The Endless Vulnerability of Migrant Children In-Transit across the Darién Gap

Author:

Naranjo Laura12,Williams Yesenia3,Levy Jacqueline3,Obando Rosela4,González José A.5,Pachar Mónica67,Chen Roderick8,Franco-Paredes Carlos910,Higuita Nelson Agudelo11,Henao-Martínez Andrés12,Diaz Yamilka8,Suárez José A.21314

Affiliation:

1. GlaxoSmithKline Vaccines CARICAM, Panama City, Republic of Panama;

2. Sistema Nacional de Investigación, SNI-Senacyt, Panama City, Republic of Panama;

3. Hospital de Niños José Renán Esquivel, Panama City, Republic of Panama;

4. Caja del Seguro Social, Panama City, Republic of Panama;

5. Hospital Irma De Lourdes Tzanetato, Panama City, Republic of Panama;

6. Hospital Santo Tomás, Panama City, Republic of Panama;

7. Hospital Oncológico, Panama City, Republic of Panama;

8. Instituto Conmemorativo Gorgas, Panama City, Republic of Panama;

9. Hospital Infantil de México, Federico Gómez, Mexico DF, Mexico;

10. Department of Microbiology, Immunology, and Pathology, Colorado State University, Fort Collins, Colorado;

11. Department of Medicine, Section of Infectious Diseases, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma;

12. Department of Medicine, Division of Infectious Diseases, University of Colorado, Anschutz Medical Campus, Aurora, Colorado;

13. Facultad de Ciencias Exactas, Universidad de Panama, Panama City, Republic of Panama;

14. Facultad de Ciencias de la salud, Uisek, Ecuador

Abstract

ABSTRACT. Many people from poverty-stricken countries are migrating across South and Central America to reach the México–United States border, a movement exacerbated by the COVID-19 pandemic. Migrant people who begin their northbound journey in South America must transit across a significant geographic bottleneck, the Darién Gap, a mountainous rainforest region between Colombia and Panama. Most migrant people crossing this region originate from Cuba, Haiti, and Venezuela. Other people reach the shores of South American countries from west and central Africa or central and southeastern Asia and continue to the Darién Gap. Poverty and violence drive families with children to flee their homes and endure incalculable risks in their path. Children traveling with their families or as unaccompanied minors across the Darién Gap are exposed to life-threatening situations and human rights violations, including abuse, exploitation, malnourishment, and limited access to medical care. In addition to experiencing untreated medical illnesses, children experience mental health disorders during migration and after they reach their destination as a result of victimization and adverse traumatic experiences. Therefore, providing migrants, especially children, with rapid medical screenings and mental health support when they arrive at their destination is critical to reduce health inequities. Furthermore, making these interventions available during their transit and ensuring their safety may prevent further human rights abuses in children and families. Latin American governments must address the ongoing humanitarian crisis endured by migrants throughout their migratory path by offering access to essential healthcare services and safeguarding the rights and security of children and vulnerable groups.

Publisher

American Society of Tropical Medicine and Hygiene

Subject

Virology,Infectious Diseases,Parasitology

Reference30 articles.

1. Telling tales: child migration and child trafficking;O’Connell Davidson,2013

2. The UCL–Lancet Commission on Migration and Health: the health of a world on the move;Abubakar,2018

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