GlaxoSmithKline Vaccines CARICAM, Panama City, Republic of Panama.
Sistema Nacional de Investigación, SNI-Senacyt, Panama City, Republic of Panama.
Am J Trop Med Hyg. 2023 Jul 24;109(3):515-519. doi: 10.4269/ajtmh.22-0765. Print 2023 Sep 6.
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.
许多来自贫困国家的人正在穿越南美洲和中美洲前往美墨边境,这种迁移现象因 COVID-19 大流行而加剧。从南美洲开始北上之旅的移民必须穿越一个重要的地理瓶颈,即达连地峡,这是哥伦比亚和巴拿马之间的山区雨林地区。大多数穿越该地区的移民来自古巴、海地和委内瑞拉。其他人从西非和中非、或中亚和东南亚抵达南美洲国家的海岸,并继续前往达连地峡。贫困和暴力迫使有孩子的家庭逃离家园,并在前进的道路上承受着难以估量的风险。与家人一起或作为无人陪伴的未成年人穿越达连地峡的儿童面临危及生命的情况和侵犯人权的行为,包括虐待、剥削、营养不良和有限的医疗服务。除了经历未经治疗的疾病外,儿童在迁移期间和到达目的地后因受害和经历不良创伤而出现心理健康障碍。因此,在移民到达目的地时为他们提供快速医疗筛查和心理健康支持对于减少健康不平等至关重要。此外,在过境期间提供这些干预措施并确保其安全可能会防止儿童和家庭遭受进一步的侵犯人权行为。拉丁美洲各国政府必须通过提供基本医疗服务并保护儿童和弱势群体的权利和安全,来解决移民在整个移民过程中所经历的人道主义危机。