- This was the largest severe acute lead poisoning outbreak on record in the world. Was secondary to informal gold mining that began in the area.
- A certain village at the epicentre of mining – the village denied mining, denied child deaths (concealed them) Didn’t bring their children for free chelation.
- As issue became more public the mining moved “underground” – processing was done in homes where children lived – made problem worse.
- Chelation was performed on 5000 children from surrounding villages
- As a medical organisation this is extremely challenging – no point in doing chelation on children if don’t fix the underlying cause.
- Actual priority: Who does the:
- Remediation (clean the mess)?
- Safer mining (turn off the tap)?
- Access! Check out www.missingmaps.org which is trying to crowdsource to improve access to aid workers in various areas of the world
- Fear & Cultural misunderstanding
- We assumed their priority was their children not dying. We assumed they knew that their actions affected their outcome.
- Mixed messages between different organisations.
- Many people
- Many conversations (loud people heard, quiet people not)
- Different languages
- Different cultures
- Different agendas
- Below is a slide from the talk showing various agencies involved