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The The Dark Figure of Corruption in Laos

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The Dark Figure of Corruption in Laos

By Claire Berlinski

Crippling economies around the world

In 1997, i moved to Laos to work for the United Nations Development Programme. Laos was desperately impoverished. The country’s infrastructure was primitive. A fifth of the nation’s children died in infancy. Adult life expectancy barely exceeded 50 years. Less than half the population was literate. The undp spent most of its time endeavoring to raise funds from international donors to rectify this situation, and what time it did not spend this way, it spent holding elaborate conferences on the theme of how better to raise funds to rectify this situation.

I quickly concluded that all this was a perfect waste of time. Laos was so corrupt that little of the money went to its intended beneficiaries, and the only conference that might have been of use — a conference on combating governmental corruption — was never held, presumably because the government would not permit it.

Provincial governors solicited aid for the same purpose from multiple donors. None of the donors were informed about the others. When money came in, it promptly disappeared, and no one knew where it went. I came across many artifacts documenting this: A typical memorandum blandly noted that a donation of $62,000 from the Vatican, for famine relief, had simply vanished. Nothing in this memo suggested that this was in any way remarkable or that something should be done about it; it might as well have been a reminder that everyone was expected to be present at the Thursday afternoon staff meeting.

During the time I was there, hearings were held on a proposal to build a massive dam in central Laos. It was to be funded by un agencies. The project, like so many before it, was expected to wreak catastrophic environmental damage and enrich only a handful of Lao elite. This dissuaded no one from thinking it a good idea. This, too, was typical. The un had solicited donor aid for the building of roads — who could object to roads? — but no sooner were these roads built than trucks stacked with logs began streaming out of the forest. Living large on the proceeds was an infamously venal Communist Party official known for murdering anyone who asked aloud whether it was a good idea to destroy one of the last intact, contiguous areas of tropical cover in Southeast Asia. Paramilitary logging conglomerates such as the dafi group under General Bou Phon became warlords in the countryside. The deforestation caused massive flooding, destroying rice crops and leaving the peasants without food.

Economists here, for example, believe that as much as 94 percent of the construction in Istanbul is illegal.

Whenever I suggested to my fellow aid workers that it was pointless to solicit donations before addressing the problem of corruption, they would shrug. “At least it’s better than Africa,” someone would say, and everyone who had worked in Africa would nod in vigorous assent.

I still receive the occasional e-mail from friends in Laos. From what they report, nothing has changed.

Laos is, nominally, a communist country, but above all it is a kleptocracy. It is easy and tempting for enemies of communism to say that all command economies are in fact kleptocracies — that this is their inevitable nature — but there is no special reason to believe the problem to be limited to the communist sphere. I live now in Turkey, a nominally capitalist country, and the blight of corruption is equally plain to see. It is not as bad as Laos, of course, but it is bad enough to severely deform the country’s economic and political life. Economists here, for example, believe that as much as 94 percent of the construction in Istanbul is illegal. “If the construction companies are fined, they just pay the penalties and keep on building,” I was told by the Turkish academic Osman Altuš, who specializes in the study of Turkey’s underground economy. “It’s not enough to stop them. The government doesn’t really clamp down because they need those companies to support them financially.”

Istanbul lies on a massive fault zone. This construction is not built to code. It is visibly shoddy in the extreme. When the big quake comes — and it will — tens of thousands will die. Communism won’t be to blame, and nor will the free market. Corruption will be.

Ubiquitous disease

Corruption is, obviously, a grave problem around the world, and a particularly acute menace in the developing world. It is hard to nail down a definition of “corruption” that compasses all obvious examples of it, but like pornography, we tend to know it when we see it. Loosely, we may define it as the use of governmental powers for illegitimate private gain. This is similar to the definition used by Transparency International, the world’s best-known anti-corruption ngo, and the only influential one. Transparency justifies its existence thus:

Corruption has dire global consequences, trapping millions in poverty and misery and breeding social, economic and political unrest.

Corruption is both a cause of poverty, and a barrier to overcoming it. It is one of the most serious obstacles to reducing poverty.

Corruption denies poor people the basic means of survival, forcing them to spend more of their income on bribes. Human rights are denied where corruption is rife, because a fair trial comes with a hefty price tag where courts are corrupted.

Corruption undermines democracy and the rule of law.

Corruption distorts national and international trade.

Corruption jeopardizes sound governance and ethics in the private sector. Corruption threatens domestic and international security and the sustainability of natural resources.

Those with less power are particularly disadvantaged in corrupt systems, which typically reinforce gender discrimination.

Corruption compounds political exclusion: if votes can be bought, there is little incentive to change the system that sustains poverty.

The conclusion — Corruption hurts everyone.1

To anyone who has lived in a country where corruption is rampant, all of Transparency’s assertions will sound generally and intuitively true. My brother has been living in Haiti since the spring of 2007 — his wife is a un peacekeeper there — and when recently I discussed the subject with him, he confidently and passionately averred that corruption was “the biggest problem in the world, bar none,” then regaled me with lurid anecdotes of corruption in Haiti that should give all U.S. taxpayers pause, given that it is their money lining the pockets of the Haitian officials who are, for example, stealing the tires off the suvs lent to them by the un, selling them in the market, and then demanding — and receiving — new tires. They then repeat the process.

But when it comes to policymaking, “generally and intuitively true” and “confirmed by abundant anecdotal evidence” is not specific enough. It does not tell us what we need to know to respond intelligently. It tells us nothing about the precise scope, nature, and real economic impact of corruption around the world. Right now, we have little idea. And because we have little idea, we pay far too little attention to the problem.

A dark figure

Corruption is not a particularly popular topic for academic research. It is by no means ignored — it is a thriving sub-specialty in institutional economics — but a quick search on Google Scholar under the terms “corruption” and “interest rates” will suggest something about the academic world’s research priorities. There are 492,000 entries for the former, 5,210,000 for the latter. Although there are many well-funded American think tanks devoted to studying and advancing free-market economic principles, there are none exclusively committed to studying and combating corruption. Cast your mind back to the most recent American presidential campaign. How many references can you recall to the candidates’ economic advisors? Now ask yourself the same question about their corruption advisors. If you’re drawing a blank, it is not because your memory is faulty.

The reasons for this are obvious. The term “corruption” compasses such practices as bribery, fraud, embezzlement, kickbacks, cronyism, and extortion. These are crimes. Like all crimes, they are difficult to study because those who commit them are not motivated — indeed, are particularly unmotivated — to cooperate with efforts to study them. In the best case, the data are buried; in the worst case, the researchers are buried. It is much easier and safer to study interest rates. But this is like looking for the lost keys under the lamppost because the light is better there.

It is my strong suspicion, based on my experience of living in corrupt countries, that it is vastly more important for policymakers, the media, and academics to devote their time and thought to promoting robust anti-corruption policies than to worrying about sound monetary policy — important, at least, that is, if their goal is to lift people out of poverty rather than to get tenure. Indeed, worrying about the niceties of monetary policy is literally an academic exercise when the problem of corruption remains unaddressed and unsolved.

But suspect is the operative word. I cannot prove this, and nor can anyone else. Nor can they prove the contrary. This is the heart of the problem.

In 1832, the Belgian mathematician and sociologist Adolphe Quetelet coined the phrase “the dark figure of crime.” By this he meant the true crime rate as opposed to the number of crimes recorded by the government. The dark figure, he suggested, would inevitably be much higher than the official figure, for people who commit crimes take pains to ensure that their endeavors do not come to the attention of the government. All of our reasoning about crime, Quetelet suggested — about its scope, nature, and impact — would be defective were we to rely upon official statistics.

