‘Constructing Crisis at Europe’s Borders’, shows how the EU’s migrations policies put the health, wellbeing and safety of people trapped on the Greek islands in jeopardy.

People who have survived violence and hardship are stuck in appalling conditions, with a lack of information on their legal status and subjected to harsh border and asylum procedures.

This system has inflicted misery, put lives in danger and erodes the right to asylum.

A makeshift shelter in the area around the reception and identification center in Samos.  Men, women and children live in horrendous conditions among rubbish and rats, with no access to adequate toilets, showers and shelters.

The negative impact on mental health of migrants

During 2019 and 2020, MSF mental health clinics on Chios, Lesvos and Samos treated 1,369 patients, many of whom suffered from severe mental health conditions including post-traumatic stress disorder and depression.

"More than 180 people treated by MSF had self-harmed, or attempted suicide. Two-thirds of them were children, and the youngest was just six years old."

Ebo, 35, from Cameroon inside his tent in Vathy centre. Ebo is from Senegal. He left his home country because his life was threatened and with the hope he will be able to build a new life, but after 2 years in Samos camp, he is struggling to have hope.

More than 180 people treated by MSF had self-harmed, or attempted suicide. Two-thirds of them were children, and the youngest was just six years old.

MSF patients cited daily stresses and constant fears as major factors impacting their wellbeing and mental health.

Mohamed, 31, inside his tent in Vathy center. Mohamed is from Idlib, Syria.  He left because of the war and looking for safety and a dignified life but until today, he is trapped in an inhuman camp and his suffering seems to have no end.

These include navigating life in poor conditions, complicated administrative and asylum procedures, exposure to violence and insecurity, family separation, unaddressed medical needs, and fear of deportation.

Furthermore, for years, even the most basic life essentials have been neglected on the Greek islands.

Portrait photo of Jaber Alsoudy, his wife and child outside their tent. Jaber, 37, and his wife, 21 years old, left from Syria because of the war, seeking for a safe place and a better future in Europe. During the journey his wife was heavily pregnant.

MSF and other NGOs have been continuously forced to step in to provide crucial services, from healthcare to water.

Between October 2019 and May 2021, MSF teams trucked in over 43 million litres of clean water for people in the over-crowded Vathy hotspot on Samos where the water is unsafe to drink.

Bille Fergusson, while teaching English and French to other community members in their makeshift church in the area around Vathy centre. Bille is from the southern part of Cameroon. He came to Europe seeking safety, after his life was threatened.

“Despite claiming to change for the better, the EU and the Greek government are spending millions of Euros to standardise and intensify policies that have already done so much harm,” says Iorgos Karagiannis, MSF Head of Mission in Greece.

Men sitting around a bonfire where they re-cook the food which is distributed in the reception center of Vathy.

"A new prison-like centre on Samos"

“Shockingly, Lesvos's Moria hotspot, which was not only dysfunctional but deadly, is now the blueprint for a new prison-like centre on Samos."

The reception and identification center in Vathy, Samos. Today around 2,000 asylum seekers and refugees live inside and around the center of Samos, which is designed for 648 people. Migrants live in horrendous conditions among rubbish and rats.

"The new facility is in a remote, exposed area of the island and will hold people in shipping containers, surrounded by barbed wire, with controlled entry and exit."

"This cannot be sold as an improvement in people’s living conditions."

A brand-new reception centre is being built. It is designed to host up to 3,000 people, of which according to the Greek Minister of Migration, 2,100 will have a “controlled access” and 900 will be in detention waiting to be sent back to Turkey.

"Instead it will continue to cause a degradation in people’s mental health, a further protection crisis and will make the suffering of those trapped on the Greek islands even more invisible.”

The EU and Greek Government are intensifying the crisis by planning new Multi-Purpose Reception and Identification Centres (MPRICs) in remote locations on the Greek islands.

A brand-new reception centre, just 5km away from Vathy city, is being built in Samos island. Patients and people who live in Vathy reception center describe it as an open air prison.

One of these restrictive centres is already being built on Samos and may be operational in June 2021.

“It is not too late for compassion and common sense. The EU and its Member States should end polices of containment and ensure people arriving in Europe have access to urgent assistance, facilitate access to protection and relocation to safe reception and integration in communities across Europe" ends Mussa.

read full report: constructing crisis at europe's borders >