December has turned out to be a bit of a whirlwind month. We had some bad luck with cars in the first two weeks; first our programme director was knocked off her motorbike and broke her collarbone. This was succeeded within a week by a drunk driver crashing his car right through the wall of the girls’ house. Luckily no-one was hurt in that incident, though there was a certain amount of hysteria on the girls’ part (understandable when someone drives a car through your bedroom wall while you’re sleeping). The driver was apprehended by two policemen, whose arrest was slightly ironic given that they were almost as drunk as him at the time.
So that had everyone a bit twitchy for a while- the screech of car tyres made us all flinch for a week! Luckily we all pulled ourselves together in time for the launch of COSA’s newest project, MOSAIC (Medical Outreach and Social Aid in Communities). As I’ve said before, COSA aims to create solid relationships with disenfranchised hilltribe communities; it is essential for the work we do. With mutual trust and respect, it is far easier to prevent trafficking, as villagers are more willing to co-operate and come to us if they feel children are at risk of being trafficked. In an effort to bolster our relationship with them, COSA and the various village heads held meetings to discuss what help COSA could bring to the villages. The unanimous opinion was to address the pressing need for proper primary healthcare. Many of these villages are, quite literally, off the beaten track, and are time-consuming to get to. As a result, one village hadn’t received proper medical aid for three years. They receive 800 baht’s worth of medical supplies monthly from the local health office; with 700 people in the village, this amounts to just over one baht per person, which would barely buy you a single Paracetamol. The villagers are often reluctant to go to hospitals as they tend to be treated badly given their hilltribe status, and can’t afford the treatment. Thus MOSAIC was developed, with the aim of providing free primary medical care to those who need it.
So we set off on the 12th of December to the same village where we intervened in the trafficking of twenty-two children back in October (see October update for details). We were accompanied by Bronwen, a highly competent nurse from Australia, who brought with her an arsenal of medicine and equipment donated by the New South Wales ambulance service (even the defibrillator made it through customs, despite concerns it could be used to zap the pilot into unconsciousness). We were a bit apprehensive as to what to expect, given the tendency for villagers to distrust medical professionals, and had a bit of a restless first night (though that may have been partly to do with the cold- I didn’t know you could feel freezing in Thailand!). However, as it turned out, we needn’t have worried. The first morning we drove to the town hall to set up our makeshift medical practice, and were greeted by a long line of people eagerly waiting to be seen. We registered about thirty people in the first hour alone; this consisted of filling out a card with their details, as well as taking a photo to identify them with, as many of them don’t know their exact birth date. The medical process was slow, as Bronwen was our only medical professional, and communication with her patients was hampered by the translation from English to Thai to Ahka hilltribe dialect and back again. By the end of the day, though, we had managed to see roughly forty people, an excellent start considering we weren’t sure if we’d even see that many in the whole three days!
The next day we paid a visit to the local school, and examined the children that the teachers had expressed concern over. Those healthy enough not to be seen took part in some impromptu English lessons from yours truly and another volunteer. Most of the children examined had serious ear infections; as Bronwen put it to us in medical terms, “I’ve never seen such festy ears in my entire life”. Many of them were almost completely deaf, but didn’t complain of pain; apparently they’d had the infections so long they’d become used to it. On our first day, when driving past the school, we saw small boys up to their chests in a stagnant brown pond, fishing for crabs- no mystery as to where these infections sprang from!
On the last day, we saw the remaining patients registered on day one, and managed to squeeze in a few more who trailed in over the course of the morning. Overall we saw 100 people out of the 700 inhabitants of the village. A few people stood out from the crowd, including a man with a massive dent in his skull due to being hit by ‘something’ (he was very vague about the cause of this injury!) while working out in the fields a couple of years ago. He never sought medical attention and as a result had lost his ability to speak. Another was a three year-old with infectious sores all over her body. The most common problems over the whole trip were back pains and breathing problems, the former due to a life of hard labour, the latter from breathing in insecticide while working (the majority of the villagers are farmers). For many people, these problems have been going on for years and there wasn’t much we could do for them other than give them a mask to use while spraying. Despite this, the atmosphere in the waiting room was less that of a doctor’s surgery and more of a social gathering; those who weren’t being seen were laughing and gossiping, and eagerly watching the defibrillator measure their neighbour’s heartbeat; children ran around clamouring for stickers, exclaiming over our ‘beautiful’ white skin and playing with our hair (to the detriment of my scalp). The positive effects of the project were already clear to see by the end of the first day alone; we were no longer the strange bunch of ‘farang’ (foreigners), but friends that people recognised and waved to on the street. In the future, this trust will be invaluable for our work in preventing trafficking in their area. Already we have a young girl on our watch list; parentless, she is frequently moved from household to household. Often children like this are at high risk of being trafficked, but in coming to our attention early on we will be able to step in when or if the need arises.