âGreenâ patients need urgent care; âyellowâ patients are severely unwell with abnormal vital signs and require a full examination on a bed; âredâ emergency patients usually suffer from major panic attacks, extreme pain, collapses and, increasingly, life-threatening stab wounds or the results of other violence. Paul recalls the night as "hell on earth". The camp is particularly dangerous for girls and women who are vulnerable to sexual violence. He is a young man in his teens, unconscious, dragged in a dark grey blanket by four people from the surrounding tents. We make up the clinic team, and respond together as the crowds enter. The world continues to turn its back. On any given day, we can see 180 to 250 patients during clinic hours. People keep arriving and we continue to try to keep them safe in whatever capacity we can. The writer is a junior doctor in the NHS who has been volunteering in Moria refugee camp in Lesbos. We carry crash bags and emergency drugs to the clinic every day in rucksacks and have them in A1 â the emergency care room â where any âredâ patients are taken for emergencies that day. When the gate is unlocked there is a rush of people, each shouting that they are an emergency, waving their ausweis. Use of this site constitutes acceptance of our. No casualties have yet been reported but â¦ Population density estimate: 203,800 people per km2 * (The camp has grown both in size and numbers since the most recent satellite imagery was taken) In Europe, Greece is hosting 20,000 â¦ Most of them have made a treacherous journey to come to this unsafe place; 40% of them are children. While refugees and aid workers alike have worried about a potential COVID-19 outbreak in the Moria camp—where overcrowding makes social distancing impossible and there is a drastic lack of medical care—many do not think a strict lockdown is the answer. “No water, no social distancing measures has created a lot of tensions,” says Cossé. They have started responding by the time they are in the ambulance, and we know they will be OK. Their resilience and care for their fellow refugees nearly chokes me. Here are their stories. At the time of the fire it was housing 12,000. The German state of North Rhine-Westphalia has also said it is willing to take in 1,000 refugees displaced by the fires. Just as I start examining the child, I can hear shouting and the sound of someone being dragged along the gravel outside. And when we send them back to their tents, I feel ashamed. This is a classic picture of a panic attack associated with PTSD (post-traumatic stress disorder), and a common presentation to the clinic. Other rumors have circulated that “far-right Greeks” are responsible. Currently, more than 7,250 refugees live in the temporary camp that has an official capacity for 10,000 persons. Moira is home to an estimated 13,000 people, which is more than six times its maximum capacity of 2,200. I am the narrator of the stories of the people still there; this is not about me. Notis Mitarachi, the Greek minister for migration, has already said the coronavirus case illustrates a need for “closed and controlled” structures for refugees. The overcrowded, underequipped Camp Moria, had an official capacity for just 2,800. The Migration Ministry said on Tuesday that confirmed cases in Moria had risen to 35 and that the affected people were kept in isolation in an area inside the camp with their families. 20,000 people are currently living in and around Moria refugee camp on Lesbos. Last modified on Thu 20 Feb 2020 05.33Â EST. We see the next patients. The camp has since been put under a strict two-week quarantine, and residents’ movements are severely limited. An unexpected error has occurred with your sign up. We now have only one oxygen tank as we used the other on the children with carbon monoxide poisoning. Because there is no electricity in the camp, the darkness outside is engulfing. At the end of our clinic time, the responsibility for the medical care of patients in the camp is down to a lone âarmy doctorâ, who cannot be accessed by patients unless the police deem them to have a serious enough medical problem. Guardians work hard to keep the most vulnerable safe, but with boredom and violence still prevalent, and staff often not speaking the same language as the refugees, monitoring and care is stretched, and problems continue to spiral. Apparently they went to a neighbourâs tent where a fire was lit for warmth after sundown, and have been exposed to carbon monoxide for a sustained period of time. Since 2015, over a million migrants have arrived at Moria, with the majority coming from Afghanistan and Syria by sea. They are understaffed. Over Future of Migrants. “What we are seeing is unfortunate but it is not the first time tragic