Here the medics speak in their own words about some of the patients and working conditions in Burma.
Medic 1 Northern Burma
"I’m the Field-in- Charge medic for a backpack medic team in Northern Burma. My team operates in northern Shan State, near the Kachin State border. There is fighting in this area between my people, the Pa’laung and Burmese army. The fighting has been going on since 2011.
"In an isolated village in northern Shan state, we found this boyl. Here, a medic has just given him some medicine for worms. She gave him the protocol treatment with mebendazole.We told his family how to prevent worms from returning."
"His village does not have a good water supply. We stayed in the area for a week. With the help of the villagers, we built them a well. It should help this boy and others.
"In a village, we held a clinic.
"Here, we take down the health statistics for the young boy. For his age, he is smaller and not as strong as other children. His mother says he is often slow and lethargic. We gave him a shot of B1 and other supplements to help, like Vitamin C.
"Malnutrition and food insecurity are constant worries for villagers like those here.
"In the village of Mxx, we had many villagers come see us.
"A medic examines a. She is a grandmother now and has a few problems. We found she had high blood pressure and talked to her about how to take care of that. We gave her some Atenolol to help for a bit.
"She also complained about her knees. There was a bump on her knee, but we could not fix it. We gave him some ibuprophin to help with the pain.
“Here, a medic treats an infant. The baby had an eye infection. She helped the mother put antibiotic ointment on the eyes.
“We told the mother to wash her hands often when holding her baby. This is to stop the infection from spreading to her or others in her family.
“Here, a medic talks to young children. She is telling them about good health habits. She is telling them to wear masks to fight COVID.”
Medic 2, Northern Burma
“In May, we came to an IDP camp. Here, we found a young girl with pneumonia. She had a high temperature and her skin felt hot.
“We gave her anti-biotics and asprin to help with the fever. We told her mother to make sure she takes all the anti-biotic.
“When we left 2 days later, she was feeling better. But, it will take more time for her.
“In camps, there are no doctors.
“In September, we came to an isolated village.
“Here, a medic talks to a group of young children. In their village, there is not running water. We reminded the parents the importance of using latrines to help community health.
“These children are waiting to get Vitamin A and deworming supplements.”
医生3,缅甸北部
“Everybody calls me Mr Z.
“I’m a Field-in- Charge...far to the north in Burma. Since June of 2011, the Burma army has broke a ceasefire with my people. We’ve seen continuously attack since then.
“I like what I do for my people.
“I have been a medic for 13 years now.
“我的人民遭受战争很长一段时间了。Many families live in isolated camps. Food is scarce. These children have never known their home village. In the IDP camp, we teach nutrition. Many are malnourished. Here, we are measuring the child to test their underdevelopment.
“In May, we came to an IDP camp. A lot of people we waiting for us. We saw over 100 people in two days.
“One challenge is teaching people about COVID. Some think it is just the flu.
“Some people come to us who are ok. They like to be checked in case something is wrong.
“In this camp, pneumonia and dysentery were the main treatments we did. We also helped deliver a baby!
“In IDP camps, the people live in bad conditions. They have to walk to a stream for water and washing.
“Here, we taught a health education class to about two dozen villagers, mainly mothers. We talk about the importance of cleaning and latrines.
“Here, we check the baby boy for malnutrition. He’s pretty healthy and doing better than other children in the camp.
“In an IDP camp, this woman came to us with her complaint about her sinuses and a fever. We were worried she might have COVID and told her she and her family should wear a mask outside their home.
“We saw that she had a sinus infection as her forehead was painful when we touched it. We gave her some Doxycycline.
“This woman came to use complaining about bladder pain. She also said she felt a burning feeling when she went to the bathroom. She showed the symptoms of a urinary track infection.
“We gave her some anti-biotics. We told her to drink water and make sure the water is clean.
Here I am teaching a community health class to the families. I stress the importance of clean water, latrines, and washing hands. Washing hands is especially important for children to prevent worms. Many children are malnourished and worms makes their health worse.
“In the village of NY we arrived late one day in September. No one had been here in a while. We were asked to set up a clinic right away.
“Here, a medic is taking care of the first of a dozen young children. We treated a number of problems that night. Pneumonia. Dysentery. Worms.
“The girl in pink had a cyst, but we waited for the morning to treat it.
“The week before, about 30 families came to this village to escape the fighting near their homes. They are safer, but add to the needs of the villagers. “
Our backpack teams continue in the field, providing vital and critical medical care, mother-child health care support and community health education and prevention activities. During the past year, conditions have significantly deteriorated due to the dramatic increase in violence by Burma’s army against the ethnic minority peoples in eastern and northern Burma – where our backpack medic team operate.
Since the Burma army’s coup on Feb 1, 2021, the threat to backpack medics and the villagers they support has dramatically increased. For example, through 2020, army attacks on a village occurred perhaps once or twice a week through the entire area. Since February 2021, the army launches multiple attacks each days – including automatic weapons firing, indiscriminate aircraft bombings and artillery shelling. In Karen and Kachin State, the Burma army fires artillery into villagers or employ fighter aircraft to bomb these villages on a daily basis. Dozens of civilians have been killed while over 30,000 villagers have fled their homes – creating an increased demand for backpack medics’ support. In these areas, the army inflicts numerous illegal and immoral activities, such as:
Since early February, the Burma army has attacked numerous villages daily throughout northern and eastern Burma. A sampling of those attacks are listed below:
As a result of these and thousands of other atrocities, an additional 440,000 villagers have become internally displaced – creating an unprecedented demand for medical care, mother-child health care and community health education services provided by our Backpack Medics.
