AAP Issues Policy Statement on Children Victimized by Global Human Trafficking

Physicians are recommending a public health approach to issues of human trafficking that includes training, research, collaboration with non-medical professionals and advocacy.

In a press release issued by the American Academy of Pediatrics, officials explain children are trafficked for labor and sexual exploitation in communities across the U.S. but note the devastating global scope and consequences for children’s health are often difficult to detect and underreported.

To combat these basic violations of human rights, the American Academy of Pediatrics is calling for the public health approach, “Global Human Trafficking and Child Victimization.”

The policy statement, which will be published in the December 2017 of Pediatrics and was published online Monday, November 27th, recommends that healthcare workers undergo training to recognize signs of possible child exploitation and collaborate with nonmedical professionals in the community to assist victims.

“Social ills such as poverty, family violence, and homelessness are just a few factors that leave children vulnerable to human trafficking,” noted Jordan Greenmaum, MD, an author of the statement and member of the AAP Council on Child Abuse and Neglect.“Children who are smuggled internationally are especially at risk and may be reluctant to report abuses out of fear.”

Officials note there are no reliable estimates of how many children are trafficked for sex or labor and efforts to track the numbers are often hampered by the lack of a centralized database or uniform definitions among those collecting data.

According to U.S. federal law, child sex trafficking involves engaging a person younger than 18 in a commercial sex act, which may include exploitation for prostitution, pornography or performance in sexual venues. Federal law defines labor trafficking as using force, fraud or coercion to subject someone to involuntary servitude, debt bondage or slavery.

The report goes on to detail that in U.S. cities with federally funded task forces on human trafficking, data collected between January 2008 and June 2010 found that 94 percent of sex trafficking victims were female and that 55 percent of them were younger than 18.

Other studies have shown a predominance of males in labor trafficking, but the numbers are believed to be vastly underreported.

“As pediatricians, we have the opportunity to identify children at risk of exploitation and connect them to essential services,” said Nia Bodrick MD, MPH, co-author of the statement and member of the AAP Section on International Child Health. “As child advocates, we must work together to develop policies and programs to prevent human trafficking and support survivors.”

Experts note that child labor trafficking may occur in a wide variety of industries including domestic servitude, construction, janitorial/cleaning services, door-to-door magazine sales and other businesses.

The AAP recommends:

  • Training health care professionals to recognize possible signs of exploitation and how to intervene appropriately.
  • Working with nonmedical professionals in the community to assist victims.
  • Supporting state, national and international anti-trafficking legislation and policies that promote child rights and victim services.
  • Advocating for rigorous, evidence-based research on child trafficking.
  • Supporting the development of clinic and hospital protocols to help recognize and respond to child trafficking of all types.

“In some cases, the parents or caregivers are victims of human trafficking,” added Dr. Greenbaum. “Our goal is prevention and to provide medical services that are culturally appropriate and victim-centered.”

More information is available in the AAP clinical report, “Child Sex Trafficking and Commercial Sexual Exploitation: Health Care Needs of Victims,” published in 2015, that guides pediatricians on how to recognize children in sex trafficking, treatment, and prevention.

Michaela Madison Reporting

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