For nearly two centuries, this problem has preoccupied criminologists, and while it has not been solved, its significance, at least, has been properly appreciated. The dark figure of crime has enormous ramifications for economics, too, but the significance of this has not yet been fully appreciated. Let us call this problem the dark figure of corruption. The dark figure of corruption, we may reasonably assume, is apt to be even larger by comparison with official statistics than the dark figure of crime, for the crimes, in this case, are being committed by the governments that are charged with recording them.

While we do not know how large the dark figure of corruption is, it seems reasonable to suppose that it is massive. Our efforts thus far to calculate it, however, have been wholly inadequate.

The corruption perception index

Broadly speaking, efforts to assess the true corruption rate have to date focused on three methods. First, corruption is measured by anecdote. In some cases, these anecdotes are very compelling indeed. Careful financial audits of specific projects, for example, can establish beyond reasonable doubt that those projects were tainted by malfeasance. This method of measurement does not give us much of a sense of the bigger picture, however. Even if an audit turns up evidence of corruption in a particular project, this does not say anything about whether the problem is typical in that country, or whether the problem is getting better, or worse, or why.

Second, corruption is estimated by studying a country’s institutional features. In other words, researchers ask such questions as, what are the incentives for corruption? How transparent are procurement practices? What safeguards against corruption have been put in place? The underlying assumption in this research is that there is a direct relationship between institutions (which are visible) and the corruption rate (which isn’t), and that by studying the former, we can reliably estimate the latter.

This method too may give us useful insights from time to time, but the problems with such an approach are massive and obvious. If a country does not have a dedicated anti-corruption police task force, for example, should we conclude that it must be rife with corruption? Or perhaps there was so little corruption there in the first place that no one ever saw the need to create one? Salt Lake City’s vice squad is smaller, less well-funded, and less experienced than Miami’s, but it would obviously be a mistake to conclude from this that there must be more vice in Salt Lake City than Miami. Yet this is precisely the kind of assumption that undergirds this kind of research.

Third, and most influentially, there is the collection of survey data. Of these, by far the most important is Transparency International’s Corruption Perception Index. The cpi is based upon polls of corporate executives, public officials, and private citizens who have been asked detailed questions about their experiences of corruption. The results are aggregated in various ways to permit cross-country comparisons and to monitor corruption over time.

While we do not know how large the dark figure of corruption is, it seems reasonable to suppose that it is massive.

The cpi is taken extremely seriously: It is enormously influential, for example, in determining levels of foreign direct investment. It is generally treated by policymakers and the media as a source of hard, reliable data.

It is not. The problems with this kind of research are myriad. First, and most obviously, government officials do not appreciate it when their countries feature prominently on these lists. They often hamper the work of anti-corruption activists to the point of making it impossible for them to collect data at all.

Next, specific measures of corruption are imperfectly related to overall corruption. A survey question about corruption in the police will not necessarily tell us anything interesting about corruption in public procurement. The answer to the question, “What precisely is corrupt?” will vary dramatically from country to country and from culture to culture.  Knowing, for example, that Turkey is mid-rank on the cpi will not tell you what you absolutely must know to formulate robust anti-corruption policy in Turkey. For example, in Turkey it is widely held, and probably true, that it is necessary to pay a bribe to receive a government tender — a larger bribe, I am told, if the conservative Democratic Party is running the local government, a slightly smaller one if the governing Justice and Development Party is running the show. The army, however, is usually believed to be incorruptible — and again, I suspect that this is true. No one could construct effective anti-corruption policies here without knowing this, but it is not reflected in Turkey’s Transparency International ranking.

Corruption varies greatly from city to city, too: The U.S. ranks low on the cpi, but plainly, it is easier to buy off a politician in some American cities than others, and everyone knows it — had Rod Blagojevich been governor of Nebraska, no one would have said, “Well, that’s the Omaha machine for you.” A national anti-corruption drive that focused resources equally on Minneapolis and New Orleans would be absurd. This information, too, is critical to anyone attempting to formulate an effective anti-corruption policy, but it is not reflected in Transparency International’s cross-country rankings.

Next, given the inherent opacity of corruption, using these kinds of survey methods to study it is highly problematic. The public is often simply wrong, or deeply confused, about its prevalence. For example, if you ask a dozen Istanbul residents whether it is worthwhile to report a burglary, at least half of them (I have put this to the test) will tell you that it is pointless, because the police are cooperating with the burglars and taking a share of their proceeds. This belief is reflected in data from, for example, the International Crime Victim Survey.

Here’s the tricky part, though: I recently asked Turkey’s former interior minister and head of the police inspection board why this perception was so widespread. The problem, he replied, was not police corruption, but the court system. Turkey, he said, had rushed to bring its legal system into compliance with eu norms. This had made it harder to put innocent people behind bars, but had also made it more likely that criminals would go free or receive what the average Turk considers a trivial punishment. Many in the West would think this a salutary development, but it is a source of confusion and frustration to Turkey’s crime victims.

A national anti-corruption drive that focused resources equally on Minneapolis and New Orleans would be absurd.

Establishing what’s really going on, however, is no trivial matter. All we now know is that survey data will not necessarily give us an answer in which we may place much confidence. Yet the formation of intelligent public policy requires just such an answer. Should scarce taxpayer money be spent to enlarge the internal investigations branch of the Turkish police department? What if this means diverting it, say, from schemes to improve compliance with earthquake building codes?

Likewise, foreign businessmen who have lost a bid for a major tender may find it comforting to believe that the tender process was corrupt. This may be easier to accept, psychologically, than the idea that they lost to someone who worked harder. No doubt this would be easier news to report to their superiors in their home office.

Profound distortions in perception may even arise from the very act of attempting to measure them: International businessmen are for obvious reasons interested in the phenomenon of corruption and therefore aware of the cpi. The cpi thus becomes a self-fulfilling prophecy. What was reported to be the worst country in one year will be regarded as the worst come the next.

Finally, even assuming that the data gathered from various surveys is roughly accurate, the analysis to which it is then subjected results in a product that is, if not meaningless, less meaningful than it looks. For example, the standard deviations in the raw data from closely-ranked countries — and even from more distantly ranked countries — are so high that the proposition “Country a is more corrupt than Country b” is not at all statistically significant.

There are other significant and very questionable assumptions built into almost every step of Transparency International’s methodology. To figure out whether these assumptions should undermine our confidence in their conclusions, we would have to know whether their conclusions are reasonably stable across a range of other studies making slightly different assumptions — and we don’t, because there are none.

When the cpi is released, it usually receives a great deal of serious press attention, followed by political congratulations or recriminations, as appropriate. “Corruption in India has increased marginally in the last two years, taking its position from 72 to 85 in the list of the world’s corrupt countries, according to global watchdog Transparency International,” Express India reported gravely last year, explaining that the integrity score was based on a “mathematical calculation,” devised by a “Switzerland-based professor.”2 The reader is obviously to assume that these mathematical calculations are as precise as those used to calculate the mean fatigue load of an aircraft wing and twice as reliable as a Patek watch. But in fact, when Transparency asserts that India is the 85th-most corrupt country in the world, it really means something on the order of, “India is a good deal more corrupt than Denmark and quite a bit less corrupt than Somalia.”

And we didn’t need Transparency to tell us that.

The problem that demands solving

I do not mean to criticize Transparency harshly. They do extraordinarily important work, if only because they have succeeded in raising the profile of the issue. They have broken taboos around the world against discussing corruption and generated pressure for substantive reforms the globe around, such as the oecd’s Anti-Bribery Convention. They do not pretend to measure corruption, per se, but rather the perception of corruption. Having an accurate measure of the former would surely be more useful, but we should not complain about having a vague measure of the latter — it’s better than nothing. It is not Transparency’s fault that despite their disclaimers, many people assume a tight correlation between perception and reality.

But the major problem — how do we measure corruption? — is unsolved.

