detainees' point of view, the big numbers of detainees living under one roof, does not leave them with the privacy they that they are entitled to during difficult moments, Besides having many detainees together is not conducive to good health and make it more difficult to control in the event of a riot, This year was not so difficult since we only had a much smaller number of detainees, countries. However one needs to plan for any eventuality if and when more migrants land on our shores. The Board is aware of the constraints in logistics due to the space available in detention centres. However, ideally the Board would appreciate it very much if some form of separation of migrants from different nationalities is made possible. . This will minimize the stress and the risk of violent disturbances. 11. Health and Medical Service Considering that most of the detainees have a very traumatic past, and some find it very difficult to deal with detention, the Board would lilce to see regular provision of psychiatric and psychological services which unfortunately is lacking. Of utmost importance is the identification and care of detainees who have serious mental difficulties. These services would include counselling and psychotherapy, group work, screening of members who might be suicidal and ongoing support. An essential element to ensure proper medical care is a pharmacy on location, to ensure that prescribed medicines are dispensed as early as possible. A proper health care programme needs to be carried out by nurses and doctors. Detainees would benefit from a preventive health programme. Such a programme needs to focus also on cleanliness and self-care and hygiene. This would greatly reduce the risk of the spread of infections. An appropriate diet would be more appreciated. Detainees would appreciate a more healthy diet where the portions are bigger and properly cooked. Fruit should to be given more often. 11.1 Cleanliness and Hygiene The Board has noticed a marked improvement in the upkeep and cleanliness of the centres. However this does not depend only on the administration. The detainees themselves are not always used to living in a healthy and clean environment. They are not always aware of the health risks when they dirty the place and leave food under beds for several days. The Board recommends: 12