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(单词翻译:双击或拖选)
Zimbabwe asylum1 seekers in South Africa encounter border violence, rape2, crime, communicable diseases, and fears of deportation3
Howard Lesser4 | Washington 08 December 2009
According to a new study, healthcare professionals are jeopardizing5 South Africa’s population by denying treatment to asylum seekers, refugees, and migrants. The research, conducted by Human Rights Watch, outlines medical care rights that South African law guarantees to foreign-born residents. But it also describes how harassment6, a lack of documentation, and threats of deportation discourage many newcomers from seeking treatment.
Zimbabwe mother and child with AIDS
The report cites xenophobic tensions and systematic7 discrimination by medical professionals and in South African society and recommends reforms to improve the situation. Researcher Rebecca Shaeffer with the health and human rights division of Human Rights Watch helped compile data for the 89-page report. Speaking in Johannesburg, she explains that communicable diseases like tuberculosis8 and a lack of treatment for thousands of rape victims who routinely cross the border from Zimbabwe pose the greatest threats.
“South Africa has long suffered from a sort of denialism and a failure to adequately budget for its extremely high rate of communicable disease, especially HIV and TB. TB, which is generally a curable illness, is the leading cause of death in South Africa, and because the leading causes of death in South Africa are communicable and are usually treatable and yet largely untreated in South Africa, it literally9 cannot afford to be leaving out from prevention and treatment campaigns the most vulnerable members of its society,” she cautioned. Airborne diseases like tuberculosis when not treated particularly jeopardize10 concentrated population centers where they are easily spread. Shaeffer points out that many migrants, especially those who are undocumented and those who have crossed the border from Zimbabwe, are fearful of coming forward to seek treatment because of concerns they might be deported11.
“Some South African hospitals interpret the law in such a way that they require rape survivors12 to go and make a police report about the rape before they are able to get emergency health care that keeps them from getting HIV as a result of their rape. There’s only a 72-hour window in which this medication works to block transmission, and for many migrants, especially those who are undocumented, those who are from Zimbabwe, they are fearful of talking to police. They’re afraid they are going to be deported,” she notes. Among the report’s recommended reforms, Shaeffer lists government implementation13 of a planned but postponed14 special dispensation permit for Zimbabweans to ease their fear of deportation.
“Since April, this program has not been implemented15, and the majority of Zimbabweans are still crossing into the country in an illegal manner. Furthermore, South Africa has longstanding problems in its asylum seeking refugee systems. It doesn’t properly document asylum seekers and refugees, and there are serious and repeated reports that even documented asylum seekers and refugees are sometimes subject to arbitrary deportation and arrest. So it really needs to stop arresting and deporting16 people this year legally,” she points out.
Zimbabwe migrants gathered in South Africa near the border crossing.
Other recommendations include enhancement of police protection for migrants from criminals near the Zimbabwe border and from xenophobic violence throughout South Africa. Shaeffer suggests that opportunistic crimes committed near the South Africa-Zimbabwe border may be difficult to investigate.
“The perpetrators may be on both sides of the border, for example. And also, victims need to be assured that they won’t be deported if they cooperate with the investigation,” she said.
Musina at Zimbabwe's southern border with South Africa
Another helpful measure would be the start of cross-border initiatives to help standardize17 medical records, prescriptions18 and dosages for medications, and regularize treatment regimes for people who are fighting off HIV.
“Doctors in different countries may be using slightly different drugs that can be confusing to doctors in the new country. They can also develop programs like treatment passports that allow doctors in one country to see what kind of treatment the person has been receiving on the other side of the border. They can also distribute maps of locations where people can pick up medications for chronic19 diseases like HIV and TB,” she noted20. Although some South African localities are working to promote these innovations, Rebecca Shaeffer says that international humanitarian21 organizations are providing the primary push to bring about a more regional approach to better health care in southern Africa.
1 asylum | |
n.避难所,庇护所,避难 | |
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2 rape | |
n.抢夺,掠夺,强奸;vt.掠夺,抢夺,强奸 | |
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3 deportation | |
n.驱逐,放逐 | |
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4 lesser | |
adj.次要的,较小的;adv.较小地,较少地 | |
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5 jeopardizing | |
危及,损害( jeopardize的现在分词 ) | |
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6 harassment | |
n.骚扰,扰乱,烦恼,烦乱 | |
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7 systematic | |
adj.有系统的,有计划的,有方法的 | |
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8 tuberculosis | |
n.结核病,肺结核 | |
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9 literally | |
adv.照字面意义,逐字地;确实 | |
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10 jeopardize | |
vt.危及,损害 | |
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11 deported | |
v.将…驱逐出境( deport的过去式和过去分词 );举止 | |
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12 survivors | |
幸存者,残存者,生还者( survivor的名词复数 ) | |
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13 implementation | |
n.实施,贯彻 | |
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14 postponed | |
vt.& vi.延期,缓办,(使)延迟vt.把…放在次要地位;[语]把…放在后面(或句尾)vi.(疟疾等)延缓发作(或复发) | |
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15 implemented | |
v.实现( implement的过去式和过去分词 );执行;贯彻;使生效 | |
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16 deporting | |
v.将…驱逐出境( deport的现在分词 );举止 | |
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17 standardize | |
v.使符合标准,使标准化 | |
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18 prescriptions | |
药( prescription的名词复数 ); 处方; 开处方; 计划 | |
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19 chronic | |
adj.(疾病)长期未愈的,慢性的;极坏的 | |
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20 noted | |
adj.著名的,知名的 | |
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21 humanitarian | |
n.人道主义者,博爱者,基督凡人论者 | |
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