Dhiren Malpaharia

 He had a burn from before Durga Puja. The skin was gangrenous- so Pradipan (pradipan.slg@gmail.com) took him with Janaki Malpaharia to NBMCH for treatment. After the gangrenous skin was excised in early November he came back to the closed Dheklapara Tea Estate. (http://www.youtube.com/watch?v=HYL72iDe5Hw) The Rs 35 a day his relations earned was not enough. He was given Burnol for the ulcer. He died on the night of 4th December at Birpara State General Hospital. He deserved Universal Health Care. He deserved 100 days work at minimum wages. He deserved to be protected from his unjust employer by the courts and the administration. there are just 100,000 Paharias in the world- most in "Santal" Parganas of Jharkhand. They are a priority tribe. 25 Mal Paharia families live at Dheklapara Tea estate (settled here since around 1926). There are a total of 350 families (many are Tanti or Nayek, some are Oraon) in the Main Division and 250 in Niparnia. Dheklapara is closed for 11 years. The neighbouring Bandapani TE is also closed now.  

Dheklapara TE (Madarihat-Birpara, Jalpaiguri) Visit 25th November 2012
 Siliguri Welfare Organization and Peoples Health Forum organized a camp at Dheklapara Tea Estate Main Division from 11am to 3pm on Sunday 25th November. Uttar Banga Sambad and another organization had arranged for around 350 blankets and mosquito nets for the labourers. The Tea Workers Cooperative helped and a UTUC representative attended. There were around 25 volunteers from SWO and 4 doctors. We passed Sulkapara, Binnaguri and Ethelbari on our way (since we traveled via Sevoke and Odlabari). Dheklapara is 9 km from Birpara. Niparnia is 3 km away from the Main Division.

 Dr Debashis Mukherjee, Dr Prakash Baag and Dr Anita Mazumdar saw around 250 patients. Weight, height, age and names of all patients were recorded and BMI of all adults will be calculated. 4 health volunteers- one girl from Niparnia Division, Kunu Malpaharia, Rajib Malpaharia and one other male volunteer from the Main Division- were identified. If trained and supplied an infant weight machine they could (with the help of Salter scales from the Anganwadis) take the weights of all children. There are an estimated 250 under 5 children in Niparnia and estimated 350 in the Main Division. The ANM attends the Dheklapara Dispensary on Fridays, Record keeping is excellent. Immunization is given, BP of pregnant women is taken.
This Tea Garden is in Bandapani GP. Recently the Bandapani Tea Estate also closed down. Earlier many worked in the Stone “jhalna”- sorting and loading at Rati River. They earned Rs 250 or more there. The Cooperative gives them Rs 35 a day for Tea Plucking. Joy Birpara Tea Estate is functioning. The Health sub Centre is at Joy Birpara. Dim Dima Tea Estate has a CNI Primary School and Fatima High School run by catholics. There are 25 Malpaharia families here. There are also Malpaharias at Chunabati, Raipur, Rayabari, Kathalguri, Totabari (near Banarhat)

