Human Trafficking 2: Approach To The Patient

2018 ◽  
Author(s):  
Wendy Macias-Konstantopoulos

Trafficking survivors most commonly cite the emergency department (ED) as their health care access point while previously trafficked. A majority of trafficking survivors surveyed report accessing medical care at least once while trafficked. ED physicians should adhere to guiding principles of care, keeping in mind at all times the need for patient privacy and the use of paced evaluations and neutral language. It is incumbent upon ED physicians to recognize both the clinician-related barriers to helping trafficked patients (which may include an underappreciation of the relevance of trafficking to clinical practice and a lack of education and training) and patient-related barriers (which range from restriction and confinement by their abuser to the patient’s own shame, guilt, and self-blame; distrust of authorities; and fear). Once the trafficked patient presents to the ED, the physician should acknowledge that the identification of at-risk and trafficked patients can be the first step toward prevention and assistance, respectively. No singular or defined set of diagnostic signs or symptoms has been shown to cut across all forms of trafficking with any degree of sensitivity or specificity, but familiarity with the potential indicators of human trafficking can help the emergency provider recognize patterns and raise the suspicion of trafficking. If a clinician suspects that a patient might be trafficked, the clinician should engage the patient in a trauma-informed and culturally sensitive assessment. This review contains 2 tables and 34 references Key words: commercial sexual exploitation, debt bondage, domestic servitude, forced labor, forced substance use, HIV, modern-day slavery, neutral language, patient privacy, posttraumatic stress disorder, trafficking in persons  

2018 ◽  
Author(s):  
Wendy Macias-Konstantopoulos

Trafficking in persons, or human trafficking, is the obtaining of persons by force, fraud, coercion, or other improper means, with the intention of exploiting them for financial gain. According to the US Department of State, the more prominent global forms of human trafficking include forced labor, bonded labor (or debt bondage), forced commercial sexual exploitation (or sex trafficking), involuntary domestic servitude, forced child labor, child sex trafficking, child soldiering, and organ trafficking. In the United States, the forced exploitation of persons in the labor industry (i.e., labor trafficking) and in the commercial sex industry (i.e., sex trafficking) account for the majority of human trafficking cases recognized, reported, investigated, and prosecuted. Women and girls account for 55% (11.4 million) of the global trafficked population, whereas men and boys comprise the difference. Three quarters of trafficked persons are adults, whereas children younger than 18 years represent 26% (5.5 million) of victims. Risk factors that have been associated with increased risk of human trafficking include but are not limited to a childhood history of abuse and neglect; financial insecurity; housing instability associated with homelessness, running away, or being thrown out of the home; kinship placements with distant family members, foster care, and other residential placements; intellectual and learning disabilities; identification as lesbian, gay, bisexual, transgender, and questioning (LGBTQ); racial and ethnic minority status; status as an immigrant, migrant worker, and refugee; and involvement in gangs or illicit substance use. Due to the inherently abusive and violent nature of this crime, human trafficking has profound negative implications for the health and well-being of affected persons. This review contains 2 figures, 4 tables and 53 references Key words: commercial sexual exploitation, debt bondage, domestic servitude, forced labor, forced substance use, HIV, modern-day slavery, posttraumatic stress disorder, trafficking in persons 


2021 ◽  
pp. 089801012110455
Author(s):  
Marielle A. Combs ◽  
Tracy Arnold

Human trafficking, also known as modern-day slavery, is a public health crisis and a growing worldwide crime exploiting approximately 40.3 million victims. A decade ago approximately 79% of human trafficking crimes were related to sexual exploitation and 18% were related to forced labor, but more recent reports show approximately 50% and 38%, respectively. Although sexual exploitation continues to make up the majority of human trafficking crimes, forced labor continues to grow at an alarming rate. The purpose of this paper is 2-fold. First, to empower healthcare providers and community volunteers serving potential victims of human trafficking in traditional and nontraditional settings with human trafficking identification training. This education should include the use of a validated human trafficking screening tool and the timely provision of resources. Second, to guide professional nurses in the holistic approach to caring for potential victims of human trafficking. The core values of holistic nursing practice and Watson's Theory of Human Caring are the pillars guiding mindful and authentic nursing care. Merging evidence-based practice with holistic care will boost victim identification and rescue.


AJIL Unbound ◽  
2014 ◽  
Vol 108 ◽  
pp. 264-267
Author(s):  
Clifford Bob

Janie Chuang discusses important shifts in the way that American policy makers and activists have defined and fought human trafficking. As she shows, key aspects of the 2000 UN Protocol’s definition of trafficking have been whiplashed by changing political winds emanating from the Bush and Obama administrations. In the Bush years, a strange bedfellows network of feminists, evangelicals, and neo-conservatives directed American trafficking policy primarily toward sexual exploitation, pushing for prohibitions not only on forced but also on voluntary prostitution. Other types of trafficking were neglected. The Obama administration and its own set of civil society associates gusted other ways. Among other moves, it reduced the focus on sex, dropped the view that voluntary prostitution constituted trafficking, enlarged the trafficking concept to include all forced labor (whether or not involving movement), and rebranded the expansive new notion as slavery.


Author(s):  
Kathleen Bergquist

The definition of human trafficking generally includes the commercial exploitation of persons for labor or sex. Although the International Labour Organization estimated in 2012 that exploitation through forced labor trafficking is up to three times more prevalent than forced sexual exploitation, sex trafficking seems to receive greater media and public attention. This article provides a historical context for sex trafficking, some discussion about the political evolution of sex trafficking legislation, current knowledge, and practice.


