We are treating the medical consequences of the journey, including hypothermia and dehydration, but also acute conditions requiring medical evacuation such as septic shock, pneumonia and wounds inflicted by abuse and violence. We are trying to improve living conditions for people stranded in Greece, Italy, FYROM and Serbia. But all of our work amounts to filling the gaps left by states unwilling or unable to fulfil their responsibilities.

Many people are fleeing war, oppression and torture. Others are fleeing poverty, persecution and human rights violations. All want a safer and better life. But their exit routes are growing scarcer, while refugee hosting countries such as Lebanon, Turkey and Jordan become more overburdened. The world is faced with the worst displacement crisis since World War II. The conflict in Syria shows no sign of abating. Yet Europe is closing its borders.

Categorisations of ’migrants; , ’refugees’ or ’asylum seekers’ do not adequately or fairly describe the reality that pushes people to embark on long and dangerous journeys. Every person has a story to tell about why they were forced to risk their lives to reach Europe. When people need medical care, food, water and shelter, they should receive this assistance regardless of their legal status.

When your ministers gather this Monday for yet another summit on the so-called ‘migration crisis’, bear in mind that the decisions adopted in previous summits have so far largely failed to improve the situation. Some measures have made the situation worse: fences and forced fingerprinting only push people to choose more clandestine and dangerous routes. Lives continue to be lost at sea, in the back of lorries and in make shift camps where people live in unacceptable conditions in the heart of the European Union. It is time to put an end to these policies of deterrence. They have turned a foreseeable and manageable influx of people fleeing for survival into a policy-made human tragedy on Europe’s beaches, borders, train platforms and motorways. They are jeopardising the right to seek asylum. The current approach of ’non-reception’ and closed borders is causing death, injury and chaos.

Europe is faced with an increasing number of people seeking assistance and protection. These people are only a small portion of the millions who are fleeing intolerable suffering. No matter the obstacles, they will continue to come. They have no other choice. The current policies are untenable in the face of this situation. The only way Europe can prevent a worsening crisis on its territory is to replace the smugglers by providing a safe, legal and free alternative. We ask you to provide safe passage. Legal crossing of sea and land borders must be authorised for asylum seekers into and inside the EU. All forms of legal avenues allowing refugees to reach Europe must be put in place urgently. Efficient solutions to relocate asylum seekers from one EU member state to another must be found. Effective access to coherent asylum procedures and assistance should be provided at entry points, throughout Europe and along migratory routes. Swift registration and access to temporary protection should be provided upon arrival. Legal migration pathways must be created. Dignified reception conditions must be offered to all.

Make this life vest redundant. Provide humane, dignified and safe alternatives.

Sincerely,

Dr. Joanne Liu

International President

Médecins Sans Frontières

“Too often, strategies to tackle pneumonia and diarrhoea run in parallel,” said Elizabeth Mason, Director of Maternal, Newborn, Child and Adolescent Health at the UN World Health Organization (WHO), which launched the campaign together with the UN Children’s Fund (UNICEF).

“But as countries like Bangladesh, Cambodia, Ethiopia, Malawi, Pakistan and Tanzania are already showing, it makes good health sense and good economic sense to integrate those strategies more closely,” she added of the initiative, which could reach its annual target of two million lives saved as early as 2015.

The Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea is premised on the fact that richer countries have already shown that common elements, such as good nutrition and a clean environment, are crucial in reducing infections and deaths from both diseases.

New vaccines are also being introduced to protect children from both and good access to health services and the right medicines can ensure they get the treatment they need, but existing efforts in low- and middle-income countries have yet to capitalize on these common elements.

“This is a question of equity. Poor children in low-income countries are most at risk of death from pneumonia or diarrhoea but much less likely to get the interventions they need,” said Mickey Chopra, global head of UNICEF’s health programmes. “We know what to do. If, in the 75 countries with the highest death rates, we apply to the entire population the same coverage of essential interventions enjoyed by the richest 20 per cent of households, we can prevent the deaths of two million children even as soon as 2015, the deadline for the Millennium Development Goals (MDGs).”

The MDGs, adopted at the UN Millennium Summit in 2000, seek to slash a host of social ills, including global poverty and hunger, disease, and lack of access to health and education, all by 2015.

The Action Plan sets clear goals to achieve by 2025: a 75 per cent reduction in incidence of severe pneumonia and diarrhoea from 2010 levels among children under five, and the virtual elimination of deaths from both diseases in the same age-group. It also aims for a 40 per cent reduction in the global number of children under five who are stunted.

The Action Plan’s targets are significantly higher than current levels. For example, it calls for 90 per cent of all children to have access to antibiotics for pneumonia and oral rehydration salts for diarrhoea, up from current levels of 31 and 35 per cent respectively.

As an interim target, at least half of all children under six months should be exclusively breastfed, against 2012 levels of 39 per cent. All children should have access to improved sanitation and safe drinking water, from 63 and 89 per cent respectively; and, building on the progress already made in some countries in introducing new vaccines against pneumococcal bacteria and rotavirus, it aims for 90 per cent coverage by the target date.