One refugee, Anjul, 40, said, “In the camps if any of us became sick at least we would be able to go to a doctor or hospital or the NGOs could arrange better treatment, but here when our people are dying, no one cares.” 123 Three people involved in providing healthcare services on the island, including two based on Bhasan Char, said that the facilities remained woefully inadequate. 124 There are no mental health services nor other specialized or emergency services. There are also no ambulance services, impeding access to urgent health care for those unable to walk to the healthcare facility or obtain a police vehicle escort. Many refugees describe a lack of essential medicines and complained that they were only given paracetamol (acetaminophen) for health issues including ulcers, chest pain, diabetes, and asthma. Nur Siddique, a 53-year-old refugee living on the island, said that authorities are actively limiting refugees’ access to health care through undue restrictions on freedom of movement: I have been suffering from a serious gastric problem and I tried to take treatment from the healthcare facility here, but they sent me away saying there is no medicine. I tried to get permission from the navy to go outside of my cluster to meet with a Rohingya village doctor, but they refused. They don’t allow us to go outside but they can’t provide proper treatment here. Maybe they brought us here to die. 125 Refugees and healthcare workers on the island said that they are concerned about a malaria outbreak during monsoon season without capacity to test or treat. One healthcare worker said: There are no facilities on the island to run the malaria test or other blood tests.… We have been seeing refugees come in with symptoms of mosquitoborne diseases over the last two weeks but we had to refer them to transfer 123 Human Rights Watch interview with Anjul, Bhasan Char, Bangladesh, March 20, 2021. 124 Human Rights Watch interviews with health workers on Bhasan Char, details withheld, April 10, 2021. 125 Human Rights Watch interview with Nur Siddique, Bhasan Char, Bangladesh, March 2, 2021. 39 HUMAN RIGHTS WATCH | JUNE 2021