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MIGRATION RESEARCH SERIES
Migrants and the
COVID-19 pandemic:
An initial analysis
Lorenzo Guadagno
International Organization for Migration
No. 60
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presentation of material throughout the report do not imply expression of any opinion whatsoever
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to: assist in the meeting of operational challenges of migration; advance understanding of migration
issues; encourage social and economic development through migration; and uphold the human
dignity and well-being of migrants.
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PUB2020/038/L
Migrants and the
COVID-19 pandemic:
An initial analysis
Lorenzo Guadagno
International Organization for Migration
MIGRATION RESEARCH SERIES | NO. 60
2
Introduction
COVID-19 has emerged in a world tightly connected by local and international population
movements, with more people moving for work, education and family reasons, tourism and
survival than ever in the past (Skeldon, 2018). Intense population movements, in particular of
tourists and business workers, have been a key driver of the global spread of the outbreak
(Hodcroft et al., 2020 and 2018). The pandemic cannot as such be attributed to migration
(Banulescu-Bogdan et al., 2020).
At the same time, the presence and movements of migrants1 are fundamental demographic, social,
cultural and economic dynamics shaping the local contexts that the pandemic is aecting. For
societies and communities all around the world, accounting (or not) for migrants in COVID-19
response and recovery eorts will aect the crisis’ trajectories. Inclusive public health eorts will
be crucial to eectively contain and mitigate the outbreak, reduce the overall number of people
aected, and shorten the emergency situation (Berger et al., 2020). Mitigating the economic,
social and psychological impacts of the outbreak (as well as relevant response measures) on all
aected persons will allow for swifter recovery.
This paper analyzes the specic ways migrants have been aected by the pandemic and presents
a diversity of measures adopted in migrants’ host and home countries to prevent, mitigate and
address its negative impacts. By doing so, it aims to provide insights for more inclusive and
eective COVID-19 policies and operations.
The paper rst looks at migrants’ presence in selected countries and locations that have been
heavily aected by the pandemic in its initial stages. It then provides an analysis of the conditions
that make dierent migrant groups specically vulnerable to the health and socioeconomic
impacts of the outbreak, highlighting examples of migrant-inclusive interventions rolled out
by governmental and non-governmental actors. This includes exploring the specic challenges
migrants have encountered because of restricted international mobility linked with COVID-19
prevention and mitigation eorts, and of mounting xenophobia in communities all around the
world. The paper then looks at how migrants’ individual suering is translating in systemic eects
for host and home communities in order to draw conclusions on the eective inclusion of
migrants in COVID-19 response and recovery.
The paper provides an analysis of initial, and rapidly evolving, trends and patterns, relying on
anecdotal evidence from dierent countries and an expanding body of not fully reliable nor
comparable data. As such, it does not provide any denitive, comprehensive, or context-specic
recommendation. As the pandemic expands into new areas with dierent migration proles,
as new response and recovery measures are rolled out, and as longer-term, secondary impacts
emerge, dierent risks and resources will be more or less relevant for migrants, and dierent
measures will become available to their origin and receiving societies. Further, complementary
analysis will be warranted over time – noting however that experiences and practices from past
emergencies, both health and non-health-related (MICIC Initiative, 2016), can help direct and
inform theoretical and practical eorts to successfully include migrants in COVID-19 response
and recovery.
1 The term “migrant” includes, for instance, migrant workers and members of their families, students, displaced persons, refugees
and asylum seekers, irrespective of their status (IOM, 2019b).
Migrants and the COVID-19 pandemic: An initial analysis
3
Migrants’ presence in COVID-19 hotspots
Following the movement of people along busy commercial and touristic routes, COVID-19 has
initially aected China’s neighbouring countries, the United States and Europe. While the outbreak
has since spread from these areas into other regions and back into East Asia, these patterns
have resulted in many of the world’s wealthiest and best-connected countries bearing the brunt
of the early health impacts of the pandemic. Geographic position, relative level of wealth and
international connections also make these countries attractive destinations for migrant workers,
international students, asylum seekers and refugees. As a consequence, migrants represent a
substantial share of their population (IOM, 2019a), as shown by table 1. Moreover, the areas
worst aected within many of these countries, such as the Lombardy region in Italy, New York,
Madrid and Paris metropolitan areas respectively in the United States, Spain and France, and
the Geneva/Vaud area in Switzerland, are all hubs of international economic and commercial
networks, and political and cultural life and have a higher-than-average migrant presence.
