Louisville Medicine Volume 61, Issue 11 | Page 12

Human Trafficking in Kentucky: What are we missing? Part 3 An ongoing series from the Partnership to Eliminate Child Abuse Erin Frazier, MD, Gretchen Hunt, JD, Brittney Thomas, MPH M ary is a 16-year-old girl brought into the emergency department with a threatened miscarriage by her 20-year-old brother, George. George does all the talking for Mary and explains both of their parents died in a car accident, and he has taken responsibility for her. He does not know who the father of the baby is. Mary is scared, exhausted, withdrawn, and has poor eye contact. George explains she has mental illness and has not taken her medications. George never leaves her side and no one ever questions Mary alone. Could she be a victim of sex trafficking? Could Mary’s health care providers be missing this opportunity to save her from her captor? Human trafficking is modern day slavery. Victims are subjected to force (beatings, assault, physical restraint, rape or kidnapping), fraud (lies or deception), or coercion (threats, psychological games, humiliation/shame tactics). There are many types of human trafficking including forced labor, sex trafficking, bonded labor, involuntary domestic servitude, forced child labor, child soldiers, and child sex trafficking. Sex trafficking is defined as a commercial sex act that is induced by force, fraud, or coercion, or any act such as stripping, pornography, or prostitution even without force, fraud or coercion if the child is under the age of 18. Domestic minor sex trafficking has become a huge problem nationally and in Kentucky. As many as 2.8 million children live on the streets, and 450,000 children run away from home each year. This results in 1 out of every 3 teens on the street being lured toward prostitution within 48 hours of leaving home. The longer they are gone, the more likely they are to engage in “survival sex.” Ninety percent of children turn to sex for survival within 3 months of leaving home. Statistically, up to 300,000 children are at risk of being exploited in commercial sex each year. Unbelievably, the age of thirteen is the average age of entry into pornography and prostitution in the United States. Anyone can be a victim of sex trafficking including young children, teenagers, adult males and females, foreign nationals, 10 10 LOUISVILLEMEDICINE MEDICINE LOUISVILLE and United States citizens. There are no socio‑economic barriers including education and affluence. The most common child victims are runaways, homeless youth, children in the foster care system, children with prior histories of abuse, children with a history of substance abuse, children with disabilities, youth in the juvenile justice system, refugees, immigrants, and non‑English speaking persons. Traffickers are extremely skilled at luring their victims. They use warmth, gifts, compliments, and sexual and physical intimacy. Many victims refer to their traffickers as boyfriends or daddies. They use affection, praise, money, luxuries, and the promise of a better life. Some use other women or girls to help recruit. They may offer shopping trips, modeling careers, or adventure via the internet especially using Facebook and chat rooms. Traffickers are constantly recruiting in junior and senior high schools, bus stops, courtrooms, foster homes, restaurants, bars, parks, and shopping areas. They target vulnerable minors who are naïve with a youthful appearance. Once enslaved, they are forced to work street prostitution, truck stop prostitution, strip clubs, massage parlors, or escort services. Is this really happening in the Commonwealth of Kentucky? The answer is yes. Since its creation in 2008, Kentucky Rescue and Restore has served over 151 individuals. 44% of them were trafficked as children. Furthermore, each year thousands of people visit the Louisville Metro for the Kentucky Derby, creating a perfect platform for sex traffickers. Advocates and elected officials have stated that large sporting events like the Derby often increase the demand for prostitution and commercial sex services. Traffickers and pimps see these events as a way to double or triple their normal profits in a short amount of time. In 2013 data collected from ads posted on Backpage.com during the Kentucky Derby revealed that women, many of whom were suspected to be minors, were brought in from 31 states and 70 cities for the purpose of prostitution. Many of the ads would use horse language such as “young thoroughbred” or “Kentucky stallion”