In the wake of the growing crisis on Manus Island, a collection of medical professionals have voiced their concerns about the health of those who remain.
Doctors for Refugees have written a very well-considered letter to Federal MPs, concerning the crisis on Manus. It captures the problem very well:
Immediate action required to prevent humanitarian catastrophe on Manus Island
As you know, a major humanitarian catastrophe is unfolding on Manus Island. Six hundred male refugees and asylum seekers are occupying the former Regional Processing Centre (RPC). Outside sits the PNG Defence Force, which is preventing food supplies, purchased by well-wishers, from entering the facility. The men have been told to move to three locations in or near the regional capital, East Lorengau. Two of these are not ready for habitation. All three are insecure and these men have legitimate fears for their own safety. PNG locals have demonstrated their opposition to the move to the town in the last week with a vocal protest outside the centre and the Royal Papua New Guinea Constabulary Police Commissioner, Gari Baki, stated in a media release in late October 2017 that the safety of refugees is “not to be taken for granted given the tensions that are being expressed by the locals on Manus Island”.
Paradoxically, the former RPC, with no access to food, clean water, sanitation, electricity or adequate medical care is currently the “safest” place for these men to be.
However, the former RPC is not safe. These men have now been without access to the fundamentals necessary for life for over six days. In PNG’s tropical climate we must expect that serious consequences will start to occur this week. We can expect severe skin and respiratory infections, dysentery, malaria and other illnesses to start to take hold. If no action is taken immediately to alleviate this situation, we can expect deaths to start occurring very soon.
On the evening of 4th November 2017, a man with a suspected heart attack in the former RPC sought assistance in Lorengau Hospital. This man was discharged from the facility without having an ECG or blood tests and returned to the former RPC. Thirty six hours later these essential investigations still had not been performed. With this level of medical support, it seems there is little hope for any refugee who becomes seriously unwell on Manus Island, whether they are in the former RPC or relocated to East Lorengau.
If the situation deteriorates further and the PNG Defence Force decides to clear the centre then there is a risk of many deaths through violent action. This is a military force which has demonstrated tremendous antipathy to the refugees, which fired indiscriminately into the RPC causing multiple injuries earlier this year and which has no training in crowd control.
This situation is a direct consequence of the Australian government’s arbitrary, indefinite incarceration of hundreds of innocent men in a hostile environment on a remote island in a poor country, unequipped in all respects to look after them. It must finally take adequate responsibility for the welfare of these men. The duplicity of the Australian government in this matter is eye-watering. On the one hand, the representations of Doctors for Refugees and others about the welfare of these men are referred on by the Australian government as “a matter for the PNG government”. On the other hand, we hear that Prime Minister Turnbull has once again turned down the New Zealand government’s offer to shelter some of these men. If the Australian government can dictate what happens to them then it is evidently responsible for their welfare and in fact PNG Immigration Minister, Petrus Thomas, explicitly stated last week that Australia will remain responsible for the welfare of these men when the Australian-funded centre closes.All pretence to the contrary must now stop.
Amnesty International and the UNHCR have been condemning the detention and conditions of these men for years and this was first termed a situation amounting to torture over two years ago.Today, things are exponentially worse and we reiterate: we are heading for many deaths in the coming days and weeks unless urgent action is taken by Australia. Action to alleviate these men’s situation needs to be taken today to prevent deaths. As a start, they need food and water today.
You, as an Australian parliamentarian, must realise that at stake are these men’s lives and Australia’s international reputation as a Western democratic nation and that only you hold the power to influence the situation. Whether by your action or inaction to date it is you who is directly responsible for what is happening. If you do not act now, by speaking, lobbying and voting appropriately then whatever happens to these men will be on your conscience.
For the sake of humanity and compassion we urge you to act immediately. The world is watching you.
Dr David Berger, Executive Committee Member
Dr Barri Phatarfod, President
Dr Paddy McLisky, Secretary
Dr Igal Augarten, Treasurer
Doctors for Refugees