Table 1: Number of deaths by COVID-19 and international migrant stock in 10 countries particularly
aected by coronavirus, as at 13 April 2020
Country deaths by
COVID-19 population deaths/1 000
people
Stock of
international
migrants
% of
international
migrants
United States of America 23 068 329 064 917 0.07 50 661 149 15.4
Italy 20 465 60 550 075 0.34 6 273 722 10.4
Spain 17 628 46 736 776 0.38 6 104 203 13.1
France 14 967 65 129 728 0.23 8 334 875 12.8
United Kingdom 11 329 67 530 172 0.17 9 552 110 14.1
Iran (Islamic Republic of) 4 585 82 913 906 0.06 2 682 214 3.2
Belgium 3 903 11 539 328 0.34 1 981 919 17.2
Germany 3 043 83 517 045 0.04 13 132 146 15.7
Netherlands 2 823 17 097 130 0.17 2 282 791 13.4
Switzerland 1 138 8 591 365 0.13 2 572 029 29.9
Sources: CSSE, 2020 (accessed 13 April 2020), UN DESA 2019a, 2019b.
The high proportion of migrants in these countries underscores the specic need for inclusion of
migrants in COVID-19 response and recovery eorts. Societies that fail to appropriately ensure
health care, assistance and access to essential rights to such large population groups will be less
able to eectively contain the outbreak, and will likely see a higher overall number of people
aected, and a longer-lasting emergency situation. Insucient inclusion of migrant workers in
otherwise successful early containment eorts, for instance, has led to fears of a second wave of
infection in Singapore. Over 200 of the total 287 people newly aected throughout the country
on 9 April were migrants living in the city’s dormitories. The spike led to renewed closures,
quarantines, and mobility restrictions (Ng, 2020; Beech, 2020). Similarly, societies that cannot
mitigate the economic, social and psychological impacts of the outbreak and related response
measures on all communities will be less able to recover eectively and will likely face heavier
direct and indirect long-term consequences.
MIGRATION RESEARCH SERIES | NO. 60
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Migrants’ vulnerability to COVID-19:
Challenges and responses
As in many other crises, migrants may be particularly vulnerable to the direct and indirect impacts
of COVID-19. Their ability to avoid the infection, receive adequate health care and cope with
the economic, social and psychological impacts of the pandemic can be aected by a variety of
factors, including: their living and working conditions, lack of consideration of their cultural and
linguistic diversity in service provision, xenophobia, their limited local knowledge and networks,
and their access to rights and level of inclusion in host communities, often related to their
migration status (Liem et al., 2020 and table 2).
Table 2: Overview of migrants’ vulnerability to COVID-19
Recurring conditions of vulnerability Increased likelihood of:
Limited awareness of recommended prevention measures, including due to
linguistic barriers
Inability to respect social distancing in crowded, multigenerational homes
Reliance on public transportation
Continued exposure in close contact professions
Limited access to key hygiene items
Limited personal protective equipment in the workplace
Contracting COVID-19
Lack of entitlement to health care and deprioritization in service provision
Lack of access to facilities in underserved locations
Limited awareness of options or right to receive health care
Language barriers hindering communication with providers
Unwillingness to come forward for assistance due to fear of arrest and/or
stigmatization
Not accessing appropriate care
Pre-existing pulmonary/respiratory issues due to travel and living conditions
Physical weathering
Inability to access timely assistance
Showing severe symptoms
Restrained living and outside space during lockdowns
Isolation and inability to communicate
Obstacles to proper burial of deceased ones
Anxiety linked with being stranded, potentially arrested or victim of
xenophobic acts
Suering psychosocial impacts
Discontinued provision of basic assistance and integration services
Loss of precarious, unprotected job
No inclusion in COVID-19 income support schemes, housing provision
programmes or rental subsidies/exemptions
Inability to maintain regular migration status
Livelihood and income insecurity
Source: Author’s own elaboration.
These challenges, and related conditions of vulnerability, are shared with many citizens. Internally
displaced persons in camps and non-camp settings, slum dwellers and homeless persons may
also have limited ability to respect social distancing and hygiene practices (Sanderson, 2020;
Sobecki, 2020). All gig economy and workers in the informal economy may face sudden income
loss (Kinyanjui, 2020). People from poorer, marginalized communities will generally have limited
access to health care. Evidence is indeed showing that socioeconomic conditions aect COVID-19
impacts for both migrants and citizens: members of ethnic minorities have been found to be
overrepresented among the people who have been infected and hospitalized and who died from
COVID-19, as well as those with insucient food and nancial security (Devakumar et al., 2020;
ICNARC, 2020; Mays and Newman, 2020).
Migrants and the COVID-19 pandemic: An initial analysis
5
Migrants’ specic patterns of vulnerability often lie at the intersection of class, race and status:
migrants are overrepresented in low-income and discriminated minorities, and encounter unique
sets of challenges linked with their lack of entitlement to health care, exclusion from welfare
programmes, and fear of stigmatization and/or arrest and deportation. While the lack of properly
disaggregated data makes it dicult to quantify the specic impacts they suer, some evidence of
migrants being disproportionately aected has been recorded in certain locations (Bivand Erdal
et al., 2020), and can be extrapolated for other contexts (see text box 1).
