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Doctors no longer have the power to send ill asylum seekers on island detention centres to Australia for treatment after the country’s Senate repealed a previous bill.
Those who cannot get care they need on the remote centres can still come to the mainland if the minister for home affairs approves the request.
Doctors Without Borders (MSF) said the move “puts those most sick and vulnerable at risk”.
“Imagine if your healthcare, the care of your children, was going to be placed in the hands of your local MPs and not your local doctor,” said Paul McPhun, the NGO’s Australia director. “How would you feel about that?”
Refugees on the island detention centres can either return to their home countries, resettle in Papua New Guinea or Nauru, or travel to another country that grants them asylum .
The depth of the refugee crisis across the worldShow all 20 1 /20The depth of the refugee crisis across the world The depth of the refugee crisis across the world Mexico A mother washes her baby as she waits for her fast-track humanitarian visa at the Mexico-Guatemala border in Ciudad Hidalgo.
Unicef/Bindra
The depth of the refugee crisis across the world Uganda Refugee children and youngsters from host communities play at a park in Palabek Refugee settlement, during the mid-morning break. This facility is supported by Unicef with EU financial assistance – it also provides psychosocial support to refugee children as well as a place to play, learn, interact, sing and dance after all the traumatic experiences they may have gone through.
Unicef/Nabatanzi
The depth of the refugee crisis across the world Jordan Ali, two, rests on his father’s chest. His family are Syrian refugees and came to Jordan six years ago. Ali has just received his winter clothing kit from Unicef and its partner Mateen.
Unicef/Herwig
The depth of the refugee crisis across the world Bangladesh Children enjoy a ride on a homemade ferris wheel during Eid al-Ftr in Cox's Bazar, Bangladesh. They are celebrating the holiday in Balukhali, a Rohingya refugee camp sheltering over 800,000 people. The camp is one of the largest in the world, and is bracing for the onset of the monsoon rains.
Unicef/Modola
The depth of the refugee crisis across the world Colombia Yulis Rivas, three, draws a picture of her parents in a “Friendly Space” in Cucuta, where Unicef provides learning activities for migrant children and parents from Venezuela.
Unicef/Arcos
The depth of the refugee crisis across the world Greece A young girl holds her doll in front of her tent at the refugee camp in Moria, on the Greek island of Lesbos. This is an overspill area of the camp, known as “the jungle” or “the olive grove”. In 2018, approximately 12,000 refugee and migrant children arrived in Greece by sea.
Unicef/Haviv VII Ph
The depth of the refugee crisis across the world Uganda Pupils play at Bidibidi refugee settlement in the Yumbe district of Uganda. Their school is supported by Unicef.
Unicef/Bongyereirwe
The depth of the refugee crisis across the world Colombia Hundreds of pupils cross the Venezuela-Colombia border at 5am to meet a bus that will take them to school in the Colombian city of Cucuta.
Unicef/Arcos
The depth of the refugee crisis across the world Jordan Ayman, 11 days old, receives his vaccinations in one of the Unicef-supported health clinics in Azraq refugee camp in Jordan.
Unicef/Herwig
The depth of the refugee crisis across the world Ethiopia Sabirin Nur, 18, is a Somali student volleyball captain at Unicef-supported Melkadida primary school, helping to run sessions for other pupils. Sabirin says: “As a female, many of us face challenges with our parents, like forced marriage or relatives trying to get us married. They want us to go home and be wives.”
Unicef/Ayene
The depth of the refugee crisis across the world Uganda Pupils sing and play at Bidibidi refugee settlement in Uganda, where migrants have fled from South Sudan. The centre is funded by UK aid and Plan International provides positive parenting services, early learning and recovery for children from war-related stress disorders.
Unicef/Bongyereirwe
The depth of the refugee crisis across the world Syria Khalid, 10, receives a measles vaccination in Tabqa city in Raqqa governorate. Khalid was uprooted due to escalating violence near his home, and returned a year ago.
