Young boy on crutches in Roj camp RSI documented four cases of European women who gave birth in their tents without medical assistance. 74. Maternal and reproductive health care are non-existent in both camps. RSI documented four cases of European women who gave birth in their tents without medical assistance. One European mother told RSI: ‘The delivery was very difficult. I was down to my last ounce of strength because I hadn’t eaten for a day. I was freezing. I was not able to push. The woman who was helping me started to be scared because I lost consciousness at some point. After twelve hours like this I finally gave birth.’ 75. Another women who had a C-section in a makeshift medical setting in ISIL-held territory prior to arriving in the camps was then not provided the necessary care upon arrival. ‘I’m not recovered from it. It’s very painful and I have a thick scar. I had an epidural. Until now I have electric shocks in my neck and spine and my left upper leg doesn’t have any feeling,’ she said. 76. Given the lack of adequate care, and the unhygienic and cramped physical conditions, Covid-19 has been a significant concern. The first detainee case was recorded at the al Hol camp on 10 August 2020,55 following three cases among healthcare staff on 6 August 2020. Current infection rates and numbers of cases are unknown, given significant gaps in detection and testing capacity both within the camps and across North East Syria more broadly. Further, the 30 RIGHTS & SECURITY INTERNATIONAL