World Health Day

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World Health Day

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US-Mexico relations and their impact on migrant safety

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El Paso: Safe Haven

International Discord, Policy Change, and Crisis Abroad 
 

In 2022, there has been a record-breaking surge in migration. This significant influx has even shaken the USA and especially Southern Border states. The surge can be related to a multitude of issues that add further complexity to this already growing crisis. 

To begin, the lifting restrictions of COVID-19 has encouraged more to cross the border, as well as the ‘supposed’ termination of Title 42 on December 21, 2022. However, the Supreme Court decided to extend Title 42 just days before it was meant to end, despite the fact that this policy is in gross violation of international refugee law, as it facilitates discriminatory denials of access to asylum based on nationality and race. Furthermore, Title 42 allows border control to deport immigrants to Mexico or their home countries without verifying whether migrants would be safe to return. Many are forced into Juarez, one of the most dangerous cities in Mexico, especially for women where the rate of femicide has doubled in past years. 

Title 42 is also being attributed to the huge influx of unaccompanied minors. Many families have sent their children alone across the border since Biden’s ruling that minors would be excluded from the policy in hopes that they might finally find safety across the border. 

Despite the fact that Title 42 has been extended, many remain unaware or feel they have no choice but to try and cross the border as the circumstances at home are simply too precarious. The majority of migrants are coming from Venezuela, Ecuador, El Salvador, Haiti, Nicaragua, and Cuba. People are fleeing from oppressive governments, gang violence, poverty, and climate disasters. As a result, the US has seen a radical increase in immigration, with 2.76 million people crossing the border in 2022, breaking the previous annual record of more than 1 million.

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International Migrants Day: Influx of Unaccompanied Minors along the US Southern Border

How can the USA do better? 

The journey to the USA can already be incredibly traumatic for young children, who may have been exposed to violence and exploitation along the way. It is of the utmost importance that once they are put into U.S. custody, that further harm or trauma is prevented and that they receive care that they deserve. There are several parts of the U.S. immigration system that must be torn down and rebuilt. 

The CBP first and foremost must be held accountable for their actions. Over the years there have been numerous reports of physical violence, corruption, and verbal abuse at the hands of border patrol agents towards migrants across all ages. There must be stronger vetting of agents and any reports of abuse must be dealt with immediately, removing the agent from the field while an investigation is carried out. 

The U.S. government’s criminalization of entering or reentering the country without authorization has also led to a multitude of issues, including mass incarceration. The U.S. government jails more than 50,000 immigrants each day at a more than $3 billion annual cost to taxpayers. Mass detention centers, like the ones used for UAC, are incredibly expensive and riddled with corruption, abuse and neglect. Many investigations have repeatedly found evidence that detention centers are riddled with human rights abuses and should be phased out completely.

Experts argue that a community-based approach would be a much more progressive and cost-effective solution. Rather than spending billions on detention centers, the federal government could subsidize NGOs and community-led organizations to run safe, secure migrant programs. There already exists a broad array of community support services that can ensure that migrants receive the help they need on a variety of issues: legal, housing, transportation, social and medical services. In fact, Doctors of the World runs a border health clinic in collaboration with a local university and NGOs to provide essential health care to migrants.

At Doctors of the World, we have long fought for the rights of migrants, in the USA and abroad. Unaccompanied minors, as well as migrants of all ages, deserve better care than what they currently receive from the U.S. government. The current migration system is one that is fueled by fear and profit at the expense of migrants’ safety and wellbeing. Serious policy changes must be made to ensure that migrants rights are respected and that they receive a fair process in their court trial. Special care must be given to UACs, who are even more vulnerable to exploitation, abuse, and long-term trauma. It’s time that the USA drops its rhetoric against migrants, and recognizes them as human beings. 
 
Sources
Children on the Run – Full Report 
U.S. Detention of Child Migrants | Council on Foreign Relations
Nearly 130,000 unaccompanied migrant children entered the U.S. shelter system in 2022, a record – CBS News
This is what happens to child migrants found alone at the border, from the moment they cross into the US until age 18
U.S. shelters received a record 122,000 unaccompanied migrant children in 2021 – CBS News
 
Photography: 
Olivier Papegnies 
MdM Spain 

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International Migrants Day: Influx of Unaccompanied Minors along the US Southern Border

How can the USA do better? 

