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Bangladesh-children: Disease haunts lonely street children of Bangladesh

Agence France-Presse - March 3, 2003
Nadeem Qadir

DHAKA, March 3 (AFP) - When he was a baby, Khokon was found abandoned by a couple and taken in. When he was 11, they put him on a ferry to Dhaka and told him to earn his own bread.

"I don't have any family identity. I don't know what affection or love is," Khokon, now 15, said with a laugh. "But I survive, I've learned to survive."

For Dhaka's massive population of street children, life on their own means they are not only deprived of a family's love and support, but are at risk to diseases that can kill them or cause permanent damage if not treated.

Khokon is one example.

"I had scabbies all over my body and they bled due to scratching, but I didn't have any money to go to a doctor," he said.

"I treated it with some cream I bought from a vendor, but it didn't go away."

But the rashes that once covered him are now gone, after he found help at Street Children Partners-Bangladesh.

The French non-governmental organisation has been trying to address both sides of the trauma for these children, providing them psychological comfort and also treatment for the diseases they face.

The boys and girls are separated in each session, where a doctor shows them pictures of different illnesses they could be suffering.

"Do you know this disease?" he asks. "Does anyone want to be treated?"

The children are often shy about admitting they are sick. But as they gain trust in the doctor, some of them whisper to him that they know too well about the diseases in the pictures.

Marjorie Unal, who heads Street Children Partners-Bangladesh, said the NGO recently organised a week to study street children's health -- and was shocked at what it found.

"Doctors found out that they not only had different types of skin disease, but also some sexually transmitted diseases (STDs), she said.

"It's amazing how children who are yet to reach their teens were infected with STDs."

While UN estimates put the number of HIV-positive Bangladeshis at a relatively minor 13,000, doctors worry that street children are at risk to an array of diseases because of their sexual behaviour.

"The problem with street children is they are exposed to diverse groups of people and thus get infected with different kinds of diseases, some of which can be fatal if untreated," said Mustafa Abdur Rahim, a doctor who works with such children.

Hepatitis and syphillis have already killed street children who did not seek treatment in time, he said.

"These children commonly suffer from scabbies, hepatitis and diarrhoea and have worms," said Harun-ur-Rashid, who works with another NGO, Chinnomool Shishu Kishore Sangstha.

Bangladesh has seen a dramatic increase in the number of street children. >From 2.5 million in 1974, some 6.9 million children between ages five and 14 lived on the street in 2000, according to the International Labour Organisation.

A large part of the problem, experts say, is that street children are out of the usual health net, including immunisation drives.

Every year about 20,000 children die of measles and 8,000 babies die of tetanus, while another 1.8 million children are at risk to other diseases because they had not taken shots, said an official at the government's primary health care directorate.

NGOs hope they can curb the disease afflicting street children by making them aware of the risks in the lifestyles they have been sucked into.

"If they know how they can stay away from these diseases, it could help a lot," said Unal.

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