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You are here: Home / Archives for Healthcare

Healthcare

COVID-19, Immigration, and the Media in Britain

August 10, 2020 by Harry Sanders

by Harry Sanders

A long history of immigration runs through Britain’s healthcare sector (Image credit: Meager/Fox Photos/Hulton Archive/Getty Images)

The coronavirus pandemic’s global impact has left few unaffected. Perhaps the only silver lining of this pandemic is its highlighting of the essential work of migrants in the NHS and other healthcare services. While for years migrants have been the scapegoat of the UK’s many problems and have been the subject of immense prejudice and abuse; the positive impact of their contributions to society has finally started to come to light. Though the gushing affection and appreciation for our migrant healthcare staff are abundant on Facebook, Twitter, and other social media, it is important to consider if the same shift in tone has been present in our traditional media sources.

Prior to the outbreak of the coronavirus, the British press was notoriously – and at times unashamedly – opposed to immigration in its general stance. Following the election of David Cameron’s Conservative government in 2010, the number of news articles mentioning ‘migration’ or ‘immigration’ has been growing at a steady rate year-on-year, coinciding with Conservative immigration policy which aimed to reduce net migration to the tens of thousands. Throughout all of these articles written between 2006 and 2015, the most common modifier used to describe immigration was ‘mass’, followed closely by ‘net’, ‘illegal’, and ‘European’. The vast majority of these articles have been crafted with the specific aim of colouring all migration with the brush of illegal immigration, thereby characterising entire nationalities as criminals and aliens.

This is even more unjust when one considers that many of the articles emphasising illegality are covering the plight of refugees; individuals whose right to be in the UK is enshrined in both national and international law. If the last decade of British politics is anything to go by, this narrative has been highly effective in influencing the opinions of their readership.

Anti-immigrant sentiment can still be seen in articles written immediately before the outbreak of coronavirus. This article from the Daily Mail, for example, reported on the Prime Minister’s pledge to restrict EU migrants earning less than £23,000 from entering the country and to move to an ‘Australian-style points-based immigration system’. The article’s discussion of ‘slashing’  the number of low skilled workers, and its quotation of a Downing Street spokesman as having heralded the ‘return [of] democratic control of immigration to the British people’, evokes a sense of pride and achievement at the prospect of losing half of Britain’s migrant workforce. ‘Slashing’ has a rhetorical effect here; its emphatic quality is designed to trigger an emotional response in the reader by highlighting the government’s merciless approach to cutting immigration. One must presume that the critical eye has wandered far from the details of this announcement, as little consideration is given to the economic implications of restricting any workers earning less than £23,000 – a salary far in excess of the national minimum wage.

Whilst it is important to recognise the clear ideological stance embedded into the article, it is perhaps unsurprising given the political affiliation of the publication. The Daily Mail is well-known as a right-wing newspaper, and as a result, an anti-immigration narrative can be seen as them simply catering to the views of their readership. By the same token, it would be unsurprising to see The Guardian taking a more tolerant view of immigration, in light of its left-leaning readership and left-wing editorial stance. The article discussed above is very much typical of the right-wing press’ pre-pandemic approach to migration; as a result, the key question concerns the extent to which the coronavirus has reconfigured the discourse. Has the public’s positive outlook on migrant healthcare staff influenced reportage, or is the enmity still very much present?

A ‘mixed bag’ would perhaps be the aptest description. Reporting on an asylum seeker’s ‘stabbing spree’ in Glasgow in June, the Daily Mail exhibited a surprising change in tone. Citing the asylum seeker’s mental state and the negative impact of lockdown in triggering post-traumatic stress, the Mail in this instance considered the socio-economic and psychological stresses which he faced and how they may have contributed to the incident. Remarkably the most noticeable used pejorative in the article, ‘hordes’ – so often reserved especially for immigrants – was instead used to describe the emergency services which responded to the incident. Rather than mindlessly painting a black and white picture of a man with a knife, a victim, and the heroic response of the police, fair consideration is given to the causes which led to the incident and – perhaps most importantly of all – it is framed as a wholly preventable event which was allowed to happen due to a lack of sufficient resources for social services.

A further immigration story to emerge during the coronavirus pandemic was the route to British citizenship offered to British National Overseas citizens in Hong Kong due to China’s imposition of a new security law. This prompted uncharacteristic coverage from a number of typically right-wing publications; the Daily Telegraph, for example, ran the headline ‘Giving British citizenship to 300,000 Hong Kongers will boost the economy’, a reversal of the cliched trope peddled in right-wing media that immigration leads to economic demise. Published in the midst of lockdown (29 May), it may be that this more balanced approach was borne out of the wider uptick in appreciation for what migrants contribute to the UK.

