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Stop Human Trafficking and women and Child Abuse

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A staggering one in three women have experienced physical or sexual violence in their lifetime—a pandemic of global proportions.
March 04, 2016

A staggering one in three women have experienced physical or sexual violence in their lifetime—a pandemic of global proportions. Unlike an  See more
Rosanna Bowman

THE STORY:

It turns out this 20-something woman was being pimped out by her boyfriend, forced to sell herself for sex and hand him the money.

 “It was a small glass capsule with a little almost like a circuit board inside of it,” he said. “It's an RFID chip. It's used to tag cats and dogs. And someone had tagged her like an animal, like she was somebody's pet that they owned.”

This is human trafficking. It’s a marginal issue here in the U.S. for most of us. Part of that is because the average person isn’t sure what human trafficking – or modern day slavery – actually means.

“Very plainly, human trafficking is when one person takes advantage of another person for some profit,” said Katherine Chon, director of the newly created Office on Trafficking in Persons at the U.S. Department of Health and Human Services.

Trafficking can mean being locked in a room, having an RFID chip injected under your skin, or something like your employer holding your passport. It’s found in industries from prostitution to manufacturing to domestic service.

Breaking this cycle of violence traditionally has been left to law enforcement. But in the last three years, people in healthcare are waking up to the fact that they can play a critical role.

“I can guarantee you that I’ve placed my hands and I’ve examined and I’ve spoken to more trafficking victims than I know I have,” said Wendy Macias, an ER doctor at Massachusetts General Hospital in Boston.

Macias is one of the nation’s leading advocates to get doctors, nurses and hospital executives involved. 

One report finds as many as 88 percent of sex trafficking victims end up in ERs and clinics at some point while being held.

Much different than law enforcement, healthcare providers get these moments — a sort of a privileged access into the lives of people who often are out of reach

“You know traffickers are really smart, they will move their patients around from one city to the next all across the country,” she said. “I want us to help them when we have them in our midst because it may be the last time that they’re there.”

But here’s the challenge: you’ve got to convince doctors and nurses that they are the ones uniquely placed to break the cycle of violence.

One study shows just one-quarter of providers think human trafficking touches their patients.

The Justice Department says 83 percent of confirmed sex trafficking victims are U.S. citizens.

Dr. Dale Carrison at the University Medical Center in Las Vegas hopes the case with the tracking device is so disturbing that it pushes people in healthcare to action.

“There's so many sci-fi movies where they stick a device in somebody. Well guess what? It's real. It happened,” he said. “That was a big wake up call for me personally that ‘Uh-oh we're going to another level now.’ And I need to get the word out to all my colleagues, don’t blow this off.”

There are some signs of life.

Money is beginning to flow to train clinicians to identify patients. More than half a dozen professional societies – including the American Medical Association – have passed resolutions highlighting the problem. The grass-roots group Heal Trafficking— made up of some 600 providers — has formed.

The first step is simple awareness.

Knowledge certainly has helped change how Dr. A approaches his patients. 

“It’s always important to simply consider the possibility that something not obvious might be going on. And recognizing that is the first step to diagnose it,” he said.

Since that October afternoon, Dr. A says he’s pulled about five patients aside, checking for signs of trafficking.

He’s come up empty each time. He explains, that’s what he does, rule out the bad stuff.

That, he says, is his job. 

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Monica Alarcon

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