Attention to this problem is particularly needed now, for economies around the world are collapsing briskly. Efforts to assess the reasons for this have generally been focused on problems visible to the naked eye — speculative bubbles, regulatory failure, faulty fiscal or monetary policy, poorly constructed trade policy. All of these are real problems and worthy of attention. But in the absence of a proper weighting of the role of corruption, our reasoning, as Quetelet warned, is apt to be defective and our conclusions — and thus our policy prescriptions — in error.

The global economic crisis has reinvigorated a great debate about free markets and laissez-faire capitalism. Members of two distinct ideological camps are again facing off solemnly. After a long sojourn in intellectual Siberia, stern critics of market liberalization have recently found that the world is listening to them with renewed interest.

Corruption should, in principle, be an issue about which the left and the right are in agreement. Accurately assessing levels of corruption and combating it in all its forms should be a priority on both sides of the ideological aisle. The limited research that has been done suggests that corruption is neither more nor less prevalent in countries with large state sectors.3 It is an independent variable.

Nonetheless, the idea that economic crises may be attributable to corruption, rather than capitalism, arouses special ire on the left. The anti-globalization movement’s darling, Naomi Klein, pours scorn on the idea in The Shock Doctrine: “When in doubt, blame corruption,” she sarcastically titles the sub-heading of her discussion of Russia, in which she argues that “the real problem with the blame-Russia narrative is that it pre-empts any discussion of what the whole episode has to teach about the true face of the crusade for unfettered free markets.”4

The sentiment is echoed by Joseph Stiglitz, who unlike Klein is a serious and thoughtful economist with much of merit to say about the importance of accompanying market liberalization with institutional reform. “The advocates of globalization,” he writes, “when confronted with its glaring failures, try to shift the blame to the developing countries themselves, to their corruption. . . . With or without corruption, globalization, in the way that it has been carried out, has worsened the plight of many developing countries. I believe that Argentina would have had its crisis, given its fixed exchange rate, given the fall in the value of the currency of its trading partners, especially that of Brazil, even if there had been absolutely no corruption.”5

A question for them both: How do you know?

How would they, and how would anyone, know how much corruption there is in Russia or Argentina — and if they do not know this, how can they say with any credibility what effect it has had on these economies?

I will answer the question for them. They don’t know, and neither does anyone else. Our inability even to estimate the dark figure of corruption is an enormous lacuna in our understanding of these problems. Even if we cannot answer the question with precision, we should recognize that the question, at least, is highly significant, and worthy of far more effort to answer it than it receives.

My own suspicion — and I can no more prove it than Klein and Stiglitz can prove theirs — is that the role of corruption in precipitating economic catastrophe is significantly underestimated. I say this because I have seen, up close, the way corruption fatally undermines institutions that must be robust for economies to work, creating insecurity of property, a judiciary that doesn’t properly enforce contracts, dubious banking practices, and a serious lack of regulatory oversight. I have spoken, over and over again, to people who believe that nothing they might try to do — politically or economically — will ever work, for the system is too corrupt. When this belief is widely held, everything in a society, from entrepreneurialism to family relations, is polluted by frustration, pessimism, apathy, cynicism, and despair.

I have also seen, firsthand, the analytic confusion to which corruption gives rise. When free-market reforms are implemented by a kleptocratic government, the failure of prosperity to blossom like a daisy after a spring rain cannot truly be entered as evidence against the theory that free markets produce efficient outcomes. Nor, for that matter, does the desperate poverty of peoples living under nominally socialist regimes that are in truth less Marxist than simply mobbed-up refute the idea that government intervention in the economy may, under certain conditions, have salutary economic effects. Nonetheless, these are generally the conclusions drawn, particularly in the popular imagination, particularly in the developing world.

When corruption causes free-market reforms to fail, as I suspect it often does, this is ammunition for the left’s own shock-doctrine troops. The recent convulsions in the world economy will inevitably be the excuse, the world around, to enlarge government power, curb economic freedom, and diminish the role of markets. This will solve nothing and make the situation worse. It is thus particularly important that the role of corruption now be properly and prominently appraised.

The fact that this is very hard to do should not mean that no one tries to do it. We have not had nearly as much success curing cancer as we would like, although we can cure syphilis quite easily. This does not mean that ten times more funding should go to syphilis research than cancer research. Corruption is the cancer of economics, with all that the metaphor implies — it is enigmatic, poorly understood, hydra-headed, deadly, and often hidden until it is too late. If the patient is riddled with it, the treatment of other afflictions will be no more than a temporary palliative.


Claire Berlinski is a journalist who lives in Istanbul. She is the author of Menace in Europe: Why the Continent’s Crisis is America’s, Too (Crown Forum, 2006) and There is No Alternative: Why Margaret Thatcher Matters (Basic Books, 2008).


1 Available at http://www.transparency.org/about_us (accessed May 11, 2009).

2India slips in Corruption Perception Index: Transparency International,” Express India (September 23, 2008).

3 See, e.g., the literature survey in Johann Graf Lambsdorff, “Consequences and Causes of Corruption — What Do We Know from a Cross-Section of Countries?” Diskussionsbeitrag 34:5 (2005).

4 Naomi Klein, The Shock Doctrine: The Rise of Disaster Capitalism (Macmillan, 2008), 304.

5 Joseph Stiglitz, “The Overselling of Globalization” in Michael M. Weinstein, ed., Globalization: What’s New? (Columbia, 2005).


