medicalcondition:dehydration

  • Democrats’ ‘smart border’ technology is not a ‘humane’ alternative to Trump’s wall

    In response to President Trump’s demand for $5.7 billion for a physical barrier along the U.S.-Mexico border, and his threat to shut down the government again on Feb. 15 if Congress doesn’t provide it, Democratic Congressional leaders are promoting an alternative they refer to as a “smart border.” This is essentially an expansion of existing technologies like remote sensors, integrated fixed-towers, #drones and other #surveillance assets.

    On Jan. 29, Rep. James Clyburn (D-S.C.), the third-ranking Democrat in the House, wrote an op-ed in The Hill arguing that this kind of “smart border” is preferable to a physical wall because it will “create a technological barrier too high to climb over, too wide to go around, and too deep to burrow under,” resulting in an “effective, efficient and humane” alternative to Trump’s border wall. Meanwhile, the “opening offer” announced on Jan. 31 by the Democrats in bipartisan budget negotiations included $400 million for this “smart border” surveillance package.

    In a recent peer-reviewed article in the Journal of Borderlands Studies, we raised fundamental questions about these kinds of “smart border” technologies, including their humanitarian implications. Using geospatial modeling and statistical analysis, we show how previous “high-tech” border solutions failed to deliver on their operational objectives; instead of preventing unauthorized crossing, the surveillance network simply shifted migration routes into much more difficult and remote terrain, with a measurable impact on the geography of migrant deaths in the southern Arizona desert.

    From 2006 to 2011 the United States appropriated $3.7 billion for the SBInet system, intended as a high-tech network of ground sensors connected to integrated fixed towers mounted with infrared, high-resolution cameras and motion-detecting ground radar. Experimentally deployed southwest of Tucson, Arizona, the surveillance network aimed to provide the Border Patrol “complete situational awareness” through the real-time, automated integration of multiple sources of surveillance data.

    The outcomes delivered by the SBInet program fell well short of these aspirations, however. In 2010 the Government Accountability Office concluded that the Department of Homeland Security had “yet to identify expected benefits from the [program], whether quantitative or qualitative.” After continuous operational shortcomings and delays, in 2011 the Obama administration quietly canceled the program.

    Simultaneously, the area where SBInet was deployed has become a “land of open graves,” according to anthropologist and 2017 MacArthur “genius grant” recipient Jason De León. From 2006 to 2011, at least 1,267 people died in southern Arizona attempting to cross the border. A significant majority of these deaths were the outcome of exposure to the elements: dehydration, hyperthermia and exhaustion. Meanwhile, during this same period the rate of death (the number of deaths / 100,000 Border Patrol apprehensions) skyrocketed, nearly tripling between 2008 and 2011 alone.

    These deaths are the result of many factors. But our research shows that significant among these has been the expansion of border surveillance technology. Using Geographic Information Science, we analyzed the mapped location of human remains pre- and post-SBInet. We then plotted the visual range of the SBInet system using publicly-available information on the location of the towers and the operational reach of their various components.

    Next, we created a model using variables like vegetation, slope and terrain to measure the physiological difficulty associated with pedestrian transit along different routes of travel. We found a meaningful and measurable shift in the location of human remains toward routes of travel outside the visual range of the SBInet system, routes that simultaneously required much greater physical exertion, thus increasing peoples’ vulnerability to injury, isolation, dehydration, hyperthermia and exhaustion.

    Our research findings show that in addition to its monetary cost and its questionable operational efficacy, the “smart border” technology presently being promoted by the Democratic congressional leadership contributes to deadly outcomes.

    Based on these findings there is a need to reconsider the premise that surveillance technology and infrastructure can provide a “humane” alternative to Trump’s border wall (a proposal we also consider to be wasteful and destructive). Instead, we’d like to see a shift in U.S. border policy that genuinely prioritizes the protection of human life, regardless of a person’s citizenship or immigration status.

