Last week it was revealed that six children have died in the southern provinces of Thailand since June this year. Sadly, children die all the time through misadventure and incurable disease.
But these six children died from Measles, one of the many diseases that have been brought under control in most communities over the past half century. Vaccination has also brought under control scores of other, in the past, deadly or disabling diseases. Here are just a few…
- Meningococcal disease
- Hepatitis A
- Hepatitis B
- Pneumoccocal disease
- Typhoid fever
- Hepatitis E
- Tick-borne encephalitis
- Haemophilus influenzae type b
- Varicella and herpes zoster (shingles)
- Human papilloma-virus
- Rotavirus gastroenteritis
- Yellow fever
- Japanese encephalitis
There is no mystery about all this. The untold misery that’s been prevented by the science of vaccines has been one of the greatest inventions in medical history. So why are we reading this news?
Yala province alone has registered nearly 500 measles infections since the disease began spreading in June, according to the Yala Provincial Public Health Office. So far there have been six deaths in the province, and the infection rate has rapidly risen since September.
The recent completely baseless fear-mongering about vaccines and their connections with autism, has now been completely debunked and disproven. There is no peer-reviewed evidence that supports these claims, originally made by a now-discredited Dr. Andrew Wakefield in 1993, now struck off the UK medical register for unethical behaviour, misconduct and fraud.
When added to religious conviction, this mis-information can become life-threatening for the unvaccinated and uneducated.
“The main cause of the mass outbreak of measles in the far South is the large number of Muslims who are refusing to take the vaccine,” said Vaccine Preventable Diseases Division director Dr Pornsak Yoocharoen.
For a Muslim mother, she is torn between a number of clashing influences – the Thai medical system which rolls out the World Health Organisation standard for vaccination of children, misinformation on the internet, some Dato (Islamic teachers) who advise against vaccines and their Islamic texts which, in a round-a-bout manner, says Muslims shouldn’t be vaccinated (depending on your interpretation).
Dr Abdul Majid Katme, head of the Islamic Medical Association, is telling Muslims that almost all vaccines contain products derived from animal and human tissue, which make them “haram”, or unlawful for Muslims to take. Islam permits only the consumption of halal products, where the animal has had its throat cut and bled to death while God’s name is invoked.
But, put simply, the facts must win out if Thailand is to avoid a dangerous outbreak of measles, and potentially, other completely preventable diseases
Not vaccinating children is a form of child abuse. If not vaccinating your own child isn’t bad enough, the situation can get completely out of control, quickly, as measles (in particular) is very infectious and can spread to unvaccinated populations quickly. So it’s not just about you and your children, it’s about the whole community.
“We have been trying to promote childhood immunisation in the three Southernmost provinces for many years, but these efforts are not very fruitful. This is because since the southern insurgency was ignited a decade ago, officers have found it harder to work with local communities due to the lack of trust among local Muslims and the insecure situation for the officers,” said Dr Pornsak.
Whilst the battle against passionately-held beliefs, misinformation and non-sensical religious-based resistance to vaccines seems unsurmountable, it is one area where ‘tolerance’ is not an option when there are wider public health implications. Big implications.
Sheikhul Islam Office secretary Sutham Boonmalert directly addressed the issue last week, saying that though some vaccines contain ingredients derived from pigs, which are forbidden for Muslims, it was more important for a good Muslim to remain in good physical health at all times.
A book written some 1,400 years ago, long before anything was known about the causes of disease and famine, let alone vaccines, is not a reliable text for the modern control of public health. People are well entitled to their religious beliefs and should be able to conduct their lives in a way that brings them comfort, peace and happiness. But when those beliefs step into the realm of public health and community safety the push-back from authorities must be swift and firm.
Believe what you will but leave you faith at the front door of the hospital or medical clinic before you enter.
The three southern Thailand provinces are now facing a serious outbreak of measles – this is a major public health concern for anyone traveling to these communities or the possibilities of infected people travelling beyond their daily borders.
Having any children diagnosed with Measles in 2018 is a preventable scandal that deserves urgent attention from medical authorities before it spreads further. The virus cares not about borders, or your religion, and will spread to unvaccinated populations.
No amount of prayer will stop that nor will your prayer bring any comfort to your infected child.
PHOTO: Jakarta Post
The day that shook Thai politics
It was just another Friday except that it was also the final day that political parties were able to nominate MPs for the March 24 elections. And their proposed candidates for the role of the a Prime Minister following the election.
PM Prayuth Chan-ocha would announce his candidacy sometime during the morning, the worst kept secret in Thai politics.
After engineering a new constitution in 2017, with an outward veneer of democracy, the General and the military minders were a shoe-in to regain control following the election. Except this time they would appear to have a mandate through an electoral process.
The country’s upper house of parliament, the National Assembly, would be nominated, entirely, by the Military. But there was plenty of residual negative feeling brewing, both from the factions loyal to former PM Thaksin, still lurking in exile, and a reaction to four years of military rule.
