European Journal of Pediatrics

, Volume 177, Issue 9, pp 1419–1423 | Cite as

Child trafficking in Europe: what is the paediatrician’s role?

A statement by the European Academy of Paediatrics
  • Adamos HadjipanayisEmail author
  • Francis P. Crawley
  • Tom Stiris
  • David Neubauer
  • Pierre-André Michaud
EAP Statement


Child trafficking is among the most lucrative criminal activities in the world and growing rapidly. Poverty, natural disasters, armed conflicts and, in particular, migration put vulnerable children at high risk of trafficking. Accurate statistics on child trafficking are not available due to its illegal nature. Moreover, trafficking may not be consistently recorded and reported by European countries, mainly because of different perceptions as to who is considered a victim of trafficking. Around 4000–5000 children were identified as presumed victims of trafficking in European Union countries from 2013 to 2014; this is an underestimate of the problem because many victims go unrecognised. Trafficking is linked with issues, such as forced marriage, begging, labour or domestic servitude, slavery and prostitution as well as sexual abuse and child pornography. It may also involve the use of children as soldiers or for criminal activities, such as theft and drug smuggling. Child trafficking also involves the removal of organs and the selling neonates, infants, and children for adoption. Child victims of trafficking should be promptly identified in order to provide them with the necessary care as well as to prosecute the traffickers and stop their illegal activity. Healthcare professionals should be appropriately trained to keep a careful eye out for any signs of trafficking in children.

Conclusion: The European Academy of Paediatrics calls on our governments, intergovernmental organisations, paediatricians, and healthcare professionals to collaborate so as to improve the identification and healthcare of victims and to contribute to the disbanding and prosecution of child traffickers by reporting such situations.

What is Known:

• Child trafficking is a fast growing and among the most lucrative criminal activities in the world.

• Poverty, natural disasters, armed conflicts and in particular migration put vulnerable children at high risk of trafficking.

What is New:

• Child trafficking is an underestimated and often ignored issue, with around 4000–500children identified as presumed victims in European Union countries from 2013 to 2014.

• The European Academy of Paediatrics strongly encourages Paediatricians to identify victims as well as provide them with adequate health care and support; it calls on governments, intergovernmental organisations, and fellow compatriots to act within the full extent of the law to identify, disband, and prosecute child traffickers.


European Academy of Paediatrics Trafficking Child trafficking Migration Health care Advocacy 


Authors’ Contributions

Adamos Hadjipanayis: Study conception, reviewing the literature and drafting the article.

Francis P. Crawley: Study conception and contributed to the initial draft and review.

Tom Stiris: Reviewed the manuscript.

David Neubauer: Reviewed the manuscript.

Pierre-André Michaud: Reviewed and restructured substantially the manuscript and gave important comments.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


