The vast majority of migrants that come through Las Vias (at southern end of rail map below), in the STate of Mexico are from Central America and are traveling to a US (and occasionally Canadian) destination.
Patricia (Paty) Camarena is a local activist who visits the rail tracks/Las Vias 3-5 times a week, bringing food, clothes, medical supplies, and even advice and prayers about how to get on the train without getting killed. Paty is Anita's contact and it is she that takes us out to Las Vias. She is motivated to help the Central American migrants passing through her 'back yard' because her brother disappeared about 8 years ago, at the age of 28, when migrating from Mexico to the US. Since then, she has been working with the Central American migrants where she lives in the city of Ecatepec, in the state of Mexico. We arrive at her house at about 9am, after taking an hour taxi-ride direct from the Condesa to her house in Ecatepec.
Pati has been up all night, only sleeping about 3 hours, cooking rice, beans and potatoes/hot dogs for the migrants. She takes us to her computer, where she shows us hundreds of photos, and some video, of the migrants hopping the train, and those individuals she has helped over the years, as well as other individuals who she has developed ties with, ranging from the local coyotes (migrant smugglers) and bomberos (firemen) and Comision de Derechos Humanos (CDH- Human Rights Commission), as well as other local women bringing food, and researchers/applied professionals such as myself and Anita. Some of the photos are very graphic - loss of limb, injury due to beatings (several pictures at the end of this blog).
Photo by Paty Camarena
One day, the food went fast- LOTS of migrants, even two women in the group under the highway pass. The migrants are so well-mannered, as soon as we say ‘a comer, bien formados’ they line up and take whatever food we give them. Today it was rice, beans, tortillas, boiled egg, and a potato pancake. We ran out and ended up buying food from the torta/taco man who sells to the migrants for at least an additional 13 people. One day, there were so many people who showed up- close to 200, that we could only feed about 150. I paid for tacos from a nearby vendor for the other 50 @ 2 tacos each for $1.
EAch time we were at Lecherias, representatives from the state of Mexico Human Righs Commission (CDH) were there to support us and record the services provided by Pati and the CDH. The CDH had very little in the way of medical supplies lacking even the following: bandages, tape, alcohol, peroxide, electrolytes, pain medication, aspirin, alkaseltzer, etc.
After we served the food and treated the most urgent medical problems, we sat around and waited for the train. Often, Paty and Anita would identify minors and migrants requiring legal and/or medical advice, and then arrange for a taxi to take them to nearby service agency (in so doing, we could not directly offer the migrant cash or use of our cell phones). Paty would also offer advice about how to get on the train, and what to do when arriving further north.
EAch time we were at Lecherias, representatives from the state of Mexico Human Righs Commission (CDH) were there to support us and record the services provided by Pati and the CDH. The CDH had very little in the way of medical supplies lacking even the following: bandages, tape, alcohol, peroxide, electrolytes, pain medication, aspirin, alkaseltzer, etc.
After we served the food and treated the most urgent medical problems, we sat around and waited for the train. Often, Paty and Anita would identify minors and migrants requiring legal and/or medical advice, and then arrange for a taxi to take them to nearby service agency (in so doing, we could not directly offer the migrant cash or use of our cell phones). Paty would also offer advice about how to get on the train, and what to do when arriving further north.
On one visit one of the migrants was practicing jumping on the train and he fell, scraping his knee (there was a bit of blood and gravel was embedded in the wound); nothing too serious, but it needed to be cleaned and treated to avoid infection. We did the best we could with the CDH supplies, but it was not a good bandage job as they used cotton instead of a real bandage, and the cotton embedded itself in the wound- a recipe for infection.
A Red Cross ambulance came by and they took a look at the migrant’s wound, but would not treat him, saying that he had to go to the hospital with them to get the wound properly cleansed if he wanted it treated, they wouldn’t do it right in the field. I found this odd, that the ambulance paramedics didn’t have the capacity to triage the injury in the field; Paty said it wasn't a matter of capacity but prejudice, and that one of the paramedics had an attitude that he did not want to treat the migrants.
A Red Cross ambulance came by and they took a look at the migrant’s wound, but would not treat him, saying that he had to go to the hospital with them to get the wound properly cleansed if he wanted it treated, they wouldn’t do it right in the field. I found this odd, that the ambulance paramedics didn’t have the capacity to triage the injury in the field; Paty said it wasn't a matter of capacity but prejudice, and that one of the paramedics had an attitude that he did not want to treat the migrants.
The beast.
At about 2pm, the migrants started getting ready for the train, packing up what little gear they had (most were traveling with nothing but the clothes on their backs) and filling their water bottles and stretching out their muscles. They began to line up on one side of the tracks, where it is easier to jump on the train. The train was late and the tension was rising as they waited. Finally, after being loaded with cargo cars, the train pulled out of the ‘garitas’ (gates) and began to move through the underpass where all the migrants were waiting. It was moving pretty slow, and most of the men managed to jump on and find a spot to sit.
