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Medical and humanitarian harms of restrictive European migration policies | Collections | MSF Science Portal
Medical and humanitarian harms of restrictive European migration policies

Medical and humanitarian harms of restrictive European migration policies

Conflict, persecution, poverty, food insecurity and natural disasters—increasingly fueled by climate change—continue to drive migration globally. Yet many wealthy countries are doubling down on hostile policies to prevent people from seeking safety within their borders, thereby subjecting them to a wide range of harms.

In a newly-published report MSF focuses on European Union and member state policies that intensify exposure to violence, exploitation, risk of drowning at sea, disease, and lack of access to basic health care and shelter, both within European Union borders and beyond.

The Collection linked below presents this report alongside selected publications illustrating the broader context, based on quantitative studies and accounts from MSF patients and medical teams over nearly a decade of operational experience along the European migration route. From violent, squalid detention centers in Libya— where people intercepted by the EU-supported Libyan coast guard are forcibly returned —to perilous Mediterranean crossings in flimsy rubber boats and often abysmal reception centers and camps within the EU, it documents how these policies and practices further harm highly vulnerable people seeking safety and protection.

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World NTD Day

World NTD Day

Neglected tropical diseases (NTDs) impact nearly 1.7 billion people each year, causing serious illness or lifelong disability among many—often leading to stigma and exclusion—and killing an estimated 200,000. The vast majority of sufferers live in the world’s poorest countries.


The World Health Organization’s NTD roadmap 2021-2030 aims to address 20 tropical diseases through prevention, control, elimination, and/or eradication. But despite some progress, reaching all its targets will take better, far more accessible diagnostics and treatments along with more robust strategies, political commitment and resources.


To mark World NTD Day, this collection spotlights work by MSF and collaborators on improving approaches to snakebite envenoming, kala azar and noma. One study presents an innovative artificial intelligence-based snakebite diagnostic tool, while others evaluate shorter, less toxic drug regimens or different models of care. Several commentaries advocate for national/regional strategies adapted to contexts ranging from remote villages to active conflict zones. Another crucial factor is the climate crisis, which is intensifying the transmission and geographic spread of many NTDs.

Combatting antimicrobial resistance

Combatting antimicrobial resistance
Mini-Lab—MSF's simplified bacteriology laboratory for low-resource settings

Mini-Lab—MSF's simplified bacteriology laboratory for low-res...
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Antimicrobial resistance is a growing public health crisis, especially in countries with fragile health systems, population displacement or ongoing conflict. In 2019 antibiotic-resistant bacteria directly caused an estimated 1.27 million deaths, and contributed to 4.95 million deaths, tolls that will continue to increase if no effective action is taken.


MSF’s approach to combatting antimicrobial resistance combines three pillars: infection prevention and control, microbiology and surveillance, and rational use of antibiotics via antibiotic stewardship. Several studies characterize patterns and prevalence of antibiotic resistance among MSF patients, from civilians wounded in Middle East conflicts to hospitalized neonates in Central African Republic and Haiti. New technologies developed by MSF and partners are expanding local capacity for rapid, accurate laboratory diagnosis of infections, so that clinicians can prescribe the right antibiotic for each patient. Other work assesses the practices and challenges related to optimizing rational antibiotic use within health facilities and communities.

If you're interested in learning more about MSF's work in antimicrobial resistance, view the full list of MSF's publications on the topic.

Resistance to antibiotics is a growing public health crisis, especially in countries with fragile health systems and in regions at war. One key limitation in most of these settings is a lack of clinical bacteriology laboratory capacity, which leaves medical providers without ways to accurately diagnose patient infections and to tailor antibiotic treatment accordingly. To help fill this critical gap, MSF and partners have developed the Mini-Lab—a small-scale, standalone lab that is easy to transport, set up and operate by staff after only a short training. Its six modules are stocked with everything needed to diagnose common bloodstream and urinary tract infections and to perform antibiotic sensitivity testing using methods adapted to extremely hot climates and remote settings. With Mini-Lab now being rolled out to selected MSF projects, here we highlight the background to its development and some of the research behind the bacteriological tests it incorporates.
Technical Report
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Policy Brief

Death, despair and destitution: the human costs of the EU’s migration policies

Benvenuti B, Marshall-Denton C, McCann S, MSF (Médecins Sans Frontières)
2024-02-21
2024-02-21
This report considers the health and humanitarian consequences of violent policies and practices on people moving along EU migration routes. It details findings from MSF medical humanita...
Journal Article
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Research