    This kind of shift, of course, would require reforms not just to the Border Patrol and its enforcement strategy, but to U.S. immigration policy overall, allowing people to seek safety or reunite with family and loved ones without risking their lives crossing through the desert.

    https://thehill.com/opinion/immigration/429454-democrats-smart-border-technology-is-not-a-humane-alternative-to-tru

    #frontière_intelligente #alternative (?) #murs #barrières_frontalières #frontières #smart_border #smart_borders #technologie #mourir_aux_frontières #morts #décès

    En gros:

    Our research findings show that in addition to its monetary cost and its questionable operational efficacy, the “smart border” technology presently being promoted by the Democratic congressional leadership contributes to deadly outcomes.

  • How the U.S. Weaponized the Border Wall
    https://theintercept.com/2019/02/10/us-mexico-border-fence-history

    Migrants die and disappear in staggeringly high numbers along the U.S.-Mexico border, as Washington over the years has shut down relatively safe, traditional urban entry points, forcing border crossers into hostile desert terrain. Migrants also sustain severe life-threatening or crippling injuries. They fall into mine shafts and break their backs. Dehydration damages their kidneys. Others are bitten by snakes or injured in chases. The tall metal fences that run as barriers along segments of (...)

    #FBI #CIA #capteur #frontières #migration #surveillance #militarisation

  • 7-year-old migrant girl taken into Border Patrol custody dies of dehydration, exhaustion - The Washington Post

    https://www.washingtonpost.com/world/national-security/7-year-old-migrant-girl-taken-into-border-patrol-custody-dies-of-dehydration-exhaustion/2018/12/13/8909e356-ff03-11e8-862a-b6a6f3ce8199_story.html

    December 13 at 9:55 PM

    A 7-year-old girl from Guatemala died of dehydration and shock after she was taken into Border Patrol custody last week for crossing from Mexico into the United States illegally with her father and a large group of migrants along a remote span of New Mexico desert, U.S. Customs and Border Protection said Thursday.

    The child’s death is likely to intensify scrutiny of detention conditions at Border Patrol stations and CBP facilities that are increasingly overwhelmed by large numbers of families seeking asylum in the United States.

    #états-unis #frintières #enfants #enfance #meurtre

  • L’#Union_Africaine s’active pour un plan de rapatriement des migrants en #Libye

    L’ONU, l’Union Européenne et l’Union Africaine se sont données rendez-vous ce 04 novembre à Addis Abeba au siège de l’organisation panafricaine pour la mise en œuvre d’un plan de #rapatriement de migrants bloqués en Libye en partenariat avec l’Organisation Internationale pour les Migrations (l’#OIM).

    Il s’agira d’abord pour les organisations régionales et internationales de mettre en place « une #cellule_opérationnelle » qui coordonnera le rapatriement de 15.000. Ensuite, mobiliser le fonds pour la réussite de cette opération.

    A cet effet, le #Maroc a fait une promesse, celle de contribuer au transport des migrants et le #Rwanda d’accueillir 3000 qui ne veulent pas retourner dans leur pays d’origine.

    http://rjdh.org/ethiopie-lunion-africaine-sactive-pour-un-plan-de-rapatriement-des-migrants-en
    #UE #EU #ONU #OIM #IOM (tous complices !) #sommet #rencontre #plan #expulsions #Libye #asile #migrations #renvois #réfugiés #Sommet_UA-UE

    Et l’article parle de l’étonnement face à la vidéo de la CNN qui a montré les tortures perpétrées aux migrants en Libye :

    Le reportage de CNN sur la traite des migrants subsahariens et leur soumission à l’esclavage avaient indigné l’opinion africaine internationale. Après une mission de l’UA dans « l’enfer libyen » et le Sommet UA-UE, les responsables de l’organisation onusienne, européenne et africaine se réunissent pour mobiliser les moyens et réfléchir sur un plan de rapatriement des migrants en Libye.

