GRANADA DECLARATION We, the undersigned, meeting together at the 5th EUPHA European Conference on Migrant and Ethnic Minority Health held at the Andalusian School of Public Health (Spain), on the 9th to 12th April 2014, hereby endorse the following statement: When many European countries are implementing austerity policies, it is especially important that the public health community should speak out on behalf of the poor and marginalised. Among them are many migrants, who for various reasons are especially vulnerable at this time.

• First, austerity policies mean that many people, migrants and non-migrants, are facing a worsening of their already poor conditions, with damaging consequences for their mental health and wellbeing. As migrants frequently take the jobs that no-one else is willing to perform, involving poorly paid, precarious, and often dangerous employment, they are especially vulnerable.

• Second, those who are already vulnerable suffer most from cuts in health and social services. Among them are many migrants, who may have unmet mental and physical health needs as a consequence of conditions prior to, during, and after migration and now face worsening access to services.

• Third, a few countries have used the economic crisis to reduce entitlement to health and social services, in some cases specifically targeting undocumented migrants, with obvious implications for their health.

• Fourth, in some countries increasingly harsh restrictions on undocumented migrants, including long periods of detention in sub-standard facilities pose a serious threat to their physical and mental health.

• Fifth, in some countries we are seeing the rise of xenophobia, leading to discrimination and violence against migrants and ethnic minorities of long standing, especially the Roma, affecting their health and accentuating the barriers they face in obtaining appropriate health care.

We call on all European governments to take concrete steps to protect the health of migrants and ethnic minorities in Europe and, specifically, to demonstrate that they will live up to their obligations under the International Covenant on Economic, Social and Cultural Rights and the European Social Charter to ensure the right of everyone to the enjoyment of the highest attainable standard of physical and mental health, and in particular to their obligation of refraining from denying or limiting equal access to healthcare for all persons, including undocumented migrants and minorities, highlighted in the General Comment No. 14 of the Committee on Economic, Social and Cultural Rights, so as to recognise the contribution that everyone, including migrants and ethnic minorities, make to the social and economic development of Europe. Granada, 12th April, 2014 Carlos Artundo Purroy President of the Organising Committee Allan Krasnik President of the International Scientific Committee María Luisa Vázquez Deputy President of the International Scientific Committee

Granada Declaration

Institutional Endorsements

Endorsements received to date (Thuesday, September 9, 2014, 14:30 p.m.).

Granada Declaration and endorsements published at:

http://www.eupha-migranthealthconference.com/?page_id=1766

Number of Institutional Endorsements: 99.

Institutional Endorsements(in alphabetical order)

1. Acoge Network Andalusia (Andalucía Acoge)2. Acoge Network Spain (Red Acoge)3. AGE Platform Europe4. ALDARTE LGTB Centre

5. Andalusian School of Public Health (Escuela Andaluza de Salud Pública, EASP)6. Andalusian Society of Public Health and Health Care Administration, HIPATIA

(Sociedad Andaluza de Salud Pública y Administración Sanitaria, HIPATIA)7. Aragonese Society of Family and Community Medicine (Sociedad Aragonesa de

Medicina de Familia y Comunitaria)8. Aragonese Society of Mental Health – AEN (Sociedad Aragonesa de Salud Mental –

AEN)9. Association for Farmers Rights Defense, AFRD10. Association for the Defense of Public Health Care of Aragon (Asociación para la

Defensa de la Sanidad Pública de Aragón)11. Association for the Promotion of Mental Health in Almería (Asociación para la

Promoción de la Salud Mental en Almería)12. Association of Preventive Medicine and Public Health Residents (Asociación de

Residentes de Medicina Preventiva y Salud Pública)13. Association of Solidarity Yuca14. Atlantida Association (Associació Atlàntida)15. Black & Ethnic Minorities Infrastructure in Scotland (BEMIS Scotland)16. Brighton Migrant Solidarity17. Bulgarian Medical Association18. Center Amalipe, Center for Interethnic Dialogue and Tolerance19. Centre for Health and Migration, Vienna20. Chrysalis Family Futures21. Community Nursing Association (Asociación Enfermería Comunitaria, AEC)22. Conseils et Etudes en Santé Publique23. Consortium for Health Care and Social Services of Catalonia (CSC, Consorci de