Text box 1: Local prevalence of COVID-19 and migrant presence in New York City
Income inequality and marginalization aect local patterns of COVID-19 prevalence. While positive
cases have been recorded throughout New York City, most conrmed cases were in areas with the
lowest median incomes, despite the limited local availability of testing. This is likely due to structural
factors linked to living and working conditions preventing people from applying basic prevention and
mitigation measures. Migrants are over-represented in many of these neighbourhoods: all but two
of the 20 areas with the most conrmed cases in New York host over 30 per cent of foreign-born
residents (above the city-wide average of 24%), with the top two (ZIP codes 11368 and 11373) home
respectively to 60 and 67 per cent.
Sources: Buchanan et al., 2020; New York City Depar tment of Health, 2020; US Census Bureau, 2018.
The following sections provide more details on key conditions compounding migrants’ vulnerability
to the impacts of COVID-19, focusing in particular on risk factors linked with their limited
access to health care, living environments and economic insecurity, and examples of measures
adopted to support more inclusive response eorts. The paper then looks at immigration issues,
border closures and lockdowns, and mounting xenophobia as key elements exacerbating existing
challenges.
Access to health services
In many countries, migrants, especially when in an irregular situation or on short-term visas,
do not enjoy equal access to health care as citizens, and might not be covered for COVID-19
treatment (Collins, 2020; KFF, 2020; Vearey et al., 2019). Even where they are entitled to relevant
services, language barriers, limited knowledge of the host context or prioritization of citizens
may result in insucient access to health care. Migrants are less likely to have access to general
practitioners, and therefore tend to have limited access to preventive care and instead rely on
hospitals (University of Maryland School of Medicine, 2017), which is both more dicult and
riskier as emergency services are saturated with COVID-19 patients. Furthermore, irregular
migrants may fear being reported to the immigration authorities and deported if they seek
assistance, which may reduce their willingness to come forward for screening, testing, contact
tracing or treatment (D’Ignoti, 2020; Jordan, 2020).
Lack of awareness of locally recommended prevention measures, overreliance on informal
communication channels, or adherence to culture-specic customs and practices can result
in migrants adopting behaviours that put them and their communities at increased risk of
transmission (Arfaat, 2020). In conjunction with increased likelihood to be aected by respiratory
diseases linked with their travel or living conditions, these factors make some migrants highly
vulnerable to the direct health impacts of COVID-19 (Holguin et al., 2017).
Furthermore, national and local authorities do often not have a precise picture of the number and
distribution of migrants in their jurisdiction. This hinders their inclusion in public health eorts
and makes it challenging to gather precise information on aected individuals, as well as monitor
and trace the course of the outbreak (see text box 2). More eective tracing programmes,
instead, rely on close surveillance of the whole population (Won Sonn, 2020).
MIGRATION RESEARCH SERIES | NO. 60
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Text box 2: Obstacles to tracing migrants in Malaysia
A milestone for the spread of COVID-19 in the Kuala Lumpur area was a religious gathering between
27 February and 1 March where hundreds of people were infected. The event was attended by 14,000
people, including thousands regular and irregular migrants from all over South-East Asia. Lack of
knowledge on these communities and inability to eectively communicate with them slowed down
the Government’s contact tracing eorts. Lack of trust in a system that requires doctors to report
undocumented patients, migrants hesitated to come forward despite repeated calls and even after the
Government repelled relevant regulations.
Sources: Reuters, 2020a; Chan, 2020.
Ensuring that all groups of migrants, regardless of their status, have access to health care is a
necessary condition for eective responses to the COVID-19 outbreak (WHO Europe, 2020).
Many countries were either providing universal health coverage before the start of the pandemic
or have removed obstacles hindering migrants’ access to COVID-19 testing and treatment since
then (Ontario, Ministry of Health, 2020; Samuels, 2020). This includes oering language and
culture-appropriate, aordable options (including through telehealth), and account for migrants’
specic needs (such as the need to communicate with distant relatives) in the provision of relevant
services (ANSA, 2020a). This also requires making screening and testing capacity, and health-care
provision, available in marginal areas, for instance by setting up mobile medical facilities in key
workplaces or neighbourhoods (New York state, Governor A.M. Cuomo, 2020).
Many actors have supported these approaches through outreach eorts that convey translated,
easy-to-understand information on recommended practices, and entitlements and options to
receive services (IOM, 2020a; Wallis, 2020). Information is conveyed more eectively through
formal and informal channels migrants routinely use, in key locations in communities and along
migration routes, and by individuals and organizations migrants know and trust (Reuters, 2020a;
Al-Arshani, 2020). Circulation of ocial information on informal channels is also essential for
countering misinformation (Arfaat, 2020).
Addressing trust barriers is a precondition for successfully including migrants in screening, contact
tracing, and health-care provision eorts. Establishing rewalls between health-care provision
and immigration enforcement can reduce migrants’ fears to be arrested and deported if they
come forward for assistance (Van Durme, 2017). This is particularly important at a time when
individual data on people’s health and mobility is being shared among diverse institutions for
disease monitoring and control. As migrants are often more willing to turn towards (often non-
governmental) providers they know and trust, ensuring continuity of services of relevant facilities,
through adequate regulations, stang, and resourcing, can encourage them to look for timely
assistance (MSF, 2020; Healthserve, 2020).
