Paeds Vivas · child-safety-and-social-paediatrics
Trafficking, exploitation and forced marriage — viva
Branching structured oral on trafficking, exploitation and forced marriage: the Palermo definition and the principle that a child cannot consent to exploitation, the red-flag presentation, the trauma-informed bedside response, mandatory reporting and National Referral Mechanism referral, and the management of a forced-marriage concern.
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Opening question
A 15-year-old girl presents to your emergency department with vaginal discharge, accompanied by an older man who answers every question for her, refuses to leave, and holds her identity documents. She is withdrawn and cannot name her school. Walk me through how you define child trafficking, recognise this presentation, and respond at the bedside. [5] [2]
References7ShowHide
- [1]Wood LCN Child modern slavery, trafficking and health: a practical review of factors contributing to children's vulnerability and the potential impacts of severe exploitation on health BMJ Paediatrics Open, 2020.PMID 32537521
- [2]Hemmings S, Jakobowitz S, Abas M, et al Responding to the health needs of survivors of human trafficking: a systematic review BMC Health Services Research, 2016.PMID 27473258
- [5]Greenbaum J, Crawford-Jakubiak JE Child sex trafficking and commercial sexual exploitation: health care needs of victims Pediatrics, 2015.PMID 25713283
- [10]Zimmerman C, Kiss L Human trafficking and exploitation: A global health concern PLoS Medicine, 2017.PMID 29166396
- [12]Chisolm-Straker M, Singer E, Strong D, et al Validation of a screening tool for labor and sex trafficking among emergency department patients Journal of the American College of Emergency Physicians Open, 2021.PMID 34667976
- [13]Wright N, Jordan M, Lazzarino R Interventions to support the mental health of survivors of modern slavery and human trafficking: A systematic review International Journal of Social Psychiatry, 2021.PMID 34431379
- [15]Pettoello-Mantovani M, Cokugras H, Ferrara P, et al Child Brides and Forced Marriages: An Aspect of Child Abuse and Neglect The Journal of Pediatrics, 2022.PMID 35940291