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ROME: More than a dozen humanitarian organizations that provide healthcare to migrants criticized Italy’s migration deal with Albania as violating the code of medical ethics and urged health workers not to cooperate with it.

The deal, the centerpiece of Premier Giorgia Meloni’s crackdown on human trafficking, calls for some male migrants rescued at sea to have their asylum cases processed while they are detained at two holding centers in Albania, a non-EU nation.
Italy, which has long demanded Europe shoulder more of the continent’s migration problem, has held up the deal with Albania as a model for the continent and a strong deterrent to would-be refugees setting out on smugglers’ boats from North Africa for a better life.
However, the five-year deal, budgeted to cost Italy €670 million ($730 million), has run into a series of obstacles and legal challenges that have prevented even a single migrant from being processed in Albania.

First, construction delays prevented the opening of the centers for several months. Then, after the first two batches of 20 men were brought to Albania this month, Italian courts issued rulings that resulted in them being taken to Italy anyway.
The matter is before the EU’s Court of Justice in Luxembourg, which has been asked to rule on whether the men come from countries deemed safe for return. All 20 hail from Bangladesh and Egypt.
On Friday, the nongovernmental organizations released a detailed analysis of the procedures to screen migrants first on Italian naval ships and then in the Albanian centers to determine if they are “vulnerable.” Only men deemed to be not “vulnerable” are to be sent to Albania.
The aid groups said there were no proper facilities or instruments to make such a determination. And regardless, practically everyone who has set off on the dangerous Mediterranean crossing has endured the physical, psychological, or sexual abuse that should disqualify them from Albanian detention, they said.
The migrants should be considered at risk of post-traumatic stress disorder or other severe physical and mental health consequences, they said.
“The Italy-Albania Protocol violates the code of medical ethics and human rights and puts the physical and psychological health of migrants at risk,” the statement said.
The groups criticized the international organizations cooperating with the project, identifying the International Organization of Migration and the Knights of Malta’s Italian rescue corps as being “complicit” in human rights violations.
The Knights of Malta strongly rejected the claim, denying their doctors and nurses were in any way taking part in the “selection” of migrants or where they disembark, and said none had participated in the transfer of migrants to Albania.
In a statement, the Knights said their medical teams had worked on Italian naval vessels rescuing migrants in the Mediterranean since 2008, providing necessary first aid.
They said that work continues today unchanged.
The Knights “are proud of what has been accomplished in more than 15 years with the coast guard saving human lives at sea and has no intention of stopping this activity which often is the difference between life and death,” the group said.
There was no immediate reply to an email sent to the IOM seeking comment.
The Italian government has said the rights of the migrants would be fully guaranteed in the Albanian centers.
The deal has been blessed by European Commission President Ursula von der Leyen as an example of “out-of-box thinking” to tackle the migration issue.
However, human rights groups say it sets a dangerous precedent and violates Italy’s obligations under international law.
The UN refugee agency has agreed to supervise the first three months of the agreement, and one of its teams is conducting an “independent mission” on board the transfer ship to monitor the screening process.
The legal challenges have come despite the small number of people impacted.
Even though the centers were built to house as many as 3,000 migrants a month, just 20 were transferred in the first two separate ship passages, only to be sent to Italy after the Rome courts intervened.
The statement was signed by Doctors Without Borders, Emergency, Sea-Watch, SOS Mediterranee, and other aid groups.