Living conditions
In countries all over the world, migrants may live in overcrowded environments without adequate
access to water and hygiene products, where respecting social distancing and other basic prevention
practices, such as self-isolating in case of illness, is dicult. Formal and informal displacement sites
(see text box 3), transit sites, and reception centres may present the most acute challenges,
but workers’ quarters in industrial and rural areas, and the low-income, underserved locations
migrants often share with other marginalized groups of citizens show similar issues (Kluge et al.,
2020; Dost, 2020). In the absence of systematic screening and tracing, the risk of a rapid spread
of the disease is especially heightened in and around these sites. While potentially eective to
contain the risk of infection, site closures or the lockdown and relocation of residents have at
times worsened migrants’ living conditions or abruptly restricted their ability to move, including
their possibilities to access food, basic services and income (MEE, 2020; Pattisson, 2020; Tondo,
2020; Spinney, 2020).
Migrants and the COVID-19 pandemic: An initial analysis
7
Text box 3: Displaced persons and COVID-19
In the face of COVID-19, persons displaced internally and across borders are particularly at risk. Many
who live in camps in Europe, Turkey or Mexico face the concrete possibility of an outbreak from highly
aected areas, which would lead to a rapid spread of the infection in crammed facilities with limited
hygiene and health-care services. Most of the world’s 25.9 million refugees and 41.3 million internally
displaced persons, however, are in countries that are only starting to be aected by the pandemic (such
as Jordan, Lebanon or Bangladesh), and that might have very limited capacity for health-care provision
due to protracted crises (such as the Syrian Arab Republic, Yemen and Libya). Persons who have been
forced to leave their homes by the earthquake in Croatia and Cyclone Harold in the Pacic will face
heightened health risks and compounded economic impacts throughout their displacement.
Sources: McAulie and Bauloz, 2020; IOM, 2020b; UNHCR, 2020a.
In parallel, through re-prioritization of funding and response capacities, reduced movement
and level of access of key personnel, disruption of supply chains, and local limitations to public
gatherings, COVID-19 has aected the delivery of services and assistance upon which many
migrants rely for survival and well-being. Humanitarian service delivery in camp settings has
become increasingly dicult (Bhuiyan, 2020; IOM, 2020b; Welsh, 2020), while many integration
programmes have been interrupted (Wallis, 2020) and civil society-managed dormitories
and community kitchens closed (Win, 2020). Lockdowns and closure of businesses have also
translated in obstacles to using public spaces, community centres and private business, upon
which migrants often rely for basic services (e.g. communications) and psychological well-being
(Kelly et al., 2020). In this context, removing barriers preventing migrants’ access to long-distance
communications options can help reduce their isolation, improve their access to information and
mitigate the psychosocial impacts they suer as a consequence of the crisis (HRW, 2020).
To compound the above, there is a risk that migrants will be overlooked in COVID-19-response
programmes aiming to support people’s access to space for isolation and decent housing and
living conditions – such as temporary accommodation in hotels or other facilities, rental subsidies
or exemptions (Taylor, 2020). These obstacles are of particular concern because migrants, as
other minority citizens, are more likely to live in multigenerational households, where infection
of particularly fragile, older individuals, is more likely (Cohn and Passel, 2018).
Available responses to these challenges require including migrants in temporary housing
programmes and improving living conditions and access to services in highly risky locations, such
as transit sites, reception centres, labour camps and other underserved urban and rural locations.
Decongestion and redistribution of migrants in appropriate sites (IOM, 2020c, Pascual, 2020),
provision of protective equipment, hygiene and sanitary items, presence of medical personnel,
strengthened surveillance activities and setting up isolation facilities can help reduce risks (IOM,
2020d; IFRC et al., 2020; Carabott, 2020; ANSA, 2020a).
Work and working conditions
Exposure and vulnerability to COVID-19 are also shaped by people’s work and working conditions.
Migrants make up a disproportionate share of the workforce in sectors that have remained active
throughout the crisis, such as agriculture, construction work, logistics and deliveries, personal
care and health-care provision, garbage collection and cleaning services (see e.g. OECD, n.d.).
Inability to work remotely, limited access to private transportation, physical proximity with co-
workers and customers and lack of adequate protective equipment and hygiene options make
these occupations particularly risky (Gelatt, 2020).
MIGRATION RESEARCH SERIES | NO. 60
8
In addition, migrants are often also over-represented in some of the industries hardest hit by the
crisis, such as food services, non-essential retail or domestic work – or in the most precarious
positions in any sector (e.g. in the gig economy, see also text box 4). These unprotected, undeclared
positions will represent a substantial share of the millions of people COVID-19 has pushed and
will push towards underemployment and unemployment – a group in which migrant workers
are overrepresented (ILO, 2020; US Department of Labor). Loss or reduction of employment
reects on abrupt income loss, which, for lower-income households who have limited access to
savings, translates in reduced consumption of essential items and products (Perez-Amurao, 2020;
Crawford et al., 2020).
