Volunteers battle health crisis of asylum seekers in Mexico

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Volunteers battle health crisis of asylum seekers in Mexico
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Medical students. A university professor. Pediatricians. All are part of a movement of health professionals from both sides of the U.S.-Mexico border that is quietly battling to keep asylum seekers healthy and safe while their lives remain in flux.

TIJUANA, Mexico — When the Honduran boy complained of a toothache, Dr. Psyche Calderon asked the obvious question: “When did the pain start?”“When La Mara broke all my teeth and killed all my family,” the 14-year-old said.

With little training or preparation for this type of medical work, doctors like Calderon are trying to come up with guidelines to better treat migrants with emotional trauma.Tens of thousands of people are stuck in Mexican border cities as their asylum cases wind their way through the U.S. court system under a Trump administration policy that returns them across the border to wait out a decision, rather than allowing them to stay with relatives or sponsors in the United States.

The health crisis spans both sides of the border. In the past year, at least three children, detained by U.S. Border Patrol agents, have died from the flu while being held. They include a 16-year-old boy who was seen on security footage writhing in agony on the floor in a U.S. Border Patrol holding cell.

The 34-year-old Tijuana doctor treats addictions in her day job. Her private practice caters to Americans seeking lower-cost medical care across the border who pay in dollars, allowing her to be able to volunteer. She found her new calling in 2018 when thousands of Central Americans poured into Tijuana after crossing Mexico in a caravan.

Advocating for what they call “border-less medicine,” they started by organizing pop-up clinics at the shelters on Saturdays and attracting volunteers by word of mouth and through social media postings. Celeste Pain, who crosses back to San Diego daily to work at an outlet store, rattles off instructions: Don’t ask about people’s backgrounds, which could trigger traumatic memories, or take photographs. Fill out medical forms that ask for a person’s medical history, their court date and their number in line of those waiting to ask for asylum. Determine when the client will be crossing the border; they likely will be held in U.S. immigration detention centers, which could disrupt their care.

They unfold tables and metal chairs in the congregation hall to set up makeshift examining spaces as giggling children run by. They unpack a half-dozen duffel bags and suitcases bursting with plastic bags filled with asthma inhalers, antibiotics and other prescription drugs. Some medications were brought in by volunteers, including the two sisters who said they were stopped by Mexican customs officials and had to pay up to $100 before being allowed into the country.

Eight months have passed since that day she saw the boy with the broken teeth. She still thinks of him. She never saw him again nor learned of his fate.

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