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Viewing cable 06CHIANGMAI124, THAILAND MALARIA CASES RISE AS BURMESE REFUGEES CROSS

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Reference ID Created Released Classification Origin
06CHIANGMAI124 2006-08-07 07:15 2011-08-25 00:00 UNCLASSIFIED Consulate Chiang Mai
VZCZCXRO2102
PP RUEHDT RUEHHM
DE RUEHCHI #0124 2190715
ZNR UUUUU ZZH
P 070715Z AUG 06
FM AMCONSUL CHIANG MAI
TO RUEHC/SECSTATE WASHDC PRIORITY 0244
INFO RUEHGO/AMEMBASSY RANGOON PRIORITY 0018
RUEHBK/AMEMBASSY BANGKOK PRIORITY 0517
RUEHCHI/AMCONSUL CHIANG MAI PRIORITY 0278
RUEHZS/ASSOCIATION OF SOUTHEAST ASIAN NATIONS
UNCLAS CHIANG MAI 000124 
 
SIPDIS 
 
SIPDIS 
 
E.O. 12958: N/A 
TAGS: PREF SOCI TH BM
SUBJECT: THAILAND MALARIA CASES RISE AS BURMESE REFUGEES CROSS 
BORDER 
 
REF: CHIANG MAI 113 
 
1. (U) SUMMARY. Continued instability in Burma could be 
contributing to higher incidences of malaria in western Thailand 
over the past two years, say health and refugee experts. The 
past three rainy seasons have seen an increase in malaria 
infections reported to Thai and NGO health officials and experts 
predict infections among vulnerable populations such as Burmese 
migrant workers and refugees will continue to increase. End 
Summary. 
 
2. (U) At the Mae Tao Clinic in Mae Sot, Tak Province, health 
officials specializing in treating Burmese refugees and 
undocumented migrant workers report that malaria cases at the 
clinic jumped 90 percent between 2004 and 2005 to 7,505. Mae Tao 
founder Dr. Cynthia Maung said that with an early start to the 
rainy season this year, she expects to treat an even larger 
number by the end of 2006. Provincial health officials in Tak, a 
densely forested province bordering Burma, also reported 
significant increases from 2004 to 2005 (up 55 percent, to 3,315 
cases), and expect 2006 to match last year's numbers. 
 
3. (U) Thai health officials expressed concern that this year's 
earlier rainy season will further exacerbate malaria and dengue 
fever infections, but remained confident that government health 
programs are capable of providing sufficient prevention and 
treatment programs. However, NGO health workers fear that 
populations that do not have ready access to Thai hospitals and 
clinics will suffer more from exposure to mosquito-borne 
diseases and other ailments. 
 
4. (U) Mae Sot-based NGO workers involved in assisting refugees 
and migrant workers from Burma said that these high-risk 
populations face challenges from two fronts. First, instability 
in Burma has pushed many Burmese - especially ethnic Karen - 
into Thailand or remote jungle areas within Burma. Second, 
periodic raids by Thai immigration officials on undocumented 
workers make many illegal Burmese fearful of going to Thai 
clinics to seek medical treatment. Whether hiding from State 
Peace and Development Council military forces in the Burmese 
jungle or avoiding Thai immigration police in Mae Sot, refugees 
and migrant workers are less likely to use anti-malarial 
medication or prevention measures, such as mosquito nets, and 
less likely to receive proper treatment if infected. 
 
5. (U) COMMENT: With continued instability in Karen State (see 
reftel), more refugees are crossing into Thailand, straining 
Thai and NGO medical resources. Burma's volatility creates 
cross-border concerns not just for immediate refugee assistance, 
but also longer-term issues, such as health care and disease 
prevention. The Mae Tao Clinic now treats more than 80,000 
patients a year, with many patients crossing from Burma into 
Thailand specifically for treatment at the center. Moreover, the 
Democratic Voice of Burma estimates there are 100,000 Burmese 
workers in Mae Sot alone, with half living there illegally. The 
increased vulnerability to disease this large population of 
political and economic refugees faces is yet one more reminder 
of the transnational consequences of instability in Burma. End 
Comment. 
 
CAMP