The journey to the USA can already be incredibly traumatic for young children, who may have been exposed to violence and exploitation along the way. It is of the utmost importance that once they are put into U.S. custody, that further harm or trauma is prevented and that they receive care that they deserve. There are several parts of the U.S. immigration system that must be torn down and rebuilt. 

The CBP first and foremost must be held accountable for their actions. Over the years there have been numerous reports of physical violence, corruption, and verbal abuse at the hands of border patrol agents towards migrants across all ages. There must be stronger vetting of agents and any reports of abuse must be dealt with immediately, removing the agent from the field while an investigation is carried out. 

The U.S. government’s criminalization of entering or reentering the country without authorization has also led to a multitude of issues, including mass incarceration. The U.S. government jails more than 50,000 immigrants each day at a more than $3 billion annual cost to taxpayers. Mass detention centers, like the ones used for UAC, are incredibly expensive and riddled with corruption, abuse and neglect. Many investigations have repeatedly found evidence that detention centers are riddled with human rights abuses and should be phased out completely.

Experts argue that a community-based approach would be a much more progressive and cost-effective solution. Rather than spending billions on detention centers, the federal government could subsidize NGOs and community-led organizations to run safe, secure migrant programs. There already exists a broad array of community support services that can ensure that migrants receive the help they need on a variety of issues: legal, housing, transportation, social and medical services. In fact, Doctors of the World runs a border health clinic in collaboration with a local university and NGOs to provide essential health care to migrants.

At Doctors of the World, we have long fought for the rights of migrants, in the USA and abroad. Unaccompanied minors, as well as migrants of all ages, deserve better care than what they currently receive from the U.S. government. The current migration system is one that is fueled by fear and profit at the expense of migrants’ safety and wellbeing. Serious policy changes must be made to ensure that migrants rights are respected and that they receive a fair process in their court trial. Special care must be given to UACs, who are even more vulnerable to exploitation, abuse, and long-term trauma. It’s time that the USA drops its rhetoric against migrants, and recognizes them as human beings. 
 
Sources
Children on the Run – Full Report 
U.S. Detention of Child Migrants | Council on Foreign Relations
Nearly 130,000 unaccompanied migrant children entered the U.S. shelter system in 2022, a record – CBS News
This is what happens to child migrants found alone at the border, from the moment they cross into the US until age 18
U.S. shelters received a record 122,000 unaccompanied migrant children in 2021 – CBS News
 
Photography: 
Olivier Papegnies 
MdM Spain 

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Call for the end of Title 42, a cruel U.S. policy against Asylum Seekers

Doctors of the World USA condemns the recent extension of Title 42 expulsions at the U.S. southern border, despite the CDC’s stated position that the order should be lifted.
Title 42 has been used since 2020 by U.S. authorities to block and expel asylum seekers and other migrants from the United States under the guise of a pandemic mitigation measure. This decision endangers the lives of men, women and children who have a legal right to seek asylum and who are no more likely than anyone else in the country to carry disease.
Read the letter written by a group of public health experts, including Ron Waldman, Board President of Doctors of the World USA, urging the Biden administration to cease expansions to Title 42 and its subversion of public health to advance immigration control objectives.
© Christian Chavez / Associated Press
 
 
 

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Doctors of the World: Community Approach to Health and Wellbeing

Democratic Republic of Congo 
Political turmoil, as well as chronic conflicts and humanitarian crises due to insecurity and violence, has deeply impacted the wellbeing of many in the Democratic Republic of Congo. The additional environmental hazards, including flooding and volcanic activity, has put many at risk without any access to care. In certain regions, the violence against civilians and the cases of human rights violations have increased significantly since 2020. The cases of gender-based violence have also increased by 73% since the previous year. 

In Kinshasa, the capital city of DRC, DotW has partnered with the local NGO Afia Mama. This NGO is a prominent figure at the community level and uses its platform to advocate for human rights and better sexual reproductive health (SRH), especially for women facing unwanted pregnancies. 

