Key medical figures:
• 12,700 outpatient consultations
• 1,600 individual and group mental
health consultations
• 22 patients treated after incidents of
sexual violence


Ongoing violence, mainly linked to criminal organisations involved in the drug trade, has serious health consequences for vulnerable populations, including economic migrants and people fleeing threats and attacks in their home countries.

The estimated1 91,000 migrants from Central America who journey across Mexico by freight train each year, hoping to reach the United States, are at particular risk. Many become victims of assault,abduction, torture, sexual violence and/or murder. People living in areas affected by violence also suffer from a lack of access to medical care, due in part to overwhelmed emergency services. Healthcare resources are generally scarce for victims of violence, particularly of sexual violence, and their mental health needs go largely unmet.

Teams from Médecins Sans Frontières (MSF) are addressing the medical and psychological needs of victims of direct and indirect violence.  Programmes continued this year in Ixtepec (Oaxaca state), Bojay (Hidalgo state), and Apaxco and Tultitlán (México state). The activities included basic healthcare, reproductive and sexual health services, and mental healthcare – during the year there were 1,389 trauma consultations. Staff also made hospital referrals and ensured emergency cases were followed up. The programme in Arriaga, Chiapas state, was closed in April, as healthcare services for migrants were handed over to the government. Dengue emergency Early in the year, the state of Guerrero and particularly the city of Acapulco saw a peak in the number of dengue cases, a viral infection spread by mosquitoes. Health programmes were put in place to combat the illness but were later suspended in some of the most vulnerable areas of Acapulco because of security incidents. In October, MSF worked with local
institutions such as the church to promote dengue prevention and education, hiring and training 140 people from the area and fumigating 7,200 houses. Chagas disease Chagas, a parasitic disease that can be asymptomatic for years but may cause debilitating complications and death if left
untreated, is now recognised as a healthcare priority by the government. An MSF Chagas project, designed in coordination with health authorities and integrated into the public healthcare network of San Pedro de Pochutla, Oaxaca state, was being set up at the end of the year.

No. staff end 2013: 62 | Year MSF first worked in the country: 1985

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