2. Short and long term Physical and Psychological trauma Short and long term Physical and Psychological trauma Health consequences

3. Individuals Physical, psychological and sexual abuse Physical, psychological and sexual abuse Health consequences Accessible and non-discriminatory health care Accessible and non-discriminatory health care Health Sector

4. “I feel like they’ve taken my smile and I can never have it back.” Lithuanian woman trafficked to London

5. Main health issues Violence prior and during trafficking: story of abuse prior to being trafficked was prevalent Physical health symptoms: headaches, fatigue, weight loss, neurological, gastrointestinal, cardiovascular symptoms, back pain, etc. Stolen Smiles, The LSHTM, 2006 Daphne

6. Main health issues Sexual and reproductive health symptoms: pelvic pain, vaginal discharge and STIs including HIV Mental health symptoms: posttraumatic stress disorder, depression, anxiety and hostility Stolen Smiles, The LSHTM, 2006 Daphne

7. Main health issues Substance abuse Risky health behaviour

8. Main SRH health issues Risk of STIs and their complications (PID, chronic pelvic pain, ectopic pregnancy, infertility) Risk of unwanted pregnancy Sexual health implications Risk of cervical cancer?

9. WHO work in addressing health consequences of trafficking WHO Ethical and safety recommendations for interviewing trafficked women Collaboration with IOM on Guidelines for Health Providers on Trafficking in Persons (to be released) Different programmes involved: Sexual and reproductive health, Gender, Violence and injuries

10. www.who.int/gender/documents/ 2003 2007