2016 ◽  
Vol 3 (3) ◽  
pp. 184-188
Author(s):  
O S Guzeeva

Difficulties combating human trafficking due not only to the transnational character and widespread proliferation of new forms of trafficking in persons (in addition to sexual exploitation): forced labor, begging, forced surrogacy, organ and tissue transplantation, forced adoption / adoption, use in armed groups, but also the difficulties qualification of crimes under Art. 127.1 of the Criminal Code


Author(s):  
Nadejda K. Marinova

Trafficking and smuggling in persons is a serious crime and a grave violation of human rights. In the world today, there are more slaves than at any other time in human history—these present-day slaves are the victims of human smuggling and human trafficking. Human trafficking refers to the trade of humans, most commonly for the purpose of forced labor, sexual slavery, or commercial sexual exploitation for the trafficker or others. This may encompass providing a spouse in the context of forced marriage, or the extraction of organs or tissues, including for surrogacy and ova removal. Every year, thousands of men, women and children fall into the hands of traffickers, in their own countries and abroad. Almost every country in the world is affected by trafficking, whether as a country of origin, transit or destination for victims. The 1980s saw human trafficking emerge on the political agenda of states as well as of supranational and international organizations. By the early 1990s, human smuggling—which is extremely important in illegal migration—has prompted policy attention. The academic scholarship on human smuggling focuses on the factors for the increase of trafficking, the structure and organization of smuggler networks, and on the question of whether smuggled individuals are victims or perpetrators of a crime.


2017 ◽  
Vol 41 (S1) ◽  
pp. S9-S9
Author(s):  
M. Schouler-Ocak

“Trafficking in persons,” “human trafficking,” and “modern slavery” have been used as umbrella terms for the act of recruiting, harboring, transporting, providing, or obtaining a person for compelled labor or commercial sex acts through the use of force, fraud, or coercion. Trafficking in persons is an insult to human dignity and an assault on freedom, and robbing basic human rights (US Report, 2015). Reliable data on trafficking are difficult to obtain owing to its illegal nature; the range and severity of trafficking activities; and variations in how trafficking is defined. It is supposed that 49 per cent of the victims are women, 21 per cent girls, 18 per cent men and 12 per cent boys. 53 per cent were involved in sexual exploitation and 40 per cent in forced labor (UN, 2014).Research findings show that the limitations of current methodologies affect what is known about human trafficking and health. Moreover, findings demonstrate an urgent need for representative and non–purposive recruitment strategies in future investigations of trafficking and health as well as research on risk and protective factors related to human trafficking and health, intervention effectiveness, long-term health outcomes. The psychological impact of victimization may be more severe than the physical violence. Victims who have been rescued from sexual slavery, typically present with various psychological symptoms and mental illnesses, including the following: Post-Traumatic Stress Disorder (PTSD), depression, anxiety, panic disorder, suicidal ideation, Stockholm syndrome, and substance abuse. In this talk current findings will be presented and discussed.Disclosure of interestThe author has not supplied his declaration of competing interest.


2018 ◽  
Vol 9 (2) ◽  
pp. 201-218
Author(s):  
Miftahul Ulum

This paper discusses the corporate crime of human trafficking. The background used is the assessment that classifies Indonesia in third place for the handling of human trafficking by the international community. The word “Hero Exchange” may often be heard, they are the workers from Indonesia who often become victims of Human Trafficking, victims sometimes traded not only for the purpose of prostitution or other forms of sexual exploitation, but also includes other forms of exploitation, such as forced labor or services, slavery or practices similar to slavery. Various government policies are made concerning the protection of women and children, basically made ​​relatively comprehensive policies, ranging from Basic Act 1945 and the rules below. However many government policies in tackling this problem is not followed by real action in the field and it can be concluded, the legal protection of women and children victims of human trafficking is still felt less effective. This is evident from the very rarity of severe criminal imposed by the judge against traffickers. The absence of compensation in the form of sanctions against traffickers also add to the sense of injustice padakorban trafficking who have suffered both physically, mentally, and economically.  


2012 ◽  
pp. 75-103
Author(s):  
Sushila Karki

Trafficking, established as commercial sexual exploitation, forced labor or services, servitude, slavery or practices similar has reached alarming proportions in the present day world most effective within the South-Asian Region. Women and girls are the measure victim of trafficking. There are various reasons where women and girls prey for trafficking. Some of them primarily search out work in the wealthier countries are promised jobs and are subsequently forced into sexually exploitative situations upon arrival in the country of destination. The social stigmatization associated with trafficking due to lack of awareness in society necessarily associates all the trafficking with sexual exploitation. The key issues and challenges faced by the survivors of trafficking are social rejection, lack of ownership of citizenship which does not allow these survivors to successfully reintegrate back into the society. Some of the laws of Nepal namely Human Trafficking and Transportation Control Act 2007, Human Trafficking and Transportation Regulation 2008 provide rehabilitation measures to the survivor. In line with these legal provisions this article has made efforts to analyze role of government of Nepal in nexus with rehabilitation and reintegration principle.


2021 ◽  
Vol 65 (04) ◽  
pp. 234-236
Author(s):  
Fidan Dilqem Hajizade ◽  

The 2005 Council of Europe Convention on Action against Trafficking in Human Beings is open for signature not only by Member States of the Council of Europe, but also non-members of the Council of Europe. This Convention is comprehensive treaty mainly focused on the protection of victims of trafficking in human beings and ensure of their rights. It also aims at preventing human trafficking as well as prosecuting perpetrators. The provisions of this Convention are applied to all forms of trafficking: both national and international trafficking and whether or not it is related to organized crime. The Convention protects the rights of women, men and children who have been subjected to any form of exploitation (sexual exploitation, forced labor, services, etc.). Moreover, the Convention provides an independent monitoring mechanism to control the implementation of the provisions of the Convention. Key words: Convention on Action against Trafficking in Human Beings, Council of Europe, GRETA, exploitation, implementation, victims of human trafficking


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