    #hypocrisie, on le sait depuis des années !

    cc @reka @isskein

    • Et voilà le type de marchandage auquel il faudra s’attendre... Ici, un article publié dans le Jerusalem Post... et parle évidemment de renvois depuis #Israël vers le Rwanda... à prendre avec les pincettes... mais débat intéressant

      Rwanda says no to migrant deportation

      Rwanda recently declared that it is willing to host as many as 30,000 African migrants currently trapped in Libya and being sold openly in modern-day slave markets. A tiny, densely populated African country recovering from the trauma of genocide, Rwanda was the first country to offer asylum to these unfortunate victims of human traffickers.

      Contrary to reports in Israel that Israel had already signed a formal agreement with Rwanda, Rwandan Foreign Minister Louise Mushikiwaboo in an interview this week with Rwanda’s New Times noted that Rwanda and Israel are still negotiating the conditions for accepting Israel’s African asylum seekers.

      Mushikiwaboo made it clear that Rwanda would not accept forced migration from Israel. “We have had discussions with Israel on receiving some of the immigrants and asylum seekers from this part of Africa who are willing to come to Rwanda,” he noted. “If they are comfortable to come here, we would be willing to accommodate them.” Rwanda offered to host 10,000 African asylum seekers from Israel.

      http://www.jpost.com/Opinion/Rwanda-says-no-to-migrant-deportation-515819

    • « Je ne voulais pas mourir » : ces migrants qui ont choisi de rentrer chez eux

      Ils sont trois. Trois parmi tant d’autres, plus de 300 au total. Issa, Mamadou et Abdou* viennent de Conakry, en Guinée, ont tenté leur chance pour passer en Europe via le Mali puis l’Algérie ou la Libye, avant de finalement renoncer et de rentrer chez eux, pour « ne pas mourir ». Depuis quelques jours, ils sont de retour à Agadez, le corps et l’esprit meurtri. Reportage.

      http://www.jeuneafrique.com/503012/societe/je-ne-voulais-pas-mourir-ces-migrants-qui-ont-choisi-de-rentrer-chez-e

    • One year of EU partnership with IOM: migrants protection and reintegration in Africa

      The objective was clear: to respond to the urgent protection needs and unacceptable loss of life of migrants along the Central Mediterranean migration route while addressing the challenges faced by returning migrants and their communities in countries of origin.

      Fourteen countries have been involved: Burkina Faso, Cameroon, Chad, Gambia, Ghana, Guinea-Bissau, Guinea, Mali, Mauritania, Niger, Nigeria, Senegal, Côte d’Ivoire and Libya. And so far, nearly 20 000 vulnerable migrants have been assisted through this initiative.

      “Libya… not easy to come and not easy to leave”, a group of fellow stranded Nigerians warned Debbie, probably too late.

      Debbie is one of the 15000 migrants that have been voluntarily returned to their countries thanks to the joint European Union and UN Migration agency’s effort launched a year ago to save lives and improve conditions for migrants along the migration routes and for those stranded in Libya.

      She dreamt of becoming a fashion designer and a lady from her church told her she could earn more money as a tailor in Libya than in Nigeria. So Debbie paid a smuggler to cross the desert. Many of her companions died along the route. When she finally got to Libya she was arrested at the hospital because she did not have travel documents. She was there to give birth to her twin babies and only one survived.

