ANNUAL SPECIAL REPORT 2018 47 4.d. Specific observations on some Pre-removal Detention Centres for Third Country Nationals (Pro.Ke.K.A.) i. Moria Pre-removal Detention Centre (Lesvos) As the staff of the pre-removal centre affirm, due to the long unjustified detention, most detainees develop psychological conditions or disorders and need medication. Even during the last relevant inspection in 2018, it emerged that only a psychologist and social workers have been placed in the centre, as the calls for medical staff recruitment remained unproductive through November 2018. Detainees' medical needs are met by their examination at the Hellenic Centre for Disease Control and Prevention (HCDCP) facility, which is intended to serve the Moria Reception and Identification Centre (K.Y.T) and by their referral to the Mytilene General Hospital. In addition, since the end of October, no doctors have been provided by the HCDCP, as these doctors have resigned to protest the way public health services are provided there. So, since then, the new detainees have been transferred to the pre-removal centre’s facility without medical examination, with the risk of spreading communicable diseases as they reside with the other prisoners (there is no quarantine space). In case of emergencies, regular problems and even regular prescriptions are treated only by transferring the detainees to the Mytilene General Hospital, but less frequently than necessary,, with an average of two inmates per day, while medication and regular treatment within the detention facility are administered by the Pre-removal centre’s deputy governor and the social worker. Deficiencies in staffing and inadequate infrastructure were also identified. More specifically, the 49 persons who were prescribed to be recruited at the pre-removal centres were inadequate, as, in particular, more people are required for transfers, whereas only for this specific pre-removal centre, staff secondment under a three-month contract is not permitted. In particular, the lack of interpreters makes it more difficult to communicate with detainees, both on health issues and on effectively informing detainees about the reason for their detention and its duration. In terms of infrastructure, it is noted that the spaces and the surroundings of the pre-removal centre have not been designed based on the standards of long-term detention facilities, making the structures used for their design easy to damage (light, fragile doors) and unsuitable (glass windows). As a result, there is a great risk of injuries or escapes of prisoners, and such incidents have occurred repeatedly. Also noted was a lack of funding for regular washing of bed sheets and rugs, non-issuing of free calling cards for contacting relatives and seeking legal assistance (as cell phones are held by the service and detainees have access to cell phones only a few hours during the weekend, even though this is done irregularly) and, finally, poor food-service management is noted,