Salut i Social de Catalunya)

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24. Correlation Network, European Network Social Inclusion & Health25. Corsican Antiracist Collective Avà Basta (Collectif Antiraciste de Corse Avà Basta)26. Day Centre Babel, Day Centre for Migrants’ Mental Health27. Department of Ambulatory Care and Community Medicine, Lausanne University

(Switzerland)28. Doctors of the World Belgium (Médicins du Monde Belgique)29. Doctors of the World Canada (Médicins du Monde Canada)30. Doctors of the World France (Médicins du Monde France)31. Doctors of the World Germany (Aerzte der Welt Germany)32. Doctors of the World Greek Department33. Doctors of the World Spain (Médicos del Mundo España) 34. Doctors of the World Sweden (Médicins du Monde Sweden)35. Doctors of the World Switzerland (Médicins du Monde Suisse) 36. Doctors of the World The Netherlands (Dokters van de Wereld, Médicins du Monde

The Netherlands)37. Doctors of the World UK 38. Dominican Organization of Medicine Students (Organización Dominicana de

Estudiantes de Medicina)39. Dumfries & Galloway Citizens Advice Centre40. East Andalusian Pediatrics Society (Sociedad de Pediatría de Andalucía Oriental)41. European AIDS Treatment Group42. European Council on Refugees and Exiles43. European Federation of National Organisations Working with the Homeless

(FEANTSA)44. European Federation of Public Service Unions (EPSU)45. European Federation of the Associations of Dieticians (EFAD)46. European Institute of Women’s Health47. European Network against Racism (ENAR)48. European Network of Medical Residents in Public Health - EuroNet MRPH49. European Network of Migrant Women50. European Public Health Alliance (EPHA)51. European Public Health Association (EUPHA)52. European Roma Rights Centre53. Faculty of Psychology, University of Seville (Facultad de Psicología, Universidad de

Sevilla)54. Federation of Associations for the Public Health Defence (FADSP, Federación de

Asociaciones para la Defensa de la Sanidad Pública)55. Federation of Roma Women Associations FAKALI (Federación de Asociaciones de

Mujeres Gitanas FAKALI)56. Flemish Refugee Action57. French Society of Public Health (Société française de santé publique)

58. Haringey Migrant Support Centre59. Health Education and Research Association60. Hellenic Dietetic Association61. Humacoop (Humanitaire et coopération)62. International Centre for Reproductive Health (ICRH)63. International Federation of Medical Students Association (IFMSA)64. International Organization for Migration (IOM)65. Institute of Health & Wellbeing, University of Glasgow66. Institute of social and preventive medicine, Lausanne

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67. Malta Association of Public Health Medicine68. Medical Houses Federation (FEDERATION DES MAISONS MEDICALES ASBL)69. Migrants’ Rights Network (UK)70. Mingha Africa Onlus71. National Institute for Health, Migration and Poverty (INMP)72. Open Society Foundations, Public Health Program, Roma Health Initiative73. Panhellenic Medical Association74. Platform for International Cooperation on Undocumented Migrants (PICUM)75. Platform for the Defense of Public Health Care Granada (Mesa de Trabajo en

Defensa de la Sanidad Pública Granada)76. Platform NoThankYou (Plataforma NoGracias)

77. Pro-Human Rights Association of Andalusia (APDHA)78. Public Health Association of Madrid (AMaSaP, Asociación Madrileña de Salud

Pública)79. Public Services International (PSI)

80. Roma Secretariat Foundation (Fundación Secretariado Gitano)81. Royal College of Nursing UK82. Section of Social Medicine at the Institute of Medicine, The Sahlgrenska Academy,

University of Gothenburg83. SIT Study Abroad / Switzerland: Global Health and Development Policy84. Spanish Association of Neuropsychiatry – Mental Health Professionals (Asociación

