Covid-19 in Camps – How the pandemic is impacting young refugees

Charlotte Russell

Wiseman Khuzwayo Scholarship PhD student

Wilberforce Institute, University of Hull

c.russell-2018@hull.ac.uk

From the early stages of the pandemic, we have seen the disproportionate impact of Covid-19 on minority and marginalised groups. This disparity continues to disadvantage those living in refugee camps across the world. While Covid-19 mortality rates in refugee camps have not been as devastating as was initially predicted, the impacts of the pandemic for displaced people are both broad ranging and ongoing. In the case of young refugees, we are seeing a particular set of adverse consequences which extend beyond physical health.

In my research I’m speaking with NGOs working within refugee camps on the Greek islands, and with people living in the camps who are seeking asylum. Time and time again, when I asked about the safety issues which young people in these camps are facing, Covid-19 came up. Interviewees spoke about the increased, unmonitored abuse and exploitation of young people as a result of Covid-19. One young man referred to this as the ‘hidden pandemic’ in refugee camps. A little more exploration revealed that this is unfortunately very much a trend across camps globally. While every camp presents distinct problems, trends such as this are appearing across the world.

Lockdowns, income loss, restriction of services and confinement to insecure environments are increasing the existing threats to the safety and well-being of young refugees. They are facing higher levels of mistreatment, gender-based violence, exploitation, abusive smuggling, social exclusion and separation from caregivers. In a refugee camp setting, where the stresses of daily life are already severe and child protection services are limited or non-existent, these increased safety risks are felt all the more intensely. While interconnected, these issues can be grouped into three dimensions: provision of services, poverty and xenophobia.

Services which young people in camps relied upon to alleviate the associated problems of encampment are slowed, or unable to function. One example of this is the closure of non-governmental organisations (NGOs) providing education services. Schools in refugee camps provide an informal safeguarding role – one which is rarely filled in any formal capacity. NGO representatives have described to me how getting to know young people and seeing them on a regular basis allowed their teachers to spot indicators that a young person may be experiencing some form of abuse, and to act accordingly. Remote learning is simply not accessible financially to the majority of these young people. It requires a mobile device, mobile data, and very often a long journey on foot to purchase the mobile data, not to mention the risk of exploitation or abuse faced while making this journey to the nearest town. In any case, it is the in-person contact which most effectively alerts teachers or support staff to a safeguarding issue.

Many other support structures are now closed too, including ‘safe spaces’ in camps. In Vial refugee camp on the island of Chios, the ‘safe space’ for women and young people has now been closed for ten months, making it harder for children to report child protection issues and receive the necessary support and care. Closures of support structures such as these are linked by NGOs and refugees themselves to the increasing rates of neglect, abuse, gender-based violence and child marriages occurring in camps.

Shifts in the services processing asylum claims are also having a tangible impact on the overcrowding and poor monitoring of camp residents. United Nations agencies suspended resettlement procedures at the beginning of the pandemic. In many countries, border closures have left displaced people stranded, placing children and their families at risk of further harm and potentially separating families for longer stretches. In the United States, people seeking asylum, including children, have been turned away or deported to their countries of origin at the United States–Mexico border as part of the response to Covid-19. This indefinite prolongation of encampment also further increases the poverty of those living in camps worldwide.

While the pandemic has not only increased the impacts of poverty on displaced people in camps, it has also altered and reduced the means available to refugees to combat these poverty increases. Children and young people are no exception to this change. Families and caregivers of refugee children are inherently more vulnerable to job loss or economic downturns. With loss of access to support services (which have been forced to withdraw or reduce their support due to social distancing measures or lack of funding), comes a greater intensity of need. This increased need for food, clothing, shelter, and income must be accommodated somehow. And with the closure of ‘safer’ channels to do so, there is an increased likelihood of children accessing what they or their family need through means which exploit them. More children are now working to provide income for their families, engaging in coercive or emotional relationships, exploitative or abusive smuggling, or sexual exploitation.

Very much interwoven with these issues is the circulation of misinformation on the spread of Covid-19. Stigma, xenophobia and discrimination towards displaced children and their families are being exacerbated worldwide. In Lebanon, multiple municipalities have introduced restrictions on Syrian refugees to stem the spread of the virus. However these do not apply to Lebanese nationals. Similarly, displaced people on the Greek islands are facing curfews, and even lockdowns that do not apply to Greek residents. In Italy, there have been incidents of police brutality towards young refugees simply for leaving their camp. With these trends a differentiation is made between the rights of nationals compared to those of refugees. They also underscore the overlap between health inequality or the commodification of health, and the enjoyment of basic human rights to safety and protection, a relationship which Covid-19 has highlighted all too clearly.

