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“The worst thing about<br />

the Nauru is the waiting.<br />

Nothing ever happens<br />

here.”<br />

have reached the world media. In one horrific video, Omid Masoumali<br />

doused himself in petrol, set himself alight, and burned to death to<br />

protest the conditions under which he was held.<br />

In 2015, Australia passed the Australian Border Force Act, which carries<br />

a two-year prison sentence for any staff who speak publicly of conditions<br />

inside the camp.<br />

The refugees and asylum seekers transferred to Nauru initially spend<br />

a year or more housed in cramped vinyl tents in a detention facility<br />

called the “Regional Processing Centre” (RPC). There, indoor temperatures<br />

regularly reach 45 to 50 degrees Celsius, with conditions worsened<br />

by torrential rains and flooding.<br />

The Center is run by a private company hired by the Australian government,<br />

which has effective control of the facility and is responsible for<br />

ensuring the health and welfare of the refugees detained there.<br />

Detainees describe conditions in these camps as “prison-like”. Regular<br />

searches of their tents by guards result in confiscation of “prohibited”<br />

items like food and sewing needles. Detainees are limited to two-minute<br />

showers and their toilets are filthy.<br />

100 REFUGIUM<br />

Parent of three children, Construction Camp Detention<br />

Centre: ‘’ Take the children out and keep us in.’’<br />

Christmas Island, 2014.<br />

‘‘I saw my wife lying<br />

under the bed. The bed<br />

didn’t have a mattress.<br />

. . . I saw the nurse, an<br />

Australian nurse, playing<br />

on her tablet. My<br />

wife was crying.”<br />

MEDICAL CARE<br />

The standard of medical care for refugees and asylum seekers on Nauru<br />

is very poor. Medical equipment is rudimentary and lacks even basic<br />

supplies, such as bandages or sterile gloves. Dental services are largely<br />

limited to tooth extraction.<br />

Specialist medical attention is rare. Detainees report that the medical<br />

staff do not take their health complaints seriously. In most cases they<br />

are simply prescribed painkillers, causing serious medical conditions<br />

to develop: heart and kidney diseases, diabetes accompanied by<br />

weight loss and rapidly deteriorating eyesight, reduced mobility, etc.<br />

One father said, “My son has kidney problems. We have been visiting<br />

IHMS for two years now and they keep promising he would see a regular<br />

doctor, but it hasn’t happened. My daughter just needs a pair of eye<br />

glasses, but it is also not possible to get them here.’’ A man described<br />

terrible conditions while his wife was in labour: the baby was delivered<br />

on a bed without a mattress, with no tissue or hand washing liquid.<br />

Not being allowed to leave the island without authorization, the refugees<br />

and asylum seekers are completely dependent on the Australian<br />

government and aid agencies.<br />

Drawing by 14 year old, Darwin detention centre, 2014.<br />

Many of these displaced people develop dire mental health problems<br />

and suffer overwhelming despair. Self-harm and suicide attempts<br />

are frequent. All face prolonged uncertainty about their future. “I was<br />

going to kill myself as well, I had the idea. Many of us here think about<br />

suicide,” a 22-year old detainee said. Dr. Peter Young, formerly the chief<br />

psychiatrist responsible for the care of asylum seekers in detention, de-

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