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AZIENDA USL RM B POLICLINICO CASILINO EMERGENCY DEPARTMENT: IDENTIFICATION AND FIRST AID FOR VICTIMS OF FEMALE TRAFFICKING A.Pagnanelli *, T.N.Pinto **, L.Raia ** * Medicina d’Urgenza e Pronto Soccorso ** Servizio Assistenza Pazienti (SAP) Policlinico Casilino - Roma FOREIGNERS % AZIENDA USL RM B Largest communities Romania Bangladesh 8 Policlinico Casilino 48,6% 5,9% Cina 5,4% Nigeria 3,7% Albania 3,6% Marocco 2,8% L' 8° Municipio 243.922 citizens (8.5% of Rome’s citizens ); 37.767 foreigners (10.9% of Rome’s foreigners) 2.4% increase of demography in Rome; 22,6% in the VIII Municipio 15.5% of VIII Municipio’s population is foreign; ( 12.1% in Rome) It’s the Municipio with the second highest number of immingrants in Rome AZIENDA USL RM B DATA LAZIO POLICLINICO CASILINO All % Nigerian nations users NIG/TOT All users % Nigerian nations Abortion users NIG/TOT 7904 diagnosis Threat of abortion diagnosis 66 0,84 78 9404 0,83 users 19 14 532 3,57 578 2,42 Tot. accesses 566 60586 0,93 Women accesses 435 33190 1,31 Gynechological ward 306 9 10829 228 2,83 3,95 142 3,52 Abortion hospitalization Hospitalization 5 Nigerian users % Casilino/Lazio 28,79 17,95 AZIENDA USL RM B IDENTIFICATION OF 3 CASES OF FEMALE TRAFFICKING VICTIMS (2009-2011) • Woman access in ER •Request for support to the Hospital Welfare Bureau (SAP) (group of Psychologists, Human Service workers and Sociologists) • Cooperation of SAP and Roxanne to support women AZIENDA USL RM B • 2009 - first case: a 25-year-old female with a fractured arm reported abuse and induced prostitution. Consequently a social protection program has been activated. • 2010 - second case: a 23-year-old female arrived at ER for severe abdminal pain,with the embryo sac visible from the cervix and presence of cardiac activity. She refused medical aid. •2011 - third case: a 26-year-old female came in the ER with blood losse and handed a cigarette packet containing a 1415-week-old embryo to a nurse, then left the hospital. AZIENDA USL RM B THERE IS A SERIOUS NEED TO TRAIN ER TEAM FOR THE FOLLOWING: •RECOGNITION OF FEMALE TRAFFICKING CASES •IDENTIFICATION OF SPECIFIC SITUATIONS SUCH AS INDUCED ABORTION ( ABUSE OF PROSTAGLANDIN, DRUG USED TO TREAT PEPTYC ULCER) •COOPERATION WITH LOCAL ASSOCIATIONS INVOLVED IN SOCIAL ISSUES AZIENDA USL RM B ER TEAM TRAINING IS THE ONLY WAY TO DEVELOP SKILLS AND SENSITIVITY TO RECOGNIZE CRITICAL SITUATIONS THAT ARE OFTEN UNDERESTIMATED. I.E. NUMBER OF REQUESTS FROM ER TEAM FOR SUPPORT/INTERVENTION OF SAP GROUP WHEN A GENDER-BASED ABUSE AND VIOLENCE CASE IS HYPOTHESIZED. AZIENDA USL RM B SAP September-November 2009 Training course for ER team - Policlinico Casilino concerning “female victim of violence”. (Doctors and nurses, gynechologists and obstestricians) Official trainer: TELEFONO ROSA NUMBER OF SUPPORT REQUESTS FOR ABUSED WOMEN CASES. 2008 2009 4 14 2010 47 2011 58 AZIENDA USL RM B POLICLINICO CASILINO: AN HYPOTHESIS OF FIRST AID FOR FEMALE TRAFFICKING VICTIMS TRAINING COURSE IN COLLABORATION WITH ROXANNE AND PARSEC DIRECTED TO : •Doctors and nurses of the ER •Gynechologists, obstetricians of the hospital and family planning clinic of the III District of ASL Roma B. AZIENDA USL RM B TRAINING FEATURES: 7-hours course focusing on: -Data mapping of Female trafficking in Rome and in the VIII Municipio; -Suspicious markers in recognizing cases of female trafficking I.e.: • Geographic origin • Anamnestic data • Approach mode Approach, Healthcare and first aid. AZIENDA USL RM B POLICLINICO CASILINO GRAZIE DELL’ATTENZIONE A.Pagnanelli , T.N.Pinto , L.Raia www.casilinoemergenza.it