While it is important not to homogenise the experiences of minority groups, or to associate the personal identities of these people with only the labels of ‘refugee’ or ‘child’, it remains important to demonstrate that they are facing distinct challenges. These challenges need to be tackled with their particular circumstances in mind. The health implications of displacement, particularly in a pandemic, are of course vital to appreciate. However the ‘hidden pandemic’ of unmonitored and unprevented abuse presents an equally vital child health crisis which continues to be overlooked.

Moria Corona Awareness Team (MCAT), a refugee-led initiative working to provide protection from Covid-19 in camps on Lesvos island. Image at https://www.facebook.com/MoriaCoronaAwarenessTeam/

Covid-19 and Modern Slavery: Historical Perspectives

Trevor Burnard

Wilberforce Professor of Slavery and Emancipation and Director of the Wilberforce Institute, University of Hull

trevor.burnard@hull.ac.uk

The study of historical epidemics is not an esoteric subfield for the interested specialist but is central to understanding historical change in general. Infectious diseases are as important to understanding societal development as economic crises, wars, revolutions and demographic change.

Throughout human history, infectious diseases have been far more devastating in their medical and social effects than other causes of illness. Their history is far from over.

We have been terribly complacent about infectious diseases. In 1969, the US Surgeon General declared the end of infectious diseases. This mood of optimism led to the closure at top universities like Harvard and Yale of departments of infectious medicine. There are some counter-currents, such as the US establishment of the Center for Disease Control and the great effort of the World Health Organisation and other international agencies against SARS, but the longstanding belief that pandemic disease was both controllable and could be consigned to the past has been noticeable, including in works of history. Our optimism has had catastrophic results.

Similarly, we were highly optimistic in the mid-twentieth century that slavery would disappear, after discourses of human rights were established in the late 1940s and slavery was made illegal everywhere in the world from the late 1970s. On the contrary, forms of modern slavery have increased and mutated (not altogether dissimilar to infectious diseases like SARS, Ebola and Covid-19) since the beginning of this century so that now many millions of people, mostly in the developing world but also in developed countries, experience precarity and vulnerability in their working and personal lives. That the increase in modern slavery and in the social effects of infectious disease have occurred simultaneously is not an accident.

Many of the features of a globalized society render the world acutely vulnerable to pandemic disease and the re-emergence of slavery: population growth, climate change, rapid means of transportation, the proliferation of megacities with inadequate urban infrastructure, warfare, persistent poverty and widening social inequalities.

Epidemic diseases are not random events, let alone ‘acts of God’, but medical events which reflect underlying social structures, standards of living, and political priorities. They need to be studied as major social events with significant economic and political consequences, conditioned by political choices. Medical crises have a significant impact, in particular, on the lives and political power of marginalized groups – in the past that has led many in those vulnerable groups into enslavement.

One way to think of pandemics as medical events with social causes and consequences is to adopt the term ‘syndemic’ which was a term developed by medics and medical anthropologists in the AIDs crisis of the 1980s and 1990s. A ‘syndemic’ occurs when two or more diseases form a cluster of epidemics affecting a given population in social contexts that perpetuate that disease and exacerbate its effects. Covid-19 is an excellent example of a syndemic as it interacts with underlying health conditions and seems to be disproportionately dangerous for specific sectors of society, notably people with underlying medical conditions and who are poor and vulnerable. Classic syndemics in the past include the Black Death and the ‘destruction of the Indies’ as measles and smallpox entered populations that had no resistance to them. The effect of these syndemics was to change the relationship of Europe with the rest of the world.

History is both a guide to epidemic disease and a means of realizing that what we are doing today – shutting down much of the economy in an attempt to restrict the spread of the disease – is unprecedented. In the past, we either did not have the ability to stop or reduce an infectious disease epidemic or else, as in recent years, the epidemic never got large enough to affect significant numbers of the population.

Public authorities draw on previous epidemics to fight new ones. Over the centuries, they have invoked strategies from the past to fight new threats. Doing this gives the impression of a forceful and energetic response, thereby providing the population with some sense of protection. What is seldom done is for authorities to consider the long-term effects of disease on such things as slavery, forced labour and the impact of disease on the poor and the vulnerable.

Epidemic disease has had an enormous social effect and has coincided with slavery in numerous ways, such as the following:

The Black Death 1348-53 ended serfdom and slavery in late medieval north-western Europe
The reduction of the population of the Americas by as much as 90 percent after the arrival of Columbus in 1492 meant that European settlers turned to millions of important Africans as chattel slaves
Continued disease in the Caribbean made that region dependent for centuries on the Atlantic slave trade
The death of thousands of European soldiers from disease was a major factor in ending slavery in Saint Domingue in 1804, which led to the creation of the world’s first black republic of Haiti
The Spanish flu of 1918-20 contributed to a sense of crisis in Germany, fuelling the rise of Hitler and the eventual restart of slavery in slave labour camps in Europe during World War II.

