Global assessments suggest that a substantial proportion of labour migrants ends up in situations of extreme exploitation, some of whom are identified as victims of human trafficking. Because large numbers of migrant workers fall into a “grey area” between trafficking (as defined by international and national law) and exploitative labour situations, there is good reason to explore the differences and similarities between the health needs of those who have been identified as trafficked compared to other migrants working in the same labour sector who have not. It is urgent to understand present-day occupational health and safety risks, forms of abuse and exploitation in different sectors and common hazardous working and living conditions to improve prevention and response strategies. This is among the first studies to explore and compare the influence of occupational and other risk exposures on people’s health and well-being and compare the experiences of migrant workers and victims of trafficking across sectors and regions. Our multiregion qualitative study on exploitation and harm experienced by individuals in the textile sector in Argentina, and artisanal gold-mining in Peru and construction sector in Kazakhstan, found important commonalities in the health hazards and financial, social and legal challenges across sectors and regions. In total, we interviewed 71 people; of these, 18 were formally identified victims of trafficking and 53 were migrant workers.

For many trafficked persons, the physical and psychological aftermath of a trafficking experience can be severe and enduring. Health providers may come into contact with victims of trafficking at different stages of the trafficking process and at different stages of their recovery. For health practitioners, diagnosing and treating trafficked persons can be exceptionally challenging. The informed and attentive health care provider can play an important role in assisting and treating individuals who may have suffered unspeakable and repeated abuse. Caring for Trafficked Persons brings together the collective experience of a broad range of experts from international organizations, universities and civil society in addressing the consequences of human trafficking. Developed with the support of the United Nations Global Initiative to Fight Human Trafficking, and led by IOM and the London School of Hygiene & Tropical Medicine, the handbook gives practical, non-clinical advice to help a concerned health provider understand the phenomenon of human trafficking, recognize some of the associated health problems and consider safe and appropriate approaches to providing healthcare for trafficked persons.

The coronavirus is not only claiming hundreds of thousands of lives, but is also causing a global economic crisis that is expected to rival or exceed that of any recession in the past 150 years. Although decisive action and containment measures are helping flatten the curve of infection, such measures inevitably deepen and lengthen the economic recession.In the worst-case scenario, the International Labour Organization (ILO) estimates that up to 25 million people will lose their jobs worldwide.Poverty, lack of social or economic opportunity and limited labour protections are the main root causes and drivers that render people vulnerable or cause them to fall victim to human trafficking. This unprecedented crisis will likely exacerbate all of those factors and result in developments that must be noted by antihuman-trafficking communities and stakeholders.

IOM has had some 13 years of experience in implementing counter-trafficking activities and has provided assistance to over 14,000 victims of trafficking in all regions of the world. With a growing number of organizations, especially local non-governmental organizations, now providing or intending to provide assistance to victims of trafficking, IOM would like to share its experience and lessons learned. This Handbook summarizes and systematizes this experience. IOM recognizes that each victim is unique and requires and desires different assistance. As well, the nature of trafficking is different around the world and is ever evolving, requiring changing responses. Therefore, this Handbook is not meant to provide a single methodology for the provision of assistance to victims of trafficking, but to offer suggestions and guidance, based on IOM’s many years of experience. IOM hopes that it will be helpful to all organizations providing such assistance to victims, but especially for organizations who are just beginning to develop victim assistance programmes and can benefit from IOM’s experiences. This Handbook provides guidance and advice necessary to effectively deliver a full range of assistance to victims of trafficking from the point of initial contact and screening up to the effective social reintegration of the individuals concerned.

In 2019, many more people needed humanitarian assistance than we had forecast, largely because of conflicts and extreme climate events. Donors provided a record $16 billion for inter-agency appeals between January and November 2019. Compliance with international law is declining. Armed conflicts are killing and maiming a record number of children, forcing them to flee their homes. They are becoming a lost generation. Women and girls are at higher risk of sexual and gender-based violence. One in five people living in conflict areas has a mental health condition.Highly violent conflicts are causing widespread hunger, displacement, death and destruction around the world. They are taking a heavy toll on civilians, who account for 90 per cent of the casualties when explosive weapons are used in populated areas. There were 791 attacks against health workers and health-care facilities in the first nine months of 2019, resulting in 171 deaths. In 2018, 131 aid workers were killed and 130 were kidnapped in 400 attacks. Attacks against health and aid workers are putting millions of people at risk by denying them care and aid.

It appeared necessary to carry out a synthetic comparative analysis of 8 legislations applied in countries of the Maghreb and the Sahel, to succeed in integrating a new bill on human trafficking in Mauritania in a coherent and harmonized regional framework, a process in which the Burkinabé, Malian and Senegalese women also got involved by preparing a draft amendment to their trafficking law. Comparative analysis of the laws of Burkina Faso, Mali, Morocco, Niger, Senegal, Chad, Tunisia and Mauritania seek to allow Mauritanian authorities to initiate review aimed at strengthen existing legislative provisions.