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Displacement and disease: The Shan exodus and infectious disease implications for Thailand

By Voravit Suwanvanichkij

Abstract

Decades of neglect and abuses by the Burmese government have decimated the health of the peoples of Burma, particularly along her eastern frontiers, overwhelmingly populated by ethnic minorities such as the Shan. Vast areas of traditional Shan homelands have been systematically depopulated by the Burmese military regime as part of its counter-insurgency policy, which also employs widespread abuses of civilians by Burmese soldiers, including rape, torture, and extrajudicial executions. These abuses, coupled with Burmese government economic mismanagement which has further entrenched already pervasive poverty in rural Burma, have spawned a humanitarian catastrophe, forcing hundreds of thousands of ethnic Shan villagers to flee their homes for Thailand. In Thailand, they are denied refugee status and its legal protections, living at constant risk for arrest and deportation. Classified as "economic migrants," many are forced to work in exploitative conditions, including in the Thai sex industry, and Shan migrants often lack access to basic health services in Thailand. Available health data on Shan migrants in Thailand already indicates that this population bears a disproportionately high burden of infectious diseases, particularly HIV, tuberculosis, lymphatic filariasis, and some vaccine-preventable illnesses, undermining progress made by Thailand's public health system in controlling such entities. The ongoing failure to address the root political causes of migration and poor health in eastern Burma, coupled with the many barriers to accessing health programs in Thailand by undocumented migrants, particularly the Shan, virtually guarantees Thailand's inability to sustainably control many infectious disease entities, especially along her borders with Burma

Topics: Case Study
Publisher: BioMed Central
OAI identifier: oai:pubmedcentral.nih.gov:2324075
Provided by: PubMed Central
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    1. (2002). [http://www.refugeesinternational.org/ files/3074_file_burma.pdf]. Pushing Past Definitions: Migration from Burma to Thailand
    2. (2005). and Department of Disease Control, Ministry of Public Health: Overview of Thai-Myanmar Border Health Situation.
    3. (2006). Backpack Health Worker Team (BPHWT):
    4. Border Consortium (TBBC): Internal Displacement and Vulnerability in
    5. Burma Dam Plan Causes Flood of Concern. [http:// www.terraper.org/media_view.php?id=69].
    6. (2006). Burma is Using Dams to Drive Out Dissident Villagers.
    7. (2006). Burma"s Public Service Suffering.
    8. (2006). Burmese Migrants: War Refugee Camps Open Their Doors.
    9. (2003). Celentano DD: Sexual Risk Behaviors and Demographic Characteristics of Male Sex Workers
    10. (2006). Clinic: Proposal for a Village-Based Health Care Project at Ban Mai Ton Hoong, Fang District, Chiang Mai,
    11. (2007). Clinic: Proposal for supporting dispensary to serve Shan Internally Displaced (IDP) Peoples opposite of Fang district, Chaing Mai Province.
    12. (2007). Cover Those Awaiting Citizenship: The Nation .
    13. (2006). Downward Mobility. Bangkok Post Outlook .
    14. (2007). EJ: Neglected Diseases, Civil Conflicts, and the Right to Health. Lancet
    15. (2006). Environmental Organization (Sapawa): Warning Signs: An Update on Plans to Dam the Salween in Burma's Shan State. Chiang Mai, Thailand: Sapawa;
    16. (2004). Experiences Controlling Infectious Diseases in Burmese Migrants, Amphur Mae Sot,
    17. (2003). Group (ICG): Myanmar Backgrounder: Ethnic Minority Politics.
    18. (2006). Health Conference Highlights Risks for Shan Migrants. The Irrawaddy [http://irrawaddy.org/arti cle.php?art_id=5804].
    19. (2006). HIV Vulnerability Among Shan Migrants
    20. (2003). Htun Sein: Running the Gauntlet: The Impact of Internal Displacement in Southern Shan State.
    21. (2006). Human Rights Abuses and Vulnerability to HIV/AIDS: The Experiences of Burmese Women in Thailand. Health Hum Rights
    22. (2006). Introduction to the Project and Previous Research Activities: Study of and Improving Health Communications in Foreign Migrant Labor, the Case of Shan Migrant Workers in Chiang Mai Province. Talk given at Social Research Institute,
    23. (2004). Latex and Oil: Sexual Lubricant Use Among Male Sex Workers in Chiang Mai, Thailand [abstract].
    24. (2007). Male Order Business. The Irrawaddy [http:// irrawaddy.org/article.php?art_id=7101].
    25. (2004). Mednavyn T: Dual TB/HIV epidemic in northern Thailand and Myanmar Border: The vital need for bridging cross-country cooperation [abstract].
    26. (2006). Migrant Workers 'Often Locked Up'. The Nation .
    27. (2004). No Status: Migration, Trafficking & Exploitation of Women in Thailand. Boston: Physicians for Human Rights;
    28. (2005). Office for Myanmar: Health in Myanmar
    29. (2007). Organization (KWO): State of Terror: The Ongoing Rape, Murder, Torture and Forced Labour Suffered by Women Living Under the Military Regime in Karen State. Mae Sot,
    30. (1997). Phanupak P: Widely Varying HIV Prevalence and Risk Behaviours Among the Ethnic Minority Peoples of Northern Thailand.
    31. (2003). Refugees: Dispelling the Myths.
    32. (2006). Relief and Development Committee (SRDC): Deserted Fields: The Destruction of Agriculture in Mong Nai Township,
    33. (2002). Rights Foundation (SHRF) and Shan Women's Action Network (SWAN): License to Rape: The Burmese Military Regime's Use of Sexual Violence in the Ongoing War in Shan State. Chiang Mai, Thailand: SHRF & SWAN;
    34. (1998). Rights Foundation (SHRF): Dispossessed: A Report on Forced Relocation and Extrajudicial Killings in Shan State, Burma. Chiang Mai, Thailand: Shan Human Rights Foundation;
    35. (2006). Southern Provinces a Hotbed for Polio. The Nation .
    36. (2007). Stateless Left in Healthcare Limbo.
    37. (2006). Strategic Plan to control Tuberculosis to Meet Decade-end Development Goals, BE 2558. Talk given at seminar,
    38. (2006). TB Related Problems or Obstacles. Talk given at seminar,
    39. (2005). Thailand Under Threat: How Burma's Dams Project Could Spread Disease. The Irrawaddy
    40. (2000). Transmission of the Nocturnal Periodic Strain of Wuchereria bancrofti by Culex quinquefasciatus: Establishing the Potential for Urban Filariasis in Thailand. Epidemiol Infect
    41. (2007). Treerutkuarkul A: Migrants are Missing out on Medical Care: Get Few Benefits from Health Insurance Fund. Bangkok Post .

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