WHO: Swine flu pandemic has begun, 1st in 41 years
WHO: Swine flu pandemic has begun, 1st in 41 yearsBy MARIA CHENG and FRANK JORDANS, Associated Press Writers Maria Cheng And Frank Jordans, Associated Press Writers – 3 mins ago
GENEVAThe World Health Organization declared a swine flu pandemic Thursday — the first global flu epidemic in 41 years — as infections in the United States, Europe, Australia, South America and elsewhere climbed to nearly 30,000 cases.The long-awaited pandemic announcement is scientific confirmation that a new flu virus has emerged and is quickly circling the globe. WHO will now ask drugmakers to speed up production of a swine flu vaccine, which it said would available after September. The declaration will also prompt governments to devote more money toward efforts to contain the virus.WHO chief Dr. Margaret Chan made the announcement Thursday after the U.N. agency held an emergency meeting with flu experts. Chan said she was moving to phase 6 — the agency's highest alert level — which means a pandemic, or global epidemic, is under way."The world is moving into the early days of its first influenza pandemic in the 21st century," Chan told reporters. "The virus is now unstoppable.""However, we do not expect to see a sudden and dramatic jump in the number of severe and fatal infections," she added.On Thursday, WHO said 74 countries had reported 28,774 cases of swine flu, including 144 deaths. Chan described the danger posed by the virus as "moderate."The agency has stressed that most cases are mild and require no treatment, but the fear is that a rash of new infections could overwhelm hospitals and health authorities — especially in poorer countries.Still, about half of the people who have died from swine flu were previously young and healthy — people who are not usually susceptible to flu. Swine flu is also crowding out regular flu viruses. Both features are typical of pandemic flu viruses.The last pandemic — the Hong Kong flu of 1968 — killed about 1 million people. Ordinary flu kills about 250,000 to 500,000 people each year.Swine flu is also continuing to spread during the start of summer in the northern hemisphere. Normally, flu viruses disappear with warm weather, but swine flu is proving to be resilient."What this declaration does do is remind the world that flu viruses like H1N1 need to be taken seriously," said Kathleen Sebelius, the U.S. Secretary of Health and Human Services, warning that more cases could crop up in the fall."We need to start preparing now in order to be ready for a possible H1N1 immunization campaign starting in late September," she said in a statement from Washington.Chan said WHO was now recommending that flu vaccine makers start making swine flu vaccine. Drug giant GlaxoSmithKline PLC said they could start large-scale production of pandemic vaccine in July but that it would take several months before large quantities would be available.Glaxo spokesman Stephen Rea said the company's first doses of vaccine would be reserved for countries who had ordered it in advance, including Belgium, Britain and France. He said the company would also donate 50 million doses to WHO for poor countries.Pascal Barollier, a spokesman for Sanofi-Aventis, said they were also working on a pandemic vaccine but WHO had not yet asked them to start producing mass quantities of it.The pandemic decision might have been made much earlier if WHO had more accurate information about swine flu's rising sweep through Europe. Chan said she called the emergency meeting with flu experts after concerns were raised that some countries like Britain were not accurately reporting their cases.Chan said the experts unanimously agreed there was a wider spread of swine flu than what was being reported.Chan would not say which country tipped the world into the pandemic, but the agency's top flu expert, Dr. Keiji Fukuda, said the situation from Australia seemed to indicate the virus was spreading rapidly there — up to 1,260 cases late Wednesday. Many health experts said the world has been in a pandemic for weeks but WHO became bogged down by politics. In May, several countries urged WHO not to declare a pandemic, fearing it would cause social and economic turmoil. "This is WHO finally catching up with the facts," said Michael Osterholm, a flu expert at the University of Minnesota. Despite WHO's hopes, Thursday's announcement will almost certainly spark panic about spread of swine flu in some countries. Fear has already gripped Argentina, where thousands of people worried about swine flu flooded into hospitals this week, bringing emergency health services in the capital of Buenos Aires to the brink of collapse. Last month, a bus arriving in Argentina from Chile was stoned by people who thought a passenger on it had swine flu. Chile has the most swine flu cases in South America, and the southern hemisphere is moving into its winter flu season. In Hong Kong on Thursday, the government ordered all kindergartens and primary schools closed for two weeks after a dozen students tested positive for swine flu. The decision affected over half a million students. In the United States, where there have been more than 13,000 cases and at least 27 deaths from swine flu, officials at the U.S. Centers for Disease Control and Prevention said the move would not change how the U.S. tackled swine flu. "Our actions in the past month have been as if there was a pandemic in this country," Glen Nowak, a CDC spokesman, said Thursday. The U.S. government has already increased the availability of flu-fighting medicines and authorized $1 billion for the development of a new swine flu vaccine. In addition, new cases seem to be declining in many parts of the country, U.S. health officials say, as North America moves out of its traditional winter flu season. Still, New York City reported three more swine flu deaths Thursday, including one child under 2, one teenager and one person in their 30s. "Countries where outbreaks appear to have peaked should prepare for a second wave of infection," Chan warned, adding that the virus could mutate "without rhyme or reason, at any time." In Mexico, where the epidemic was first detected, the outbreak peaked in April. Mexico now has less than 30 cases reported a day, down from an average of 300, Health Secretary Jose Angel Cordova told The Associated Press. Mexico has confirmed 6,337 cases, including 108 deaths. Cordova said he is concerned that other countries were not taking drastic measures to stop its spread like Mexico, which closed schools, restaurants, theaters, and canceled public events. He said the Mexican government has strengthened its detection system to spot cases in most of its 32 states to prepare for a possible second wave of infections in the winter. "There's much anxiety over how the virus will act in the Southern Hemisphere, because the zone is currently showing a large number of new cases, in particular Australia, Chile and Argentina," Cordova said. Many experts said the declaration of a pandemic did not mean the virus was getting deadlier. "People might imagine a virus is now going to rush in and kill everyone," said John Oxford, a professor of virology at St. Bart's and Royal London Hospital. "That's not going to happen." But Oxford said the swine flu virus might evolve into a more dangerous strain in the future. "That is always a possibility with influenza viruses," he said. "We have to watch very carefully to see what this virus does." ___ AP Medical Writers Maria Cheng reported from London and Michael Stobbe reported from Atlanta. Associated Press Writers Michael E. Miller in Mexico City, Dikky Sinn in Hong Kong, Vincente L. Panetta in Buenos Aires and Bradley S. Klapper in Geneva also contributed to this report. 

“I will never go back to Laos. I would rather die here than go back to where so many of my family died.”
— BV, a 20-year-old woman in the Huai Nam Khao camp
 
Briefing Paper

Introduction

Over the past four months, the Thai military has used heightened restrictions and coercive tactics to pressure some 4,700 ethnic Lao Hmong refugees, who claim to have fled violence and persecution in Laos, to renounce their claims for protection and accept a forced return to Laos. These refugees have been confined for the past two years to the Thai military-controlled Huai Nam Khao camp in northern Thailand. Many of these refugees have told international medical humanitarian organization Médecins Sans Frontières (MSF), the sole independent nongovernmental organization working in the camp, of fleeing violent attacks and persecution, witnessing the murder of family members, suffering rape, surviving bullet and shrapnel wounds, and enduring malnutrition and disease in Laos.The Thai military has engaged in coercive tactics such as the use of arbitrary imprisonment of refugee leaders to pressure the camp’s inhabitants to give up their claims to protection or asylum and temporary food distributions cuts. In mid-April 2009, the army began forcing the population to pass through a military check point before entering the MSF medical clinic, thus restricting access to health care services because many people in the camp fear to be arrested at this checkpoint. As a result, the proportion of men seeking medical consultations dropped by 50 percent.The Thai military’s coercive measures have heightened the anxiety, psychological distress, and fear among the already traumatized camp population. Six refugees have attempted suicide in the past years. Hunger strikes, arson, and self-mutilation have all been employed by refugees out of desperation to avoid a forced return to Laos. Ultimately, the Thai and Lao governments’ refusal to accept any independent, third-party to assess the claims for protection of the refugees has destroyed what little space existed for MSF to continue to provide independent humanitarian assistance to these refugees. As a result, on May 20, 2009, MSF was compelled to end its medical assistance in Huai Nam Khao camp.Despite more than two years of diplomatic and public communication by MSF, the United Nations, United States, France, and other regional powers have failed to take any concrete steps to ensure the protection of the traumatized and vulnerable refugee population confined to Huai Nam Khao camp. International standards state that repatriation cannot be forced or imposed on individuals fearing for their safety and any repatriation must remain linked to guarantees for safety upon return. For the Hmong refugees, none of these conditions have been met by either the governments of Thailand and Laos.In March, the Thai government reaffirmed its intention to return all Hmong refugees to Laos before the end of the year. Since December 2008, the number of repatriations has increased to approximately 200 per month, reaching 500 in March, following over a year of heightened pressure on the camp’s inhabitants to agree to return voluntarily to Laos. At its peak, the refugee population numbered some 7,800 people. Last June, an estimated 800 refugees were forced back to Laos after the military rounded up some 5,000 refugees who had engaged in a protest march against the Thai-Lao agreement to deport them back to Laos. MSF staff and mental trauma patients were among those driven over the border and families were separated in the process.MSF began providing humanitarian aid to this group of refugees in July 2005. During medical and psychosocial consultations, MSF found extreme fear and psychological distress among this population, which has only been exacerbated by the threat of a return to Laos. Refugees have told MSF field staff about recent abuses suffered in Laos, which are consistent with reports by human right organizations1 and independent journalists2 who have visited the areas of Laos (Borikamxai, Xieng Khouang, Xaisomboune, and Vientiane provinces) where many of the Hmong refugees used to live. At least 181 refugees in the camp had been documented as bearing physical scars, such as bullet and shrapnel wounds, from alleged abuses in Laos. The MSF mental health program admitted 286 patients. Of those consulted, a majority of them reported witnessing the death of family members or friends, or experiencing torture and starvation in the mountainous jungles of Laos.Out of grave concern for their safety, MSF is making a final call to the governments of Thailand and Laos to immediately stop the forced repatriation of these Lao Hmong refugees without independent monitoring and guarantees for their safety.The Thai government proceeded in December 2007 and January 2008 with a screening process without the participation of any third party and its results have not been communicated to UN High Commission for Refugees (UNHCR). The purpose of this operation was to separate refugees fleeing persecution in Laos from those migrating for economic reasons. Despite repeated requests, UNHCR has not been allowed to access the camp or to monitor the screening process at any point over the last three years3.The repatriation process agreed upon by Thailand and Laos seriously threatens the legal and fundamental right of non-refoulement—whereby people fleeing persecution must not be sent back to countries where their lives or liberty would be threatened4.The government in Laos has continually prevented nongovernmental organizations and international organizations from monitoring and assessing the safety of Lao Hmong returnees. Since December 2005, more than 1,500 Hmong have been forcibly returned to Laos. Some of these individuals have been held in arbitrary detention, and there have been credible reports of torture5.Because of the credible fear among Hmong refugees in the Huai Nam Khao camp, MSF is issuing a final appeal and urgently calling upon the governments of Thailand and Laos:·                        To stop the forced repatriation of the Hmong refugees in Huai Nam Khao and allow an independent, third party to review the refugee status determinations. ·                        To allow an independent, third party to assess the areas of return and the adequacy of assistance offered, monitor all repatriations, verify the voluntary nature of returns, and continued safety of returnees. Furthermore, MSF requests any States that have already resettled Hmong, or could be ready to do so, to offer them an alternative in accordance with international law in terms of protection of people fleeing persecution.