      Through the joint initiative, Debbie was offered a flight home to Nigeria, sewing machines and material to launch her fashion designer dream.

      https://eeas.europa.eu/headquarters/headquarters-homepage/37353/one-year-eu-partnership-iom-migrants-protection-and-reintegration-africa
      #retour_volontaire

    • L’évacuation des migrants en Libye fait consensus, pas la facture

      Les pays africains et européens ont adopté une déclaration conjointe spéciale sur la Libye et affirmé vouloir rapatrier les migrants bloqués dans leurs pays d’origine. Mais la question de l’addition a soigneusement été évitée.


      http://www.euractiv.fr/section/migrations/news/levacuation-des-migrants-en-libye-fait-consensus-pas-la-facture
      #Sommet_UE-Afrique #rapatriement

    • Juste pour montrer jusqu’à quel point c’est hypocrite, voici une vidéo qui date de 2015 (et plus précisément, elle a été publiée le 15 septembre 2015) :
      Detained by Militias : Libya’s Migrant Trade (Part 1)

      In a desperate bid to seek a better life in Europe, thousands of refugees and migrants leave the shores of Libya and cross the perilous Mediterranean Sea every month. Over 2,000 people have died making the journey in 2015 alone. The routes to and journey through Libya are also dangerous, however, and since the fall of Muammar Qaddafi in 2011, the country has struggled to achieve and maintain stability. Porous desert borders, rival fighters, and weak governance have left much of Libya in complete chaos. With militias controlling large swathes of land, their attentions have turned to the people that cross their territories. The fighters assert they are bringing order to the country as they detain the refugees, yet these people’s lives have become valuable commodities to the militias as they try to solidify their positions in the country. VICE News secured exclusive access to a camp outside Tripoli, run by a militia that has seized hundreds of migrants. Food is scarce, dehydration and disease is rife, and control comes in the form of whips and warning shots. The militia claims to have the migrants’ interests at heart, but what emerges is a very different story. In part one of a two-part series, VICE News examines how Libya is struggling with the Mediterranean migrant crisis, where state-run detention centers are overcrowded and violent, and how government immigration controls are outsourced to militias, where they detain migrants en masse.

      https://www.youtube.com/watch?v=h3f380cYlPM

    • Die Externalisierung der humanitären Grenze. Das Beispiel der ‚Unterstützung freiwilliger Rückkehr‘ durch die IOM in Marokko

      En prenant l’exemple du programme de l’aide au retour volontaire, cet article analyse les pratiques ambivalentes et les significations contradictoires de la gestion de la migration au-delà des frontières extérieures de l’Europe. La reconstitution de la mise en œuvre controversée de ce programme par l’Organisation Internationale pour la Migration (OIM) au Maroc permet de montrer le développement de frontières humanitaires anticipées. Le régime d’aide qui en résulte ne répond pas tant aux besoins des migrant.es vulnérables qu’à ceux de l’OIM elle-même, qui cherche à se positionner comme un acteur crédible méritant d’être subventionné dans le domaine concurrentiel en expansion de la politique migratoire. Dans le même temps, cette gestion de la migration au nom de l’humanitarisme contribue à (re)stabiliser le régime frontalier européen en crise et favorise sa consolidation le long des routes migratoires. Bien que ce programme soit présenté comme une action humanitaire apolitique pour le bien de migrant.es vulnérables, sa mise en œuvre au Maroc est non seulement le résultat, mais aussi l’objet de conflits politiques actuels autour des frontières extérieures de l’Europe.

      http://journals.openedition.org/trajectoires/2372

    • Thousands of migrants return home safely from Libya as part of UN-supported programme

      Since last November, 10,171 migrants have safely returned from Libya, the United Nations migration agency announced Tuesday, crediting the achievement to a scale up of its #Voluntary_Humanitarian_Return (#VHR) programme.


      https://news.un.org/en/story/2018/03/1004782

    • Nigeria–Libyen retour: Ein Flüchtling kehrt zurück

      Für den Traum von Europa hat der Anstreicher Isaac Nigeria verlassen. Nach höllischen Monaten in Libyen gibt er auf und kehrt, von Versprechungen der EU gelockt, in seine Heimat zurück. Wie erlebt er dort seine Ankunft?


      https://nzzas.nzz.ch/gesellschaft/nigeria-libyen-retour-wie-isaac-auszog-um-zurueckzukehren-ld.1415974?reduc
      #paywall

    • Archive 2017, pour compléter le fil de la discussion.
      Reçu avec ce commentaire de @pascaline :

      Le Rwanda dit non aux expulsions, pas non au fait d’accueillir des demandeurs d’asile, c’est pas pareil

      Et c’est en effet une différence importante. Merci @pascaline.

