Friday, May 25, 2012

It's a failed system, not an isolated event.

First of all, thank you, everyone, for how much attention you have given Tsam Hurng over the last couple days. I did not imagine that response. Thankfully, I have also been sent several sources of numbers, so I can correct my statement about the under-five mortality rate.

Thankfully the numbers I had previously read were based on much older figures, and all the work of clinics on the border regions does appear to be making a difference, though the numbers are still quite horrible. The current mortality rate for children under the age of five in Eastern Burma is 138 for every 1,000 births. Taken this way, a child born in Eastern Burma (technically this is not limited to only the border regions, but the study focused largely on the border regions) has close to a 14% likelihood of not making it to his/her fifth birthday. These numbers are from "Diagnosis Critical: Health and Human Rights in Burma" ( http://maetaoclinic.org/publications/health-and-human-rights, click on "Diagnosis Critical" to review the document), who used many of WHO's finding and some original research.

As a point of comparison, babies born in the rest of Burma have only 66 deaths before the age of five to ever 1,000 births, meaning about 6.6% This number should still horrify you, as Thailand has only 14/1,000 (1.4%), and the USA has 8/1,000 (0.8%), and Norway has 3/1,000 (0.3%) (see http://data.worldbank.org/indicator/SH.DYN.MORT).

If you're not a numbers sort of person, I realize this post may not be the most compelling post ever. However, the point is, Tsam Hurng died because of a failing system, not in an isolated event. Poor maternal nutrition weakened him before he was ever born. His mother says that all her babies used to be born healthy, but since she had to flee her village (due to the war), she has never had quite enough food or the right food.

Moreover, the medics and doctors at our clinic have to tell mothers on a regular basis that there is absolutely nothing that can be done for the child who was born blind. Usually the cause was a virus, like measles, that the mother caught while pregnant, a virus that probably every one of my readers was vaccinated against as a baby. When a mother comes in with a blind child, I feel very grateful for my role as teacher, not doctor, because the job of telling this mother, who thought the clinic was the final bit of hope for her child, that nothing can be done is terrible. There's no school for the blind here. A blind child most likely has a very difficult future ahead of him/her. We need vaccines, but a quality vaccination program is difficult, complicated, and expensive. There are plans, but it's baby steps at a time.

So, please, choose to see these kinds of stories in their context. We're working in a land that will take decades to recover from the war that has ravaged it for decades, if that war finally ends. So please look at Partners' website (http://www.partnersworld.org/). Maybe you can get involved.


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