Background

The Hmong refugees that MSF assisted in Huai Nam Khao in northern Thailand are originally from Laos. According to the Lao government, more than 450,000 Hmong live in Laos, constituting 8 percent of the population and making them the third largest ethnic group in the country after the Lao and the Khmou. Ethnic Hmong also live in Cambodia, southern China, Thailand, and Vietnam.During the Vietnam War, certain Hmong were recruited by the Central Intelligence Agency (CIA) of the United States to support the American army in Vietnam and Laos. In the first decade following the US departure in 1973, approximately 300,000 people6, including many Hmong, fled Laos to Thailand where they sought refugee status. The majority resettled in third countries, particularly in the US, which received some 250,000 Lao people between 1975 and 19967, more than half ethnic Hmong.Because of the involvement by some Hmong with the CIA-trained army, the Communist government in Laos has treated this group with suspicion since it came to power in 1975. Thousands of irregular Hmong soldiers retreated to inaccessible forest areas with their families out of fear for their safety. According to people living in the camp and human rights organizations, up to a few thousand Hmong, including women, children and elderly people, still live in the jungle today and continue to be subject to attacks and persecution by the Lao military. As a result, Hmong have continued to flee Laos since the end of the war.

Hmong Refugees in Huai Nam Khao, Thailand

Chronology of EventsLate 2004: 4,000 to 5,000 Hmong fled Laos, crossing the Mekong River to seek refuge in the Thai province of Petchabun. Initially, many of them lived in the forest near the village of Huai Nam Khao, where local residents gave them food. Some worked in farms and others sold or bartered their few possessions to be able to eat.June 2005: Thai authorities force the Hmong refugees to leave the forests surrounding Huai Nam Khao and pressure residents to stop helping them.July 2005: MSF learns of the situation from several articles in the Bangkok Post. The medical and logistics team sent to evaluate the situation reports that 5,000 to 6,000 refugees have settled along the main road, on a strip of land less than 10 meters wide, living in makeshift shelters with minimal access to food, drinking water and health care. The MSF team immediately sets up a clinic, provides water and sanitation and distributes basic supplies.December 2005: 27 adolescents are arrested outside the camp and deported to Laos. This deportation creates a diplomatic incident among Thailand, Laos, and the international community. MSF seeks more space for the Hmong and improved sanitary conditions.March 2006: Military checkpoint is set up in the village of Huai Nam Khao and the Thai government announces its intention to deport all the refugees to Laos. Every new arrival is systematically arrested. In May 2006, MSF builds an outpatient center and a logistical warehouse.June 2006: Refugees begin to run out of food and malnutrition in the camp increases. MSF seeks partners and/or funding for food aid. Under pressure from MSF, the United Nations evaluates the situation in the camp but UNHCR does not receive government’s permission to access the refugees.Between June and December 2006: 2,000 new refugees arrive in the camp. In November, 147 refugees are imprisoned in Nong Khai prison. The Thai decide to move the population of the camp to a new site.January 2007: MSF undertakes an exploratory mission into Laos to try to reach the area where many of the refugees claim to have fled from violence and persecution. Preparations for the new camp are underway and arrests resumed. The assessment mission failed. The MSF team was prevented from accessing the area by authorities.In May 2007: Eight of the adolescents arrested in November 2006 and deported to Laos return to the camp and speak to MSF teams about the violence they had experienced in Laos. The Thai and Laotian governments sign a joint repatriation agreement covering all Hmong refugees in the camp.Mid-2007: New arrivals swell the population at the Huai Nam Khao makeshift camp, bringing the total number of individuals there to 7,800.June 2007: The refugees are transferred to a new site, approximately three kilometers from the center of the village. The new camp, on a 20-hectare site, was set up on a hillside, is surrounded by barbed wire. The Thai army controls the only entry point. While living conditions improve, the refugees are confined to the small area and children have no access to education. According to MSF statistics, in April 2008, 1,451 families (approximately 7,850 people) live in the camp.September 2007: The Thai and Laotian governments agree to repatriate the Hmong to Laos. Given the fears expressed by people in the camp about their security in Laos and the complete lack of transparent, independent screening, MSF issues a public report8 and press release in October.

Between December 2007 and January 2008:
The Thai government conducts a review of requests without the participation of a third party. The results are not transmitted to UNHCR. The operation is intended to separate refugees fleeing persecution in Laos from economic migrants. Despite its repeated requests, UNHCR does not receive authorization to enter the camp or monitor the review of requests at any time during the prior three years9.
February 2008: MSF witnesses the forced repatriation of a group of 11 refugees, allegedly part of a list of voluntary returnees. MSF interviews four families registered as voluntary returnees. None of them express the desire to return to Laos. Indeed, they fear for their safety if they return. A 27-year-old man registered on the list tells MSF, “I never said I wanted to go back to Laos—no one has told me why I’m on this voluntary list. I don’t want to go back to Laos—I’m afraid of what will happen to me if I go back there.” A 50-year-old man who is the head of a family of 9 said, “I don’t know why I’m on this list, but I do not want to go back to Laos. If I return to Laos they’re going to kill me.” It immediately notifies the media and representatives of the international community in Bangkok.

April 2008:
Another 67 Hmong are again allegedly voluntarily returned to Laos. However, their protection claims are never reviewed by any third party.
May 2008: Refugees protest the arrest of one of their leaders. A fire breaks out and burns 60 percent of the shelters and the water-and-sanitation infrastructure (including latrines and water distribution points). During the four weeks following the fire, several thousand refugees refuse to return to the camp and settle outside, intentionally blocking the camp’s access road to protest their situation and, specifically, to demand that they be interviewed by UNHCR. Hundreds of demonstrators go on a hunger strike and MSF has to treat dozens of others on an emergency basis. MSF issues a public report, again denouncing the situation10.June 20, 2008: Approximately 5,000 refugees decide to march to Bangkok in an effort to attract more attention from the international community regarding their situation. Military forces stop the demonstrators several kilometers away from the camp and more than 800 refugees were subject to forced repatriation to Laos. MSF issues a new press release at that time, criticizing the forced repatriation and restates its call for more transparency on the part of the Thai and Laotian governments.Between June and December 2008: The situation appears to have calmed. However, repatriations to Laos continue on a “voluntary” basis, according to Thai authorities. Nonetheless, the line between voluntary and forced departure is increasingly difficult to define because most refugees agree to return out of resignation and under pressure and threats from Thai soldiers.