Immigration also entered the discourse when eastern Europeans were flown into the UK to help save the June harvest. This triggered media coverage verging on the satirical, with the Daily Mail- a publication with an entrenched opposition to Romanian migrants – running the headline ‘Romanians to the Rescue’. Given the travel restrictions that were in place at the time, a demonstration of support for immigration of any kind- let alone that of Romanian economic migrants- is hugely noteworthy; it communicates an awareness of how indispensably important immigration is to the UK.

Has the UK media U-turned on its deep-rooted prejudice against migrants and immigration? Not quite, though it is nevertheless important to note the positive impact which our migrant healthcare workers have had on public opinion and on the press. The Daily Mail is not the only publication guilty of such reporting as has been exhibited pre-lockdown, and sure enough in recent articles, the Daily Express has persisted in the trope of reporting the scale of immigration rather than its legality. It is also key to consider that many will see headlines such as ‘Gangs using coronavirus crisis to send migrants to the UK’ and share that information irrespective of the article’s content. Whether this article highlights the perceived threat of immigrants to the UK or the plight of the trafficked migrants is a moot point to anyone who will form an opinion before opening the link and preach their opinion on the issues as unchallenged gospel.

Whilst it is encouraging to see flickers of journalistic integrity return to the British press, our media, and the way in which we consume it, must change a great deal to begin reporting on political issues such as this in an unbiased and factual manner.  Recent weeks have made it impossible to dispute the fact that migrants do in fact contribute massively to the UK, and rather than inflicting harm upon public services, are actually a key cornerstone upon which our public services stand. Going forward, it should be facts, not polarised opinions, that form the basis of immigration coverage.


Harry Sanders is a content writer for the Immigration Advice Service, an organisation of immigration solicitors.

Filed Under: Blog Article, Feature Tagged With: Coronavirus, COVID-19, covid-19 pandemic, Harry Sanders, Healthcare, immigration, NHS, Press

World Health Day: Highlighting Healthcare in Conflict Zones

April 7, 2017 by Emily Webster

By: Emily Webster

Two midwives put a drip into one of their patients in the maternity ward of Banadir hospital in Mogadishu, Somalia, on February 4. AU UN IST PHOTO / Tobin Jones.

 

In many modern conflicts we are witnessing an increasingly troubling issue: the flagrant disregard by state and military actors for the protection of healthcare in conflict zones. Painting a grim picture, in 2015, the World Health Organisation (WHO) released a report affirming ‘with alarming frequency a lack of respect for the sanctity of healthcare, for the right to healthcare and for international humanitarian law: patients are shot in their hospital beds, medical personnel are threatened, intimidated or attacked and hospitals are bombed’.[i] In May 2016, the United Nations Security Council unanimously adopted Resolution 2286, strongly condemning violence against health-care workers and facilities, and diagnosed the problem as an ‘epidemic of attacks’. This alarming pattern of violent activity against healthcare providers blatantly undermines and violates International Humanitarian Law, and threatens a degradation of respect for both humanitarian principles and medical neutrality. The growing destruction of healthcare systems in conflict-affected countries is an unnerving example of contemporary military encroachment into the ‘humanitarian space’.

A commonly cited example of this is the attack on Medecins Sans Frontieres (MSF) trauma hospital at Kunduz in Afghanistan, which was hit by a series of aerial bombing raids on 3rd October 2015. The main hospital building, that housed an intensive care unit, emergency rooms and physiotherapy wards, was repeatedly hit with precision munitions while surrounding buildings were left mostly untouched.[ii] When the aerial attack occurred, there were 105 patients in the hospital and more than 80 MSF international and national staff present. A total of 42 people were killed, including 14 MSF staff, 24 patients and 4 caretakers.[iii] Crucially, MSF’s hospital was the only facility of its kind in north-eastern Afghanistan, where it provided free and important life-saving healthcare.