At about 2pm, the migrants started getting ready for the train, packing up what little gear they had (most were traveling with nothing but the clothes on their backs) and filling their water bottles and stretching out their muscles. They began to line up on one side of the tracks, where it is easier to jump on the train. The train was late and the tension was rising as they waited. Finally, after being loaded with cargo cars, the train pulled out of the ‘garitas’ (gates) and began to move through the underpass where all the migrants were waiting. It was moving pretty slow, and most of the men managed to jump on and find a spot to sit.
Migrants attempt to board...
There were no accidents except in the case of this Mexican couple from VeraCruz who were traveling to Chihuahua to work, and had had an accident and lost their car, and were now jumping the train because they had no money or other way of getting north. The woman had a hard time jumping on the train, even though it was moving pretty slow. On the first try, she fell and her husband/partner threw his body on hers to make sure she didn’t fall under the train. It was pretty scary, but they were not seriously hurt and so got up and managed to hop on successfully the second time. Unfortunately, at that point, the train stopped and started moving backwards, back into the garitas. Apparently, it was a false start and it was to be loaded with more cargo. Since the migrants will get busted if they are caught on the train once it passes through the garitas, they had to jump off and wait for it to come back through again. This time, however, when the train came through, it was going extremely fast and very few were able to jump on.
Success at catching the train.
Most of the migrants are young men, occasionally women, and close to 80% from Honduras.
Today, as the train pulled out, we saw a lot more women on the train as it pulled out; there are obviously other places along the VIAS/rails where people are hanging out, waiting for the train. Perhaps the underpass where we give out food is seen as too ‘busy’ w’lots of male migrants and so women stay away from those areas?
On several visits I brought medical supplies and provided some very basic first aid. Gave out a whole bottle of advil and half a pack of migraine medicine to those presenting with (‘dolores de la cabaza y el estomago y los musculos’) headache, stomachache, flu/gripa, golpes/blows from falls/train, etc. I also treated a few small wounds with alcohol, peroxide and Neosporin, providing bandaides and taping up a few sprained ankles, knees, and a wrist. They were asking for: aspirin for headache, flu/gripa medicine, stomach ache/food poisoning, fever, red eyes/visine, blistered feet, athletes feet, etc. There is also a problem with skin infections, ear aches.
Photo by Paty Camarena
Photo by Paty Camarena
Photo by Paty Camarena
The vast majority of migrants are young men from Honduras, about 80% at least, and the rest from Guatemala (and a few Mexicans). They are migrants to all points in the North: San Francisco, Los Angeles (Inglewood), Seattle, Vancouver Canada, Houston, New York, New Jersey.
Each field trip was pretty intense because I felt a bit like a fraud (I am a sociologist, not a medical doctor!) and I felt like I just did NOT have the supplies and the organization I needed to take care of the aches and pains of the migrants…. I was even persuaded to give my socks to a migrant whose feet were blistered and had no socks…. I managed to retain my tennis shoes at the very least, even though another migrant asked me for them (again!) – I have such big feet for a girl (they never ask Anita or Paty)!
Below are some (increasingly graphic) images of the serious health problems migrants encounter along the transit, ranging from blistered feet to loss of limb....
PLEASE NOTE: THESE IMAGES GET INCREASINGLY GRAPHIC....
Each field trip was pretty intense because I felt a bit like a fraud (I am a sociologist, not a medical doctor!) and I felt like I just did NOT have the supplies and the organization I needed to take care of the aches and pains of the migrants…. I was even persuaded to give my socks to a migrant whose feet were blistered and had no socks…. I managed to retain my tennis shoes at the very least, even though another migrant asked me for them (again!) – I have such big feet for a girl (they never ask Anita or Paty)!
Below are some (increasingly graphic) images of the serious health problems migrants encounter along the transit, ranging from blistered feet to loss of limb....
PLEASE NOTE: THESE IMAGES GET INCREASINGLY GRAPHIC....
Blisters and fungus infection from walking and water exposure
Suturing wounds from beating. Photo by Paty Camarena
VERY GRAPHIC IMAGES BELOW- DO NOT LOOK IF YOU ARE SENSITIVE TO BLOOD
Pati also told us about the previous day, when a migrant fell from the train and his foot was run over, requiring medical care and eventual amputation of part of the foot, she took the man to several different hospitals before she found one who would accept him because he is not legally in the country and he couldn’t pay. The law says that hospitals must treat all people coming in, regardless of legal status and ability to pay, if they are in ‘critical’ condition. Apparently, bleeding profusely from a mutilated limb is not ‘critical’ enough for many hospitals. The following photos are of a loss of arm and leg from falling off the train.
VERY GRAPHIC IMAGES BELOW- DO NOT LOOK IF YOU ARE SENSITIVE TO BLOOD
VERY GRAPHIC IMAGES BELOW- DO NOT LOOK IF YOU ARE SENSITIVE TO BLOOD
VERY GRAPHIC IMAGES BELOW- DO NOT LOOK IF YOU ARE SENSITIVE TO BLOOD
Photo by Paty Camarena
Photo by Paty Camarena
Photo by Paty Camarena