to highlight several weaknesses and gave three recommendations. October 2017 – present: The Brisbane firm Canstruct International contract signed a contract with the Australian Government, initially worth over $591 million. The company made more than $43m profit it its first financial year (ending 30 June 2018). It was intended that control should be handed over to a Nauruan Government commercial entity, the Nauru Regional Processing Centre Corporation on 31 October, but the date was pushed forward. At the time of the handover to Canstruct, the company had assets of $8. In the financial year ending mid-2021, Canstruct made a profit of , which works out to over $500,000 for each detainee (then fewer than 200). Conditions and human rights issues On 19 July 2013 there was a major riot in the detention centre. Several buildings were destroyed by fire, and damage was estimated at $60 million. Hunger strikes and self-harm, including detainees sewing their lips together, have been reported at the facility, as well as at least two people setting themselves on fire. Attempted suicides were also reported. Medical staff have been provided by International Organization for Migration. An overwhelming sense of despair has been repeatedly expressed by detainees because of the uncertainty of their situation and their remoteness from loved ones. In 2013, a veteran nurse described the detention centre as "like a concentration camp". In 2015, several staff members from the detention centre wrote an open letter claiming that multiple instances of sexual abuse against women and children had occurred. The letter claimed that the Australian government had been aware of these abuses for over 18 months. This letter added weight to the Moss review which found it possible that "guards had traded marijuana for sexual favours with asylum seeker children". In 2018, reports of children engaging in self-harm and attempting suicide drew attention back to the conditions at the centre. Children as young as eight were documented as exhibiting suicidal behaviours, and an estimated 30 children were described as suffering from resignation syndrome, a progressive, deteriorating psychiatric condition that can be fatal. Extreme trauma experienced both in their country of origin and in their daily lives at the camp, coupled with a sense of hopelessness and abandonment, are thought to have contributed to the onset of this condition. Media access Media access to the island of Nauru, and the Regional Processing Centre in particular, is tightly controlled