Tsunami area children at vulnerability of multiple disabilities

The First Corollary Epidemiological [CRRA-M] Appraisal Of The Tsunami Catastrophe.
In corollary response of the Tsunami catastrophic devastation, several international organizations and groups promptly arrived in the affected countries to provide aid on emergency basis, as well as to see the long term needs for social, cultural and economical rehabilitation perspectives. Steadily up to present, arrays of coordinated efforts are persistently being made by the local administrations of the affected countries with technical inputs from international organizational and institutional platforms, including UN, UNICEF, WHO, WFP, HKI, SAI and several other agencies.

In perspectives of post-disaster essential healthcare, nevertheless certain medical aids were provided to the victims in affected areas, yet the territory that constitutes the specific subject matter of "disability" and "insanity"  remained, not only overlooked and undernoticed, but rather ignored and unnoticed, up to a seriously considerable extent. In this scenario, Prof. Dr. Aurangzeb Hafi, a world famed epidemiological researcher of Pakistan, devised a completely objective-oriented plan consisting on two phases, i.e. ‘child retardation risk’ assessment [CRRA-project] and ‘child retardation risk management’ [CRRM-project]. The first phase i.e. CRRA project was devised to determine, the prospects of different types of physical and mental disabilities among the children below five years, the newly born and the unborn babies, as well. He was the distinctive one who raised voice for the disable population of tsunami refugees and foremostly came forward, with a major emphasis and principal focus upon the likelihood of different types of physical and mental disabilities in the babies of Tsunami affected areas.

"In the post catastrophic state of affairs, the CRRA-M project has immerged as a leading and the highest-ranked project, in terms of approach and strategy", states TDIS Relief Works Monitoring Services Quarterly Report.

During the survey, in contrast to the numerous other ones, instead of collecting the required data from readily available municipal sources, i.e. hospitals, community health centers and other civil services offices, actual and direct surveys were carried out in refugees’ camps in the remote and hard-hit areas of Sri Lanka, in compliance to the design prepared by Dr. A Z Hafi, the prime CRRA research executor. Personal interviews from individuals, families, camp leaders, and other available responsible persons were made from district Hikkadua to dist. Ampara including Hambantota, Galle and Kalmunai districts.

The survey capitulated three important factors which can crucially emancipate to multiple disabilities among the newly born babies and those below 5 years in ‘Tsunami Refugees Camps’.

1. Toxoplasmosis:

High susceptibilities for the severe likelihood of ‘toxoplasmosis’ have been found in the camps and temporary shelters of Tsunami refugees, indicated by [CRRA] epidemiological survey.

"Due to the presence of multiple toxic pollutants and the rigorously unhygienic atmosphere of most of the Tsunami refugees’ camps, the likelihood of Toxoplasmosis is probable to boost exponentially" warns Dr. Aurangzeb Hafi, the chief investigator of the Tsunami First Epidemiological CRRA Survey. Toxoplasmosis is a mild infection that cause cold like symptoms or usually no symptoms in adults but can be horribly hazardous for small and unborn babies. As far as the matter of children below 5 years or the unborns is concerned, it can dangerously cause possible brain defects, eye imperfections and premature childbirth . Till the present moment no precautionary measures have been taken so far to control this serious matter .

Over accommodation of families as per capacity plus number of temporary shelters along with the severely contaminated water and the extremely unhygienic atmosphere of refugees camps are the exceedingly rising key-factors being responsible to increase the receptiveness for the articulated harsh danger.

2. Mal-nutrition:

Relatively altered nutrition in post disaster situation is one of the major causes of hypo-vitaminosis, which may lead to structural as well as functional abnormalities, specially in the children below 5.

Children in Tsunami refugees’ camps are being poorly nourished and are becoming emaciated. The importance of adequate energy depends upon both, quantitative (in form of certain fruits and vegetables etc.) and qualitative (in form of food supplements and multimineral-multivitamin tablets/syrups etc.). Due to, on one hand, severely altered quantitative daily nutrition, and on the other hand, unavailability of qualitative forms of nutritional intakes can result in serious multiple mal-nutrition, which is a universally recognized important cause of physical as well as mental retardation.

3. Mal-absorption:

In addition to, and logically next to mal-nutrition, the second important factor, often and largely involved in post disasters serious health problems, which is usually ignored in disaster management programs, and is one of the major responsible factor for fundamental and complex chemical structural and functional disabilities, is mal-absorption.

Impaired absorption of water, electrolytes and minerals, which is often likely to be occurred in such disasters, causes impaired formation of Micelle + C complex, which in turn results in multiple mal-absorption, a complex mechanical abnormality. The presence of either both types of deficiencies, or any one of the above mentioned factors can seriously affect the C.M.I. (cell mediated immunity) leading to pathological complications in small babies, specially in those below one year.

The findings of [CRRA] survey along with the elucidated suggestions made by the task executor have been made available to conscientious international agencies for further actions to be taken upon.

The Tsunami’s CRRA Survey has provided a core nucleus, on which response coordination can be built. It has provided important and major issues to be raised up and dealt with, opines Scientific Solutions International Issues Bulletin.

According to the CWI credential records Prof. Dr. Aurangzeb Hafi is concerned with the subject matter of disable & retarded children, for over one decade.

The officials of CSGU have reportedly confirmed that he has also voluntarily declined the remunerations for his services, offered by Sri Lanka, saying that the money of his wages should be spent upon poor retarded children of the Tsunami camps. "All services rendered by me should be considered as a sympathetic and humanitarian ‘token’ from my country`85Pakistan, and not only from my own individual self ", stated the task executer researcher Prof. Aurangzeb Hafi.

The extensive research project was a joint venture of two non governmental platforms namely MAVSO Intl. and English Biscuit Manufacturers (Pvt) Limited of Pakistan as a contribution from their country, for the Tsunami victims. EBM is a prominent private commercial  organization of Pakistan, that is bearing all of the execution expenses of the said projects, while MAVSO Intl. is responsible for the instrumentations and equipmentations regarding the research project.

Pakistani epidemiologist has designed a well-practicable program to address the impeded setback of the specific matter. Now a days he is on board to embark upon tracking the next phase of his project, i.e. Tsunami ‘Child Retardation Risk Management’ [CRRM]. In this phase of the project, along with the feasible provision of water decontamination arrangements, he has also planned to provide the maximum possible quantity of the recommended nutritional supplements in Aceh, Sumatra, and Sri Lanka in an earliest possible timeframe and seeks for philanthropic help by local, regional and international institutions, donors and organizational platforms.

Dr. E. M. Navaratne, President of SLVHA, Sri Lanka Tourism Ministry Secretary, Dr. P. Ramanujam, SLVHA chief advisor Dr. Wickrema Weerasooria and SLVHA Vice President Alex Jayawardene are the technical stalwarts and local allies of the [CRRA-M] projects in Sri Lanka, while Dr. Aurnagzeb Hafi of Pakistan is the investigatory head and the prime principal executor of the above projects. Details of the said projects have been respectfully publicized and have been widely covered in major local and regional news papers including Weekly Observer, Daily News, Daily Haveeru and a range of special news bulletins dedicated to Tsunami catastrophe.

The esteemed contributions of The Tsunami ‘Child Retardation Risk Assessment & Management’ Projects have fetched a prudently benevolent laurel, with a justly respectable visibility of Pakistan at an international echelon.

The concerned UN establishments, specially UNICEF & W.H.O., alongwith other conscientious international agencies are requested, and are looked upon accordingly to take sufficiently serious notice of the situation, urges Dr. Aurangzeb Hafi, the prime epidemiological analyst of the post Tsunami state of affairs.


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