To further complicate and create a unique set of obstacles, COVID pandemic continues to induce suffering and death throughout the ethnic minority areas. Resources for education, prevention, testing and treatment are extremely difficult to find, even if funds were available. To exacerbate the pandemic’s toll, many villagers are woefully under-educated. Concepts on how viruses are spread are difficult for them to understand – creating a uniquely vulnerable population.
In the face of these challenges, our Backpack Medics have served their people. BHM supported 45 of the 114 total teams during the past year.
In addition, BHM partners with the Backpack medics to monitor and address 5 key illnesses and metrics that reflect the most significant risks to the internally displaced and isolated ethnic minority peoples of Burma: Malaria, Dysentery, Pneumonia, Maternal and Infant Mortality rates (MMR and IMR).
Given the historical malaria morbidity rate, the 128,326 villagers supported by BHM’s backpack medics could have had 14,757 people suffer from malaria. However, in 2021, the medics treated 534 malaria patients –14,200 fewerpeople than otherwise anticipated, if the historical malaria morbidity rate was realized. Reduced Malaria Morbidity Rates is a direct result of the CHEPP.
In a similar thought process, given the historical Infant Mortality Rate (IMR), one could expect 143 of the 1,063 newborns not to survive. In 2021, we are very fortunate with just 5 infant deaths among our medic teams for a 1.4 deaths/1,000 births IMR. Nonetheless, the loss of any newborn remains a tragedy we are committed to eliminating.
While the pandemic has prevented us from our annual trip to Mae Sot to meet with the medics, we have been able to virtually consult and review their progress through email, Facebook chat and detailed reports. We have been able to identify performance metrics in terms of team outputs and outcomes. The medic leadership team in Mae Sot has been able to share significant trend analysis and corrective actions. They have also shared special reports on the scope of their COVID education, prevention and treatment efforts.
COVID影响了我们亲自见面w的能力ith the medics. More significantly, Thailand’s response to the pandemic has been overwhelming. Thai authorities have placed numerous barriers that slow or deny the ability of medics to cross from Thailand to Burma and back, resulting in delays in reporting and delays in continuation training. In addition, as the medicines are purchased in Thailand and sent into Burma, the border constraints delay medical resupply. Nonetheless the Backpack Health Worker Teams endure to provide healthcare to the people of Burma.
In 2021, Burma Humanitarian Mission supported Backpack Medics operating in isolated regions of Burma where the Burma Army continues to wage an aggressive campaign against the country’s ethnic minorities.
Specific objectives included:
Impact of COVID: COVID-19 has spread throughout the ethnic areas.
BPHWT and other humanitarian organizations are under-resourced to effectively prevent the spread, educate the population and treat the patients. RapidAntigenTests are in high demand, but cannot be found.
Many state trained health care workers left their positions to become CDM leaders– depriving those existing medical institutions with the capacity to treat COVID patients.
At times, the Burma government reaches out to urban and ethnic communities to provide education and support – but universal distrust of anything associated with the Army prevents any effectiveness.
Such distrust is instilled by the Burma army routinely seizing BPHWT and other humanitarian organizations COVID educational materials, treatment and supplies.
In northern Burma (Kachin State), the Army issued an arrest/shoot-on-sight warrant for a BPHWT team leader due to her aggressive COVID education, treatment and prevention efforts – causing the medic to flee to an isolated IDP.
Collectively, the increased fighting, Army checkpoints and widespread use of landmines renders the transport of medical and COVID supplies plus team movement extremely difficult.
Burma Humanitarian Mission supports Burma’s ethnic minority backpack medics who operate throughout Burma’s conflict zones. The people and villagers in these areas have endured an epic health crisis – where infant, child and overall morbidity and mortality rates rank among the worst in the world. The United Nations had characterized the attacks and oppression by the Burma army as war crimes.
In 2021, we continued our support for 36 teams. Recruited from the villages they will serve, these backpack medic teams traveled throughout Burma’s most isolated, oppressed and vulnerable areas – primarily western, northern and eastern Burma. The medic teams travel to 9-12 isolated villages or Internally Displaced Person camps (IDP) each month. The teams provide mobile medical care to isolated villages and internally displaced person camps. We recruit Backpack Medics from the ethnic minority peoples, train new medics, match them with existing teams and outfit the teams with medicine and supplies. In 2020, our 36 teams treated 19,225 patients. They succeeded in reducing malaria morbidity from 11.8% to 0.5% of the population and dysentery morbidity from 2.8% to 0.3%. Most notable, they reduced infant mortality rates from 135 deaths/1,000 births to 2.4/1,000 and maternal mortality from 7.2 deaths/1,000 births to 1.6/1,000.
Over the past 6 months, Burma Humanitarian Mission has supported the Backpack medics’ children with school and food support. The Child Development Center – the school where the children attend classes – runs from mid-June through May each year. At the start of the school year, children received the requisite school supply items: uniforms, clothes, backpacks, lunch boxes, and stationary items (pens, pencils, paper, notebooks, etc). Food items are purchased monthly.
The global pandemic has impacted the children’s education. Thai authorities have imposed a very strict quarantine/isolation policy. (For instance, travel between cities is largely prohibited. When a person does travel, the traveler must quarantine for 14 days in the new location before mixing with the population). In-person instruction has been curtailed at the CDC. A few of the children live with the Backpack medic staff and have access to the internet; however, the majority of students do not. For these children, each week, they collect paper copies of their schoolwork for their individual study in the CDC dorms where they live. Older students strive to assist the younger students as best they can. The medics’ staff also assist as they can.
During this timeframe, 14 female medic trainees completed their course of instruction to become backpack medics. The instruction occurred in an isolated, safe village along the Thai-Burma border, just inside Burma. Thay Bay Hta is extremely remote, with no permanent electrical power or running water. The women completed the 8-month course in December and have returned to their communities to join backpack medic teams.
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