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Disease-carrying snails raise health fears

Changes in riverine ecology blamed

 

Ploenpote Atthakor

Bangkok Post 11, 2000

Doctors have raised serious concerns over the possible occurrence of schistosomiasis, a water-borne disease, among residents along the Moon river following the discovery of a large population of snails.

The deadly disease is caused by a parasite borne by snails and is normally found in some parts of Laos. It had never been reported in Thailand before, until the construction of the controversial Pak Moon dam changed the riverine ecological system.

Dr Nirand Phitakwatchara, senator-elect and a physician in Ubon Ratchathani, said local health officials have reported a growth in the population of snails in the Moon river. He called for close monitoring of the disease.

"It is unfortunate that no medical research has ever been conducted to confirm the disease's occurrence. Politics around the dam issue has caused delays in such study," Dr Nirand said in a seminar on "Dam-made Diseases" organised by the Thai Journalists Association.

The doctor noted that some villagers had complained of symptoms which could be linked to this disease and it was necessary that the Public Health Ministry take steps to investigate the matter as the villagers had become afraid.

Wanida Tantiwitthayapitak, an adviser of the Assembly of the Poor, said villagers have described symptoms including distended stomach and jaundice.

The water-borne disease was one of the major concerns raised by the Pak Moon protesters in their protracted fight against the dam, but failed to get the attention of the Electricity Generating Authority of Thailand which operates the dam.

Stagnant water has also led to deteriorating water quality. "There has been a spread of skin diseases like rashes and itches among villagers who bathed in the river," Ms Wanida said.

Another health problem was malnutrition, as the dam has blocked the migration of fish, whose population has dwindled, both in quantity and quality. "A villager spent three days in the river and got three small fish from this once-rich river," Ms Wanida said.

She pointed out that the Pak Moon dam has had an adverse impact on the physical and mental health of local villagers, even before the dam construction was completed.

She said the villagers have suffered from stress in the absence of life security as they could no longer depend on this river for a living and the dam has jeopardised their self-sufficiency.

"Before the dam was built, life had been relatively secure and there were few crimes in the villages. Only one case was reported in 1991," Ms Wanida said.

"But after the dam was completed, crimical cases soared. Last year, there were more than 500 cases, 80% of which was related to drugs as the devastated villagers were turning to it in desperation." More importantly, Aids is also on the rise as many villagers have to look for jobs in the city, she said. Some experts have called for legal requirement for social and health, in addition to an environmental impact assessment study by devleopment projects.

Dr Choochai Supawongse of the Department of Health said it was apparent that all state mega-projects had a detrimental impact on local people's health and health monitoring was necessary at every stage of a project.

Health impact assessment studies and health monitoring should be scientifically carried out, not only among the villagers who continue to stay on in the area, but also for those who have to migrate in search of jobs, he said.

Calling large dam projects "cultural suicide", respected anthropologist Srisak Wallibhotama blamed them for causing the collapse of families and communities and destroying people's way of life. Villagers affected by Bhumibol and Sirindhorn dams could not adapt to their new settlements, he said.

 
 

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