Through its partnership with Afia Mama, DotW has formulated a program that strengthens the supply of health services based on an approach adapted to young people, community mobilization, and advocacy, for legal access to family planning services. It is a staunch supporter of the Maputo Protocol, an international agreement that guarantees women’s rights, including  social and political equality with men, and improved autonomy in their health decisions and the termination of female genital mutilation. The program also works to bring schools together, to inform adolescents about their SRH and raises awareness about risks associated with clandestine abortions. Its primary goal is to reduce mortality linked to unsafe abortions that occuring in these communities. 

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World Refugee Day 2022

 
 
 
 
This holds true for all asylum seekers and refugees. However, many refugees from other countries as well as third state nationals or stateless people from Ukraine often do not enjoy the same access to fundamental rights and services. Now, it is time for governments to show that they do not distinguish between human beings in need according to their origin, gender, religion, or the color of their skin. No hierarchy must be put between people seeking protection. The right not to be discriminated against is enshrined in several international human rights treaties and the 1951 Refugee Convention specifically prohibits discrimination between refugees based on race, religion, or country of origin.

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Interview with Bashar Kailani: Field Coordinator in Ukraine

Before you came to Ukraine, you worked with Doctors of the World/Médecins du Monde in Syria. Did that experience help you for your work in Ukraine?
The Syrian experience did teach me a lot of things about how to handle the situation. I didn’t have the same feeling of panic that a person might feel who has not been exposed to that kind of situation before. You become much calmer with experience. This helped me a lot during the evacuation. It wasn’t a surprise, of course, but the steps in my head were very clear.
Could you talk a bit about the challenges when evacuating the team? 
The most intense part of that trip was the part from Dnipro to Vinnytsia. All the gas stations that had fuel had huge queues, and you could only get 20 liters at a time. But I had that in mind from the Syrian experience. So I had my tank full, I was ready to go. We had enough water, we had enough food supplies for the road and the most essential files that we needed to keep with us, employment files for example. We had to take many detours, because of shelling and information about airstrikes. At some point, we were really low on fuel. The most intense moments were when you saw those jet fighters on top of your head, some of them very close to you. You could see the black smoke from the locations that had been attacked
You initially evacuated the team to Romania. Was it difficult to cross the border?
When we were trying to evacuate from Chernivtsi to Romania, there was a line of vehicles that was almost 12 km long. We had an SUV, so we were also able to go off-road a little bit and take a detour. When we came to another crossing, we saw hundreds of pedestrians, mostly Indian and African students. They were not allowed to cross the border. It was freezing cold. The small supermarkets and restaurants in the areas had mostly run out of food. But non-Ukrainians were also denied using the washrooms, even a cup of tea. Some of them had to light fires in the nearby woods to stay warm. Our team, the medical coordinator, the translator, the general coordinator, and I waited about 16 to 18 hours to cross. Sleeping in the car during the night, I was awoken by border guards apparently firing into the air to keep people from crossing by force. 
Now you’re back in Ukraine, among other things, working on supplying hospitals and health centers with badly needed medical supplies. Can you explain why this is such a difficult and sometimes long process?
There are some hospitals that cannot get their medical supplies, although they bought them. They just sit in the warehouses somewhere because the war has interrupted the supply chain. Some contractors’ trucks have been destroyed, some use fuel that is rare to find, some routes have become longer, so now there is a higher price rate. Some truck drivers have also left the country or are unwilling to go to certain locations. Then there are the highways. Many of them are just one or two-way roads and there are a lot of traffic jams – also because of the massive IDP movement in some areas. A trip that would normally take about eight hours can take you twice as long.
How does MdM manage to support health facilities with medical supplies, nevertheless?
To overcome these challenges, you need to build a big network with lots of private contractors or suppliers and lots of community-based organizations. For example, we have supported a hospital in Donetsk oblast to get lifesaving items to carry out dialysis from Kiev. The hospital purchased the items before the war was declared, but because of the war the supplier could not deliver. So we identified a transport company that was willing to pick up the items from the warehouse in Kiev and bring them to Donetsk.

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