By March, more than 20,000 men, women and children were held in undignified conditions in Moria, a reception centre on Lesbos island with an official capacity of 3,000. COVID-19 lockdown measures further restricted their capacity to move, buy food and access healthcare or legal assistance.

MSF runs a clinic outside Moria to provide sexual and reproductive healthcare, and general healthcare and mental health support for children. In June, we opened an emergency COVID-19 isolation centre, which the local authorities forced us to close soon after. On the night of 7 September, Moria was completely destroyed by several fires and more than 12,000 people were displaced. We rapidly sent mobile clinics and opened an additional clinic to respond to urgent needs. People were moved to a new camp where, by the end of the year, 7,000 people were still living in tents.

On Samos island, at times there were as many as 8,000 people living in Vathy reception centre, which was originally planned for 650. The authorities’ COVID-19 response was inadequate, with only a handful of medical staff and unacceptable quarantining options for infected people. During 2020, MSF provided toilets and thousands of litres of water per day to help prevent health problems associated with poor water and sanitation. In Vathy town, our day centre continued to offer mental health support and sexual and reproductive healthcare, focusing on sexual violence.

In Athens, we treated victims of torture at a specialised clinic and, at a day centre we manage, we offered social and legal assistance, as well as health services. From July, we supported an increasing number of refugees with severe health and psychological issues at risk of eviction from their accommodation.