Health Needs in Migrant and Refugee Communities

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

The Patrons of Veracruz provide food for migrants traveling across Mexico. Giacomo Bruno. CC BY-NC-ND 4.0.

 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.

A Crisis of Violence Pushes Honduran Women to the U.S. Border

For women facing rampant femicide and rape in Honduras, the risks of a treacherous trip across the border are minor compared to the dangers of remaining at home.

High rates of violence against women in Honduras has been attributed to a culture of machismo. Paul Lowry via Wikimedia Commons. CC BY-SA 2.0

Yo no quiero ser violada.


I do not want to be raped.

So read the signs plastered across walls and doors in the cities of Honduras. Simple black lettering is inscribed beneath a pair of thickly lashed eyes, with the eyebrows above turned downwards in an expression of anger—or, more accurately, indignation—at the dangerous injustices Honduran women face every day.

Honduras has been called the most dangerous place on Earth to be a woman, and with good reason: As of 2015, the Central American nation ranked alongside war-torn countries like Syria and Afghanistan for the highest rates of violent deaths among women. Although the overall murder rate of Honduras, which has long been wracked by drug- and gang-related violence, has declined in recent years, murder remains the second-leading cause of death for women of childbearing age.

In 2014, a high-profile “femicide”—the murder of a woman because she is a woman—rocked the nation and brought its murder rates into the international spotlight. Nineteen-year-old Miss Honduras winner Maria Jose Alvarado, just days from departing for London to compete for the title of Miss World, was brutally murdered and buried in a shallow grave in a riverbank. Authorities surmised that her sister’s boyfriend, 32-year-old Plutarco Ruiz, shot his girlfriend, Sofia Trinidad, before opening fire on Maria Jose as she attempted to flee. The ensuing investigation yielded the sisters’ bodies within a week, but their mother, Teresa Muñoz, believed it would not have happened at all if Maria Jose had not been famous: “Here in Honduras, women aren’t worth anything,” she told ABC News.

In 2013, the year before Maria Jose’s violent death, statistics showed that 636 women were murdered during the year, one every 13.8 hours. Most victims lived in urban areas, particularly San Pedro Sula and the Central District—in fact, 40 percent of all murders of women could be traced to those two areas. Nearly half of all women targeted annually were young, with the 20–24 age range being the most at risk. And murder is far from the only danger facing Honduran women. Rape, assault, and domestic violence are also rampant, and perpetrators enjoy near-total impunity: In 2014, the UN found that 95 percent of sexual violence and femicide cases were never investigated.

San Pedro Sula, a city with high rates of femicide. Gervaldez. CC BY-SA 4.0, CC BY-SA 3.0, CC BY-SA 2.5, CC BY-SA 2.0, CC BY-SA 1.0

Honduras’ shocking levels of violence against women can be traced in part to harmful attitudes bubbling below the surface. Suyapa Martínez, a local feminist and co-director of the Center for Women’s Studies—Honduras, points to “machismo,” a Spanish term describing a society built by men “who consider themselves to be the owners of women’s bodies.” In such a society, women have historically lacked political power: Only about half of Honduran women work outside the home, and when they do, they earn just half of what their male colleagues bring in.

Meanwhile, those ostensibly tasked with protecting all Honduran citizens—women included—have done little to mitigate the crisis. A 2015 report from the UN special rapporteur on violence against women concluded that the administration has paid “minimal attention” to gender empowerment and implemented only “ineffective measures” to address social reform. And in many cases, the government inflames the problem by limiting women’s options after sexual violence: Emergency contraception is completely banned, as is abortion, even in the case of rape, incest, or threat to the mother’s life. Women who seek abortion can receive a prison sentence of up to six years. These strict rules stem from the stranglehold of the Catholic and Evangelical churches, who have resisted even minor liberalizations to legislation—even after the UN joined with other human rights groups in 2017 to call for the allowance of abortion in cases of rape, incest, or possibility fatality. To make matters worse, the government is expected to decrease the penalty for violence against women later this year to between one and four years in prison.

