At least 10,000 asylum seekers and refugees in Italy are living in precarious conditions outside the reception system, without assistance from authorities and with limited access to medical treatment, according to a new report by international medical organisation Medécins Sans Frontières/Doctors Without Borders (MSF), "Out of Place. Asylum seekers and refugees in Italy: informal settlements and social marginalisation." Based on research carried out in 2015, the report details the unacceptable conditions in which thousands of people are living in dozens of informal sites which have sprung up around the country. Most are asylum seekers and holders of international protection – and therefore legally present in the country – who have been forced to live in these conditions for months, and sometimes years, due to the inadequacies of Italy’s reception system and social integration policies.