Hannah Is a Girl. Doctors Finally Treat Her Like One.

From The New York Times:  https://www.nytimes.com/2017/04/08/opinion/sunday/hannah-is-a-girl-doctors-finally-treat-her-like-one.html

NEW HAVEN — Hannah is a 14-year-old girl, clad in leggings and an oversize T-shirt, with long brown hair that she curls around a finger. She was also born a boy.

The government can’t seem to decide whether it should affirm children like Hannah. President Trump jumped from supporting workplace protections for transgender people to ending supportive policies for transgender students in public schools. The Supreme Court waffled on whether or not these kids can use the bathrooms of their identified genders, sending the question back to the Fourth Circuit. Last month, North Carolina repealed a law that forced transgender people to use the bathroom corresponding with the gender on their birth certificates, while strangely prohibiting schools from adopting policies that would let transgender students use the bathroom of their choice.

Politicians could learn something from the doctors who treat these patients. Over the past few years, it has become clear that if we support these children in their transgender identities instead of trying to change them, they thrive instead of struggling with anxiety and depression.

Hannah is using a puberty-blocking implant and getting ready to embark on the path of developing a female body by starting estrogen. Ten years ago most doctors would have called this malpractice. New data has now made it the protocol for thousands of American children.

Being transgender doesn’t affect Hannah much. She is a straight-A student and auditioning for her school’s production of “Annie.” She’s both embarrassed and excited to talk about the two boys who asked her out this year.

“I turned to him and said, ‘You know I’m transgender, right?’ ” she tells me. “He said that he knows I’m transgender and that he also knows I’m pretty and sweet.”

Taking her red cheeks as a sign to change the subject, we switch back to medicine. I feel around her bicep, where a hard rod just beneath her skin releases a drug that turns off the brain cells that would otherwise kick off puberty. The implant has been in place for two years, preventing the process that would have deepened her voice and given her an Adam’s apple. She has been happy with the blocker, but is ready to move on.

“I’m tired of being the only girl in my grade who looks like a little kid,” she says.

She has a point. A review of recent studies suggests we could start cross-sex hormones as early as 14, so that transgender kids don’t suffer the stigma of starting puberty years after their classmates.

Continue reading at:  https://www.nytimes.com/2017/04/08/opinion/sunday/hannah-is-a-girl-doctors-finally-treat-her-like-one.html

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Migrants from west Africa being ‘sold in Libyan slave markets’

From The Guardian UK:  https://www.theguardian.com/world/2017/apr/10/libya-public-slave-auctions-un-migration

UN migration agency says selling of people is rife in African nation that has slid into violent chaos since overthrow of Gaddafi


Monday 10 April 2017

West African migrants are being bought and sold openly in modern-day slave markets in Libya, survivors have told a UN agency helping them return home.

Trafficked people passing through Libya have previously reported violence, extortion and slave labour. But the new testimony from the International Organization for Migration suggests that the trade in human beings has become so normalised that people are being traded in public.

“The latest reports of ‘slave markets’ for migrants can be added to a long list of outrages [in Libya],” said Mohammed Abdiker, IOM’s head of operation and emergencies. “The situation is dire. The more IOM engages inside Libya, the more we learn that it is a vale of tears for all too many migrants.”

The north African nation is a major exit point for refugees from Africa trying to take boats to Europe. But since the overthrow of autocratic leader Muammar Gaddafi, the vast, sparsely populated country has slid into violent chaos and migrants with little cash and usually no papers are particularly vulnerable.

One 34-year-old survivor from Senegal said he was taken to a dusty lot in the south Libyan city of Sabha after crossing the desert from Niger in a bus organised by people smugglers. The group had paid to be taken to the coast, where they planned to risk a boat trip to Europe, but their driver suddenly said middlemen had not passed on his fees and put his passengers up for sale.

“The men on the pick-up were brought to a square, or parking lot, where a kind of slave trade was happening. There were locals – he described them as Arabs – buying sub-Saharan migrants,” said Livia Manante, an IOM officer based in Niger who helps people wanting to return home.

She interviewed the survivor after he escaped from Libya earlier this month and said accounts of slave markets were confirmed by other migrants she spoke to in Niger and some who had been interviewed by colleagues in Europe.

“Several other migrants confirmed his story, independently describing kinds of slave markets as well as kinds of private prisons all over in Libya,” Manente said. “IOM Italy has confirmed that this story is similar to many stories reported by migrants and collected at landing points in southern Italy, including the slave market reports. This gives more evidence that the stories reported are true, as the stories of those who managed to cross-match those who are returning back to their countries.”

Continue reading at:  https://www.theguardian.com/world/2017/apr/10/libya-public-slave-auctions-un-migration

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