Unicef/Souleiman
The depth of the refugee crisis across the world Lebanon Syrian refugee children in an informal settlement near Terbol in the Bekaa Valley.
Unicef/Modola
The depth of the refugee crisis across the world Daily life at the refugee camp in Moria.
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The depth of the refugee crisis across the world Colombia A baby has checkup in a Colombian medical centre that receives support from Unicef. Every day, about 40 migrant children are vaccinated in this centre.
Unicef/Arcos
The depth of the refugee crisis across the world Rumichaca, border of Ecuador with Colombia Katty Baez helps her one-year-old Alfredo insert the straw into a juice box that was given to them by a stranger. Katty is traveling to Peru with her two children to meet her husband, who has been there for eight months, and does not know that the family is on the way. Katty wants to surprise him, because he has been working hard on a fishing boat and the children miss him. In this area, Unicef Ecuador is supporting the government to ensure access to safe drinking water, sanitation, education and health services.
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The depth of the refugee crisis across the world Ethiopia Pal Biel Jany, 15, wants to be the future president of South Sudan. He goes to school in Makod primary and secondary school in Tierkidi refugee camp in the Gambella region.
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The depth of the refugee crisis across the world Lebanon Syrian refugee children play in Housh al Refka informal settlement in Bekaa Valley.
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The depth of the refugee crisis across the world Rumichaca, border of Ecuador with Colombia Thiago Patania, 18 months old, takes a nap in the Unicef tent next to the Ecuadorian customs office in Rumichaca, while his mother waits in line to complete the immigration procedures for her passport to be stamped. Unicef has set up temporary child-friendly spaces and rest tents, as well as supplying thermal blankets, baby kits, and hygiene kits.
Unicef/Arcos
The depth of the refugee crisis across the world Cameroon Twelve-year-old Waibai Buka (centre) skips rope as a friend records a video of her with a computer tablet provided by Unicef at a school in Baigai. Waibai had to flee her village after an attack by Boko Haram. She has not seen her father since the attack and fears he might be dead. Unicef initiated a pilot project in January 2017 called “Connect My School”. Six solar-powered units help provide internet to schools in different parts of Cameroon. Two of the units were installed in schools in Cameroon’s Far North region – one in Minawao refugee camp, the other in Baigai, near the Nigerian border, where some 50 per cent of children have been displaced by Boko Haram-related violence.
Unicef/Prinsloo
The United Nations has repeatedly criticised Australia’s detention centres, insisting they lack adequate medical and mental health care.
Around 500 people remain on the two island centres, many suffering mental health issues after more than six years in detention, aid organisations have said.
After he was re-elected in May, Scott Morrison , Australia’s prime minister, said his government would seek to repeal the Medevac Bill, which was passed in February and gave doctors the power to send asylum seekers to Australia for medical care.
The repeal was passed in the Senate by 37 votes to 35 after weeks of negotiations.
Under Australia’s controversial immigration policy, asylum seekers intercepted at sea are sent to the island camps and cannot live in Australia as refugees, as asylum is not granted to those who arrived by boat.
Mr Morrison said the medical evacuation legislation was unnecessary and undermined Canberra’s border policy, designed to discourage asylum seekers from undertaking dangerous sea voyages to Australia.
He also said Australia provided significant medical aid to the detention centres.
Mr McPhun from MSF raised concerns about the “long-lasting sustained mental harm” caused by “keeping [people] in offshore processing facilities”.
“All of these asylum seekers and refugees need to be put in a safe environment where they can go through a thorough process of recovery with the appropriate services available to them,” he said.
Suicide attempts by refugees on a Papua New Guinea island spiked after Mr Morrison’s conservative government was re-elected in May, according to asylum seekers and police.
Ian Rintoul, spokesman for Refugee Action Coalition, said at the time: “Offshore detention is slowly strangling the life out of its victims.”
Additional reporting by Reuters
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