A hospital in Kansas in 1918 during the Spanish flu epidemic.
Source: https://www.flickr.com/photos/medicalmuseum/3300169510/

Racial Precedents to COVID-19

Jasmine Holding Brown

‘Falling Through the Net’ PhD Research Cluster

Wilberforce Institute, University of Hull

j.holding-brown-2019@hull.ac.uk, #FallingThroughTheNet

As part of the ‘Falling Through the Net’ cluster my work examines children and childhoods that are exposed to exploitation. In the first six months of my PhD the focus of my research has shifted, more than once. Currently my interests lie in exploring ideas relating to rescue: the rescuers and the rescued.

The two central topics of my comparative study, British child migration and Indigenous Canadian child removal (between 1850 and 1970) were, on the surface at least, supposed to ‘save’ children from something: poverty; sin; poor parenting; limited social and economic opportunities; indigeneity. Frequently these ‘rescued’ children were placed in highly exploitative and harmful situations.

To stretch the initial analogy further though, there are children that these particular ‘nets’, however poorly designed, were never designed to catch. I suggest that by looking closely at the particular characteristics of the ‘rescued’, including the ‘non-rescued’ and the ‘rescuers’, we can attain a clearer understanding of the social dynamics at play. The intersections of class, gender and race in the development of policies drastically altered the lives of hundreds of thousands of children, and left many in mass unmarked graves. I intend to explore the underexamined role that ‘white womanhood’ played in the formulation of these child-focused social movements, and their relation to broader settler-colonial projects.

Ultimately, I am interested in the relevance that these issues have to contemporary practices and the protection of ‘vulnerable’ children and young people, dilemmas regarding the ethics of intervention, the distribution of resources and how ‘best interests’ are conceptualised.

The current global health crisis has brought some of these vulnerabilities into stark relief, exposing the rampant social and health inequalities that exist within societies. Despite children being one of the least affected groups in relation to the virus itself, the wider implications of the COVID-19 disease pandemic will undoubtedly impact some young people more than others. This includes the inability to access outdoor spaces and the internet; reduced contact with support services; and the increased pressures of lockdown on family dynamics for the estimated 2.3 million children in England considered to be at significant risk, but not currently receiving support from social services.

In addition to class distinctions, racial disparities in relation to COVID-19 are now being discussed openly. Analysis conducted by The Guardian called for the recognition of race, and racial inequalities as risk factors for COVID-19. Afua Hirsch, writing in the same newspaper has been highlighting these concerns since early April, when the emerging data appeared to corroborate what many suspected, that individuals from black, Asian and ethnic minority (BAME) groups are dying in significantly greater numbers relative to their representation in the population as a whole: in the UK this means a 27% higher rate than would be expected. An official inquiry into the issue was recently announced.

The statistics for black American deaths are even more telling; in Chicago black people constitute a third of the population but accounted for 72% of deaths at the beginning of April. It will be some time before we fully understand the correlation between BAME individuals and COVID-19, although it’s likely that socioeconomics, housing, high-risk occupations and higher levels of co-morbidities will be factors. It suggests that the tragic consequences of COVID-19 will also be felt disproportionately by the children of racial minority groups.

The social determinants of health are perhaps even more apparent, when looking at the potential impact COVID-19 could have for Indigenous communities. In Canada, especially areas without access to clean running water, frequent hand washing is not always feasible. Social distancing and isolation are not viable choices in overcrowded living arrangements, and where there are chronic shortages of adequate housing. A significantly higher proportion of the population have underlying health conditions, and there is a very high prevalence of respiratory illnesses. Inuit children, for example, suffer from tuberculosis at 300 times the rate of non-Indigenous Canadians, and, experience the highest rates of chronic respiratory disease in the world. These issues are compounded by limited access to healthcare services, with some remote areas only accessible by air, and others having no resident medical personnel. For these communities the impact of COVID-19 could be devastating.

The legacies of colonialist and racist mentalities have been exposed, in some quarters, in the ways in which the current pandemic has been articulated. Historically, Indigenous children were used as guinea-pigs for experimental and often brutal treatments. An idea invoked recently by a French doctor suggested a potential vaccine could be trialled in Africa. The Bacillus Calmette-Guérin vaccine, commonly known as the BCG, which is currently being examined for its potential use against COVID-19, was tested on Indigenous children in the 1930s to counter ‘Indian tuberculosis’, an example of racialised and pathologizing language that echoes the current American President’s use of the term ‘Chinese virus’.

Brandon Sanitorium for Indians, Brandon, Manitobe, Canada. November 1947.
Racially segregated hospitals originally operated to contain ‘Indian tuberculosis’.
Library and Archives Canada: Available here

From a personal perspective the pandemic has, to some degree, limited my ability to access resources. It has made connections with others more difficult to achieve, and it means events have been cancelled or postponed. They are difficulties though that seem largely trivial, given the struggles many people are facing to access even basic sanitation in order to protect themselves.