events have happened in Moria,” says Kalogeropoulou. Only a small number of cases have been confirmed among the local island populations, but to date none in any of the refugee camps. I kept a diary of the cases I saw, thinking it would be cathartic after the chaos to read through one or two major incidents, for personal processing purposes. We prioritise the boy with the central chest stab as he appears to be having repeated apnoeic episodes. We do not know where he is and we do not know the details of his rejection. We give him intramuscular ceftriaxone antibiotic and request a taxi to take him to hospital. People walk in the burnt camp of Moria on the island of Lesbos after a major fire broke out, on Sept. 9, 2020. The majority of doctors are not used to dealing with acute stabbings: BRF has not actively recruited for emergency doctors previously, as we were offering more clinic-based urgent care. According to the UN Refugee Agency (UNHCR), more than 2,400 (33 % of the campâs populationâ¦ The boredom in the camp is maddening and the asylum process is opaque. On the Greek island of Lesbos is the Moria refugee camp, constructed for 3,100 people but now with a population of more than 20,000 men, women and children. The Moria camp was initially designed for a limited number of migrants, but it had been overpopulated for months. ... âItâs functioning as an emergency site meant to cover the immediate and urgent needs of the population that has been â¦ It has not come. With finite space and an infinite number of increasingly vulnerable people arriving, many minors and women are living alone outside the sections, at risk of abuse, violence, and systemic failings. Margaritis Schinas, the European Commission vice-president said they were “ready to assist Greece directly at all levels during these difficult times.” Ylva Johansson, the European Union home affairs commissioner, also agreed to pay for the transfer of 4,000 unaccompanied minors to the mainland and yesterday, 400 were transferred. The names of patients to be seen are written on a whiteboard in order of priority and we call them inside one by one. The population comprises of single men, women, unaccompanied minors and families of varying sizes. With a population density of 336.8/km it is by far the most densely populated municipal unit in Lesbos. It works for a few minutes, then fills with blood again. I have gone to volunteer, as many have before me and many continue to do while I return to my home, where I have central heating, regular food I can choose, and my freedom â and all of these afforded to me only by my luck at birth. The European Union has also offered to help. As far as Iâm aware, all of these patients are still alive. As the sun goes down, I always feel the atmosphere at triage and inside the clinic changes. We know he will not be safe back in Afghanistan. BRF is the only emergency medical provider for the entire camp between the evening hours of four and 11. Since then, at least 35 more people tested positive for the virus. It also comes at a time where many migrants feel Europe is turning its back on them, becoming less tolerant and less willing to help, with countries like France taking tougher measures on immigration. The Greek Prime Minister Kyriakos Mitsotakis called an emergency meeting about the fires on Wednesday morning. It is estimated that there are around 1,500 unaccompanied minors living in the camp, around half are â¦ 85% of people living in the camp are refugees; the others are classified â¦ Please try again later. Since 2015, over a million migrants have arrived at Moria, with the majority coming from Afghanistan and Syria by sea. We take the boys out in emergency blankets, with fluids and lines in place, on stretchers, in front of the patients waiting to be seen in the cold, gravel-floored cage that is the waiting room. Human rights advocates worry that the Greek government is using this outbreak as an opportunity to further constrain the freedoms of people living in the camp. Refugees speak of dreadful reality inside Lesvosâ Moria camp Life has become a ââliving hellââ for refugees and asylum-seekers at the Moria reception centre on the Greek island of Lesvos, a space designed for 2,200 â¦ Approximately 7,000 refugees confined in the area between Moria, Panagiouda and Kara Tepe remain without help and without basic means of subsistence. I call the febrile child in. In terms of mental health help for refugees, there are currently two referral pathways for the more severe end of the spectrum, but each takes time and depends on exposure to violence, sexual violence, and previous history. The ambulance will not drive up to the clinic (a short distance from the front gate of the camp) for safety reasons after dark unless in