There were plenty of new political parties putting forward MPs vying for a seat in the lower house of the Thai parliament. They realised that they would have an uphill battle. But the sheer numbers of MP candidates, the largest ever in Thai history, was an impressive show of the country’s desire to return to a semblance of democracy, even if the military would continue to pull the strings.
The new charter throws a new electoral system into play. Untested and untried. It’s a modified proportional method of choosing the 500 members of the lower house of parliament in which people vote for one of 350 constituency candidates; those votes are totalled to determine which of the remaining 150 party list seats go to which party.
Under the previous system voters cast two ballots, one for the candidate and one for the party.
The barely disguised aim was to increase the seats held by medium-sized parties, but significantly reduce the seats held by the party of former PM Thaksin Shinawatra, which won every election held since 2001.
The Thaksin parties needed to pull a political rabbit out of the hat to maintain their margin – pluck a winning card out of the stacked deck.
First thing last Friday, the Thai Raksa Chart Party, actually dropped their political, and social bombshell. Although rumored in the days before the nomination deadline, they announced that Princess Ubolratana Rajakanya Sirivadhana Varnavadi, King Maha Vajiralongkorn’s elder sister, as its prime ministerial candidate.
Princess Ubolratana was a famous actress, singer and businesswoman. She had officially relinquished her royal titles in 1972, when she married an American and moved to the United States. At the time she was the eldest child of Rama 9, King Bhumibol Adulyadej, a female, so unable to assume the throne under the Thai royal succession guidelines.
But now she was the sister of the current Monarch. And, aghast, she was throwing her hat in the ring with the country’s pro-Thaksin forces.
What did all this mean? Was there some back-room collusion between the Thai monarch and the exiled fugitive former PM Thaksin? Was this some unforeseen coup d’état attempt against the country’s military? Had a deal being brokered between the Shinawatras and the Thai palace following decades of rivalry which had caused so much political turmoil?
Was THIS the move that would break the long-standing stalemate between the Red Shirt and Yellow Shirt factions?
The news of her candidacy sent academics scurrying for their history books. The media were in a frenzy. The current PM’s nomination as prime ministerial candidate almost went unnoticed.
The news would throw Prayuth’s ‘cunning plan’ to put a democratic varnish on his leadership into turmoil.
This was a first. The first time in Thai history that a member of the royal family ran for elected office. Was it legal? Could she do it? Had she spoken to HM The King before agreeing to the invitation from the Thai Raksa Chart party?
If it had gone ahead, Ubolratana’s candidacy would probably have been a walk in the park, all the way to the keys of the PM office in Government House.
Who would run against her, or make statements against a candidate who cannot be legally criticised? Although she had relinquished her Royal title ‘HRH’, she was still very much a part of the ‘Family’.
For Thais, they would be divided between making a political vote or displaying their loyalty to the country’s monarchy – an institution with potent emotional power in the South East Asian nation.
But a mere 13 hours after Princess Ubolratana had been announced as a prime ministerial candidate, her brother HM King Vajiralongkorn issued a strongly worded statement which took the winning card out of the deck.
“Despite the fact that Princess Ubolratana relinquished her titles, in compliance with the Palace Laws, she has been maintaining her status as a member of the Chakri royal family.”
“Any attempt to involve high-ranking members of the royal family in the political process, by whatever means, would be a breach of time-honoured royal traditions, customs and national culture.”
“Such actions must be deemed a transgression and a highly inappropriate act.”
The Princess’ 13 hour political career was over.
The statement from His Majesty, and the Princess’ Instagram response the following day, were both ambiguous enough to allow the Election Commission to make a final decision about her candidacy, although to allow her continuation in the political race, in defiance with The King, would have thrown the country into a constitutional crisis in the weeks leading up to the general election.
But the drama wasn’t entirely over with rumors of a coup underway from another military faction just four days after the events of the tumultuous Friday. The NCPO’s public relations machine, along with the Deputy PM Prawit Wongsuwan, were rolled out to firmly deny the rumors and promised to track down the source of the fake news and punish anyone who shared the news on social media.
Everything was back to normal, although ‘normal’ is never a word that can be used to describe the political situation in Thailand or the complex social links between the Family, the Privy Council, business people and the Army.
The election campaign is forging ahead as planned but March 24 is still a long way off and, really, anything could happen. The NCPO’s 2014 aim to ‘bring the happiness back to Thailand’ will be sorely tested in the next few weeks.
Can the Princess be PM?
The Princess was nominated. Her brother, HM Thai King, objected. Thai Raksa Chart postponed their campaign launch on Saturday morning. The PM and Election Commission have stayed silent.
With the weekend allowing cooler heads to sift through yesterday’s events, next week it is hoped some clarity will emerge about the Princess’ nomination as a prime ministerial candidate that threw the election campaign a curved ball yesterday morning.
Princess Ubolratana’s position within the Thai Royal Family doesn’t preclude her from running for a political position, although to defy The King’s wishes, after his strongly worded statement on Friday night, would place the country in an unprecedented constitutional conundrum.
