Ilankai Tamil Sangam

Association of Tamils of Sri Lanka in the USA

Basic Rights Must Cross All Boundaries

Denise Walsh MSN, RN

For the past 6 years I have been organizing trips to developing countries setting into place a systematic process for offering clinical care to underserved populations on a very local level.  The tsunami relief projects in Sri Lanka are a massive undertaking affecting millions of people- not only
survivors of the disaster, but also local economies and international relief agencies.  Without a strong infrastructure I fear that relief efforts will fall short of the expectations of the international donors.

All the international Non-Government Organization volunteers with whom I came in contact with showed a great willingness to work together on a grassroots basis to assure that a standard of care is uniform across the region.  Medical personnel from the UK, Australia, New Zealand, and the US worked in unison to develop a surveillance system for the refugee camps to treat and track malaria, cholera, diarreaha, and TB.  A schedule of visitation of all camps every 3 days has been effective in staving off epidemics.

Without support from the SriLankan govenment in terms of medical supplies, sanitation systems and clean water, the likelihood of these diseases spreading is eminent.  In addition, emotional and psychological care is desperately needed for the population to effectively deal with their losses.  Many patients reported having "eyes that no longer see", a symptom of the depression that they
are facing.

It will take a concerted effort by the SriLankan government to take a strong leadership role in overseeing this relief project. The NGOs are the perfect vehicle for delivering direct care to the population, but an overall infrastructure for longterm relief planning is needed.  It is this infrastructure that must cross political boundaries if the Sri Lankan people are to rise above the "attack of the sea".

The supplies, the funds, the support from the international community are there- it needs to be distibuted to all areas regardless of religious and ethnic backgrounds. 

The dichotomy of lifestyles in the south, as compared to the Ampara district and into the Muslim areas was very evident.  The basic right to water, food, and sanitation must cross all boundaries, and refugee camps housing 1000s of people without these basics must be the focus of the relief efforts.

Every family that I came in contact with was gracious, open and appreciative of the efforts of the group. I am honored to have been able to assist in my own small way, and I hope that with an open understanding the relief efforts will be successful and the SriLankan people will rise above the
destruction form the "wall of black water".

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Posted February 18, 2005