Reports

This report documents how broad restrictions on financial transactions, coupled with aggressive rhetoric from US officials, have drastically constrained the ability of Iranian entities to finance humanitarian imports, including vital medicines and medical equipment. While the US government has built exemptions for humanitarian imports into its sanctions regime, Human Rights Watch found that in practice these exemptions have failed to offset the strong reluctance of US and European companies and banks to risk incurring sanctions and legal action by exporting or financing exempted humanitarian goods. The result has been to deny Iranians access to essential medicines and to impair their right to health. Under international law, the US should monitor the impact of its sanctions on Iranians' rights and address any violations sanctions cause. 

This report provides an overview of the legal framework behind the human right to water and recommendations on how to work with government officials and other towards the realization of this right.

This report found that instead of providing support to older people with dementia, facilities use drugs to control their behavior, a practice known as chemical restraint. Many of the drugs used to control people in aged care facilities are antipsychotics that are not approved in Australia for older people with dementia. In addition to the physical, social, and emotional harm for older people restrained with these drugs, the use of these drugs in older people with dementia is also associated with an increased risk of death.
 

This report documents increased numbers of maternal and infant deaths; the unchecked spread of vaccine-preventable diseases, such as measles and diphtheria; and sharp increases in the transmission of infectious diseases such as malaria and tuberculosis in Venezuela. Available data shows high levels of food insecurity and child malnutrition, as well as of hospital admissions of malnourished children. 

For this report, Human Rights Watch spoke with older people and their relatives in 12 cities and towns across England. Some said that assessors appeared not to understand their disabilities and support needs. In other cases, before beginning an assessment, assessors announced that services would be cut regardless of an individual’s actual need. In some cases, services were denied or cut significantly, affecting older people’s health and wellbeing.

This report documents the harmful impact of state and federal policies on transgender women in two Florida counties – Miami-Dade and Broward – that have the highest rates of new HIV infection in the United States. Many women interviewed said they experience disrespect, mistreatment, and in some cases, denial of services from government-funded clinics. Florida’s inaccurate and incomplete data collection on HIV among transgender people leaves them undercounted and excluded from government programs to address the epidemic.

This report estimates that every week in US nursing facilities, more than 179,000 people, mostly older and living with dementia, are given antipsychotic drugs without an appropriate diagnosis. Facilities administer these drugs in many cases without obtaining informed consent from residents or their families. 

This report examines the controversy over the operations inside the medical community and the pressure on parents to opt for surgery. Once called “hermaphrodites”—a term now considered pejorative and outdated, intersex people are not rare, but their needs are widely misunderstood. Based on a medical theory popularized in the 1960s, doctors perform surgery on intersex children—often in infancy—with the stated aim of making it easier for them to grow up “normal.” The results are often catastrophic, the supposed benefits are largely unproven, and there are rarely urgent health considerations requiring immediate, irreversible intervention.

This report examines the physical and psychological damage caused by medically unnecessary surgery on intersex people, who are born with chromosomes, gonads, sex organs, or genitalia that differ from those seen as socially typical for boys and girls. The report examines the controversy over the operations inside the medical community, and the pressure on parents to opt for surgery.

This report documents gaps in the Brazilian authorities’ response that have a harmful impact on women and girls and leave the general population vulnerable to continued outbreaks of serious mosquito-borne illnesses. The outbreak hit as the country faced its worst economic recession in decades, forcing authorities to make difficult decisions about allocating resources. But even in earlier times of economic growth, government investments in water and sanitation infrastructure were inadequate. Years of neglect contributed to the water and wastewater conditions that allowed the proliferation of the Aedes mosquito and the rapid spread of the virus, Human Rights Watch found.

This report reveals that the government spent only 2 to 3 percent of its annual budget on health and education in 2008 and 2011, the years for which data is available, while devoting around 80 percent to sometimes questionable large-scale infrastructure projects. The report also exposes how, according to evidence presented in money laundering investigations carried out by several countries, senior government officials reap enormous profits from public construction contracts awarded to companies they fully or partially own, in many cases in partnership with foreign companies, in an opaque and noncompetitive process. 

This report documents how women and girls cannot get contraception and have little access to health care if they face complications during pregnancy and childbirth. The parties to the six-year-long conflict, the Sudanese government and the rebel Sudan People’s Liberation Army-North (SPLA/M-North), have both obstructed impartial humanitarian aid.

This report documents how Guatemala’s drug control regulations – meant to prevent drug abuse – make it almost impossible for many patients with cancer and other advanced illnesses to get strong pain medicines like morphine. Patients described their extreme pain and other symptoms and how they struggled to cope with a dim prognosis. They said they had to make visits to multiple doctors because many were unable to adequately treat pain, and many said they faced lengthy travel on crowded buses to reach hospitals that offer pain treatment.

This report is based on data obtained via a Freedom of Information Act request to federal immigration authorities. The data covers nearly 300,000 federal detentions of immigrants in facilities in California over a four-and-a-half-year span. Over that period, an average of about 65,000 immigrants a year were detained in California in 15 facilities. Many were parents of US citizen children. Although the records for most of the period do not specify whether detainees have US citizen children, the records for one nine-month span (October 2014 to June 2015) generally do, and statistical methods can reliably fill the gaps. Analyzing the records for that nine-month span, Human Rights Watch found that nearly half – 42 percent – of detainees had US citizen children.

This report reveals systemic failures, such as unreasonable delays in care and unqualified medical staff, that are likely to expose a record number of people to dangerous conditions under President Donald Trump’s ramped-up deportation and detention plans.