      Rwanda Offers to Host African Migrants Stranded in Libya

      In an unusual gesture that could partly reverse a more familiar northward odyssey toward Europe, Rwanda offered on Thursday to house or help repatriate some of the thousands of African migrants being held in Libya and reportedly auctioned there as slaves.

      A statement from the country’s Foreign Ministry said Rwanda was “horrified” that “African men women and children who were on the road to exile have been held and turned into slaves.”

      “Given Rwanda’s political philosophy and our own history, we cannot remain silent when human beings are being mistreated and auctioned off like cattle,” the statement said. The evocation of Rwanda’s history apparently referred to bloodletting in 1994 when more than 800,000 people perished in an ethnically driven genocide.

      “We may not be able to welcome everyone but our door is wide open,” the Foreign Ministry said.

      The statement did not say how many people might be taken in by Rwanda, a small, landlocked country of 12 million in east-central Africa that ranks as one of the continent’s most densely populated.
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      But Moussa Faki Mahamat, the newly appointed head of the African Union, the continent’s biggest representative body, said on Twitter that Rwanda had offered to resettle as many as 30,000 migrants.

      Mr. Mahamat said he was “deeply appreciative” of the offer.

      Libya has in recent years become a leading entrepôt for migrants from Africa seeking passage to Italy in vessels operated by smugglers. The migrants have long been known to live in squalid conditions as they wait to board ramshackle and unseaworthy vessels. Thousands have drowned when the boats sank or capsized. Many others have reached Italy or been rescued on the way.

      Since CNN broadcast footage of bidding and the sale of African migrants in Libya, an international outcry has gathered in volume.

      On Monday, António Guterres, the secretary general of the United Nations, said he was horrified by the images.

      “Slavery has no place in our world, and these actions are among the most egregious abuses of human rights and may amount to crimes against humanity,” Mr. Guterres said in a statement.

      Mr. Guterres said the reported auction of slaves “also reminds us of the need to address migration flows in a comprehensive and humane manner,” including “enhanced international cooperation in cracking down on smugglers and traffickers and protecting the rights of victims.”

      Last weekend, hundreds of protesters gathered outside the Libyan Embassy in Paris chanting, “Put an end to the slavery and concentration camps in Libya.”

      Many of the African migrants in Libya began their journeys in West Africa or the Horn of Africa to escape poverty and upheaval. According to the International Organization for Migration, almost 9,000 migrants have been helped to return to their home countries this year.

      https://www.nytimes.com/2017/11/23/world/africa/rwanda-libya-migrants.html

      –-------------

      Rwanda offers refuge to enslaved Libya migrants
      Rwanda has offered to give refuge to around 30,000 African migrants stuck in Libya often in enslaved conditions.

      It comes in the wake of a video, released by CNN last week, showing men being auctioned off as farm workers.

      “Given our own history... we cannot remain silent when human beings are being mistreated and auctioned off like cattle,” the foreign ministry said.

      Hundreds of thousands of Africans travel through Libya every year as they try to make their way to Europe.

      They are often held by smugglers and forced to work for little or no money.

      During Rwanda’s 1994 genocide, some 800,000 ethnic Tutsis and moderate Hutu were massacred in 100 days while most countries did little to help.

      “Rwanda, like the rest of the world, was horrified by the images of the tragedy currently unfolding in Libya, where African men, women and children who were on the road to exile, have been held and turned into slaves,” the foreign ministry statement said.

      Foreign Minister Louise Mushikiwabo said Rwanda was a small country but it would find space.

