Lack of access to health care, trauma, and poor living conditions all contribute to public health concerns of migrant populations.

 Over the years of the Trump Administration, stories of maltreatment of migrants either at the border, or well-established in country, keep surfacing. This pattern is mirrored in other countries around the world, often with a large anti-immigration rhetoric. In the US, this has stemmed from a dislike and distrust of illegal immigrants but often spreads to legal migrants and refugees as well, at a huge health cost to those trying to enter.

 Trump’s policies to reduce numbers crossing the Mexican border include a, now revoked, policy to separate children from their families and a Remain in Mexico policy that prevents migrants from entering the US while waiting for asylum cases. With this policy over 50,000 migrants have been sent to wait in Mexico. They now live in overcrowded camps with limited access to health care. NGOs struggle to keep up with increasing numbers and problems such as clean water and waste management. US policies are supposed to allow children and those ill or pregnant to remain in the States, but this policy is often ignored.

Once in the US, it is still difficult to access care. Detention centers are overcrowded and trauma from being separated from family can lead to many mental health issues. Migrants are not covered by government programs and have to seek health care through out-of-pocket costs or community health and non-profit organizations. Language and fear limit many from getting care when something might be wrong. Poor migrant working conditions and food insecurity have lasting impacts on migrant health once in the country.

 Australia has had similar policies to deter migrants by sending them to wait for asylum on nearby pacific islands where resources are lacking. In 2018, there were almost 1500 detained in Nauru and Papua New Guinea. Health organizations working on the islands found a massive mental health crisis with one third of the 208 people treated on Nauru having attempted suicide. It was found that in the 2017-2018 financial year, the Australian government spent over $320,000 fighting medical transfer requests.

 The US and Australia have showcased how inhumane policies surrounding immigration comes at a great health cost. But the majority of refugees and migrants, aren’t in the US and Australia, they are in countries neighboring conflict. In fact, 86% of migrants are in developing countries. Jordan has been extremely generous with accepting refugees from neighboring countries but a large influx during the Syrian Civil War is straining Jordan’s ability to provide. In 2018, they had to increase the cost of medical treatment for refugees, which before 2014 was free, now leaving most refugees unable to cover basic health costs.

 The World Health Organization is working to try to make sure migrant health needs are met but with 258 million international migrants, 68 million of which are refugees, it is not an easy job. 

DEVIN O’DONNELL’s interest in travel was cemented by a multi-month trip to East Africa when she was 19. Since then, she has continued to have immersive experiences on multiple continents. Devin has written for a start-up news site and graduated from the University of Michigan with a degree in Neuroscience.