extreme emergencies, so we run the children down to the ambulance when it arrives, connecting their masks to the oxygen in the ambulance and sending them on their way. We have boxes with the essentials for consultations â oxygen saturation probes, blood pressure cuffs, thermometers and ophthalmoscopes. What are you still seeing? Any chronic problems are advised to come back to doctors working in the daytime: this clinic is for acute care only, for emergencies only. As we wait for the ambulance to arrive, the other one starts to gargle and choke. While it still remains unclear who started the fires and how, many experts are not surprised that fires broke out. The transition to a new camp on 19th September has been stressful and devastating for the refugee population. We work together with our translators (refugees living in the camp themselves, volunteering daily in return for bus tickets, phone credit, education and dinner as they are not able to stand in the food queue while working with us) from Afghanistan, Syria, Iran, Somalia and the Congo. An aerial view of destroyed shelters following a fire at the Moria refugee camp in Lesbos, Greece. Migrants and refugees in camps â¦ While neither accounts have been verified, the rumours circulating about who started the fires are illustrative of larger tensions on the island whereby migrants are fed up of their poor living circumstances and local residents are increasingly resentful of the lack of national, regional and international support for managing the influx of migrants and refugees on the island. On 3 September 2020, a first case of COVID-19 was detected in Moriaâ¦ We are fortunate to have a psychiatric nurse in our team, and once any more sinister pathology is excluded, we move the man to a back room to rest and be reviewed by her, to plan onward referral and care. Refugees and migrants carry their belongings as they flee from a fire burning at the Moria camp on the island of Lesbos, Greece, on Sept. 9, 2020. This child is persistently hot and lethargic, and has a concerning rash. Although Moria camp has seen far fewer cases than the rest of Greece, its residents have faced more restrictions. Few actions, however, were taken. The deliberate overcrowding flies in the face of anti-COVID â¦ With only two ambulances on the island despite a rapid 25% increase in the population, the service is not fit for purpose, and we are increasingly using taxis to transport patients to hospital. And the madness continues. “It’s not surprising at all but it is incredibly sad. On the last night I was working we saw four life-threatening stabbings, including a stabbed neck and an open chest. Even those of us with contacts in other NGOs and with lawyers cannot work it out. One stabbing like this in London would receive emergency trauma care from a highly trained team, probably in a major trauma centre. The model population includes 18â700 individuals each â¦ The cause remains unknown. By midway through my second week in the camp, we have had three confirmed cases of meningococcal meningitis and are considering a camp-wide vaccination programme. 12,000 migrants and refugees were left without shelter or access to basic services after fires over the past two days spread throughout Greece’s largest refugee camp, Moria, on the island of Lesbos. As I go to inflate the blood pressure cuff, he opens his eyes and screams â a long, sustained scream, followed by extreme hyperventilation and rigidity in his arms. I want to tell you about one day in the life of the little portable cabin clinic where I worked. As a result, many fear using toilets, showers or lining up for food in distribution lines, Human Rights Watch reports. There has been no electricity in the camp now for two and a half months. As the â¦ “What is important to say is that there is an urgent need for European Union solidarity to finally relocate people from the island,” says Cossé. After Moria fire, refugees decry conditions in new camp on Lesbos. Their resilience and care for their fellow refugees nearly chokes me. Migrants do not have access to shelter or medical assistance. To get to the cabin, she has had to walk through the camp on the side of a steep hill, weaving between UNHCR and makeshift tents, past the falafel store, the Wave of Hope for the Future school with its new library, past the barbers and people doing their washing, past the rubbish that hasnât been cleared for a month, past the gang of wild dogs barking and running after her. We assessed and stabilised them all and got them to hospital. Ï ÎÏÏÎ¹Î±Ï), better known as Mória Refugee Camp, or just "Mória", was the largest refugee camp in Europe, located outside the village of Moria (Greek: ÎÏÏÎ¹Î±, Mória) near Mytilene on the island of Lesbos. A migrant looks