The attack was the latest episode in a trend of increasingly strained relations between the military forces and humanitarian and health workers. In the immediate aftermath of the attack, it was unclear which party was responsible and thus who had violated International Humanitarian Law. However, it later came to light that United States military personnel had committed the strike, with General John Campbell, the US commander in Afghanistan, saying in November the strike was ‘caused primarily by human error’.[iv] A leading MSF official commented on the perceived lack of impartiality in the follow-up inquiry into the bombing, citing it was carried out by the same people who ‘committed the attack’.[v] Subsequently, MSF demanded that the White House conduct an independent inquiry into the airstrike, but received no response.[vi] The attack intensified strained relations between the military and humanitarian and health workers. Afghan workers stated that the US military targeted the hospital intentionally.[vii] But attacks on healthcare facilities purportedly caused by human error are only part of the problem.

Intentional shelling by government militaries has also exacerbated the difficulty for humanitarian workers to operate. Sri Lanka provides a practical illustration of this model. In 2009, many humanitarian workers were forced to pull out of providing relief to affected victims in the Sri Lankan government’s fight against the Tamil Tiger Liberation Front (LTTE) due to the insecure environment. Although the Sri Lankan government formally denied it, the United Nations found they had ‘systematically shelled hospitals on the frontline’.[viii] Further inquiry confirmed several government artillery shells struck a hospital in Puthukkudiyiruppu. This has led many in the humanitarian community to attempt to place more pressure on states to take stronger action to prevent violence against healthcare personnel. The ICRC stressed militaries recognise ‘how violence disrupting the delivery of healthcare is becoming a serious and widespread humanitarian challenge’. In Sri Lanka, the government shelling rendered the provision of healthcare services extremely challenging with lack of staff and resources, high mortality, and reduced ability to travel.[ix] The incessant attacks provide physical evidence of a widening divide between the priorities of states and humanitarian actors. By destroying healthcare facilities, state and military actors are making humanitarian work subordinate to strategic purposes, while damaging the humanitarian workers’ capacities to maintain neutrality and impartiality.

Cited as one of the most dangerous places in the world to be a health-care provider, Syria is a frightening example of how conflict actors direct attacks against health systems to further their own goals. The medical research journal Lancet recently released a preliminary report on the ‘weaponisation’ of healthcare in Syria. The Syrian regime is reported to have increasingly targeted health facilities, with the Syrian Network for Human Rights reporting 289 attacks on medical facilities, ambulances, and Syrian Arab Red Crescent bases – 96 per cent of which were by Syrian or Russian forces.[x] The complex situation provides a difficult but essential question for the international community, how best to respond to ever-increasing attacks on medical neutrality in one of the most brutal conflicts in recent history?

Conflict is already known to trigger a ‘brain drain’ on affected-countries, and the decreasing respect for health services is likely to only exacerbate this situation. This World Health Day, it is vital to pay attention to the struggles of health and humanitarian workers in conflict, and highlight the ever-dangerous situations they face. With depression the theme of this World Health Day, it is ever more important to focus on the strengthening of health systems in conflict. With the basic tenets of healthcare becoming a more prevalent strategic objective in modern warfare, the burden of non-communicable diseases and mental health will only be exacerbated even further in post-conflict societies by this loss of infrastructural capability.


Emily Webster (@emilylwebster) is currently pursuing her Master’s in Conflict, Security and Development at King’s College London. She previously graduated from King’s with a BA in War Studies and History.


[i] World Health Organisation, “Attacks on Healthcare 2014 and 2015”, p.3, accessed April 3rd 2017.

[ii] Ibid.

[iii] Chris Johnston and Agencies, “MSF Afghanistan Hospital Airstrike Deathtoll Reaches 42”, The Guardian, 12th November 2015.

[iv] Chris Johnston and agencies, “MSF Afghanistan Hospital Airstrike”, 12th November 2015.

[v] Ibid.

[vi] Ibid.

[vii] Spencer Ackerman and Sune Engel Rasmussen, “Kunduz hospital attack: MSF’s questions remain as US military seeks no charges”, The Guardian, 29th April 2016.

[viii] Report of the Secretary General’s Panel of Experts on Accountability for Sri Lanka, Executive Summary, United Nations, 31st March 2011, accessed March 31st 2017.

[ix] Mahinda Kommalage & Harshani Thabrew, “Running an ETU in a newly established IDP camp in Sri Lanka”, Medicine, Conflict and Survival, (2010), p.93.

[x] Fouad, Fouad M et al, “Health workers and the weaponisation of healthcare in Syria: a preliminary inquiry for American University of Beirut Commission on Syria”, The Lancet, 14th March 2017.

 

 

Filed Under: Uncategorized Tagged With: feature, featured, Healthcare, IHL, MSF, WHO, World Health Day

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