Trapped in a repressive society and seeing little hope for a safer future, huge influxes of women and children have embarked on the treacherous journey to America’s southern border. In what the UN has called an “invisible refugee crisis,” women from the Northern Triangle—which includes Honduras, El Salvador, and Guatemala—have been fleeing in droves, with more than half listing violence as their reason for requesting entry to the United States. Lori Adams, director of the U.S.-based Immigration Intervention Project at Sanctuary for Families, told Politico, “Women are leaving with no other option but to flee north, even knowing that the journey itself might be life-threatening, but knowing it’s a near certainty that they will be killed if they remain.”

Migration office in Honduras. KriKri01. CC BY-NC-ND 2.0


Yet even if women survive the trek north, their hopes are often dashed when they reach the border. According to researchers at Syracuse University, the percentage of asylum applicants denied by U.S. immigration courts has been increasing since 2012, reaching 65 percent in 2018. That year, prospects for Hondurans were particularly grim, with judges granting just 21 percent of asylum cases. And as of mid-August, new policies from the Trump administration will privilege green-card applicants—immigrants aiming to become naturalized citizens—who are educated and monied while denying those who are considered likely to rely on government welfare programs. Given the financial dynamics of Latin America, the new rule will almost certainly affect Honduran women seeking safety in the United States. Dario Aguirre, a Denver-based immigration lawyer, told the New York Times that Trump’s policy gives officers carte blanche to deny green cards to many working-class immigrants from less developed countries, such as El Salvador, Guatemala and Honduras. Thus, another option is ripped from the hands of already desperate Honduran women—and until the U.S. government or Honduran officials enact substantive change, their eyes will stay wide open like the posters on the walls, watching keenly for danger.






TALYA PHELPS hails from the wilds of upstate New York, but dreams of exploring the globe. As former editor-in-chief at the student newspaper of her alma mater, Vassar College, and the daughter of a journalist, she hopes to follow her passion for writing and editing for many years to come. Contact her if you're looking for a spirited debate on the merits of the em dash vs. the hyphen.







The Threat to America that’s been Growing Inside America

While the Middle East and the border crisis get all the attention, Charlottesville and El Paso remind us that America’s worst threat is right here at home.

White supremacists gathered for the Unite the Right rally in Charlottesville, Virginia. By Anthony Crider. CC by 2.0.

August 12th 2017, fresh out of my first year at the University of Virginia, I sat in front of my TV horrified, watching white supremacists marching through a place I had recently starting calling home. Headlines on every major paper ran with Trump’s quote regarding “fine people on both sides.”

When classes started in the fall, my peers and I returned to Charlottesville deeply unsettled by what had happened on our grounds. Our community was rocked to its core. However, the rest of the world quickly moved on without us.

 The past two years, this weekend has marked a time for remembrance, but also caution and fear in Charlottesville. The dates, August 11th and 12th, have become something of the towns very on 9/11, and the police presence during these two days isn’t easy to ignore. The events that took place to years ago are on our minds, however, not on the mind of the nation.  

The march on Charlottesville was the last time I saw white supremacy dominate all the major headlines, that is, until this weekend’s mass shooting in El Paso. We, as a nation, let ourselves become distracted and forgetful of a real problem that’s been growing in the heart of our country. We can point to how the nation has so eagerly embraced the narrative of the “dangerous outsider” to explain why.  

 A decade ago, the Department of Homeland Security released a report on the growing threat of right wing extremism, correctly predicting “the potential emergence of terrorist groups or lone wolf extremists capable of carrying out violent attacks.” However, this warning was not given serious merit by the Trump administration. President Trump’s transition team made it clear to the DHS that it wanted to focus on Islamic terrorism and reorient programs meant to counter violent extremism to exclusively target international threats like al-Qaeda and ISIL. These Islamic terrorist groups have stayed in the headlines, despite the fact they no longer pose a serious domestic threat. It should come as no surprise that this June the FBI reported a significant rise in white supremacist domestic terrorism in recent months.

 President Trump’s rhetoric has also turned American’s attention away from the alt-right matter at hand, and turned our attention to what he would call an “infestation.” Searching through theTrump Twitter Archive, I failed to find one mention of domestic terrorism, white nationalists or the growing menace they pose to our country. After all, why shouldn’t Trump protect his loyal voter base? It’s no secret that white nationalists are Trump supporters; alt right leaders have even been spotted at his rallies.