 Janaki Malpaharia is wife of Kunu. Her maiden name was Kahar. She has an 11 year old daughter. She had 2 miscarriages. Most recent delivery was a girl 2 months ago who died and was not breastfed. Since then she can not walk and has “some irregularity in her periods”. After the MRI at AMRI (PPP connected to NBMCH) she was found to have narrowed spinal spaces. She has recovered to the point of sitting up. The treatment with Phenytoin has helped her. Apparently she has epilepsy. No CT scan done to look for tuberculoma or cysticercosis. Her Hemoglobin is 6.9 gm% and Total Count WBC is 3800/cu mm. No enlargement of spleen however. She has cough for one month. We advised Sputum for AFB. Maybe Gp Rh and VDRL need to be done later. She was given a mouth wash for halitosis. She had urinary tract infection as well.
Dhiren Malpaharia is 60 years old. He fell and burnt himself before Durga Puja (October). There was near gangrene- his dead skin was removed at NBMCH. The large ulcer covers half his forearm and most of the upper arm. His elbow is stiff in a flexed position. The raw area is red and clean- but the piece of shirt covering it has marks and may not be clean. Advised silver sulphadiazine in preference to Burnol. Also clean gauze or other light cotton cloth to be changed every day. Rajib Malpaharia who cycles to school at Birpara is in class 11. He had phimosis and was also operated at NBMCH. We met the father of Jarain Nayek 23/ F, unmarried, who died after 3 days of fever. They are originally from around Mayurbhanj/ Jamshedpur.
 We visited the home of Urvashi Bedia daughter of Pradeep. She is 12 years old. They are originally from near Hazaribagh. About 4 months ago she stopped walking. This continued for 2 months. Now she can walk again. She is quite thin. She studies in class 6. She had pus discharge from her ears (CSOM). Her eyesight was also affected. Now she has swelling of the right knee for a week.
 On the way back we stopped for lunch at Sangam Line Hotel. They have a stone sorter machine.



 The Dheklapara Tea garden is closed for 11 years. There are around 700 families living here. An old lady and her grand child live alone
Indo Tanti had Hemoglobin of 5 gm %. She had her ECG taken. Death Certificate says Congestive Cardiac Failure. No X Ray. Possibility of TB does not seem to be ruled out. There has been Dengue recently in the area. There has also been proven Chikungunya. Malaria is rampant. Stone related work could lead to Silicosis in future- urgent need for Spirometry and follow up. At least 5 patients were referred for Sputum AFB. Niparnia has a problem of elephants attacking houses

 Trip 20th November Debijhora Tea Estate (Chopra, U Dinajpur)
 Break in Tea Gardens here is between 11.30 am and 1.30 pm. BMOH, second ANM Augustina Kullu and ASHA Sugandhi Baraik took me to meet 6 year old Prima Beck who has Kala Azar. Another family with a treated KA patient has relations in Manjha/ Betbari in Naxalbari Block (where PHN Krishnamoyee Bala is now posted). We heard that the first case was diagnosed by doctors in Kishanganj. There were 72 Oraon tribal patients (largest group in Bohura Line) last year out of 106 in Chopra. There were 74 more cases in the other 8 blocks of U Dinajpur. Bohura Line is on the border with Bangladesh and frequent cattle thefts occur. Only one family- from Azamgarh (near Gorakhpur) and Jaunpur (husband and wife) - still have cattle. Some people are working in Kakarvitta in Nepal and many in other areas (Rajasthan, Tamil Nadu, and Delhi) especially in plywood factories. There were a lot of pigs- but this has been done away with following pressure from health workers. In another KA patient’s home we found a dehydrated old gentleman with one day history of diarrhea. We suggested he go to the Tea Estate dispensary for re-hydration. This family brews alcohol using gur [molasses]. Yesterday I read that there is cholera in one tea garden [probably in Jalpaiguri]

 16th October Gulma Tea Estate (Matigara, Darjeeling) On the 16th of October members of SWO, Forum for Peoples Health, APDR and Binayak from PUCL went to Gulma Tea Estate (Matigara, Darjeeling). Here 160 acres of common land- used for subsistence farming in the past- had been fenced off by the Tea Estate. They claimed that this land had been rented to them 30 years ago- though they had not used it in this period. Now they plan to turn it into real estate- possibly taking advantage of the river, rail line, and view of the mountains to build a tourist site or upper class residential colony (like Ambuja). They were harassing workers who opposed this land grab. We spoke to a worker Mr Samad and his wife (a nurse) who was cooperating with NAPM.
Also see:
http://www.scribd.com/doc/ 114257496/Tea-Wages-and-Land

http://www.scribd.com/doc/113612123/Pokhoria-TE

http://www.thestatesman.net/index.php?option=com_content&view=article&id=414530:elite-from-the-boondocks-&catid=52:north-east-page&from_page=search

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