Spectrum of migrants to EU is changing. The aim of this letter is to assess the necessary change of psychological and social attitude to the new wave of migrants. Table 1 shows changes of the spectrum of the nationality of migrants to Lesbos UNHCR. Situation has substantially changed within last 3 years, when in 2015 and 2016 Syrian and Iraqui refugees were prevalent .In 2019 Afghaistan and Sub-Saharan Africa are in more than 50% of all residents of the Camp. Therefore psychological, social and medical approach must be modifyed from previous operations.