President Trump says immigrants “infest” our country. Via Twitter. June 19, 2018.

The president has protected these terrorists by turning the national discussion elsewhere -the southern border. As a result, liberals have kept themselves busy investigating the disgusting conditions of border control centers and “children in cages,” while conservatives call for further border restrictions. These leaves no one time for anyone to wage war against the real domestic threat --white supremacy. 

Trump denounced “racist hate” Monday after the shooting this weekend. He blamed violent video games, mental health and, ironically, internet bigotry from prompting the Dayton and El Paso attacks. He failed to make mention of any real action that might be taken against white supremacist terrorism, let alone endorse gun law reform. 

 Had the attackers been Black, Hispanic or Middle Eastern, the White House would surely be taking extreme action. However, just like during the aftermath of Charlottesville, nothing serious is being done to combat alt-right violence. 

 Now,in light of the two year anniversary, I can’t help but wonder if our country truly took notice of the event that shook our little community two years ago. I still pass by the street where Heather Heyer was killed by a domestic terrorist who drove his car into a crowd of people two years ago. The street, now named Heather Heyer Way, remains adorned with chalk writing, flowers and crosses dedicated to her memory. How many more memorials must we lay in El Paso, and the rest of the world, before we address the white supremacist threat?  






EMILY DHUE is a third year student at the University of Virginia majoring in media. She is currently studying abroad in Valencia, Spain. She's passionate about writing that makes an impact, and storytelling through digital platforms.






Scientists Have Discovered a Large Freshwater Aquifer off the Northeast Coast of the U.S.

The discovery could point to similar reservoirs adjacent to water starved areas.

Photo of Bradley Beach, New Jersey, by Ryan Loughlin on Unsplash.

It’s rare to hear good news on the climate, but occasionally we get lucky. Last month, scientists led by Chloe Gustafson of Comumbia’s Lamont-Doherty Earth Observatory published an article in the Scientific Reports journal. Their discovery? A large freshwater aquifer located off the northeast coast of the U.S.

The possibility of an aquifer was initially discovered during offshore oil drilling in the 1970’s, when oil companies noticed that they occasionally hit pockets of freshwater in the north Atlantic. There was no consensus at the time on whether these were merely isolated areas or if they pointed to something larger. Then, in the late 90’s, Kerry Key, a geophysicist who co-authored the study, began working with oil companies to develop electromagnetic imaging techniques that could help them better examine the sea floor for oil. He later adapted the technology to look for freshwater deposits.

More recently, Key and his colleagues spent 10 days on board a research vessel, charting areas where freshwater had been discovered. “We knew there was freshwater down there in isolated places, but we did not know the extent or geometry,” Chloe Gustafson explained in a press release.

According to the report, the aquifer spans from New Jersey to Martha’s Vineyard, and carries an estimated 670 cubic miles of water lying beneath sponge-like sediment which separates it from the saline ocean water. “These aren’t open caverns or lakes underneath the seafloor,” Gustafson told NBC, “this is water trapped within the pores of rocks, so it’s sort of like a water-soaked sponge.” The reservoir reaches from 600 to 1,200 feet below the seafloor. For comparison, the aquifer carries more than half the water of Lake Michigan.

While the discovery of a large freshwater source is exciting under any circumstance, it is unlikely to have a major impact on access to water in New England, as the area is receives a good amount of rainwater. While the aquifer could be pumped, and the water exported to more arid areas, such efforts would be expensive and unsustainable. Graham Fogg, hydrogeology professor at the University of California Davis, told NBC that “there’s a limit to how much you can pump sustainably. It would take a long time to empty these aquifers, but we wouldn’t want to get to a point where we’ve pumped so much that we’ve exhausted the supply.”

The impact of the study lies in the possibility that such reservoirs could exist off the coasts of drier, more arid places that are prone to water shortage. NBC reports that pointers to the possibility of aquifers have already been found off the coasts of Greenland, South Carolina, and California.

As we experience the effects of climate change, and especially in light of the water shortage in Chennai, this is indeed good news.





EMMA BRUCE is an undergraduate student studying English and marketing at Emerson College in Boston. While not writing she explores the nearest museums, reads poetry, and takes classes at her local dance studio. She is passionate about sustainable travel and can't wait to see where life will take her.