The horrors of crossing through the Darién Gap are well known. People face robberies, assaults, and sexual violence at the hands of criminal groups. On top of this, the terrain is dangerous. Many people tell MSF staff they have witnessed people—sometimes loved ones—drown, fall off cliffs, be immobilized after breaking bones, or be swept away by rivers.
After surviving such a harrowing journey that can last days or longer, people arrive in Panama with wounds and injured limbs, diarrhoea or gastric diseases from drinking river water, and mental health issues such as depression, anxiety, or trauma after experiencing or witnessing violent events. But the care they need is hard to find. The routes people take vary seasonally, but right now, most migrants depart from Capurganá or Acandí in Colombia and arrive in Bajo Chiquito, an indigenous community in Panama with a population of about 500 people. From there, they take canoes to the Temporary Immigration Reception Center (known as Estación Temporal de Recepción Migratoria [ETRM] in Spanish) in Lajas Blancas.
Arrival points in Bajo Chiquito and Lajas Blancas have been overwhelmed in recent weeks, aggravating the health and safety risks for migrants due to the scarcity of clean drinking water and safe sleeping spaces. On Tuesday August 22, more than 4,800 migrants arrived at the four migrant arrival points in Panama.
MSF has three assistance posts in the region—in Bajo Chiquito and Lajas Blancas and San Vicente ETRMs. Dozens of migrants wait endlessly in queues outside the health stations. "There are many children who are dehydrated and [from] diarrhoea, so there's nothing to do but to let them go first," said a Venezuelan woman in her thirties with blisters on her feet from rubbing against her boots.
Between January and July 2023, MSF’s teams provided 35,912 medical consultations to migrants, including 673 pregnant women and 206 survivors of sexual violence. Our teams have provided 1,611 mental health consultations.