That she was nominated by a political party with strong ties to the former disgraced and fugitive PM, Thaksin Shinawatra, also places an additionally complex spin on the Princess’ decision to accept the nomination.
For her to run as a candidate for the role of PM would put all other candidates in a very difficult position, including the current PM, Prayut Chan-o-cha, who also was nominated as a PM candidate yesterday.
With her clear connections to the royal family it would make questioning her, or even running against her, untenable or even impossible within the dynamic of Thai society. Would any candidate dare to run against the King’s sister?
The Election Commission, by law, has the final say on the acceptance of candidates. But, to be sure, the batteries on the smartphones of politicians and palace officials will be running low this weekend.
At this stage, the man who has the most to lose, the current PM, has made no comment about the nomination.
Princess Ubolratana is the eldest child of Rama 9, King Bhumibol Adulyadej, who died in October 2016, and Queen Sirikit. According to some analysts, royal family members of her ‘rank’ are not barred from politics but have opted to stay neutral in the past, a long-standing protocol in most modern constitutional monarchies.
Ubolratana was close to her father – the two won a gold medal in sailing at the 1967 Southeast Asian Games. She relinquished her royal title when she married her American husband Peter Ladd Jensen in 1972 and settled in the US, where she studied biochemistry.
The couple had three children but their second, Khun Bhumi Jensen – known as Khun Poom – died in the 2004 tsunami that ravaged southern Thailand.
Following her divorce in 1998, she returned to Thailand permanently in 2001 and became active in royal life. She has been working as a representative for the Thai tourism authority for more than 10 years. He also set up several charities, including the Khun Poom Foundation, named after her son, that assists children with autism and other learning disabilities, and headed a campaign that helps young people stay off drugs.
She is regularly featured in the daily TV coverage of the royal family going about their duties in the Kingdom and is generally treated with the same respect as the other leading members of the family.
She is also well known and loved in Thailand as a keen singer and actor, appearing in several films, and is active on social media, where posts of her singing and dancing have gone viral on her Instagram page.
On March 24, Thais will vote for the 500 seat lower house of parliament. The 250 member upper house, the National Legislative Council, will be chosen entirely by the military.
Bangkok air pollution reduction schemes – FAIL
Smog, air pollution, air quality, PM2.5 micron particulate. If you live in Bangkok it’s all the same thing.
Four water-carrying drones took off from Bangkok City Hall this morning to join three fire engines in the latest assault on health-threatening haze.
Bangkok is a city covering some 1,500 square kilometres with a population of over 8 million. The frequent media ‘photo opportunities’ of water cannons, fire trucks spurting perfectly good drinking water into the sky and domestic drones spraying their 10 litre loads into the air, are lapped up by the local media but are doing nothing to address the key air pollution issues.
In the grand scheme of things, nothing.
The Bangkok Governor indignantly replied to a journalist who dared to ask him if the drones would help reduce the city’s air pollution with the response “at least we’re trying something”.
Whilst this media show continues, Bangkokians, adorned in cheap facemarks that are more a fashion accessory than a reliable health prevention measure, continue to suffer the month-long haze and smog that has settled over the capital.
The readings of ‘Unhealthy’ provide a daily scorecard of the Bangkok authorities’ efforts.
Last week, bereft of any workable solutions, a spokesperson for the Pollution Control Department even went as far as debunking the science behind the measurement of the PM2.5 micron particles and said the websites publishing the air quality readings were ‘greatly exaggerated’.
Meanwhile, the Bangkok Metropolitan Administration is still pinning its hopes on water sprayed into the air as a means of lowering levels of harmful PM2.5 dust particles. Nearly a month of all this water being sprayed into the air has resulted in a net zero result.
Whilst being a very visible and photo-worthy effort, the water sprayed into the air sells umbrellas and that’s about all.
The Nation reports that Pol Lt Colonel Somkiat Nonthakaew, director of the BMA Fire and Rescue Department, reported a small change in plans from yesterday’s deployment. The three fire engines, each with a 10,000 litre water tanks, were spraying water to lower heights, while the drones would be spraying the air from 30-50 metres’ altitude.
Water was also being sprayed from the 37th floors of tall buildings (why the 37th floor?). The operation would continue for “as long as it takes”, Somkiat said to The Nation.
The drones can cover one rai per flight, according to the BMA Fire and Rescue spokesperson. There are 50 drones. There are 625 Rai in a square kilometre. Bangkok is over 1,500 square kilometres… you do the maths.
Whilst this show is being played out in Bangkok, the burning of agricultural fields – rice and sugar cane plantations mainly – continues in the central, north-eastern and northern plains of Thailand. And the old diesel buses, along with other old cars, keep plodding around the city and environs every day pumping out plumes of black smoke.
But NONE of these issues, the core problem of Bangkok’s air pollution issues, are being actively addressed, or even admitted by the authorities.
Nature, a change in the weather and the progression of the seasons is the only thing that will clear this mess in the short term. It won’t be the 50 drones dropping their gooey loads onto the streets below.
Meanwhile, the burn-offs continue in the agricultural sectors of Thailand, the largest sector of voters in the country.
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