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The survey organization in 21 places between" Cie " "Cara" and "Board".
In five years has changed little. Assistance in all areas is insufficient MSF centers for illegal immigrants in emergency and without rights.
of Vladimir Polch

MSF centers for illegal immigrants in emergency and without rights
ROME - Poor protection of fundamental rights. Lack of memoranda of understanding with the National Health System. Inadequate legal, social, and psychological health. Episodes of self harm, fights, riots. Lack of basic necessities. After five years, Medecins Sans Frontieres (MSF) has returned to places of detention of immigrants without residence permit. What has changed? Soon: "The management of the centers for migrants, despite being institutions for over a decade, it still seems inspired by an emergency approach and largely left to the discretion of individual management bodies."

MSF in 2003 had already conducted a survey on Italian Cpt. In the fall of 2008, two teams consisting of doctors, nurses, social workers and cultural mediators are back in 21 centers between CIE (Centre for expulsion), CARA (Centers for applicants seekers) and CDA (Centre reception), scattered throughout the national territory (the entrance to Lampedusa was denied by the prefecture of Agrigento). In the first half of 2009 occurred, however, two events that have changed the scenario: the extension from 2 to 6 months the maximum period of detention within the CIE and the abrupt end of the arrivals of migrants on the southern coast, the main channel port of asylum seekers in Italy, following an agreement between the Italian government and Libya. MSF has therefore decided, in the summer of 2009, to re-enter the centers.

The results? Daunting. "By analyzing data collected visits conducted in 2008 and 2009 - said the report" Beyond over the wall - despite some improvements in the quality of the buildings above, there was a condition not unlike that found in the first report of 2003. There are still many factors of failure and episodes of poor protection of fundamental rights regardless of the operator " . Not only that. Lacks transparency, "as evidenced by the refusal of the Ministry of the Interior to make available to the MSF agreements between individual institutions managers and the local prefectures (the Prefecture of Croton is the only one to have made available a copy of the agreement signed with the managing body of the center). " In short, "the immigration centers seem to operate as enclaves with rules, relationships and dimensions of life of its own, without external controls and indicators of quality. "


The worst conditions were in refugee camps. There is in everything from ex-prisoners to foreigners with years of living behind them, children and family in Italy." The 50% of respondents were in Italy for over 5 years, many of which also more than 10 years. Overall, the mean residence time of the detainees interviewed in Italy is 7 years and 4 months. "Promiscuity that may be the origin of the high level of tension and uneasiness within the centers." As the testimonials are the proof detainees and the many who obtain injuries, which make frequent use of health facilities and sedatives, the many signs of riots, arson and vandalism and daily news stories of suicides, suicide attempts and continued unrest. This tension is not simply related to the condition of detention for repatriation, but also the sense of injustice experienced by the subject held in a restriction of personal freedom while not having committed crimes, and to be kept on premises, moreover, unable to their adequately deal with the nature of basic needs like health, legal counseling, social and psychological support. "

also conducted on the basis of observation," the returnees are detained only 45% of the total.

"missing in the CIE as for example, into one in Turin, cultural mediators without which it often creates lack of communication between doctor and patient. Disconcerting lack of local and national health authorities - says Alessandra Tramontano, medical coordinator for MSF in Italy - and the CIE Trapani and Lamezia Terme should be closed immediately because it is totally inappropriate to hold people in terms of livability. But in other CIE we found serious problems: in Rome lacked even basic necessities such as blankets, clothes, toilet paper, or heating responsive.

"In CARA, we found inadequate reception facilities. The case centers Crotone and Foggia is an example: 12 people living in dilapidated container 25 or 30 square meters, several hundred meters away from the services and other facilities of the center. In those centers - conclude Tramontano - the absence of a canteen forced hundreds of people to eat daily on the beds or on the ground. "