LIMA: President Joe Biden is expected to use his final meeting with China’s leader, Xi Jinping, to urge him to dissuade North Korea from further deepening its support for Russia’s war on Ukraine.
Saturday’s talks on the sidelines of the annual Asia-Pacific Economic Cooperation summit in Peru come just over two months before Biden leaves office and makes way for Republican President-elect Donald Trump. It will be Biden’s last check-in with Xi — someone the Democrat saw as his most consequential peer on the world stage.
With the final meeting, officials say Biden will be looking for Xi to step up Chinese engagement to prevent an already dangerous moment with North Korea from further escalating.
Biden on Friday, along with South Korean President Yoon Seok Yul and Japan’s Prime Minister Shigeru Ishiba, condemned North Korean leader Kim Jong Un’s decision to send thousands of troops to help Moscow repel Ukrainian forces who have seized territory in Russia’s Kursk border region.
Biden called it “dangerous and destabilizing cooperation.”
White House officials also have expressed frustration with Beijing, which accounts for the vast majority of North Korea’s trade, for not doing more to rein in Pyongyang.
Biden, Yoon and Ishiba spent most of their 50-minute discussion focused on the issue, agreeing it “should not be in Beijing’s interest to have this destabilizing cooperation in the region,” according to a senior administration official who spoke on condition of anonymity to discuss their private conversations.
The North Koreans also have provided Russia with artillery and other munitions, according to US and South Korean intelligence officials. And the US, Japan and South Korea have expressed alarm over Pyongyang’s stepped-up cadence of ballistic missile tests.
Kim ordered testing exercises in the lead-up to this month’s US election and is claiming progress on efforts to build capability to strike the US mainland.
Biden and Xi have much beyond North Korea to discuss, including China’s indirect support for Russia, human rights issues, technology and Taiwan, the self-ruled democracy that Beijing claims as its own. Both presidents started their day at the leaders’ retreat at the APEC summit.
There’s also much uncertainty about what lies ahead in the US-China relationship under Trump, who campaigned promising to levy 60 percent tariffs on Chinese imports.
Already, many American companies, including Nike and eyewear retailer Warby Parker, have been diversifying their sourcing away from China. Shoe brand Steve Madden says it plans to cut imports from China by as much as 45 percent next year.
“When Xi meets with Biden, part of his audience is not solely the White House or the US government,” said Victor Cha, an analyst at the Center for Strategic and International Studies in Washington. “It’s about American CEOs and continued US investment or trying to renew US investment in China and get rid of the perception that there’s a hostile business environment in China.”
White House national security adviser Jake Sullivan said Biden administration officials will advise the Trump team that managing the intense competition with Beijing will likely be the most significant foreign policy challenge they will face.
Administration officials are concerned that tensions between China and Taiwan could devolve into all-out war if there is a miscalculation by either side, with catastrophic consequences for the world.
Sullivan said the Trump administration will have to deal with the Chinese military’s frequent harassment of its regional neighbors.
Skirmishes between the Philippine and Chinese coast guards in the disputed South China Sea have become a persistent problem. Chinese coast guard ships also regularly approach disputed Japanese-controlled East China Sea islands near Taiwan.
Ishiba met with Xi on Friday. Afterward, the Japanese prime minister said he told Xi he was “extremely concerned about the situation in the East China Sea and escalating activity of the People’s Liberation Army.”
The White House worked for months to arrange Saturday’s meeting between Xi and Biden, something the Democrat badly wanted to do before leaving office in January.
Sullivan traveled to Beijing in late August to meet with his Chinese counterpart and also sat down with Xi. Beijing agreed to the meeting earlier this week.
It’s a big moment for Biden as he wraps up more than 50 years in politics. He saw his relationship with Xi as among the most consequential on the international stage and put much effort into cultivating that relationship.
Biden and Xi first got to know each other on travels across the US and China when both were vice presidents, interactions that both have said left a lasting impression.
But the last four years have presented a steady stream of difficult moments.
The FBI this week offered new details of a federal investigation into Chinese government efforts to hack into US telecommunications networks. The initial findings have revealed a “broad and significant” cyberespionage campaign aimed at stealing information from Americans who work in government and politics.
US intelligence officials also have assessed China has surged sales to Russia of machine tools, microelectronics and other technology that Moscow is using to produce missiles, tanks, aircraft and other weaponry for use in its war against Ukraine.
And tensions flared last year after Biden ordered the shooting down of a Chinese spy balloon that traversed the United States.