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Tortured exiles in danger of secondary victimization

South African law provides for the protection and care of those who have been tortured in their home countries and wish to seek political asylum. A recent analysis of the health needs of exiled torture survivors living in South Africa shows a gloomy picture.


The study estimates that as much as 13,500 tortured exiles are in need of health services, and very few of those are receiving appropriate treatment.

 
The report "Human Dignity Has No Nationality", conducted by the Centre for the Study of Violence and Reconciliation and funded by the RCT, draws attention to the fact that the South African government has not yet met its obligations with respect to the domestication, implementation and monitoring of the principles laid down and ratified under the United Nations Convention Against Torture and Other Cruel, Inhuman or Degrading Treatment or Punishment (UNCAT).

Despite being tortured, only 8% of the exiles participating in the study had been granted refugee status, with 80% currently listed as asylum seekers. The majority of exiles had been in the country for at least two years with some having been in the country for six years of more. 65% of the exiles were in need of health care, while another 66% wanted assistance with mental health issues. The data confirms other research which demonstrates that the impacts of torture on health tend to be both multi-faceted and lasting. Only 20% of the exiles felt that they had recovered from their torture experiences.

No short cut to refugee status
One very disturbing finding to emerge from the study is the high proportion of asylum seekers in the sample. Earlier studies of exiles in South Africa (including people with and without a torture history) have showed that 60% were asylum seekers and 40% had managed to secure refugee status. In this analysis, comprised of exiles all of whom have a history of torture, 80% were asylum seekers while only 20% had been able to secure refugee status.

Given that a person who has been tortured in their country of origin is much more likely to meet the criteria for refugee status, this is surprising and very worrying. Could it be that for a history of torture makes it more difficult for people to get refugee status?

The data in this study suggest different explanations. One very possible answer is that the hardships involved in the application process disproportionately disadvantage tortured exiles as compared with their countrymen and women who have not been tortured. Ironically, the people who are most clearly deserving of refugee status end up being least likely to receive it, a cruel secondary victimization.

Victimization once again
Over and over again, tortured exiles describe the hardships and frustration of the asylum seeking process. They speak of lack of information, queuing for days and nights on end without adequate protection and food, violence breaking out among waiting asylum seekers, and rude, corrupt and incompetent officials. This may be one of the reasons why so few torture survivors in the study have refugee status. For most torture exiles the realities of the current asylum seeking process have to be disproportionately terrifying and arduous.

The physical consequences of torture often involve such symptoms as muscular and skeletal pain that is exacerbated by long periods of standing, and of nausea that is exacerbated by poor diet and dehydration. The psychological consequences include depression which makes it very difficult to find the energy for prolonged and frustrating enterprises, and anxiety disorders which leave people hypersensitive to triggers associated with violence and danger.

Invisible fates
Torture and its consequences remain largely hidden from the official and public eye because the subject is off limits. Only half of the tortured exiles in the study had informed refugee reception officers that they had been tortured. Others did not either because they had not been asked or because they were afraid to talk about those experiences.

In many cases torture remains a hidden aspect of refugee and asylum seekers' lives. Accordingly, it is essential that torture cases are consistently identified, documented and met by care providers and social services during the asylum seeking process.

Call for urgent action
The study concludes that if South Africa is to continue to deserve its international reputation as a country in which human rights are valued and protected, it is essential that services to asylum seekers and refugees are urgently improved. It is hoped that the report offers some starting points for how these services might be more effectively provided in the near future

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