"Returning to Haiti means death"

The United Nations has documented a sharp increase in violence this year, with 934 killings, 684 injuries and 680 kidnappings in Port-au-Prince from January to the end of June. Many people who have fled the violence are living in informal displacement sites within the city in appalling conditions. In recent months, armed clashes have again destroyed water networks and disrupted water truck deliveries in Bel Air and other neighborhoods. MSF teams are adapting to the current rise in violence and insecurity, operating mobile medical teams and providing water and sanitation facilities.

“We see an increase in kidnappings and killings and people telling us they don’t feel safe in their homes, and it’s not safe to leave the house either,” said Cédric Chapon, project coordinator for MSF’s urban violence program in Port-au-Prince. “Access to water is also a big challenge. Since the beginning of the year, we have seen an epidemic of scabies, which is not usual in Haiti. And this is directly linked to the lack of water. People can afford small quantities of drinking water, but they can’t access clean water in quantities needed for hygiene.”

The situation is also dangerous for MSF staff, some of whom are trapped by the violence, unable to leave their homes to come to work. In some areas, MSF staff must work in basements and windowless rooms to avoid the risk of stray bullets.

Haitian migrants face dangers crossing Latin America

MSF also provides medical and mental health care along the migration route in the Americas, where for the past several years our teams have seen an increasing number of Haitians trying to reach the United States.

Haitian migrants often have family and support networks in the US, but Title 42 forces them to take increasingly hazardous routes to get there, from South America through the extremely dangerous Darién jungle in Panama. From April 2021 to early May 2022, MSF teams working in Panama with patients who had crossed the Darién jungle treated 417 women for sexual violence. 

The border between Mexico and the US is the final leg of their journey. In border cities such as Nuevo Laredo and Reynosa, they join other migrants who are also waiting to cross, in many cases to seek asylum in the US. Migrants are often forced to sleep on the street, in abandoned structures, or in makeshift camps because there is not enough space at local shelters to accommodate the high number of people. Access to health care, food and basic services is limited and these cities are extremely dangerous, particularly for migrants, who are vulnerable to violence, including kidnapping and sexual assault.

“I'm here with my family, I have two children and times are tough," said Wisly, 36, a Haitian man who had arrived in Reynosa, Mexico, in April, after a long journey through South and Central America from Chile. “We're going through difficult times because of the heat, we're sleeping in the street where anything can happen to you and I'm told we're in a dangerous area. Anything can happen.”

Most of the migrants our teams are seeing along the migration route fled violence and general instability in Haiti many years ago. They initially found work in Chile and Brazil, but several factors, including an economic downturn, an inability to access documentation to legally work, and growing anti-migrant sentiment, have led thousands of Haitians to leave these countries in an attempt to reach the United States in recent years.  

Antogama Honoraí, 23, left Haiti for Brazil in 2019, but there wasn’t work for him there. So he set out for the US, traversing Colombia and Central America before reaching Mexico, where he has stayed for five months so far.

“I’m here because I want to go to the United States and help my family,” he said. “In the United States I have family. Here I’m alone. Here there’s nowhere to sleep. Yesterday it rained all day and I slept in dirty water. I don’t want to go back to Haiti. There’s no school there, there’s no food there, there’s no work . . . Returning to Haiti means death.”

Risking everything to seek safety, then being treated like a criminal

“In that jungle you will die if you don’t have a good strategy,” said Louckensia Paul, 28, recalling her journey through the Darién jungle in Panama. “It’s a dangerous place. There are wild animals and routes that are not accessible and difficult crossings. There’s a point where you run out of food and you have to use all your strength to try to get out of there.”

Paul was interviewed in Nuevo Laredo in May, attempting to reach the United States a second time. She had left Haiti years ago and had been living in Chile and then decided to try to reach the United States. In December 2021, after traversing nine countries and risking her life crossing the Darién jungle, she reached the US, spent seven days in US detention and was quickly expelled back to Haiti.

“In Texas, I was put on a bus in chains—around my waist, on my ankles and hands,” she said. “I thought about the entire trip, and the sacrifices I made, for them to do that to me and treat me like a criminal.”

Back in Haiti, her family urged to try to reach the US again.

“It was a pleasure to see them, but it was also sad,” said Paul. “It felt like I was at someone’s funeral because the situation in Haiti is so bad. Everyone told me don’t stay here, do something and go back quickly because here there’s nothing. I’m just thinking about how terrible it is to go back to my country and not be able to feel happy to be with my family because the situation is so bad.”

MSF has repeatedly called for an end to Title 42 and an end to expulsion flights to Haiti on humanitarian grounds. Haiti is in the middle of a humanitarian, economic and political crisis. There is open fighting in the streets of the capital with increasing numbers of people wounded and killed, including by stray bullets, while many are unable to reach medical care or basic needs such as clean water.

No country should be sending people back to Haiti. The US must permanently end all deportation flights and further facilitate access to asylum processes for Haitians.