As medical consultations provided by MSF to people in transit between Columbia and Panama reach 30,000, our teams are seeing violence on the rise again.  Perpetrated by criminal groups against people crossing the border, attacks are usually extremely violent, and are generally aggravated by sexual assault and rape. MSF teams have provided care to 288 victims of sexual assaults since April, though the number of assaults actually taking place is likely to be much higher.  Around 10,000 consultations have been provided to children or adolescents and around 1,000 to pregnant women.

“The vast majority of migrants we see are families of Haitians who have lived for the last few years in Brazil or Chile,” says Owen Breuil, MSF field project coordinator in Panama. “Many of them lost their livelihoods due to the pandemic and have been forced to move north in search of opportunities.”

Those moving through the jungle include those who have had to abandon Haiti or the countries where they were residing because of violence, or the economic crisis caused by the COVID-19 pandemic. Policies that criminalise migrants have also pushed people to move.

Médecins Sans Frontières (MSF) is calling for safe migration routes and for regional governments to provide protection from violence for migrant families.

“They have no other alternative than to cross the border between Colombia and Panama,” says Breuil. “They are forced to do so by the most dangerous route, because they cannot pay for other, less exposed, paths.”

According to the Panamanian Migration Department, in 2021, 121,737 migrants have entered Panama through the Darién jungle, 29,604 of them in October alone. In just 10 months of this year, as many migrants have crossed through the Darién jungle as have over the last 11 years.

“Free and orderly transit between the two countries is the only sustainable option to guarantee protection for these people,” says Breuil. “We urge for safe routes for migrant families and for regional governments to provide protection from violence.”

Guillermo Gironés, MSF's medical coordinator recalls one of the patients she worked with.  “She was a 17-year-old girl. They had raped her on the way. But that wasn't the only trauma she experienced. She'd become separated from her mother. Everyone has a different pace and, being younger, she moved on ahead. So when we treated her in Bajo Chiquito, not only was she traumatised by the rape, but she also had the added anxiety of worrying about her mother, if the same thing had happended to her and whether she would see her mother alive again.” 

In addition to medical care, MSF provides mental health care, which people badly need after their traumatic experiences crossing the jungle. People experience physically gruelling days of traversing perilous terrain, with rivers that suddenly burst their banks, steep slopes and cliffs that are extremely difficult to navigate. They frequently tell of having seen corpses on the route and injured people who have been left behind, unable to continue. In the course of our activities to date, through to early October, we have provided 877 individual mental health consultations, and 3,475 people have participated in group consultations.

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Emma Parkin Features and Documentaries Manager
Emma Parkin Features and Documentaries Manager
About MSF UK

This is the press room for MSF UK - the UK office of Médecins Sans Frontières/Doctors Without Borders (MSF), an international, independent, medical humanitarian organisation that delivers emergency aid to people affected by armed conflict, epidemics, natural disasters and exclusion from healthcare. MSF offers assistance to people based on need, irrespective of race, religion, gender or political affiliation.

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