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Only male prosecutors are deployed to Canan Membrillo.[244] Since August 2022, the Ministry of Health has deployed a doctor, a nurse, and a nursing technician.[245] However, they have at times run out of medicines.[246] Migrant Reception Stations As part of its controlled flow strategy, the Panamanian government established several migrant reception stations (Estaciones de recepcin migratoria, ERM) to temporarily shelter migrants and asylum seekers.[248] The ERMs are managed under regulations included in the Temporary Accommodation Management Manual adopted in March 2019.[249] The manual was adopted with support from IOM but humanitarian organizations told Human Rights Watch that it has become outdated given the changes in the mixed populations arriving in Panama, including the high numbers and the abuses people face crossing the Gap.[250] The ERMs were designed to provide a response to an emergency, but the situation now appears to have become more permanent, humanitarian workers said.[251] International standards developed by the UNHCR and IOM-led Global Camp Coordination and Camp Management Cluster require camps to provide a dignified environment that is safe and secure from harm or violence and physically, socially and culturally appropriate.[252] Camp planning should, in addition, anticipate longer-term needs, expansion and unexpected eventualities.[253] In Panamanian ERMs, deteriorated housing structures, lack of lighting, insufficient separation between latrines and showers for men and women, and lack of properly staffed health centers endanger migrants and asylum seekers