Text box 4: Migrant domestic workers and COVID-19
COVID-19 and related lockdowns have posed a specic set of challenges to migrant domestic workers.
For some, workload has increased and free Sundays have been denied as the whole family is staying
at home and is demanding more constant assistance. Others have been let go by employers conned
at home, refusing contact with outsiders and/or have tested positive to COVID-19. Other domestic
workers have reported being abused by employers sending them for errands without adequate
protective equipment, or withholding salaries and documents.
Sources: Jordan and Dickerson, 2020; IOM-CREST, 2020.
At the same time, migrants are more likely to be excluded from welfare systems protecting workers
who lose their jobs and incomes due to lockdown-related closure and failure of businesses, layos
and reduction in working hours – often despite their disproportionate contribution to welfare
systems (Vargas-Silva, 2019). They are often not entitled to guaranteed income, unemployment
benets, food vouchers, paid sick leave or even days o. Similarly, they might be excluded from
relief and support packages governments are and will be rolling out in response to COVID-19
or deprioritized from assistance when resources are limited (Gelatt, 2020; Doherty et al., 2020;
Polchi, 2020).
Migrants already working in exploitative conditions before the pandemic may have limited
options to look for other jobs, limited ability to move internally or across borders, and limited
savings available to cope with hardship (McCormack et al., 2015; Gavlak, 2020). In countries in
which migration status is tied to a person’s employer and job, workplace closure can also result
in irregularity. Similarly, migrants who need to pay to renew their permits might not be able to
do so if their income is reduced. Irregularity, in turn, further reduces entitlements to assistance
and the availability of options for well-being, while it increases risks related and not related to
COVID-19 (Nyein, 2020).
Due to these constraints, migrants might be forced to work despite growing health risks, and
sometimes despite showing COVID-19 symptoms, or might be trapped in host locations without
access to income, opportunities, and support (Quinley, 2020). Reducing these conditions of
vulnerability requires ensuring access to safe working conditions, including adequate protective
equipment, for all essential workers (IOM-CREST, n.d.). All migrants should also be granted
access to COVID-19-related welfare programmes (e.g. unemployment insurance, housing
assistance, food vouchers, rental subsidies). In the absence of nation-wide policies in this sense,
local authorities can support assistance systems that include all local residents, regardless of
status and nationality (Hopkins, 2020; Council of Europe, Intercultural Cities, 2020). Ensuring that
relevant civil society actors can continue to provide basic services will be key to preserving their
access to food, shelter and administrative support to apply for assistance (Informed Immigrant,
2020; NICE, 2020). Similarly, ensuring continued, aordable access to legal representation can
help migrants be better protected against abuse and exploitation and more able to navigate
immigration matters. While migrants’ local and translocal networks provide some options
Migrants and the COVID-19 pandemic: An initial analysis
9
for self-reliance and solidarity (Bauloz et al., 2019), in the context of generalized struggle and
impoverishment might end up eroding longer-term well-being prospects.
The impact of borders closure
Almost all countries have responded to the spread of COVID-19 closing borders and tightening
immigration regimes (IOM, 2020e and f). As options for cross-border movements dwindle,
incoming migrants and travellers are pushed back or quarantined at borders and forced to stay
in informal, overcrowded and underserved transit sites, where they face threats to their health,
dignity and survival (Yayboke, 2020). Border closures have made it virtually impossible for incoming
asylum seekers to apply for international protection (Banulescu-Bogdanet al., 2020; Ahmed
et al., 2020). International refugee resettlement operations have largely come to a halt due to
increasing travel restrictions (IOM, 2020g), despite some limited initiatives for the resettlement/
relocation of unaccompanied minors (MacGregor, 2020). Refusal of relevant countries to grant
a safe port to rescue vessels, and quarantines imposed to both migrants rescued at sea and the
ships’ crews of rescue vessels has further hindered rescue missions in the Central Mediterranean,
increasing the risks migrants face in what was already the most dangerous crossing in the world
(D’Ignoti, 2020; Le Monde and AFP, 2020).
People due to travel abroad, or already in transit through a third country when travel bans
were adopted, have found themselves unable to reach their destination – as was the case for
over 25,000 Filipino outbound workers (Perez-Amurao, 2020). These disruptions might have far
reaching consequences for migrants and families who have borrowed money to pay recruiters
and travel agents, only to nd themselves unable to start a job and repay their debt. More
generally, closed borders might push an increased number of people towards informal, more
risky migration channels (Yayboke, 2020).
Conversely, thousands of migrants and travellers worldwide have been stranded in countries that
closed their borders. Prolonged travel bans might result in many of them having to overstay their
visa (Bernal, 2020). Migrants who were on home leave or travelling out of their host country
(including for visa renewal) when the bans came into place might be unable to return to their job,
their studies, their homes and families (Charles, 2020).
