Mexico City – The recent executive orders on migration from the new United States administration leave hundreds of thousands of people along the Latin American migration corridor in even greater uncertainty, exposed to heightened risks on a route already marked by extreme violence. Médecins Sans Frontières (MSF) teams in Mexico are already witnessing the harmful effects of these political measures on the physical and mental health of many of our patients.

“The elimination of the CBP One scheduling application on 20 January, one of the few tools available for migrants to seek asylum in the United States (US), represents a severe blow to the protection of human rights for migrants and asylum seekers,” says Adriana Palomares, general coordinator of MSF in Mexico. “This irresponsible decision will have both immediate and long-term repercussions for countless individuals, threatening their lives, health, and well-being.”

Initially launched in 2020 to streamline cargo inspections at the US-Mexico border, the CBP One app expanded in January 2023 to facilitate asylum appointments for unauthorised migrants fleeing violence, poverty, or persecution. By May 2023, it became the sole pathway for asylum requests at US ports of entry under the Biden administration. Over the past year, nearly one million migrants—approximately 1,450 daily—used the app to secure screening appointments.

Though imperfect, the app provided a critical, albeit limited, avenue for asylum seekers to avoid hazardous routes and the perils of human trafficking networks. Its abrupt shutdown leaves many of the most vulnerable, including survivors of violence and persecution, with no legal or safe alternatives.

MSF staff report that the closure of CBP One has triggered a wave of despair and uncertainty. Many migrants had already invested heavily in their appointments, selling belongings, quitting jobs, and separating from loved ones in preparation for their journey to the border.

“A patient we treated this week suffered an acute anxiety attack after her previously approved asylum appointment in early February was cancelled,” says Ramón Márquez, coordinator of MSF’s Comprehensive Care Center for survivors of extreme violence in Mexico City. “Our therapeutic teams are ramping up interventions to support those in emotional crisis.”

The closure of the app has left migrants stranded in high-risk areas in Mexico, vulnerable to extortion, human trafficking, and other forms of violence. In Coatzacoalcos, a Venezuelan migrant named Silvia, who had been traveling for months, described the collective anguish.

“It’s a deep sadness. This process has been anything but easy,” she says, after receiving care at an MSF clinic. “We’ve risked our lives and exposed ourselves to unimaginable dangers with our children, all for the chance at a better future for our families.”

Her compatriot Mario, also stranded, also noted the dire consequences. “The suspension of CBP One leaves migrants more exposed to extortion, mafias, and kidnappings on an already dangerous route,” he says.

The dehumanising nature of recent migration policies has exacerbated the crisis. Since November, MSF teams have observed a significant increase in migrant caravans in southern Mexico, with many seeking protection from violence. However, most caravans are dissolved through coercion by Mexican authorities before reaching Mexico City.

On 21 January, MSF conducted a mobile clinic in Huixtla to assist a caravan of about 1,500 people—this was the fourteenth caravan in three months. This phenomenon is merely the visible tip of an iceberg, masking the desperation of hundreds of thousands more.

“These policies dehumanise and endanger people on the move,” emphasised Adriana Palomares. “We’ve seen the devastating effects of programmes like ‘Remain in Mexico,’ now being reintroduced, which forced asylum seekers to survive in hostile environments without access to basic services. Migration and seeking asylum are rights, not crimes. Governments across the region, including the US and Mexico, must urgently implement migration policies that prioritise people and their protection.”

In 2024 alone, MSF teams assisted over 700 survivors of sexual violence in Mexico and hundreds more in Central America. With the dismantling of CBP One, migrants are now left in an unbearable limbo, trapped in environments rife with violence and exploitation, and stripped of their basic human rights.

MSF calls on governments in the region to urgently adopt humane migration policies that protect the rights, safety, and dignity of all people on the move.