ABSTRACT

Chapter 3 Health challenges for other survival migrants on the move north: transit conditions and detention centers. Chapter 3 begins by analyzing the nature of, and social, economic, political, and environmental contributors to, contemporary complex-humanitarian crises. The focus of discussion is on the migration health consequences of natural ecological catastrophes, large-scale infrastructure projects, livelihood devastations, and industrial accidents. The special mortality and morbidity hazards associated with undocumented and irregular migration, human smuggling, human trafficking, and tortured captive-terrorist suspects are explored in-depth. Physical- and mental-health conditions in detention centers and the health impact of prolonged detention under substandard living conditions receive attention. Analysis of the roles of host governments, UNHCR, the International Organization for Migration (IOM), the Red Cross, MSF, and other NGOs is incorporated in Chapter 3’s treatment. The discussion includes treatment of initiatives aimed at providing protection for persons who are transnationally displaced by disasters. The implications for migration health of the legal and moral underpinnings of health as a human right and of humanitarian medicine are considered. Healthy alternatives to detention are explored.