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This is an archived USAID document retained on this web site as a matter of public record.

INDIAN OCEAN UPDATES

In this section:
Medical Aid Follows Bangladesh Tornadoes
First Aid Team Travels to India Coast
Shelters Built for Displaced Sri Lankans


Medical Aid Follows Bangladesh Tornadoes

Photo of woman having debris extracted from her body.

Dr. Shofiul Alam, research physician of the JiVitA project, removes embedded debris from an injured Naldanga resident, assisted by a nurse from a sister USAID-funded project, NGO Service Delivery Program.


Alain Labrique

On March 20, tornadoes raced through the Gaibandha and Rangpur districts in northwest Bangladesh, flattening close to 10,000 homes, cutting off electricity, and damaging crops. Thousands were injured and left homeless; at least 65 people died.

Most of the devastated areas coincided with the locations of the JiVitA project, which is funded by USAID and the government of Bangladesh’s National Integrated Population and Health Program to assess the impact of vitamin supplements on pregnant women and their babies.

In the storm’s immediate aftermath, JiVitA staffers switched into emergency mode. Over the next five days, they established seven emergency medical camps and treated 2,150 people. Six doctors, six nurses, and others worked from early morning to nightfall dressing wounds, suturing lacerations, providing antibiotics, and referring and transporting emergency cases to hospitals.

“The sight of wet, dazed, injured villagers, wrapped in muddy blankets, stumbling out of the dark [was] haunting,” said Alain Labrique, country representative with Johns Hopkins University. “Many of the injured had packed their wounds with grasses and herbs, sometimes earth, making cleaning the wounds extremely challenging. Women carried small babies in their blood- and mud-caked arms.

“Using only flashlights, water, liquid soap, and cotton and gauze, we stopped the bleeding and cleaned wounds as best as possible. Just when we thought the worst was over and we had handled the most critical patients, another wave would appear.”

The group continued providing emergency medical support at the request of the district administration and the local health community for several days after the storms had passed.

Today, most relief efforts in the area are focused on reconstructing and rebuilding homes, schools, and other institutions destroyed by the tornadoes. According to a recent field report, four teams of JiVitA workers are continuing to assess and evaluate the damage and human loss, as well as rebuild the project’s infrastructure.

JiVitA, which means “alive” in Bengali, was designed to reduce the high incidence of maternal mortality in Bangladesh. Each year, approximately 20,000 women who give birth in Bangladesh die from pregnancy-related causes. JiVitA is running two community trials to determine if micronutrient deficiencies contribute to the high maternal mortality rate, and if taking certain supplements can improve maternal, fetal, and infant health and survival.

Photo of woman whose head is being examined.

Dr. Barkat Ullah, senior research physician of the JiVitA project, is assisted by Alain Labrique, Johns Hopkins University project scientist, and Mohammad Akteruzzaman, chief administrative officer, in providing emergency first aid to an injured victim of the Naldanga tornado.


Mahbubur Rashid


First Aid Team Travels to India Coast

Photo of woman whose knee is being examined.

Dr. K. R. John of the Christian Medical College, Vellore, examines a Thirumullaivasal woman who suffered physical and psychological trauma when pinned under a wall during the tsunami.


USAID/India

TAMIL NADU, India—Christian Medical College (CMC) was one of the first organizations to react when the December 26 tsunami flooded this Indian state. The group says it will stay and help coastal communities rebuild over the coming years.

Dr. Suresh David, head of CMC emergency medicine, led the first aid team from the college’s campus in Vellore to the hard-hit Nagapattinam coast. Dr. David and his colleagues are natives of southern India, familiar with the language and the customs of the coastal people.

That first-contact treatment team was quickly followed by more specialized teams making the seven-hour drive from Vellore, which is between Chennai and Bangalore. Local government coordinators asked CMC to identify and train local people in post-traumatic stress counseling.

Workshops were quickly arranged for church leaders, community volunteers, and local health personnel to establish basic procedures and techniques for addressing the mental health needs of a highly stressed population.

Over the next year, CMC will provide comprehensive health monitoring and psychological counseling, as well as help to restart the local economy along the Thirumullaivasal coastal area of Nagapattinam district, south of Pondicherry.

CMC’s Community Health Department will work with local leadership of the fishing and fish-processing community to determine whether supplies and services match local needs.

A grant recipient of USAID’s American Schools and Hospital Abroad Program, CMC has become one of the premier health providers in southern India. It serves over a million outpatients a year and maintains 2,000 beds.


Shelters Built for Displaced Sri Lankans

Photo of shelter being constructed.

A boy works on a temporary housing project for Sri Lankans displaced by the tsunami.


Ben Barber, USAID

BALAPITIYA, Sri Lanka—Since the tsunami swept away his home and livelihood, Sri Lankan fisherman B. Disannayake and his wife, Mahalini, have heard a lot of promises. Few of them have been kept.

“None of us has had a full night’s sleep for weeks,” said Mahalini. “The heat in the tent has been unbearable for the children, so one of the babies was always fussing and waking up the others. The older children had a hard time making it to school in the mornings.”

In early April, the family got a better place to live. Atop the foundation of their destroyed house, a transitional shelter of 200 square feet was built, complete with a zinc-aluminum alloy roof, canvas walls over a steel frame, and a door that locks. The family moved in at once.

“We will stay dry when the rains come,” said Disannayake, bouncing his youngest, 2-year-old Nandan, on his knee. “We can lock up our things, and most of all our family can have some privacy. It’s a real home.”

“Thanks, America,” he added.

Sparsely furnished with a donated bed, sleeping mats, garments, and some cartons containing a few recovered possessions, the shelter home keeps the family living together. With thousands of displaced people and the economy in disarray, this shelter will likely be this family’s home for a year or two.

USAID is building several other shelter homes on the Dissanayakes’ property, space that they have offered to share with neighbors who have lost everything.

These shelters are among more than 10,000 being built in south and east Sri Lanka by USAID. A new pump connected to the municipal water system is being built, as is a permanent latrine.

Each structure costs $400 to erect, a process that takes two days. But a scarcity of available land has slowed the pace of building the temporary homes.

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