A/HRC/35/25/Add.2 the open reception centres and closed detention facilities. At the time of the visit, the lack of sufficient interpretation and legal services was leading to additional confusion about procedures and migrants’ rights. 64. Access to a medical doctor and medical staff is insufficient, particularly for vulnerable groups in need of highly specialized medical assistance. The Special Rapporteur observed a lack of secondary health care: people with diabetes or chronic diseases find it difficult to access appropriate medication. Specialized services required for mental health care or for torture victims are insufficient in most of the places of accommodation. Accessibility of drugs and medical examinations is challenging, as the public health system is overwhelmed. In addition, there are barriers to effective access to health care, when cultural sensitivities are not taken into account or because of a lack of interpreters. 65. The Special Rapporteur observed the absence of separate living spaces for single women, families and unaccompanied minors, leaving women and children at heightened risk of abuse. Sanitary facilities and showers are insufficient and the Special Rapporteur heard of accounts of sanitation facilities without adequate lighting at night or locks on doors, with female camp residents being scared to use the facilities at night. 66. The lack of appropriate food in sites is a protection concern that affects the nutritional needs of the most vulnerable, including children, the elderly and pregnant women. Parents of small babies complained about the lack of food and formula, and specific dietary requirements were not made available in all of the places visited. 67. Despite the goodwill of many actors, their roles were often unclear, which led to organizational issues, confusion and wrong perceptions of responsibilities among migrants and refugees. The Special Rapporteur is particularly concerned over the lack of contingency planning and of proper and organized camp management. He underlines the need for effective and professional camp management, in order to ensure proper coordination and rationalization of all activities by all actors, thus avoiding loss of control and overwhelming confusion, and to ensure non-discrimination among nationalities, which is needed to build trust by promoting equality and fairness in accessing services. V. Access to international protection A. The steady growth of the Greek Asylum Service 68. The Special Rapporteur acknowledges efforts to strengthen the Greek Asylum Service over the past three years; it has opened seven regional asylum offices and 10 asylum units, providing substantial regional coverage. 69. The intake of asylum seekers by Greece in 2016 was one of the highest in Europe. At the time of the visit, the Asylum Service was not in a position to cope with the 50,000 applications for asylum, family reunification and relocation in one go, which posed problems in regard to access to international protection and regularizing the stay of asylum seekers. 70. In 2016, the Asylum Service registered 51,092 applications for international protection.15 The asylum system is governed by a twofold principle: the “old procedures” under Presidential Decree 114/2010, under the responsibility of the police, and the “new procedures” under Presidential Decree 113/2013, repealed by Law 4375/2016 in line with the recast European Union asylum directive and amended by Law 4399/2016. The presence of many different laws, with different authorities dealing with asylum claims, makes the asylum system difficult to navigate. 71. The Special Rapporteur was informed that the Asylum Service was to significantly increase its capacity by the end of June 2016 and increase the processing of asylum claims from 80 to 640 claims per day. The average decision rate of the Asylum Service for 2016 15 See http://asylo.gov.gr/en/?page_id=110. 11