By María Sanz, from Asunción. The trans population of Paraguay suffers violence, discrimination, and lack of access to rights such as employment, healthcare, and education, according to the report "Waiting for Death ," prepared by the Center for Documentation and Trans Situation in Latin America and the Caribbean (Cedostalc) , the Latin American and Caribbean Network of Trans People ( RedLactrans ), and the organization Panambí , which brings together trans, transvestite, and transgender people in Paraguay. The report, presented this Thursday in Asunción, compiles some cases of human rights violations recorded between 2016 and 2017 and draws attention to the violence and discrimination to which trans people in Paraguay continue to be exposed. Marcela Romero, regional coordinator of RedLactrans, noted at the presentation that the various forms of violence and living conditions faced by trans people in the region mean that the average life expectancy for a trans person in Latin America is 35 years: half of what a cisgender person is expected to live. “There is a death penalty against trans people; there is a trans genocide in our region,” Romero said. The trans activist went into exile in Paraguay in the 1990s and lived for five years in Asunción, where she arrived “escaping repression, state persecution, and institutional violence against trans people in Argentina,” she explained. Trans people also demanded access to economic, social, and cultural rights, as well as justice, clarification, and reparations for hate crimes against them, including the 60 murders recorded in Paraguay since the end of the dictatorship in 1989, which remain unpunished. The report cites another document by Panambí, "Forgotten Even in Death," which documents more than 54 murders of trans women in Paraguay from 1989 to 2013. "I think there are more deaths than those 60. Cases we don't even know about, and the State itself, since there's no gender identity law, identifies them as men, so it's just another man who died, a homeless person. There are trans bodies in morgues that have been there for years, and their families haven't come to claim them. Many of my friends die in hospital emergency rooms because they don't receive care, and I know trans women in Paraguay who have died at home because they didn't want to go to the hospital, due to the poor treatment," Marcela Romero told Presentes.

Violence within the prison system against trans people

The report indicates that institutional violence remains prevalent in Paraguay. In 35% of documented cases, this state violence is perpetrated by prison system personnel. Several transgender women are incarcerated in male-only prisons, despite identifying as female. In prisons, these women are housed in a separate wing but are denied access to the prison yard, educational programs, and workshops because they are physically and verbally assaulted every time they leave their wing. Furthermore, they are prohibited from wearing makeup or clothing considered feminine, and their hair is frequently cut. For people living with HIV or AIDS, access to antiretroviral drugs is irregular or delayed, worsening their health.

Police brutality

Outside the prison system, “most of the aggression and intimidation suffered by trans women stems from police brutality, manifested in arbitrary arrests and injuries inflicted while on duty, as well as physical assaults solely because of their gender identity,” the document states. It emphasizes that those most vulnerable are women who, excluded from the labor market due to their gender identity, engage in sex work on the street.

Lack of access to work, education, and health

Sex work is the primary economic activity for 86% of transgender people in Paraguay. It is not illegal in Paraguay, but it is neither recognized nor regulated by law. “Access to employment is hindered by discrimination based on having a different gender identity, as private entities do not hire transgender people, except in hair salons or for volunteer work in the health sector,” the document states. Working life is further complicated by the fact that more than half (52%) of transgender people did not complete primary school and ended up dropping out due to the “teasing, harassment, physical punishment, and degrading treatment” they received from other students and teachers. Transgender people encounter the same degrading treatment when accessing health services, “where they are subjected to psychological abuse and humiliation when they require general healthcare, and especially when they seek treatment and care for HIV and AIDS,” the report describes. Yren Rotela, a leader in Panambí and president of the Paraguayan Network for Sexual Diversity (Repadis), emphasized that this lack of access to healthcare also means that trans people cannot access hormone treatments or surgeries when they wish to align their bodies with their gender identity. This leads many trans people to self-medicate with hormones, such as those in injectable contraceptives, which they consume without any medical supervision, since there are no endocrinologists specializing in hormonal transitions in Paraguay, Rotela told Presentes. It also leads some trans people to modify their bodies with substances like industrial silicone, known as "airplane oil." These are generally clandestine procedures in which liquid silicone biopolymers, a substance used for cleaning machinery, are injected into different parts of the body, posing serious health risks.

A trans woman died from clandestine surgery

Last week, one of these clandestine surgeries ended the life of Yanina, a 30-year-old trans woman, who died after undergoing a procedure in which industrial silicone was injected into her hips. One of the injections reached her arteries, and the liquid entered her bloodstream, eventually reaching her lungs. On Saturday, five days after the procedure, Yanina vomited blood and was taken to a hospital, where she was denied access to intensive care and died, explained Rotela. The trans activist added that most trans women resort to surgeries due to the aesthetic pressure they face regarding how their bodies should look, especially if they are sex workers. However, these operations cause medium-term problems, such as pain when sitting or lying down for extended periods, and even lung infections.

Lack of laws and public policies

Given the situation described in the report, trans organizations are calling on the Paraguayan Parliament to approve two fundamental laws: law against all forms of discriminationand the gender identity law.Chile only approved its gender identity law yesterdayAnd there is already a law in Bolivia, Argentina and Uruguay. Paraguay is the last country in the Southern Cone that does not have this law. “I think they need to start debating it, that parliamentarians need to put morality aside and start thinking about people's quality of life,” Marcela Romero told Presentes.