All over the world, lockdowns and border closure have sparked the return of migrants who have
lost support and networks, employment options and ultimately the possibility of dignied living
in places of destination due to the pandemic (see text box 5). Such movements create signicant
health risks both in migrants’ home countries and communities and in locations in host and
transit countries through which they travel (Chia and Poh, 2020).
Few countries have managed to avoid the complete limitation of internal and international
movements by investing in testing, contact tracing and isolation measures (Normile, 2020). Self-
quarantine systems for incoming migrants, and quarantine facilities which comply with basic
standards and protection principles, can in any case help avoiding border closure and guarantee
the application of the non-refoulement principle (UNHCR, 2020b).
MIGRATION RESEARCH SERIES | NO. 60
10
Text box 5: COVID-19 and migrants’ returns
Tens of thousands Lao, Vietnamese and Myanmar workers left Thailand when the Thai Government
closed the country’s borders. They crowded at bus stations and border posts, envisioning to cross
borders irregularly and overwhelming the management capacity of authorities on both sides.
Over 115,000 Afghans have returned from the Islamic Republic of Iran between 8 and 21 March alone,
despite borders being ocially closed. Returnees, coming from one of the world’s countries worst
aected by COVID-19, completely overwhelmed the Afghan system’s ability to provide screening and
health services at borders and in Herat, already the country’s worst-aected city.
Faced with increasing health risks and deteriorating conditions in their host countries, hundreds of
Rohingyas and Venezuelans have been irregularly crossing borders back into respectively the Rakhine
state and the Bolivarian Republic of Venezuela, despite continued potential for abuses and violence
back home, and potential for COVID-19 infection.
Sources: Bangkok Post, 2020; Kit, 2020; Faizi and Zucchino 2020; Parkin Daniels and Phillips, 2020.
COVID-19-related travel restrictions and lockdowns also pose unique logistical, administrative
and economic hurdles to operations to repatriate migrants to their home countries. Individuals
in hard-to-reach locations and with limited consular presence are nding it extremely dicult
to reach exit points and nd onward transportation (Mzezewa, 2020; IOM, 2020h). Migrants
have also found themselves stranded following the establishment of travel bans in their home
countries. In fact, as of 9 April 2020, out of the almost 200 countries and territories imposing
travel restriction for incoming passengers, only 97 provided exceptions for their own nationals
abroad (IOM, 2020i).
In addition to setting up systems for repatriation of nationals abroad, including through
collaborations with like-minded countries, home countries can also prepare for the return of
migrants by setting up protocols for screening and testing at entry points and self-quarantining,
quarantine facilities, personnel and equipment (The Jakarta Post, 2020). Home countries might
also need to set up programmes both to assist the families of migrants aected by COVID-19
while abroad and support the reintegration of returnees.
Risks stemming from immigration policies and their enforcement
In some countries, migrants are still being requested to comply with administrative requirements
for status determination, visa application and renewal. However, respecting procedures and
schedules becomes challenging as oces and service providers close or limit their working
hours, and movements are restricted. Oce closures and appointment rescheduling translate
into delayed procedures and prolonged uncertainty, and risks stays in detention and reception
centres. Arrests, including due to violation of curfews and social distancing measures, or not
wearing masks, lead to more migrants being detained and increase the risk of losing their regular
status (Jones Jr., 2020). In a context of potentially increasing irregularity due to border closure and
visa overstaying, immigration enforcement might hinder eorts to control the outbreak through
increased social contacts for migrants and government personnel and reduced willingness of
migrants to come forward for assistance – especially in countries where there are no rewalls
between health and immigration authorities, and arrest at health-care facilities is possible (Gomez,
2020; Chishti and Pierce, 2020).
Many countries have however granted exibility on immigration requirements (e.g. automatic
or simplied procedures for visa renewal or conversion, waiving fees) to prevent widespread
irregularity following loss of employment and border closure (Collins, 2020; United Kingdom
Home Oce, 2020; French government, 2020). Suspending or scaling down immigration
Migrants and the COVID-19 pandemic: An initial analysis
11
enforcement activities can encourage migrants to come forward for health care and other
assistance. This can also be achieved through local-level initiatives, including the application and
extension of sanctuary city approaches to the management of the pandemic (Hudson, 2020).
Ultimately, granting migrants regular status can drastically improve their access to health care and
social security (see text box 6).
Text box 6: Regularizing migrants in response to COVID-19
Portugal has temporarily regularized all migrants, including asylum seekers, who had applied for a
residence permit before the declaration of the state of emergency on 18 March. This temporary
regularization aims to ensure migrants’ rights, including access to health care and social security. In
Italy, the Government, unions and migrant rights associations have been discussing a regularization
programme for irregular migrant workers.
Sources: Gorjão Henriques, 2020; Casadio, 2020; Reuters, 2020b.
