Abstract

A series of Médecins Sans Frontières projects for irregular migrants over the past decade have consistently documented high rates of 14 physical and sexual trauma, extortion and mental illness amidst severe healthcare, food, and housing limitations. Complex interventions were needed to begin to address illness and barriers to healthcare and to help restore dignity to the most vulnerable women, children and men. Promising interventions included mobile clinics, use of cultural mediators, coordination with migrant-friendly entities and NGOs and integrating advocacy programs and mental health care with medical services. Ongoing interventions, research and coordination are needed to address this neglected humanitarian crisis.

Highlights

  • A series of Médecins Sans Frontières projects for irregular migrants over the past decade have consistently documented high rates of 14 physical and sexual trauma, extortion and mental illness amidst severe healthcare, food, and housing limitations

  • Correspondence/findings Up to 20% of 232 million international migrant women, children and men are vulnerable to illness and death as refugees or undocumented migrants [1]

  • Along with drownings in the Mediterranean and South Asia seas, asylum seekers and undocumented migrants face increased gross insecurity; for example, in Central America violence, drug wars and extortion have become intertwined with migration

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Summary

Introduction

A series of Médecins Sans Frontières projects for irregular migrants over the past decade have consistently documented high rates of 14 physical and sexual trauma, extortion and mental illness amidst severe healthcare, food, and housing limitations. Along with drownings in the Mediterranean and South Asia seas, asylum seekers and undocumented migrants face increased gross insecurity; for example, in Central America violence, drug wars and extortion have become intertwined with migration. Walls paradoxically put people who are migrating in even more precarious living and healthcare situations without security and access to water, food, and shelter [3].

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