at the burned Moria refugee camp on the island of Lesbos, Greece, on Sept. 9, 2020. The fires come amid escalating tension on the island of Lesbos, within Greece and the wider European Union over the issue of migrants. A blaze tore through a refugees camp on the Greek island of Lesbos overnight, leaving roughly 12,000 people without shelter on Wednesday. At the time of writing, Moria was the largest refugee camp in Europe, and COVID-19 had not yet appeared in the camp. A mother comes in with her four-year-old child who has a very high fever, and who hasnât been eating, drinking or responding to her properly for hours. And when we send them back to their tents, I feel ashamed. A third of the camp’s population are children under the age of 12, according to the United Nations Refugee Agency (UNHCR). They agree and also agree to take both boys at the same time â a rare occurrence, but last week a young man died from a stab wound and we work together in the dark shadow of this memory. The fires have destroyed the vast majority of the camp, leaving 12,000 people living on the streets. The Greek National Road 36 connects Mytilene with Kalloni. People queue outside the wire-fenced cabin for hours before the clinic opens at four, hoping to be able to speak to a doctor about their childâs rash, their pregnancy-related abdominal pains, their hallucinations and flashbacks from witnessed violence, their sleep disturbance, their itch from having to wear nappies at night for fear of having to go to the toilet in the pitch-black camp. He was seen to be shouting and screaming and then collapsed, breathing very heavily and not waking up. They come with infected wounds that need cleaning and bandaging; they have minimal access to clean water out in the olive grove areas. Then last week the camp had its first outbreak of COVID-19, leading to a two-week quarantine that severely restricted residents’ movements. The facility had been accommodating 20,000 people (almost 7 times its intended capacity) â¦ “Lockdown exacerbates a situation where so many people already live in undignified circumstances that bring violence and misery,” says Dimitra Kalogeropoulou, the International Rescue Committee’s Greece Director. Its population had been as high as 20,000 refugees, a number reduced to about 12,000 at the time of the â¦ For years, human rights advocates have spoken out against the conditions of the camp which remain dangerous and inadequate. The residents, most of whom are fleeing from Afghanistan and Syria, have faced overcrowded and dangerous living circumstances since the camp was founded in 2015. We switch the oxygen tank to him, while stabilising the other boyâs bleeding, and plan how to extricate both on stretchers from the tiny clinic room. Its residents also include more than 4,000 children, 407 of who are unaccompanied â¦ This kind of thing reaches through the camp, adding to the feeling of resignation and hopelessness. Moria refugee camp: A new kind of hell awaits Discarded dreams A "graveyard" of life jackets and boats on the island's north is a stark reminder of the last huge influx of refugees in 2015/16. “When you also have the insecurity of COVID, this can very easily lead to tensions and fires.”. Recent Challenges in the Moria Refugee Camp On the Greek island of Lesbos there are more than 17,000 refugees living in the Moria Refugee Camp, a camp with a capacity of 2,000. The men have been running with him unconscious in the blanket for 10 minutes to reach the medical area. This was my third time there â and my most shocking. “We’ve been saying that Moria is a ticking time bomb,” says Eva Cossé, a researcher at Human Rights Watch who says she and many other experts predicted a crisis like this would unfold. The support crew member on the back door shouts âred patientâ and I move the febrile child into the back space of the cabin, pulling the bed out and making space for the emergency. We simulated COVID-19 outbreaks in a model population based on the Moria refugee camp (online supplemental information S1). As the ambulance arrives, we beg them to come down to the clinic gates to minimise the time transferring the boys in the freezing cold. This time two young men from the sections for unaccompanied minors are dragged in between friends, gasping and covered in blood. Mytilene is located in the southeastern part of the island, north and east of the Bay of Gera. Initially built for 2,200 people, the camp has hosted almost ten times the amount of people it was originally meant for. I get a sense of desperation and hostility, not usually played out, but always at the back of my mind. “There has been compassion on the part of many local inhabitants of the islands,” she says. 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