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UNHCR, the UN Refugee Agency, is urging immediate action by the Government of Australia to address a collapsing health situation among refugees and asylum-seekers at off-shore facilities in Papua New Guinea and Nauru. Australia remains responsible under International Law for those who have sought its protection. In the context of deteriorating health and reduced medical care, Australia must now act to prevent further tragedy to those forcibly transferred under its so-called “offshore processing” policy. UNHCR renews its call for refugees and asylum-seekers to be moved immediately to Australia, where they can receive adequate support and care.
In September this year, more refugees and asylum-seekers had to be medically evacuated from Nauru to Australia than in the preceding two years combined. This reflects both the longstanding poor healthcare situation under “offshore processing” and a recent worsening of conditions, rather than any moderating of stance. With approximately 1,420 people still held in Papua New Guinea and Nauru, some 500 have now been returned to Australia on medical grounds – this is more than a quarter of the population.
In Papua New Guinea, there have been no re-transfers to Australia this year. This is despite a clear and urgent imperative for medical evacuation. Several instances of self-harm or attempted suicide have taken place in Papua New Guinea in the past month. A number of people suffering both acute physical and mental health needs, including some who UNHCR brought to the attention of the Australian Government in 2017, remain untreated.
Since 2016, UNHCR has consistently and repeatedly warned of the severe, negative health impacts of “offshore processing” which are as acute as they are predictable. These concerns have been echoed by other independent bodies including the Australian Medical Association.
UNHCR does not agree with the Government of Australia’s assertion that such cases are solely “matters for Papua New Guinea and Nauru,” with Australia having simultaneously designed, financed and managed the system in which these two developing and under-resourced countries participate.
Since 2013, Australia has reduced the budget available for care of “offshore” refugees and asylum-seekers by approximately half. This despite the fact that throughout the same period the population has fallen by only 7 per cent and medical needs continue to grow.
Original source: UNHCR
Published on 12 October 2018