Saturday, September 26, 2009

Asian Harm Reduction Network (AHRN) highlights 23/7

Under Siege: Manipur, India


Under Siege: Manipur, India

Manipur is reeling from recent outbreaks of violence orchestrated by what has been described as seventeen separatist rebel groups. This unrest has grown out of the now famous 'fake encounters' incident in which innocent people were killed, allegedly by government forces who claimed that they were terrorists. Since the first of these killings on 23 July there have been a number of protests and blockades which have resulted in government imposed curfews, therefore disrupting the lives of large numbers of the population.

These restrictions limit the movement of people and have had a particular impact for those people on medication and in therapeutic programs. This has especially affected those on Anti Retroviral Treatment (ART), Oral Substitution Therapy (OST) and Directly Observed Treatment (DOT).

In addition to the normal poor provision of essential services, the closures of market places, offices and schools have crippled the State and seriously disrupted everyday life. Patients who require daily doses of medicine are amongst those worst affected. However those on OST and DOT are facing additional suffering because their medicines and therapy are provided on a daily basis with strict adherence essential. These patients, whose movements are restricted by curfews and bandhs [blockades], are at additional risk.

When this writer spoke with a few OST patients, they expressed anguish about the harassment they receive on the road while travelling to collect their daily medicine. This continued even after they explained their medical condition and purpose of travel. Under these circumstances withdrawal symptoms are inevitable and add to the suffering of an already vulnerable group of people.

The same can be said of clients on ART. Fewer people in this category are affected because their medication is dispensed on a monthly basis. However those patients who live on the outskirts of the city or in the surrounding rural areas face additional problems due to the disruption of an already poor transportation system.

When society begins to break down as in Manipur, everyone is affected. Drug users who could expect to eke out a living on a small daily wage suddenly see their source of income disappear. Students find that they cannot attend school and thus fail to meet their curriculum requirements. There are shortages in essential commodities and as a consequence the prices of fuel and foodstuffs begin to rise. People face long queues under the heat of the sun or in the rain to withdraw money from the banks or to purchase fuel.

Over the years the population of Manipur has been coerced into living a life of uncertainties. They never know when the next bomb or bullet will come their way. Living a safe and happy life is everyone's dream yet leading a normal life in Manipur is far from reality in the foreseeable future.


Namaram Kishalaya (Dodo)
Gen Secy, NEIHRN and a KC with HDN

24-09-2009



Note: with editorial support from Ian Franklin


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