Nauru: MSF forced to abandon refugees and asylum seekers
"Australia jointly responsible for Nauru's draconian media policy, documents reveal"
Dozens of people who have considered or attempted suicide or self-harm will no longer receive vital mental health care
Oct 10, 2018
NAURU/SYDNEY/NEW YORK, OCTOBER 11, 2018—The international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) today strongly condemned the government of Nauru's sudden decision to stop MSF from providing desperately needed mental health care to asylum seekers, refugees and local residents in the island nation.
For years, hundreds of refugees and asylum seekers trying to reach Australia have been held indefinitely on Nauru at the behest of the Australian government. Many of these individuals suffer severe mental health conditions. MSF called for the immediate evacuation of all asylum seekers and refugees from Nauru and an end to Australia's offshore detention policy.
MSF launched psychological and psychiatric services in Nauru in November 2017. On October 5, the government of Nauru informed MSF that services were "no longer required" and requested that MSF end activities within 24 hours. Almost all 900 asylum seekers and refugees on Nauru, including 115 children, have been on the island for more than five years, with no clear process or prospect of permanent resettlement.
"It is absolutely disgraceful to say that MSF's mental health care is no longer required; the mental health situation of the refugees indefinitely held on Nauru is devastating," said Dr. Beth O'Connor, MSF psychiatrist. "Over the past 11 months on Nauru, I have seen an alarming number of suicide attempts and incidents of self-harm among the refugee and asylum-seeking men, women and children we treat. We were particularly shocked by the many children suffering from traumatic withdrawal syndrome, where their status deteriorated to the extent they were unable to eat, drink, or even walk to the toilet."
As corroborated by MSF medical analysis, refugee patients are stuck in a vicious cycle of deep despair, with many having lost the will to live. Among them, at least 78 patients seen by MSF had suicidal ideations, engaged in self-harm or attempted suicide. Children as young as nine have told MSF staff that they would rather die than live in a state of hopelessness on Nauru. Among the most severely ill patients are those separated from their immediate family because of Australia's immigration policy.
For the last 11 months, MSF psychologists and psychiatrists have worked to stabilize and manage the symptoms of dozens of patients on Nauru. Nevertheless, therapy alone is not a solution to the problems experienced by people in indefinite detention, MSF said.
"Our patients often describe their situation as far worse than prison because in prison you know when you can get out," O'Connor said. "While in my professional opinion there is no therapeutic solution for these patients as long as they are trapped on the island, I fear the withdrawal of MSF's psychiatric and psychological health care from Nauru will claim lives."
While many of the refugees on Nauru experienced trauma in their countries of origin or during their journeys, the Australian government's policy of indefinite offshore detention has degraded their resilience and reduced their hope that they will one day lead safe, meaningful lives.
"Separating families and forcibly holding men, women and children on a remote island indefinitely with no hope or protection except in the case of a medical emergency is cruel, inhumane and degrading," said Paul McPhun, MSF Australia's executive director. "While the Australian government describes offshore detention as a humanitarian policy, our experience proves that there is nothing humanitarian about saving people from the sea only to leave them in an open air prison on Nauru. This policy should be stopped immediately and should not be replicated by any government. It's not MSF's psychiatrists and psychologists that should be leaving Nauru; it's the hundreds of asylum seekers and refugees that Australia has trapped on the island for the past five years that should be leaving."
No kudos to the brutality of the Nauru leading who kicked these doctors out.
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Manus and Nauru do not stop the boats, say asylum seekers in Indonesia By Kieren Kresevic Salazar 25 August 2018 — 11:55pm
IMAGE Farahnaz Salehi, 20, has been in Indonesia since she fled her home aged 15.Credit:Janbaz Salehi
[...]
Former home affairs minister Peter Dutton argued in June that the ‘‘single act of compassion’’ of bringing 20 seriously ill asylum seekers to Australia from Manus Island and Nauru for medical treatment would be seen by people smugglers as an open invitation to re-start their trade.
But asylum seekers say the Nauru-Manus deterrent plays no part.
‘‘Making [Nauru and Manus] like a zoo that everyone is seeing around the world, [saying] ‘Don’t come to Australia or else this happens to you’ – this is not the thing that is impacting people not to come,’’ said Mozhgan Moarefizadeh, an Iranian refugee and advocate.
Moarefizadeh said the decisive factor was “[Boat] turn-backs ... That’s the reason, not keeping people in offshore detention.”
Moarefizadeh, tried and failed three times to reach Christmas Island by boat in 2013, before the boat turn-backs began late that year.
“It was seeing what’s going on and hearing the news and we were like, ‘OK then, it’s risky, it’s dangerous, crossing the sea is not a joke in those kinds of boats'.
IMAGE Mozhgan Moarefizadeh, an Iranian refugee who is stuck in Indonesia.
“'And people are saying that even if you make it there, you’ll be turned back, so what’s the point in going'?” said Moarefizadeh, who went on to co-found the Refugee and Asylum Seeker Information Centre to help others in her position access legal aid and community support in Indonesia.
“Australia is not accepting people. Their border is closed. That’s it, we don’t go,” she said.
Shawji Ramadhan, a Sudanese refugee and former microbiologist who has been in Indonesia since 2011, agrees that Manus Island and Nauru are simply not on the minds of refugees and asylum seekers in Indonesia. “I think Australia is thinking, ‘If I take those people [in offshore detention] to Australia, maybe a lot of people [will be] coming again’,” Mr Ramadhan said.
IMAGE Shawji Ramadhan, 32, fled to Indonesia in mid-2011 after being forced to stop his studies towards a master's of microbiology in Egypt. He lives waiting to resettle with his wife and two sons, aged 1 and 3 years old, south of Jakarta.
“But, you know, nobody here is thinking about refugees in Manus, because everyone knows about the border being closed.
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