The Current Situation

The restrictions and coercive tactics imposed by the Thai military authorities over the past years has exacerbated fears among the refugee population of an imminent and forced return to Laos. This environment has caused refugees to resort to hunger strikes, suicide attempts, and even self-mutilation out of desperation to halt their return to Laos.UNHCR has still not been allowed to enter the camp despite numerous official requests by the agency to assess the conditions of the refugees, review their claims for protection, or take part in the screening process. The Lao government has made the firm demand that no third party should be included in the repatriation process. This was made a condition of any negotiation with Thailand on the issue of Hmong returns.Thus the forced repatriation process may continue without any monitoring of the humanitarian conditions or respect for individuals’ rights—a prospect that has increased the level of fear and anxiety among the population and caused families to regularly flee the camp since August 2007.In addition, over the past six months, Thai military’s willingness to allow MSF’s medical and relief activities to continue without obstruction has gradually deteriorated. Military authorities in the camp have refused to discuss with MSF any issues related to the situation in the camp. The Thai army has on numerous occasions attempted to involve MSF in its strategies to pressure the Hmong to return to Laos. At several points, the military have asked MSF to not distribute food to the population in order to punish the people. But MSF has always refused, arguing that humanitarian assistance should not be used as a coercive instrument.The military has consistently stated that it defines the rules and requests MSF to follow them without condition. The rules imposed do not respect MSF’s most basic operating principles. These principles include that no pressure be applied on MSF staff and there is free access for the population to MSF health structures. For the past six months, many times MSF has had to argue with the army to try to preserve those two principles but each time MSF was constrained to compromise:·                        Regularly, MSF staff members are questioned by the army about their work and their salary. ·                        Since March 2009 the military oblige MSF’s Lao Hmong staff to pass through military control to get to the MSF clinic and logistical warehouse. ·                        In the beginning of March, the army obliged MSF to stop hiring or using Lao Hmong as volunteer workers by the end of the month. Concerning the free access to the population, several times the army has tried to control the gates to access the MSF clinic.·                        At the end of last year, the army decided that patients would not be allowed to get direct access to MSF clinic at night and forced them to pass through a military checkpoint. ·                        By mid-February 2009, the army attempted to put a soldier around the clock at the gate to the MSF clinic to control the movement of patients. ·                        In the beginning of March the army stopped MSF from distributing food to the population. MSF finally resumed this activity after three days of stand off. ·                        Finally on April 16 the army locked MSF’s clinic and warehouse gates (without any warning). Thus, people did not have free access to MSF medical and logistical facilities.

Fearing an Unsafe Return to Laos

The alleged abuses perpetrated against Lao Hmong refugees who have been forcibly returned to Laos have intensified the stress and anxiety among an already traumatized population. In December 2005, 27 Lao Hmong children (5 boys and 22 girls) from Huai Nam Khao were arrested by the Thai police and sent back by force to Laos. Twelve of the girls managed to come back to Thailand and join their parents in the camp in May 2007. They told MSF staff of enduring repeated beatings, rapes, and other abuses during their detention in Laos. Ten girls and five boys are still in Laos, their whereabouts and fates unknown.Such incidents have only heightened anxieties among the population living in the camp. Following a mental health assessment in the camp to obtain some indicators of the prevalence of psychological disorders among the Hmong refugees, MSF began providing mental health counseling in November 2007 to the most traumatized refugees.The adults interviewed presented various psychological disorders as well as a high level of psychological distress: pathological mourning due to death or disappearance of multiple family members, psycho-traumatic disorders due to exposure to numerous highly traumatic situations (being forced to hide, flee under dangerous conditions, live under constant threat of attack and sexual violence), anxiety disorders due to the uncertainty of their future, and the inability to control their present living conditions.In clini cal interviews, patients presented several symptoms related to post-traumatic stress disorder as well as anxiety-related depressive disorders. Their main symptoms are persistent sadness, anxious mood, crying easily, sleeping disorders, recurrent nightmares of traumatic events, feelings of hopelessness, difficulty concentrating, and somatic complaints such as headaches and other chronic pains.

Conclusion

For nearly four years, MSF has been providing medical care to the refugees living in Petchabun, a population completely dependent on outside aid. The main need voiced by the Hmong refugee population is protection from forced repatriation to Laos. MSF patients say they are extremely afraid about the prospect of a forced return to Laos. For many of them, this situation produces intense stress and psychological suffering.As a final appeal, MSF is urging the governments of Thailand and Laos to immediately halt all deportations of Lao Hmong refugees living in Huai Nam Khao and to allow an independent third party to monitor and assess the fears of the population, ensure that guarantees for their safety are in place, and any repatriation to Laos is voluntary and secure. International standards state that repatriation cannot be forced or imposed on individuals fearing for their safety and any repatriation must remain linked to guarantees for safety upon return. For the Lao Hmong refugees, none of these conditions have been met by either the governments of Thailand and Laos.Additionally, MSF urges the ASEAN member states, key regional stakeholders, and the French and US governments to take concrete steps to protect these refugees and to ensure that Thailand stops abusing and persecuting the Lao Hmong refugees and deporting them back to Laos without any respect for international standards for the protection of refugees.

Appendix I

Mental Health Status – Hmong RefugeesThe stress of life in the camp for refugees who report a long personal history of traumatic events in Laos continues to intensify in the face of ongoing uncertainty about their future and lack of any economic opportunity. So far, 286 patients have been seen for psychological consultation. MSF staff living in the camp report there are many more whom suffer symptoms of stress but are not yet referred. Nearly every day, new faces come to the consultation room door and ask to be seen. Of those seen, a majority reported a lifetime of loss, torture, running, hiding, and starving in the mountainous jungles of Laos. Patients present extensive documents showing photos of the dead and relatives in military uniforms, papers showing the family’s connection to the CIA, and maps of hiding places and routes of escape from attacks. While many details differ, the elements are quite consistent.Of the 286 patients seen for consultation many of them threaten suicide if they are forced to return to Laos. They make statements that vary in intensity, from: “I would rather die in this camp than return to Laos” to: “If I am forced to go back to Laos I will kill my family with a knife and then hang myself.” Or, “I will force the soldier to shoot me.” One patient who tried to kill himself by drinking wood staining liquid reported that he was tortured by thoughts of the past suffering in Laos, humiliated by his present circumstances of being poor and unable to provide for his family, and hopeless about the future, convinced he will be killed anyway if he is sent back. “At least I can choose my time to die and join my father (who recently was reported killed in Laos)”. Another male patient expressed suicidal thoughts and a plan to kill his family if forced to return: Since I was a small child, my life has been running from the war, hiding and starving in the jungle, and seeing my family killed. Now I am afraid of being sent back to the same suffering, and I have to beg for protection. I thought I would find a better life.”Every day, these people face Thai soldiers with weapons who have decided to send them back to Laos even by force. According to the MSF psychologist, these conditions for the traumatized refugees—facing weapons and the imminent threat of deportation to Laos—serve as a constant reminder of the violence and persecution they endured in Laos. This situation and the lack of real protection creates high levels of anxiety and has produced somatic disorders and depressive symptoms in the patients admitted to MSF’s mental health program. This lack of protection also prevents the patients from recovering from their psychological wounds.The fact that they are traumatized leads them to believe that they are destined to experience additional catastrophic events. According to the MSF psychologist, traumatized individuals who feel powerless and helpless may resort to killing themselves as they feel it is their only power to avoid the repetition of the trauma they have experienced in the past. For all of these reasons, the threat of suicide voiced by patients during psychotherapy poses a major concern for MSF.

