Burmese Medicines Sickened Refugee Children
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U.S. health officials have found lead and arsenic in traditional Burmese
medications used by refugee families. Are children back in Burma also
affected?
BANGKOK and WASHINGTON, March 31, 2009-Burmese children in the United
States who took two commonly used household medications from Burma were
found to have high levels of lead and arsenic in their blood, Radio Free
Asia (RFA) reports.
The poisoning was discovered in 32 Burmese refugee children who were
resettled in Fort Wayne, Indiana, in the United States from refugee
camps in Thailand.
"All refugees are tested when they come into the country for several
things," said Loraine Hagerty, special projects manager of the St.
Joseph Community Health Foundation, which has been helping the Fort
Wayne refugees.
"It was found that there were a number of Burmese refugee children who
had tested positive for lead poisoning," said Hagerty, whose
organization works closely with the U.S. Centers for Disease Control and
Prevention (CDC) to run the tests.
"And when additional tests were conducted on their arrival in Indiana,
we found more instances of lead poisoning amongst the Burmese refugee
children," she told RFA's Burmese service.
Indiana-based Burmese doctor Khin Mar Oo said follow-up tests were
currently under way on the affected children.
Homes surveyed
"When tests were conducted by the schools, they found that the lead
levels in the Burmese refugee children were quite high," Khin Mar Oo,
who runs an organization helping Burmese refugees in Fort Wayne, said.
"At first it was thought that these lead levels were brought about
during their stay on the Thai-Burma border," she said.
"But then they found that ... not only were the lead levels high in the
Burmese refugee children who had come from Thailand, but also in some of
the refugee children born in the U.S."
Health-care workers and medical experts from the CDC visited the homes
of the affected children in early February to look for clues in their
environment, diet, and medications.
Tests on building materials and drinking water yielded no evidence of
lead or arsenic, so experts began questioning the children about their
daily routines, Hagerty said.
"We actually went from door to door and asked them a lot of questions
about the products that they use in their homes, habits that their
children have, what they drink and eat and what kinds of medication they
took, taking samples of their medication and testing them at the
laboratories," she said.
Children's medicine pinpointed
The source of the lead and arsenic was finally narrowed down to two
types of Burmese medicine called "Daw Tway" and "Daw Kyin" medicines,
specifically aimed at children. The two medicines are commonly used in
rural households all over Burma.
An official who answered the phone in the national food and drug
administration of Burma's Health Ministry said he was unaware of the
problem.
"[We] did not pass those medicines," he said. "Maybe it went through the
department of indigenous medicines."
U Tin Nyunt, director general of Burma's department of indigenous
medicines, said the remedies could have come out before 2007.
"I don't think these medicines are what we have on the market today," he
said.
"They are most likely to be medicines from earlier times ... We have
machines that can test heavy metals in medicines, and if they are found
in medicines we will revoke the production license of the producer," he
said.
'No announcements' heard
But he said he had been unable to crack down on substandard medications
produced before he took office.
"Since I took over responsibility here we have absolutely not permitted
this at all," he said. "We are doing all of this within the policies and
regulations."
The packaging on the two medicines found among the Burmese refugees in
Indiana was dated September 2007.
A housewife based in the former capital, Rangoon, said she had seen no
media reports concerning these medicines.
"People living in rural areas, especially the parents of children, are
still using these medicines," she said. "They are still selling these
medicines."
Cheap alternative
"There have been no announcements with regard to these medicines. When I
heard this, I was quite alarmed because the children depend on these
medicines," she said.
These traditional remedies, at about 50 kyat (a few U.S. cents), were
far cheaper than a visit to a clinic or hospital, which could run into
thousands of kyat, she said.
A total of 12,000 children have been diagnosed with lead poisoning among
refugee communities in the U.S. states of Indiana, Illinois, Kentucky,
Ohio, Michigan, and Missouri, according to health sources.
The CDC is expected to release a detailed report next month on the
reasons for the lead poisoning among U.S. refugee families.
Common problem
Issues such as this are not uncommon among refugees, said Steve Weil,
co-founder of the Virginia-based nonprofit Coalition for Environmentally
Safe Communities.
"There are any number of these products," said Weil, whose organization
is working with Denver-based Mercy Housing to conduct workshops aimed at
educating U.S. health and refugee workers around the country about lead
poisoning.
The workshops are funded by the U.S. Health and Human Services
department. The last of three workshops is scheduled for April 2 in
Indianapolis, Weil said.
Remedies originating abroad are often inconsistent in their lead
content, with one batch containing toxic lead levels and another with
little or none, Weil said.
Original reporting by Nyi Nyi and Kyaw Min Htun for RFA's Burmese
service. Translated by Soe Thinn. Burmese service director: Nancy Shwe.
Executive producer: Susan Lavery. Written and produced in English by
Luisetta Mudie and Sarah Jackson-Han.
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