The Irrawaddy News Magazine [Covering Burma and Southeast Asia]
ARTICLE
Heroin and HIV/AIDS epidemic in Burma
DECEMBER, 1998 - VOLUME 6 NO.6

A new report, titled “Out Of Control 2”, issued by the Southeast Asian Information Network [SAIN] shows the involvement of Burmese regime officials in narcotics trafficking and the correlation of increased drug trade and rising HIV/AIDS rates in Burma and beyond its borders.

The report states that the last several years have produced a mounting body of evidence indicating high-level involvement of some junta members in the illicit narcotics industry. Routes and methods of transportation and export of Burmese narcotics are described in this report.

“Under this regime Burma is not only becoming a narco-state but its people and those of its neighbors are facing two devastating epidemics: injecting drug use and HIV/AIDS,” said Dr. Chris Beyrer.

New evidence from China and India suggests that Burmese heroin exports to those countries now pose similar health risks to their peoples, and the evidence suggests high- level Burmese government involvement with the export of these narcotics.

New information details how heroin #4 from Burma is crossing through China’s western borders into Kazakhstan and onto Hungary and Poland.  The report explains how the explosive use of heroin #4 and HIV infection are linked to the dual epidemic in Burma and its neighboring countries.

The Indian and Chinese drug and HIV/AIDS epidemics support evidence that Burma, in addition to being a heroin exporter, is also an exporter of the HIV infection.

There has been a considerable rise in the amount of heroin crossing the border since the signing of the Indo-Burma trade treaty in 1995.

In November, the Unicef director for East Asia and the Pacific told Reuters news agency in Bangkok that Burma and Cambodia could face an  “Africa-like” Aids epidemic unless they  took firm action against the deadly virus. Curiously, shortly after the Unicef’s warning, the Tatmadaw [Armed Forces] issued private instruction concerning HIV/AIDS to battalions and troops throughout Burma.

According to reliable source, between January to October this year approximately 1,000 soldiers were infected with Aids virus, while over 5,000 were found to be HIV positive.

“Many soldiers who have been stationed on the border with Thailand are infected with HIV virus,” added a source.

Many soldiers who deserted their battalions and now work in Thai border towns also told this reporter that “our friends [soldiers] died without even knowing the disease.”

A soldier who is in his 20s said there is little information and education provided by officers about the disease “that killed one of my friends in our regiment.”

It is a well-known fact that Burmese soldiers including army officers visit brothels along the Thai-Burma border. Without a doubt, the sex workers are not Thais, but Burmese women who desperately need income so that they can send money back to their starving families in Burma.

Not only on the border, but also in central and inland Burma, soldiers bring prostitutes to their quarters where they “share” them.

Former soldier Soe Myint [not his real name] now in Thailand said 10 to 15 soldiers would spend a night with a girl [sex worker]. When asked, “Condom?” He replied, “Never heard of it.”

In remote villages, stories are appalling. Soldiers rape village girls and women. The question is what if these soldiers are infected with HIV or venereal disease.

“Now a stern order has come from the Rangoon war office that soldiers who cross the border, visit brothels, and bring prostitutes to their camps will be punished,” according to a reliable source.

It added that more serious HIV/AIDS education will be offered to soldiers.

According  to the SAIN report, one study of HIV infection risks among men in the Burmese military has been performed.  It discovered that risk behaviors were common and  that these behaviors included sex with other men (7.4 per cent), extramarital sex (13 per cent), sex with commercial sex workers (37.3 per cent), and inconsistent or absent condom use (96.6). While AIDS education is offered to soldiers, condom promotion and distribution is not a significant part of this program.

There has yet to be any research conducted on homosexual and bisexual intercourse.

As early as the 1980s, young recruits in the army admitted to having sex with their officers or friends. Officers find young and charming soldier to accompany them. At night, young soldiers are often asked to do an extra job.

A World Health Organization report in 1996 showed that 475,000 people were infected with HIV in Burma.  The majority were infected  through intravenous drug use. Burma’s first HIV case was found in 1988. The screening programs began 1985.

HIV infection rates of Burmese sex workers in Thailand are estimated at 70 percent.

WHO, Unicef and other independent researchers and NGOs have warned that the infection rate in Ranong province in southern Thailand is very high.

Also in Mae Sai, Chiang Rai, and Chiang Mai (northern Thailand), where many sex workers are from Burma, the infection rates are horrifying. Between 25 per cent to 35 per cent of women entering the sex industry in Thailand are Shan immigrants. Between 40-60 per cent of all women working in brothels have HIV, SAIN reported.

Brothels in Chiang Rai, Mae Sot, and Mae Sai are filled with Burmese sex  workers. They are owned by Thais. Their customers are Burmese, including soldiers, and Thais.

Lack of Education

At the beginning of this year Inter Press Service reported that in 1997, after a brief period of appearance in the media, condom advertisements shown on state-run television in Burma were pulled by officials afraid of criticism from conservative circles that insist such advertisements promote promiscuity.

However, concerned editors and physicians in Burma are not sitting idly though they have little power to launch an Aids awareness campaign. Some privately-owned magazines run frequent articles about the disease. There are a handful of foreign NGOs working in Burma, but they have received little cooperation from the junta. The regime is not willing to allow free and open access to information, hospitals, prisons, drug treatment centers, or HIV/AIDS data. NGOs deciding to “bite the bullet” and work with the regime have been frustrated and hampered in their efforts.

Unicef reported that northern Burma’s Shan State is the world’s biggest single source of heroin and that drug users in the country frequently resort to needles shared by multiple users. As heroin No.4 is cheap and available, opium smokers have switched to heroin injection. SAIN and other independent organizations estimated that in 1997 between 400,000 to 600,000 people were carrying HIV.

The Generals Are In Denial

Initially, the junta said that AIDS was only a foreign disease. They said: “That is a disease caused by foreigners or the disease came from neighboring countries.”

Sadly, this senseless understanding needs to be changed and the sullen generals who know how to bully unarmed civilians should learn more about the secret plague that could really devastate the country.

When an international Aids conference was held in Chiang Mai in 1995, a Burmese delegation attended the conference. A Burmese physician, who was recruited by the government to attend the seminar, told a reporter, “Don’t believe what the outside press report about the AIDS situation in our country. There is no such thing.”

Two years later, according to a source in Keng Tung, Shan State, a 200-bed hospital was filled with HIV and Aids patients.

Indeed, the battle with this deadly virus won’t be easy.                                             

This article is contributed by a staff reporter in Thailand. 

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