  1. 1.
    Armstrong S (2017) Instruments to identify commercially sexually exploited children: feasibility of use in an emergency department setting. Pediatr Emerg Care 33(12):794–799CrossRefPubMedGoogle Scholar
  2. 2.
    Baauw A, Ritz N (2018) Towards better healthcare for migrant and refugee children in Europe. Eur J Pediatr 177(2):161–162CrossRefPubMedGoogle Scholar
  3. 3.
    Baauw A, Rosiek S, Slattery B, Chinapaw M, van Hensbroek MB, van Goudoever JB, Kist-van Holthe J (2018) Pediatrician-experienced barriers in the medical care for refugee children in the Netherlands. Eur J Pediatr.
  4. 4.
    Beck ME, Lineer MM, Melzer-Lange M, Simpson P, Nugent M, Rabbitt A (2015) Medical providers’ understanding of sex trafficking and their experience with at-risk patients. Pediatrics 135(4):e895–e902Google Scholar
  5. 5.
    Cancedda A, De Micheli B, Dimitrova D et al (2015) Study on high-risk groups for trafficking in human being. European Commission, Luxembourg, p 90.
  6. 6.
    Carrasco-Sanz A, Leiva-Gea I, Martin-Alvarez L et al (2017) Migrant children's health problems, care needs, and inequalities: European primary care paediatricians’ perspective. Child Care Health DevGoogle Scholar
  7. 7.
    Chung RJ, English A (2015) Commercial sexual exploitation and sex trafficking of adolescents. Curr Opin Pediatr 27(4):427–433CrossRefPubMedGoogle Scholar
  8. 8.
    Commitioner UNOotH (2000) Protocol to prevent, suppress and punish trafficking in persons especially women and children, supplementing the United Nations Convention against Transnational Organized Crime. New-York.
  9. 9.
    Council of Europe (2005) Council of Europe Convention on Action against trafficking in human beings. p 19.
  10. 10.
    European Commission (2012) The EU Strategy towards the Eradication of Trafficking in Human Beings 2012–2016. Brussels, p 20.
  11. 11.
    European Commission (2016) Report on the progress made in the fight against trafficking in human beings. European Commission [9 May 2018], Brussels.
  12. 12.
  13. 13.
    European Commission (2018) Together against trafficking in human. European Commission, BrusselsGoogle Scholar
  14. 14.
    European Union (2011) Directive 2011/36/EU of the European Parliament and of the Council of 5 April 2011 on preventing and combating trafficking in human beings and protecting its victims, and replacing Council FrameworkDecision 2002/629/JHA. Strasbourg, p 11Google Scholar
  15. 15.
  16. 16.
  17. 17.
    Goldhagen J, Kadir A, Fouad M et al (2018) The Budapest declaration for children and youth on the move. Lancet Child Adolesc Health 2:164–165CrossRefPubMedGoogle Scholar
  18. 18.
    Grace AM, Lippert S, Collins K, Pineda N, Tolani A, Walker R, Jeong M, Trounce MB, Graham-Lamberts C, Bersamin M, Martinez J, Dotzler J, Vanek J, Storfer-Isser A, Chamberlain LJ, Horwitz SM (2014) Educating health care professionals on human trafficking. Pediatr Emerg Care 30(12):856–861CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Gravett B (2015) Countering human trafficking: The UK’s efforts. Geneva Centre for the Democratic Control of Armed Forces, p 44.
  20. 20.
    Greenbaum VJ, Dodd M, McCracken C (2018) A short screening tool to identify victims of child sex trafficking in the health care setting. Pediatr Emerg Care 34(1):33–37CrossRefPubMedGoogle Scholar
  21. 21.
    International Organization for Migration (2015) Addressing human trafficking and exploitation in times of crisis. Evidence and recommendations for further action to protect vulnerable and mobile populations. Geneva, p 309.
  22. 22.
    International Organization for Migration (2017) Mixed migration flows in the mediterranean and beyond – analysis: flow monitoring surveys – The human trafficking and other exploitative practices prevalence indication survey, IOM, Geneva. Mixed migration flows in the mediterranean and beyond – analysis: flow monitoring surveys – The human trafficking and other exploitative practices prevalence indication survey. IOM, Geneva, p 15.
  23. 23.
    McLeigh JD (2013) Protecting children in the context of international migration: children in migration require greater protection from violence, exploitation, and discrimination. Child Abuse Negl 37(12):1056–1068CrossRefPubMedGoogle Scholar
  24. 24.
    Moore JL, Kaplan DM, Barron CE (2017) Sex trafficking of minors. Pediatr Clin N Am 64(2):413–421CrossRefGoogle Scholar
  25. 25.
    UNICEF (1990) Convention on the rights of the child. [United Nations; Human Rights, Office of the High Commissioner for Human Rights].
  26. 26.
    UNICEF Innocenti Research Center (2008) Child traficking in Europe, a broad vision to put children UNICEF, p 68.
  27. 27.
    Union E (2016) Asylum and migration into the EU in 2015. Publications Office of the European Union, Luxembourg. European Agency for Fundamental Rights (FRA), p 44Google Scholar
  28. 28.
    United Nations General Assembly (2015) Transforming our world: the 2030 agenda forSustainable Resolution adopted by the General Assembly on 25 September 2015, New York, p 35Google Scholar
  29. 29.
    Shandro J, Chisolm-Straker M, Duber HC, Findlay SL, Munoz J, Schmitz G, Stanzer M, Stoklosa H, Wiener DE, Wingkun N (2016) Human trafficking: a guide to identification and approach for the emergency physician. Ann Emerg Med 68(4):501–508.e1CrossRefPubMedGoogle Scholar
  30. 30.
    Stanley N, Oram S, Jakobowitz S, Westwood J, Borschmann R, Zimmerman C, Howard LM (2016) The health needs and healthcare experiences of young people trafficked into the UK. Child Abuse Negl 59:100–110CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Zimmerman C, Borland R (2009) Caring for trafficked persons:guidance for health providers. School of Hygiene and Tropical Medicine, Geneva. OM/UN.GIFT, London.

Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2018

Authors and Affiliations

  • Adamos Hadjipanayis
    • 1
    • 2
    • 3
    Email author
  • Francis P. Crawley
    • 3
    • 4
  • Tom Stiris
    • 3
    • 5
    • 6
  • David Neubauer
    • 3
    • 7
  • Pierre-André Michaud
    • 3
    • 8
  1. 1.Department of PaediatricsLarnaca General HospitalLarnacaCyprus
  2. 2.Medical SchoolEuropean University of CyprusNicosiaCyprus
  3. 3.European Academy of PaediatricsBrusselsBelgium
  4. 4.Good Clinical Practice Alliance - Europe (GCPA)BrusselsBelgium
  5. 5.Department of NeonatologyOslo University HospitalOsloNorway
  6. 6.Faculty of MedicineUniversity of OsloOsloNorway
  7. 7.Department of Child, Adolescent & Developmental NeurologyUniversity Children’s HospitalLjubljanaSlovenia
  8. 8.Faculty of Biology & MedicineUniversity of LausanneLausanneSwitzerland

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