In addition, some countries are still deporting or voluntarily returning migrants, in spite of explicit
opposition of several countries of origin (Ernst, 2020; Carretero, 2020) and the increasing number
of travel restrictions hindering them (see text box 7). Due to the trajectories of the spread of the
pandemic, this creates an additional risk of further spreading the disease in contexts that have so
far been only marginally aected (Abbott, 2020).
Text box 7: Immigration detention and deportations of irregular migrants amid the pandemic
Some countries have halted deportation processes of irregular migrants given the impossibility to
logistically and physically proceed due to the many travel restrictions passed by countries all over the
world. As irregular migrants are often detained until these deportations, several countries, including
Belgium, Spain, the Netherlands and the United Kingdom, have decided to release some of these
migrants. Indeed, under international human rights law, their deprivation of liberty pending deportation
is permitted “as long as deportation proceedings are in progress or as long as a real and tangible
prospect of removal exists” (IOM, 2016, p. 4). In addition to helping prevent outbreaks in immigration
detention facilities, these releases echo diverse calls made by United Nations agencies for States to
adopt alternatives to detention for irregular migrants during the pandemic.
Sources: Council of Europe, Commissioner for Human Rights, 2020; IOM, 2016; OHCHR and WHO, 2020; OHCHR et al., 2020.
Stigmatization, xenophobia and discrimination
Since its early stages, the outbreak has triggered countless episodes of xenophobia (Bauomy,
2020), directed towards internal migrants in China, Asian migrants in countries all over the
world, and progressively towards European migrants and foreigners in general, including in China
itself (Kuo and Davidson, 2020) and in areas only marginally aected by COVID-19 (York, 2020).
Scapegoating and stigmatization are in fact recurrent reactions in the aftermath of emergencies
of all kinds, including disasters, acts of terrorism, and past pandemics and epidemics (such as the
1918 u and the 2009 H1N1 inuenza outbreak; see White, 2020; IOM, 2020j).
Widespread hate speech and increased risk of abuses, assaults and harassment are likely to
further reduce migrants’ willingness to come forward for screening, testing and health care.
As highlighted by the World Health Organization, “stigma can [d]rive people to hide the illness
to avoid discrimination[;] [p]revent people from seeking health care immediately[;] [d]iscourage
them from adopting healthy behaviours” (WHO, 2020, p. 2).
MIGRATION RESEARCH SERIES | NO. 60
12
More generally, the pandemic has been weaponized to spread anti-migrant narratives and call for
increased immigration control and reduction of migrants’ rights (Banulescu-Bogdan et al., 2020;
ISD, 2020). In many countries, xenophobic stances have largely mirrored pre-existing patterns of
discrimination, often targeting migrants coming from areas with limited or no risk of COVID-19
infection or long-term residents (D’Ignoti, 2020).
Migrants returning home from countries more heavily aected by the pandemic have faced
fears and discrimination in their home communities, leading, on occasion, to confrontations and
violence (Kindzeka, 2020; Jha, 2020). Returns towards less prepared and well-resourced contexts,
especially if irregular and in the absence of testing capacity and adequate guidelines and facilities
for quarantine, pose signicant health risks for migrants’ home communities (Nachemson, 2020;
Pokhrel and Awale, 2020).
Eorts to counter xenophobia include adherence to key lexicon and practices (CDC, 2020;
UNICEF; 2020), sharing information on the rationale and implications of migrant-inclusive
response measures with the general public, giving visibility to migrants’ role engagement in their
host societies’ response eorts (ANSA, 2020b, Antonelli, 2020) or citizens’ demands for inclusive
response measures (see text box 8). Information and support systems should be made available
to migrants to report any act of discrimination or abuse they may have suered, and perpetrators
should be prosecuted accordingly.
Text box 8: WHO’s examples and tips to counter stigmatizing attitudes
• Spreading the facts: Stigma can be heightened by insucient knowledge about how the new
coronavirus disease (COVID-19) is transmitted and treated, and how to prevent infection.
• Engaging social inuencers such as religious leaders on prompting reection about people
who are stigmatized and how to support them, or respected celebrities to amplify messages that
reduce stigma.
• Amplify the voices, stories and images of local people who have experienced COVID-19 and
have recovered or who have supported a loved one through recovery to emphasise that most
people do recover from COVID-19.
• Make sure you portray dierent ethnic groups. Materials should show diverse communities
that are being aected, and show communities working together to prevent the spread of
COVID-19.
• Balanced reporting. Media reporting should be balanced and contextualised, disseminating
evidence-based information and helping combat rumour and misinformation that could lead to
stigmatisation.
• Link up. There are a number of initiatives to address stigma and stereotyping. It is key to link up
to these activities to create a movement and positive environment that shows care and empathy
for all.
Excerpt from WHO, 2020, p. 2.
