What illnesses do they suffer?
- Jungle Lung - viral/bacterial condition from mix of pollutants in camp
- Broken bones - border crossing attempts
- Cuts - barbed wire fences & police confiscate shoes after border attempts
- Scabies/lice - lack of washing facilities
- Fevers and colds - poor living conditions
- Lack of medic access and medicines, such as antibiotics
The jungle is not a healthy place to live by any means- cold, wet and polluted, it houses people from all over the world in squalid, overcrowded conditions.
So what does that mean for people's health and what are we trying to do about it?
🔹The French healthcare system will always treat emergencies. So if an ambulance is called to the camp, one will come. They don't always drive onsite, so there is now an agreed emergency point near Jules Ferry and refugees and volunteers will carry casualties to the ambulances.
🔹Treatment in hospital is similarly brusque- there are plenty of stories of refugees being told to go back to camp and keep their dressings clean where you or I would expect to be kept in with painkillers and proper wound care. However, the important thing is that serious injuries are treated.
But there are lots of injuries and illnesses on site that do not result in a trip to hospital. Some because they are not serious enough, but some because many refugees are terrified of any contact with the authorities. Those trying to cross to the UK don't want evidence they were in France that may result in their being returned if they make it across: while others have simply had such appalling experiences on their journeys they don't want to risk another encounter with people in uniform.
For these situations there are a couple of options.
🔹Medecins du Monde (MdM) are on site and run a clinic. For a long time this was the only healthcare available- they have been involved for a long time. This has paused after a series of break ins, but will be up and running again soon. Some refugees are cautious about using them as they take names and proper medical histories- for obvious reasons, but the fear of the authorities I have mentioned above can put some refugees off.
🔹Medecins sans Frontiers are also on camp, and have been for a few months. They have been focused on waste and sanitation as the single biggest threat to health on site, but are now moving into healthcare with a 'hospital'. We are not sure of the details yet, but the people I have worked with on waste have been wonderful- determined, flexible and friendly. So watch this space and keep your fingers crossed.
🔹The other thing that has been set up is medical caravans. Donated caravans that are staffed by a volunteer rota provide first aid, dressings, painkillers, flu meds, etc. They see some things over and over again and treat or triage and refer as appropriate:
🔸broken bones. These include broken ankles from jumping onto the top of lorries from bridges, and broken ribs from encounters with overzealous police officers or the region's thriving far right.
🔸cut hands from trying to climb over barbed wire. These can also get infected as it is so difficult to keep wounds clean.
🔸badly cut feet from walking back to the camp barefoot after police have taken the refugees' shoes to punish and discourage them from trying to cross.
🔸'jungle lung' as the nasty combination of bacterial and viral chest infections prevalent in camp have been dubbed. Apparently this is unique and is being studied by a doctor in London- it is certainly unpleasant and people feel very ill when they get it.
🔸coughs, colds, fevers and flu that are prevalent in the appalling living conditions. The caravans give out painkillers and cough sweets, but these often don't clear properly and half the camp seems to have a constant cough.
🔸scabies and lice. Absolutely no point trying to treat as refugees go back to the same living conditions- the same sleeping bags and clothes - and reinfect. Until we can clean the whole camp and replace everything that may be contaminated (a girl can dream) the best we can offer is antihistamines, Eurax and tea tree or neem oil.
🔸There are also the other issues you'd expect from a large group of people living together in those conditions- minor burns from cooking over camp fires etc, the aftermath of fights that need triage and treatment; handing out condoms and administering pregnancy tests, cuts and scrapes and bruises from falls in the dreadfully uneven ground, skin rashes and infections as it is so difficult to keep clean- pretty much anything you can think of is seen by the onsite medical team.
🔹We also have a dental caravan on site, manned by another team of volunteers. Those of you who have had tooth pain know how agonising it can be- the teams try and provide what relief they can from a specially fitted out caravan.
General health will improve on site only when all refugees have adequate housing, clothing and food. Until then, the charities and volunteers will do what they can but there are a lot of people suffering unnecessarily.
Update: the picture is from the vaccination clinic set up and run by HANDS international. Working closely with MdM, MSF and a representative of the French Health Minister, they are providing free influenza vaccinations to residents and volunteers and a signposting/advice service.