      She told the pro-government New Times newspaper that Rwanda was in talks with African Union (AU) Commission to determine how to intervene and resettle them.

      “What I expect and know is that Rwandans will welcome these people. As Rwandans we are sensitive to people who are helpless and have no way of protecting themselves. It is something that is deep in ourselves, we take pride in human beings,” the paper quotes her as saying.

      The minister also said negotiations were also continuing with Israel about accommodating African migrants seeking asylum there.

      Last week, the AU expressed outrage after the footage emerged appearing to show slave markets in Libya.

      Youths from Niger and other sub-Saharan countries were seen being sold to buyers for about $400 (£300) at undisclosed locations in Libya.

      In April, the International Organization for Migration (IOM) said it had gathered evidence of slavery in Libya.

      Smugglers hold migrants for ransom and if their families could not pay, they were sold off at different prices depending on their qualifications, an IOM official in Libya said.

      https://www.bbc.com/news/world-africa-42095629

  • Climate Change is Turning Dehydration into a Deadly Epidemic | JSTOR Daily
    https://daily.jstor.org/climate-change-dehydration-deadly-epidemic

    Richard J Johnson, a kidney specialist at the University of Colorado, helped organise the World Congress of Nephrology in Canada in 2011. There, he learned about the strange new form of chronic kidney disease spreading through Central America. Researchers from various countries were beginning to get together and discuss the evidence. Like others, Johnson began to think about possible causes.

    His own research was focused on the sugar #fructose – identifying its role in obesity, high blood pressure and heart disease. When a person eats fructose, the liver bears most of the brunt, but some of the sugar eventually ends up in the kidney. With each meal, fructose enters the kidney tubules, where it is metabolised into uric acid and causes oxidative stress, both of which can damage the kidney.

    At first, Johnson thought people in the sugarcane fields could be eating so much of the plant itself that they were generating high levels of uric acid and oxidative stress in their kidneys. But, he calculated, even sucking on sugarcane all day wouldn’t produce enough fructose to cause disease. Then he discovered that, under certain conditions, the body processes regular carbohydrates to make its own fructose. And one of the triggers of this deadly alchemy is simple dehydration.

    Until that point, nephrologists had thought that dehydration could only cause acute kidney injury, but Johnson’s findings put a new spin on the role of insufficient water intake. Could dehydration day in, day out be causing continuous fructose overproduction that, in turn, could be leading to long-term kidney damage?

    Johnson took his theory to the lab, where his team put mice in chambers and exposed them to hours of heat at a stretch. One group of mice was allowed to drink unlimited water throughout the experience, while a second group had water only in the evenings. Within five weeks the mice with a restricted water intake developed chronic kidney disease. During the day, loss of salt and water caused the mice to produce high levels of fructose, and crystals of uric acid would sometimes form as water levels dropped in their urine. When the scientists disabled the gene that metabolises fructose and repeated the experiment, neither group developed chronic kidney disease.

    Johnson took these results to a meeting of the Program on Health and Work in Central America, or SALTRA, in Costa Rica in 2012, where they caught the attention of García-Trabanino: “I was astonished. His animal models were absolutely in line with our findings.”

    The two collaborated to investigate the biochemical effects of dehydration on workers in the fields of El Salvador. Levels of uric acid started high in the morning and increased throughout the day. “Some patients just had sheets of uric acid crystals in their urine,” Johnson says.

    From these studies, Johnson believes that heat stress and dehydration drive the production of fructose and vasopressin, which also damages the kidney. However, he believes that another mechanism may also play a part in the epidemic: rehydration with sugary drinks. Frequently, not trusting the quality of local drinking water, workers drink sodas and soft drinks, and experimental evidence suggests that doing so can lead to even more kidney damage.

    “At this stage, that heat stress and dehydration might be causing this problem is still a hypothesis,” Johnson admits. “Although it is a strong one.”

