Refugees who have refused to leave an Australian-run detention centre in Papua New Guinea are struggling with acute health problems, advocates say.
Over the weekend, one refugee collapsed from heart pain and had to wait more than four hours before being taken to hospital, activists said.
The hospital lacked the equipment to treat him and sent him back, they said.
About 600 men have gone for days without electricity, food and running water at the Manus Island centre.
The centre was closed on 31 October, but many of the men have refused to leave or relocate to a new centre, due to fears of attacks from locals.
Most of the men have been classified as refugees. Lawyers for the men have filed a case with a PNG court and are arguing for the centre's basic services to be reinstated.
On Monday, Human Rights Watch said: "Some of the refugees and asylum seekers have acute medical needs that are not being met… The situation at the Manus centre continues to be dire with little food and water."
They argued that a new centre opened for the refugees was not safe, as "refugees and asylum seekers have been repeatedly robbed and assaulted in Lorengau town, with little action taken by police."
Meanwhile, an advocacy group, the Asylum Seekers Resource Centre, said it had set up a response team of doctors and specialists to administer medical advice to the men over the phone.
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