An outreach team in the camp provides health advice, promotes MSF activities and referring patients to the MSF mobile clinic. Also, together with the Greek Council of Refugees, we are giving legal support to refugees in need. In March and November 2018, MSF ran measles vaccination campaigns for the migrants and refugees living in Vial camp. A total of 276 children were vaccinated in March and 192 in November, in collaboration with the Hellenic Center for Disease Control and Prevention (KEELPNO). Key challenges • One of the main challenges is the transport of patients from the camp to the clinic • Number of patients is heavily weather dependent • The Vial camp population speak a wide variety of languages and there is a lack of interpreters to cover these • The local hospital is overwhelmed and there is concerning lack of interpreters • The local hospital lacks specialised doctors Referrals made by MSF staff directly to the Chios hospital increases by time. Patients are mainly referred for specialized medical care (obstetrics, dentist and others). Primary Healthcare The MSF clinic near Vial camp in Chios provides primary healthcare services. The team consists of one medical doctor and one cultural mediator. Asylum seekers and refugees in the camp suffer from a consistent lack of heating facilities, low-quality food, a lack of access to showers and difficult access to healthcare. Women cannot visit toilets in the evening because of a lack of security. Poor quality toilets and sanitation are a serious problem. Many living spaces are infested with cockroaches and bugs. The major health concerns are urinary tract infection, skin infections and musculoskeletal problems. The MSF clinic mostly treats adults, 43.7 percent of whom are women. 13
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