    #sucre #reins #climat #déshydratation

  • Understanding #hyperemesis_gravidarum
    http://www.theaustralian.com.au/news/latest-news/understanding-hyperemesis-gravidarum/news-story/5add1a2c90d0d8794717133dcac26103

    (avec un peu de grec et de latin, ça se comprend tout seul…)

    WHAT IS IT?
    A severe form of nausea and vomiting affecting pregnant women that can put the mum and baby at risk because the woman can’t retain and utilise food and fluids.

    SYMPTOMS
    Constant nausea and severe vomiting that can lead to dehydration and cause an imbalance in electrolytes. Women can lose more than five per cent of their body weight as well as suffer headaches, fatigue, confusion, fainting and jaundice.

    HOW COMMON IS IT?
    It’s estimated to affect about one per cent of pregnant women.

    WHEN DOES IT START?
    Usually between the first four to six weeks and symptoms don’t usually improve until between 15 and 20 weeks but can last the entire pregnancy.

    TREATMENT
    Women with milder forms are advised to change diet, rest and take antacids. With more severe forms women are hospitalised so they can have their food and liquids closely monitored and usually require an intravenous drip.

    CAUSES
    Experts still don’t fully understand the causes but experts describe it as a complex physiological disease with multiple causes. They say aggressive care early in pregnancy is vital to prevent life-threatening complications such as central pontine myolinolysis or Wernicke’s encephalopathy.

  • Iraq displaced hit by food poisoning in camp near Mosul - BBC News
    http://www.bbc.com/news/world-middle-east-40257385

    Hundreds of people have fallen ill and a child has died of suspected food poisoning at a camp for displaced people near the Iraqi city of Mosul.
    People were said to be vomiting and suffering dehydration after an iftar meal, to break the daily Ramadan fast.
    The Hasansham U2 camp, between Mosul and Irbil, houses people displaced by an Iraqi offensive to capture Mosul from so-called Islamic State (IS).
    IS fighters are currently under heavy siege in the west of the city.
    The UN refugee agency, UNHCR, said in a statement that around 800 cases had been recorded, 200 of whom were taken to hospital.
    […]
    The food, containing beans, chicken and yoghurt, was prepared in a restaurant in Irbil and brought to the camp by a Qatari charity, Rudaw news agency added.

    • The US government deliberately made the desert deadly for migrants

      The deaths of two Guatemalan child migrants in US custody highlights the perilousness of a journey that is no accident

      This month, Jakelin Caal Maquin, a seven-year-old Guatemalan girl, died less than 48 hours after being detained at a remote New Mexico border crossing. Felipe Gómez Alonzo, an eight-year old Guatemalan boy, spent his final days in custody before tragically passing on Christmas Eve. Both were brought to the United States by families seeking a better life for their children. In the United States, all they found was death.

      Department of Homeland Security (DHS) officials have been quick to deflect the blame. “[Jakelin’s] family chose to cross illegally,” Secretary Kirstjen Nielsen asserted. In the case of Felipe, the DHS pointed to migrant shelters in Mexico as possible sources of disease. These desperate attempts do little to obscure the full weight of US culpability.

      When trying to make sense of these two tragic deaths – and while details are still emerging – one thing is clear: the journey they undertook is designed to be deadly. In the 1990s, then president Bill Clinton introduced Prevention Through Deterrence, a border security policy which closed off established migrant routes. This forced migrants like Jakelin and her father through more remote and trying terrain. Jakelin and Felipe would probably not have died had it not been for the extreme conditions that Prevention Through Deterrence forces migrants to withstand.
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      As the No More Deaths spokeswoman, Justine Orlovsky-Schnitzler, notes: “Crossing from the US border in any location, there’s no physical way as a human being to carry the kind of water you’ll need to survive those conditions for three, four days of walking.” Those who survive the immediate journey still face significant health risks if they are not immediately granted medical treatment – at present, border patrol relies on self-assessment, and, as in Jakelin’s case, the documentation is often in a language they can’t read.

