The European Court of Human Rights (ECtHR) has granted an urgent interim measure pursuant to Article 39 of the Rules of Court in the cases C.N. v. Greece (Application no. 32683/22) and R.M. v. Greece (Application no. 32755/22). The cases concerned two people, represented by I HAVE RIGHTS (IHR), with Hepatitis B who for months were denied urgent medical treatment. 

Due to the Court’s intervention, Greece arranged and funded the beneficiaries’ transfer to the mainland to receive urgent medical treatment. Without the Court’s intervention, it is likely that the authorities would have continued to leave them abandoned on Samos, without access to urgent medical treatment. 

In addition to the impact that this case has had on our beneficiaries, the interim measure may be of wider significance for at least three reasons:


in 2022, the authorities stopped conducting “organised transfers” from Samos, a term which refers to the practice of the authorities arranging and funding the transfer of vulnerable people from Samos to the mainland, often to receive urgent medical attention not available on the island. Yet, due to the Court’s intervention, Greece conducted an organised transfer for the applicants. IHR is hopeful that this and future litigation may force the authorities to return to conducting organised transfers for all who need them, not just those with cases at the ECtHR. 


both the applicants had the legal right to leave the island as their “geographical restriction” had been lifted months before. In contrast to 2018-2021, the authorities have been more lenient with lifting the geographical restrictions of people who need medical treatment on the mainland. Yet, as argued by IHR in the case, the lack of organised transfer from Samos leaves people with geographical restrictions in all but name as they are unable to relocate to the mainland due to their lack of resources. The ECtHR, in granting the interim measure, appears to have accepted the argument that legal status alone cannot be relied upon by the authorities to fulfil their obligations. Instead, practical and material provisions must also be considered when evaluating people’s real access to medical treatment. 


neither of the applicants to the case are legally considered to be asylum seekers by the Greek authorities. One is a recognised refugee and the other has a limited no-deportation status pending the appeal of their subsequent application. Despite their different legal statuses, the Court has still found that Greece has an obligation to provide them with access to specialist medical professionals and required treatment. For the applicant with a no-deportation status, this is of particular interest as typically such people are denied access to medical treatment as they no longer have a healthcare number (PAAYPA). 

While we are delighted that the European Court of Human Rights has granted an urgent interim measure in favour of the Applicants, there are many others who are stuck in a similar position – they have the legal right to leave Samos to receive urgent medical care, yet due to the lack of support from the authorities they are practically unable to do so. To fulfil its human rights obligations, we call on the Greek authorities to immediately resume organised transfers from the islands.

Ella Dodd, Legal Coordinator, I HAVE RIGHTS

Click here to read the full document of the decision.