Española de Neuropsiquiatría - Profesionales de Salud Mental, AEN-PSM)85. Spanish Commission for Refugees (Comisión Española de Ayuda al Refugiado-

CEAR)86. Spanish Society for Public Health and Health Administration (SESPAS)87. Spanish Society of Environmental Health (Sociedad Española de Sanidad

Ambiental) 88. Spanish Society of Epidemiology (SEE, Sociedad Española de Epidemiología)89. Spanish Society of Family and Community Medicine (SEMFyC, Sociedad Española

de Medicina de Familia y Comunitaria)90. Spanish Society of General Practitioners in Andalusia (SEMERGEN-Andalucía,

Sociedad Española de Médicos de Atención Primaria en Andalucía)91. Spanish Society of Humanitarian Medicine (Sociedad Española de Medicina

Humanitaria)92. Spanish Society of Nursing Expert in Ostomy Care (S.E.D.E., Sociedad Española de

Enfermería Experta en Estomaterapia)93. Spanish Society of Psychiatric Epidemiology (Sociedad Española de Epidemiología

Psiquiátrica)94. The Danish Research Centre for Migration, Ethnicity and Health, Department of

Public Health, University of Copenhagen95. TNO Child Health96. Thirst of Life Association97. University of Pécs, Medical School, Migrant Health Programs98. Vigilance System of Hate Violence (Sistema de Vigilancia de Violencia de Odio)99. Valencia Society of Family and Community Medicine (SVMFiC, Sociedad

Valenciana de Medicina Familiar y Comunitaria

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Media coverage of the Granada Declaration

* The material here presented are screen-shots from different pages covering the

Granada Declaration. Each image is accompanied by the link it depicts. The links were

accessed on September 20th, 2014.

1. Linked in the Conference website (http://www.eupha-

migranthealthconference.com/?page_id=1953):

1) WHO-Euro website (http://www.euro.who.int/en/health-topics/health-

determinants/migration-and-health/news/news/2014/05/the-eupha-granada-

declaration-calls-upon-all-european-governments-to-protect-the-health-of-migrants-

and-ethnic-minorities)

2) Portal de Igualdad, Salud y Políticas Sociales

(http://www.juntadeandalucia.es/salud/sites/csalud/contenidos/Noticias/2014/04/dia

14/Noticia25297)

3) Acta Sanitaria (http://www.actasanitaria.com/firmada-la-declaracion-de-granada-

por-la-salud-de-las-personas-migrantes-y-minorias-etnicas/)

4) Andalucia Información (http://andaluciainformacion.es/granada/396645/expertos-

internacionales-firman-la-declaracion-de-granada-por-la-salud-de-personas-

migrantes-y-minorias-etnicas/)

5) Granada Hoy

(http://www.granadahoy.com/article/granada/1750810/expertos/firman/la/declaraci

on/granada/por/la/salud/las/minorias/etnicas.html)

6) Ideal (http://m.ideal.es/granada/20140412/local/granada/expertos-exigen-granada-

acceso-201404121632.html)

7) Granada Digital (http://www.granadadigital.es/expertos-internacionales-firman-la-

declaracion-de-granada-por-la-salud-de-personas-migrantes-y-minorias-etnicas/)

2. Found through online search (‘granada declaration’ and ‘declaración de

granada’) on September 20th, 2014:

1) EPHA (http://epha.org/a/6023)

2) European Aids Treatment Group

(http://www.eatg.org/news/170114/Granada_Declaration_ahead_of_EU_Health_Mini

sters'_meeting_in_Athens_28-29_April)

3) Doctors of the World (http://mdmeuroblog.wordpress.com/2014/04/15/help-us-by-

signing-the-granada-declaration/)

4) Migrants Rights UK (http://www.migrantsrights.org.uk/news/2014/granada-

declaration-international-health-associations-calls-vigilance-protect-healthcare-n)

5) SESPAS [in Spanish – link to the Declaration in the ‘Comunidcados’ box]

(http://www.sespas.es/index.php)