      Prevention Through Deterrence meant tremendous investments in surveillance and border militarization, with the aim of pushing migrants ever deeper into the unforgiving Sonoran desert. Though the border patrol denies accountability for deaths along the US-Mexico border, their very metrics for success under the policy include “fee increases by smugglers”, “possible increase in complaints”, and “more violence at attempted entries”. These children’s deaths were by no means unpredictable. Violence is built into the plan.

      Hundreds disappear each year, their remains too decomposed to be identified

      The immigrant advocacy group No More Deaths charges that the US border patrol uses the desert as a weapon. Armed with night-vision equipment, border patrol agents chase migrants blindly into hostile desert terrain. In the ensuing chaos, migrants fall to their deaths, or get hopelessly lost. Hundreds disappear each year, their remains too decomposed to be identified.

      Prevention Through Deterrence has done little to curb migration, but it has led to an explosion in needless suffering. As accessible routes are abandoned in favor of remote terrain, what was once a straightforward journey becomes life-threatening. In 1994, the year of the strategy’s inception, there were an estimated 14 deaths alongside the US-Mexico border. Last year, a staggering 412 deaths were documented in the region. As migrants are funnelled deeper into remote areas, they face not only the capricious desert terrain, but fatigue, dehydration and a host of heat-related ailments. Seizing on an influx of vulnerable, disoriented travellers, cartels lie in wait to extort and kidnap their next victims. Stories of rape along the migrant trail are so overwhelmingly common that many take contraceptives before the journey.

      Prevention Through Deterrence assumes that migrants will simply stop coming if the journey is difficult enough. But migration is as old as human history itself. While the US decries an explosion of immigrants, policymakers would do well to consider their role in perpetuating migration flows. From exploitative trade deals – Nafta put more than 1 million Mexican farmers out of work – to outright imperial aggression – see US-backed coups in Argentina, Brazil, Chile, Guatemala and Honduras, among others – the US is a harbinger of death and destruction across the continent. To turn away those who flee the disastrous results of our policies is victim blaming of the most vile sort.

      US immigration officials have expressed regret at the passing of these children. Don’t take their word for it. Just last year, No More Deaths released video evidence of border patrol officials vandalizing water left for migrants. An unidentified agent grins at the camera while emptying water jugs, and others kick over bottles with glee. In the arid Sonoran desert, it is physically impossible to carry enough water to survive, a fact that is not lost on those who are employed to monitor the terrain day in and out. Within hours of the video’s release, a member of No More Deaths was arrested on charges of harboring immigrants. He will face 20 years in prison if convicted.

      A popular immigrant refrain asserts: “We are here because you were there.” US policies of economic extraction and militarism put children like Jakelin and Felipe at risk every single day. To put an end to deaths at the border, the US must stop penalizing those who flee its very own destruction.

      https://amp.theguardian.com/commentisfree/2018/dec/29/the-us-government-deliberately-made-the-desert-deadly-for-migrants?

  • Guidance on hospital food revealed (From Romsey Advertiser)
    http://www.romseyadvertiser.co.uk/uk_national_news/9984109.Guidance_on_hospital_food_revealed

    The set of standards come after an inquest revealed that neglect by medical staff led to the death of a hospital patient who called 999 because he was so thirsty.

    Kane Gorny, 22, from Balham, south London, died of dehydration at St George’s Hospital, in Tooting, in May 2009.

    The new standards state that: “All patients should have access to fresh drinking water at all times, unless it contradicts clinical advice.”

    On en apprend de belle sur le NHS britannique !
    Les nouvelles normes disent aussi que :

    …patients receive nutritious and appetising food throughout their hospital stay.

    Pour vérifier cela des équipes d’inspection, composées pour moitié de patients, vérifieront le goût, la qualité et la température des aliments.

    À quand des patients mystères dans les hôpitaux français ?