Abstract
An illegal immigrant repeatedly slammed his head against a wall, breaking his neck in three places to avoid being deported. Amadov Nyang, a 34-years-old African, was being held in a cell at Tinsley House immigration removal centre near Gatwick. He is on a ventilator in hospital [1]. Areas of high immigrant population are ideal places for the illegal immigrant to gravitate to as he or she is less likely to stand out or be noticed by skin colour or poor or even non-existent language skills of the host country, creating ghettos of necessity, not choice. Being an illegal they will, of course, be vulnerable to threats of blackmail, coercion, prostitution, violence and resorting to crime to survive as they have no legal way of earning money. As such they are at high risk of being arrested and it is at this time that their immigrant status emerges. Illegals fear any contact with officialdom, including the NHS. The examining forensic physician is frequently faced with their considerable medical problems often including TB and HIV for which they have, as yet, sought no help. There are now many such areas in large towns in the UK with identical problems. The forensic physician is increasingly drawn into the decision of whether the prisoner is fit to detain and charge, as is more often the case, as well as whether they are fit to be deported by air having been served with a deportation order. After all the legal avenues, including the Human Rights Act, [2] have been exhausted, then under the Immigration, Asylum and Nationality Act 2006, under paragraph 10, schedule 2, there is authority to remove [3].
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