Migrants and the COVID-19 pandemic: An initial analysis
13
Conclusion
As countries all over the world are still largely at the early or acute stage of the outbreak,
evidence of migrants’ specic patterns of vulnerability and of eective measures that can help
address them is far from comprehensive. We might see refuges and asylum seekers in low income
countries increasingly aected by the outbreak, the perception of migrants as spreaders might
gain traction and be instrumentalized as the patterns of rst and second waves of infections
evolve, border closures and restrictions to international movements might endure, or being lifted
in dierent manners, reshaping global mobility patterns for months and years.
However, this initial analysis allows to identify challenges and approaches that largely align with
lessons learned in past crises in which migrants have been aected alongside citizens (MICIC
Initiative, 2016; Majidi et al., 2019). Past and current experience shows that crisis response
measures cannot eectively include migrants unless they proactively address underlying
conditions of vulnerability linked with migratory status and immigration policies, migrants’ socio-
economic situation, and xenophobia. In the context of the COVID-19 pandemic, this means
coupling provisions to minimize transmission and expand health-care coverage with inclusive
welfare systems, intercultural communications and, crucially, reform of immigration regimes. Such
an approach will be even more important once the acute phase of the crisis will be over, and
countries will be moving into a recovery phase that looks still largely undetermined, but that could
be characterized by an unprecedented disruption of established patterns of movements. In this
context, nding long-term solutions to migrants’ social, economic and political marginalization
will be key for societies and communities to leverage all available capacities to bounce back, and
to avoid the re-creation of the risk conditions that transformed COVID-19 in a disaster.
At the same time, more than perhaps any crisis in the past, COVID-19 makes a clear case
for the need to adopt migrant-inclusive risk management approaches. Excluding migrants from
COVID-19 awareness and prevention activities, screening and testing, and adequate treatment
and follow-up undermines the eectiveness of relevant public health eorts. Failing to understand
and reduce the direct and indirect impacts migrants are, and will be, suering, threatens the well-
being, stability and security of communities and societies all over the world (Congress of the
United States, 2020).
In many countries aected by COVID-19, presence of migrants is essential for services that are
key to the pandemic response, as well as longer-term recovery and development. This includes
medical research and health-care provision, agricultural production, logistics and deliveries,
personal care of the elderly and other individuals in need of assistance, as well as strategic
infrastructural projects (Gelatt, 2020; Corrado, 2018; Bier, 2020). In many countries, migrants
have even been among the frontline workers who have been infected or have died because
of COVID-19 (Siddique, 2020). By threatening migrants’ permanence and living conditions in
receiving countries, COVID-19 is posing systemic risks that governments, employers and
service providers need to manage. Solutions proposed or adopted, including simplied entry
and processing of visa applications (Bonnett, 2020; Kucharczyk and Pazura, 2020), fast-track
recognition of foreign education and qualications (Alkousaa and Carrel, 2020; Batalova and Fix,
2020), dialogue with and engagement of (irregular) migrant representatives, economic incentives
to motivate citizens and other migrants to work specic jobs (24 heures, 2020; Davies, 2020),
also serve as a reminder of the economic, social and political marginalization migrants have been
enduring before the outbreak. Perduring obstacles to their regularization, and initiatives to lower
their pay and further worsen their living conditions are now being met by widespread criticism
within societies all around the world (Ordoñez, 2020).
MIGRATION RESEARCH SERIES | NO. 60
14
The impacts individual migrants will suer will be a key determinant of broader demographic,
social and economic trends. Migrants’ inability to send back remittances due to interrupted jobs
and lost salaries will heavily aect the well-being of households and communities of origin, as
well as the development outlook of their whole societies (Li Ng and Serrano, 2020). Limited
ability to access services and opportunities in their destinations will shape migrants’ movements
out of COVID-19 aected areas and thereby the future patterns of the outbreak. Returns and
immobility of migrants, in areas with limited alternatives for onward mobility in the short and
medium term, might lead to increased social and environmental pressures and potential intra-
communal tensions.
Many countries have responded to COVID-19 with increased closure, tighter immigration
regulations and further marginalization of migrants. The centrality of migrants in the social, cultural
and economic fabric of our globalized world, instead, suggests that only inclusive approaches
help protect and promote everybody’s rights, health and well-being, can allow communities and
societies to respond more eectively to this crisis, and reduce the risk of future ones.
Migrants and the COVID-19 pandemic: An initial analysis
15
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Also available online at
http://publications.iom.int/
International Organization for Migration
17 route des Morillons, P.O. Box 17, 1211 Geneva 19, Switzerland
Tel.: +41 22 717 9111 • Fax: +41 22 798 6150
Email: hq@iom.int • Website: www.iom.int
Lorenzo Guadagno manages IOM’s capacity-building programme on Migrants
in Countries in Crisis, which supports governments and other actors develop
and implement measures that reduce migrants’ vulnerability to disasters,
conicts and other crises. He has worked and published on various issues
related to human mobility, disaster risk reduction, climate change adaptation
and the environment. He holds a PhD in sociology from the University of
Sannio, Italy, with a thesis addressing disaster vulnerability, reconstruction and
recovery in Southern Italy after the 1980 Irpinia earthquake.