Appendix II

Living in Constant FearA pervasive fear stalks the Lao Hmong refugees in Huai Nam Khao camp because of the prospect of a forced return to Laos. In testimonies provided to MSF staff, many of these refugees tell of facing a daily struggle to survive targeted attacks, witnessing the murder of family members, suffering rape, and surviving bullet and shrapnel wounds, as well as malnutrition and disease. They endured these hardships and acute stress for prolonged periods with little or no access to any health-care services or medicine beyond herbal remedies harvested from the jungle. During these interviews, many of the refugees repeatedly stated to MSF staff members that they feared death, torture, and imprisonment if returned to Laos. Further attesting to the intense and overwhelming stress felt among the refugees, some of the interviewees expressed suicidal thoughts when asked about being sent back to Laos.

Patient Testimonies

Hiding in the ForestYH, 22 years old, used to live in the forests of Xieng Khaouang province in Laos. She fled to Thailand in May 2005 after five cousins and two sisters had been killed during attacks on her family. She lives with her husband and their three-year-old daughter in Huai Nam Khao.“I lived all my life in the forest in Laos. We were chased by the Lao and Vietnamese soldiers all the time. All my family members were killed by soldiers. Sometime the planes attacking us would drop bombs that produced a poisonous, yellow-colored gas. We would have to run and hide among the trees. I saw a lot of people die. Sometimes the soldiers would accidentally kill one another, and some of the adults would see their bodies and the uniforms that they were wearing. During one attack, one of my younger sisters breathed in poisonous gas and she passed out. My mother had to carry her. Eventually, all her teeth fell out.My husband decided we could no longer stay in the forest. He thought we should try to come to Thailand. We were still constantly being chased by the Lao and Vietnamese soldiers. When we finally made it to the Mekong River my husband paid a fisherman to take across the river. Then we paid some more silver to a driver and my husband told him to take us where the Hmong were living. He dropped us in Huai Nam Khao. All we had when we arrived was my husband’s Hmong knife that he used to dig for roots. Some of the Thai Hmong in the village let us live with them. Then we were forced to live with the other Lao Hmong along the roadside. We started to receive food from MSF. Ever since we fled Laos our life has gotten better because we have had food to eat and we don’t have to hide from attacks. But I am so afraid that we will be sent back to Laos. If I think about it too much I faint. I don’t want to be sent back to Laos to be killed. Everyone is saying we are going to be sent back.”Surviving Detention and RapeKL lived most of her life in the forest in Laos’ Xieng Khouang province. Her father fought alongside other Hmong who were allegedly trained by the Central Intelligence Agency of the U.S. government. She and her family were later captured by Lao soldiers and sent to a camp. She was repeatedly raped by the soldiers and later escaped to Thailand.“In 2002, the Lao military surrounded the area where my family and I had settled in the forest. The soldiers arrested me and my husband. Our four children were also brought to the camp. The soldiers took us to a village and we stayed there for about one month. Then, the military took my husband and another man into the jungle with them to try to find other Hmong groups. I never saw my husband again. About five months later, the soldiers asked me where my husband had gone. I told them I did not know and they beat me. Two days every week the soldiers would march me to the local commander’s compound for questioning. They would rape me. When the soldiers realized I was pregnant from the rape they put me in jail. My children stayed back in the camp.I knew if I stayed in the jail that I would be killed. I had no choice but to runaway from the jail and leave my children behind. When I fled into the jungle I came across the rotten body of the other man who had been taken into the forest with my husband. His throat had been cut. I assumed they had done the same to my husband, but I couldn’t find anything to indicate if he was alive or dead. I fled to Vientiane. Some people told me that the army was looking for me. I asked them what I should do and they told me to take a boat across the Mekong River and travel to Petchabun province in Thailand where other Hmong were living. When I got to the Mekong River I went into labor and delivered my daughter. I just wrapped her up in cloth. Even though she was born out of rape, she is part of my blood and I really love her. The military keep on scaring us that they will send us back to Laos. I don’t want to go back to Laos. I cannot sleep at night. I am always scared. And as long as we have food to eat we will stay here. When we lived in the forest we didn’t have much to eat. I had never tasted rice before coming here. We were just eating the insides of trees. Everyday, I prayed to heaven but nobody could hear me. Now that I have told my story I hope someone can help me.”Fleeing ViolenceCY is 18. She is originally from Bolikhamxai province in Laos. She arrived at Huai Nan Khao refugee camp on October 4, 2006, accompanied by her three-year-old brother. “Laotian soldiers attack us regularly, at least four or five times a year, particularly during the dry season. Laotian helicopters fly over the jungle to find groups of Hmong. Failing that, they drop troops down close by and the soldiers search for us, surveying the area for several days. To find us in the jungle, the military look out for signs of us, particularly marks made by machetes on the vegetation - so we try to leave as few traces as possible. When there is an attack, we separate, and we normally get together again a few days later, in a predetermined place. Generally, the soldiers systematically kill the men and capture the women. To defend ourselves, some of our group were armed [one weapon to 3 or 4 men], some groups possess a few machine guns (M16s); in my group we only had a few old rifles, but it is very difficult to obtain ammunition. ‘Since my childhood, several of my cousins in my group have been killed. In 2002, one of my elder brothers was killed by soldiers when he was out collecting fruit with my cousins. One day in 2004, at around 8 in the morning, Laotian soldiers found our camp. That day, my mother and two men from our group were killed, the soldiers set fire to our camp, but my father, my two younger brothers and I managed to escape.We later found the rest of the group; we use a sort whistle made of leaves to find each other after we have dispersed. ‘In March 2006, soldiers attacked us again and my father and I had to separate, each taking one of my younger brothers. We had arranged to meet at a place. I waited for my father for two days but he never arrived; I was terrified, alone with my brother. Then I decided to walk and, after a day and a night of walking, I came upon a Hmong village on the edge of the jungle. The village chief introduced me to some cousins [among the Hmong, the same surname means you are from the same clan, i.e. cousins; two people with the same surname cannot marry each other].I stayed there for eight months, working, but the village chief then asked me to leave as he considered it too dangerous for him and for the village if the Laotian authorities discovered me there. He told me there was a Laotian Hmong camp in Thailand, where I would be safe.”Dangers of Being Sent BackIn December 2005, 27 Lao Hmong children (5 boys and 22 girls) from Huai Nam Khao were arrested by the Thai police on their way to celebrate Christmas and sent back by force to Laos. Since then, in May 2007, 12 of the girls managed to come back to Thailand and join their parents in the camp. Their testimonies collected directly by the MSF team attest to the harsh treatment those children had endured during their detention in Laos. PHY is one of the girls who returned to Huai Nam Khao. Her statement was taken in the presence of two other girls, PKY, 16, and MY, 16, who were also among the group sent to Laos. During the interview, they occasionally added details and information regarding their own experience. Ultimately, all three girls endured the same situation. PHY describes their experience after being deported to Laos.“Six policemen arrived and started asking us questions, beating us at the same time. They questioned each girl privately (one girl after another in different rooms). They asked, ‘Where do you come from and what are you doing?’We answered that we were from Huai Nam Khao in Thailand and that we were telling the truth, but the police wouldn’t believe us and they beat us even more. They asked us our religion and we told them that we believed in Jesus. They asked who the priest at Huai Nam Khao was and if he was an American priest. They asked if we had been sent by the Americans or the Thais to talk to other Hmong about Jesus. The police also tried to force us to say that we were being paid by Thailand or the Americans to go to Xieng Khouang province to find other Hmong. They also asked who the leader of our group was, but we told them that we didn't have any leaders. They accused us of trying to meet the Hmong who live in the jungle to start a war in this country. They accused us of being spies and things like that.The more we said no, the more they beat us. They hit us in the stomach, grabbed our hair and beat our heads on the floor. They tore our clothes and touched our private parts, saying they wanted to make sure that we weren’t hiding anything. One of the policemen held my legs while others raped and beat me. They did that for an entire day, one man after another. There were six rooms in the prison. Every day, we would experience the same treatment. They would beat us until we were nearly unconscious, let us recover, sometimes for a day, and start over again. They also terrorized us with a revolver. The policemen told us that the boys had already confessed and so it would be a good idea for us to tell the truth.They made us listen to a recording. You could hear each boy being beaten, crying and answering, “Yes, yes,” to the questions the police were asking. They asked, “Were you going to Xieng Kouang? Were you going to the market to take the money the Americans gave you to support the war in the jungle? Are you from Xieng Kouang?” The boy was just crying, and saying, “Yes, yes, yes.”