Health conditions of migrants, refugees and asylum seekers on search and rescue vessels on the central Mediterranean Sea, 2016-2019: a retrospective analysis

Van Boetzelaer E, Fotso A, Angelova I, Huisman G, Thorson T,  et al.
2022-01-11 • BMJ Open
2022-01-11 • BMJ Open
OBJECTIVES
This study will contribute to the systematic epidemiological description of morbidities among migrants, refugees and asylum seekers when crossing the Mediterranean Sea.
Journal Article
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Research

A qualitative exploration of post-migration stressors and psychosocial well-being in two asylum reception centres in Belgium

Whitehouse K, Lambe E, Rodriguez S, Pellecchia U, Ponthieu A,  et al.
2021-08-01 • International Journal of Migration, Health and Social Care
2021-08-01 • International Journal of Migration, Health and Social Care
PURPOSE
Prolonged exposure to daily stressors can have long-term detrimental implications for overall mental health. For asylum seekers in European Union transit or destination count...
Journal Article
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Research

Health of migrants, refugees and asylum seekers in detention in Tripoli, Libya, 2018-2019: Retrospective analysis of routine medical programme data

Kuehne A, Van Boetzelaer E, Alfani P, Fotso A, Elhammali H,  et al.
2021-06-04 • PLOS One
2021-06-04 • PLOS One
Libya is a major transit and destination country for international migration. UN agencies estimates 571,464 migrants, refugees and asylum seekers in Libya in 2021; among these, 3,934 peo...
Journal Article
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Commentary

EU migration policies drive health crisis on Greek islands

Orcutt M, Mussa R, Hiam L, Veizis A, McCann S,  et al.
2020-02-01 • Lancet
2020-02-01 • Lancet
Restrictive migration policies that deny migrants and asylum seekers their right to health—a fundamental right enshrined in universal human rights declarations and treaties since 1948—ar...
Journal Article
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Research

"I prefer dying fast than dying slowly", how institutional abuse worsens the mental health of stranded Syrian, Afghan and Congolese migrants on Lesbos island following the implementation of EU-Turkey deal

Eleftherakos C, van den Boogaard W, Barry D, Severy N, Kotsioni I,  et al.
2018-09-05 • Conflict and Health
2018-09-05 • Conflict and Health
BACKGROUND
In 2015 and early 2016, close to 1 million migrants transited through Greece, on their way to Western Europe. In early 2016, the closure of the “Balkan-route” and the EU/T...
Journal Article
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Research

"I feel like I am less than other people": Health-related vulnerabilities of male migrants travelling alone on their journey to Europe

Arsenijević J, Burtscher D, Ponthieu A, Severy N, Contenta A,  et al.
2018-07-01 • Social Science and Medicine
2018-07-01 • Social Science and Medicine
During 2015 and 2016, an unprecedented flow of approximately 800,000 migrants coming from Turkey towards Western Europe crossed the Balkans. Male migrants are perceived as being less vul...
Journal Article
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Research

Syrian refugees in Greece: experience with violence, mental health status, and access to information during the journey and while in Greece

Ben Farhat J, Blanchet K, Juul Bjertrup P, Veizis A, Perrin C,  et al.
2018-03-13 • BMC Medicine
2018-03-13 • BMC Medicine
BACKGROUND
Since 2015, Europe has been facing an unprecedented arrival of refugees and migrants: more than one million people entered via land and sea routes. During their travels, r...
Journal Article
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Commentary

Migrants caught between tides and politics in the Mediterranean: an imperative for search and rescue at sea?

Zamatto F, Argenziano S, Arsenijević J, Ponthieu A, Bertotto M,  et al.
2017-09-14 • BMJ Global Health
2017-09-14 • BMJ Global Health
Journal Article
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Research

A crisis of protection and safe passage: violence experienced by migrants/refugees travelling along the Western Balkan corridor to Northern Europe

Arsenijević J, Schillberg EBL, Ponthieu A, Malvisi L, Ahmed AO,  et al.
2017-04-16 • Conflict and Health
2017-04-16 • Conflict and Health
BACKGROUND
Pushed by ongoing conflicts and pulled by the desire for a better life, over one million migrants/refugees transited Balkan countries and arrived in Europe during 2015 and...
Journal Blog
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Perspective

What next for refugees after the demolition of the Calais camp?

Drogoul F, Hanryon S
2016-11-16 • BMJ Opinion (blog)
2016-11-16 • BMJ Opinion (blog)