Appendix III

MSF Assistance to Hmong Refugees in Huai Nam KhaoSince November 2005, MSF has been the only international humanitarian agency providing medical and relief assistance to the Lao Hmong refugee population in Huai Nam Khao. Besides providing medical care, MSF also runs the water supply system and sanitation services, distributes relief items (blankets, plastic sheeting, cooking sets, charcoal, and soap), runs an immunization program, and provides reproductive health services (antenatal care, family planning, and safe birthing services).In mid-2006, in order to prevent the deterioration of the nutritional situation, MSF began providing targeted food distributions to children under five and pregnant and lactating women. This was later expanded to a general food distribution of a full ration, which served at its peak up to 1,451 families in the camp. Patients requiring emergency medical services or specialized tests or examinations are referred to local health facilities. These comprehensive services and activities have helped to maintain the health of the refugee population and prevent the outbreak of epidemics.In June 2007, the Thai government relocated the refugees to a new site approximately three kilometers north of the village. The camp, roughly 20 hectares (49 acres) in size, lies on a hillside with only one access point that is controlled by the Thai military. The camp is enclosed with barbed-wire fencing. MSF was allowed to build an outpatient clinic and logistical warehouse inside the camp in order to continue providing assistance to the refugees as well as designing and implementing the water supply and sanitation system at the new site. Living conditions in the new camp were much improved. There is more space, better access to proper drinking water, better sanitation, and better shelter. Health services have also been improved, notably by MSF’s provision of 24-hour maternal health services.Every day, the MSF medical team provides around 120 consultations, including nearly 10 antenatal consultations. The maternal health team manages about 25 births per month. The main pathologies are upper respiratory tract infections (30 percent), diarrhea (17 percent), skin and eye infections (10 percent), and dental problems (7 percent). Since MSF started to provide tuberculosis treatment (mid-2006), 28 patients have successfully completed their treatment and one died due to complications. On average, MSF refers 115 patients per month to the district or provincial Thai hospitals for consultation or admission.MSF maintains the EPI (Expanded Program on Immunization) program in Huai Nam Khao camp. MSF provides a full monthly food ration of 2,200 calories per person per day; this ration is composed of rice, soybeans, dried fish, salt, sugar, oil, and chili peppers. Since MSF initiated the monthly food-ration distribution, the level of malnutrition has dropped significantly. As of March 2009, there are no more case of malnutrition in the camp. MSF also provides non-food items such as charcoal, soap, plastic sheeting, blankets, cooking pots, and stoves. And the MSF logistical team manages appropriate water supply and sanitation services (latrines, drainages, elimination of domestic waste and vector control activities). The cost of running this relief program during 2008 was €1,900,000.
  1. “Thais Urged to Stop Hmong Refugee Deportation Plan”, Nopporn Wong-Anan, Reuters, 31 October 2007  
  2. The Situation of Hmong Refugees in Petchabun, Thailand – October 2007 – MSF  
  3. “Thais Urged to Stop Hmong Refugee Deportation Plan”, Nopporn Wong-Anan, Reuters, 31 October 2007  
  4. The Situation of Hmong Refugees in Petchabun, Laos : Fears of Forced Return – May 2008 - MSF  
Tags: Hmong Refugees, Thailand, Laos, Refugees and IDPs, Testimony  

 


Screen Shot: Project BOB

Jesse

 


On May 23, 2009, at 10:53 AM, BENGEMIKE@aol.com wrote: We had a brief meeting at the wreath laying ceremony at the Wall honoring those who were killed during the Vietnam War.  Those I was with are tribal people from Laos who fought in the CIA's Secret War in support of War in Vietnam.  The Hmong who fought the North Vietnamese communists in the Laotian theater suffered a loss of over 17% of their total population of around 500,000 people: 35,000 soldiers KIA, 50,000 wounded and 50,000 dependents killed  During the war, they kept 3 divisions of NVA tied up, continuously interdicting the Ho Chi Minh Trail, protected our secret base in Laos that guided American planes into North Vietnam, and rescued a large number of American pilots and ground forces (SOG, SF) operating in Laos (I was one they were unable to rescue). Most of the Hmong fled to Thailand immediately after the war and were resettled in the US and other countries.  A number of them who did not get out in the first wave of refugees, still languish in camps in Thailand under horrendous conditions -- modern day concentration camps (see "Hidden Behind Barbed Wire" by Doctors Without Borders, http://www.doctorswithoutborders-usa.org/publications/article.cfm?id=3629&cat=special-report&ref=home-center-relatedlink).   The communist Pathet Lao, with assistance from the Vietnamese communists continue to hunt down the remnants of this secret army, their children and grandchildren who are still hiding in the jungles of Laos.  The Pathet Lao have sworn that they will hunt them down and kill them all -- "to the last root."  Attached is an article, "Two Faces of communist Laos"  I wrote on this.  If your interested in what transpired in the Laotian theater of the Vietnam War, pick up a copy of "Tragic Mountains" by Dr. Jane Hamilton-Merritt (http://www.amazon.com/Tragic-Mountains-Americans-Secret-1942-1992/dp/0253207568); it's awesome.  Her website is: http://www.tragicmountains.org/  Semper Fi, Mike Benge, civilian Vietnam POW '68-'73    

 


New agency takes over relief work at Khao Kho

New agency takes over relief work at Khao Kho     By: ACHARA ASHAYAGACHAT
    Published: 25/05/2009
    Bangkok Post
The Catholic Office for Emergency Relief and Refugees (Coerr)will
replace Medecins Sans Frontieres at the Hmong refugee camp in
Phetchabun's Khao Kho district, military sources say.
COERR has long experience in dealing with Indochinese refugees in
Thailand and is expected to gradually take over from MSF in coming
weeks, the sources said.
MSF has provided medical care and food to ethnic Hmong immigrants from
Laos since the Huay Nam Khao temporary shelter was opened four years
ago.
The French body announced last week it was withdrawing from the camp
because of stringent military restrictions that were hindering its
humanitarian operations to an unacceptable level.
MSF last year had a budget for the camp of about 90 million baht. It made a final plea to Thailand to stop the forced repatriation of
the Hmong.
It also wants the government to allow an independent third party, made
up of members of Asean and other stakeholders such as France and the
US, to review refugee status determinations.
The Hong Kong-based Asian Human Rights Commission has also joined the
MSF in calling for Thailand and Laos to halt the policy of returning
the Hmong to Laos.
There are 4,750 Hmong from Laos at the camp. Despite an international outcry over the plight of the Hmong, Thailand
has confirmed the repatriation programme will continue.
Laos is insisting the Hmong not be granted refugee status and are to
be treated as illegal immigrants.
After returning from Laos on Friday to prepare for the next General
Border Committee meeting in early August, chief of the Thai-Lao
general border subcommittee, Lt Gen Nipat Thonglek, said Thailand
remained firm on its agreement with Laos to ensure a return of all
illegal immigrants this year.