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Topic/ Item Page Number
Committee xiii - xxList of Participants xxi -xxvii
Preface xxviii
5th Dhaka Declaration xxix-xxx
Introduction 1
Inaugural Session 2-16
Welcome AddressProf. Mahmudur RahmanCo-ordinator,Dhaka Community Hospital Trust
2-4
Mr. Morten GiersingCountry Representative, UNICEF- Bangladesh
5-7
Mr. Tapan ChoudhuryManaging Director, Square Pharmaceuticals Ltd.
8-9
Dr. Willard R. ChappellProfessor, Environmental Science, University of Colorado, USA
10
Dr. Moniruzzaman Miah Chairman, TWEDS
11-12
Vote of ThanksProf. Quazi QuamruzzamanChairman, Dhaka Community Hospital Trust
13-16
Working Session 1 Arsenic Health Issues
17-29
Arsenic Exposure, Diet and Skin Lesions in Pabna, BangladeshDr. David ChristianiProfessor, Occupational Medicine and EpistemologyHarvard Medical School
17-18
v
Topic/ Item Page Number
Health Impact of Arsenic Contamination in the South-East Asia RegionDr. Deoraj Harry CaussyThe Environmental Epidemiologist, Department of Evidence and Information and policy, World Health Organigation, South East Asian Region, India
19-20
Arsenic Neuropathy from Groundwater Arsenic Contamination in IndiaDr. S.C. MukherjeeAssistant Professor, Department of NeurologyMedical College, Kolkata
21-22
Susceptibility of Arsenicosis in Bangladesh and Management of Arsenicosis Patients in DCHDr. Shahjahan and Dr. Ainul Islam JoarderConsultant, Dhaka Community Hospital
23-24
Skin Manifestation & Complication in ArsenicosisDr. Shahidullah ShikdarAsstt Professor, Department of Dermatology and VenerologyBangabandhu Sheikh Mujib Medical University, Dhaka
25-26
Ground water arsenic contamination and suffering of people in Bihar, Uttar Pradesh, and Jharkhand States of India In Ganga PlainMr Sad AhmedSchool of Environmental Studies, Jadovpur University, Kolkata
27
Social and Economic Effects of ArsenicDr. Farida AkhterUBING, Policy Research for Alternative Development
28-29
Working Session 2 Continuation of Arsenic Health Issues
30-44
Collaborative IRB Capacity BuildingLia ShimadaDepartment of Environmental Health, Harvard School of Public Health
30-32
Respiratory Effect and Chronic Arsenic Exposure in BangladeshDr. Ziaul Hasan Rumi Technical Specialist, NGO Forum for DWSS
33-34
vi
Topic/ Item Page Number
Experiences of DCH Arsenic Clinic And Yahia’s War Against CancerDr. Syed NasrullahConsultant, Dhaka Community Hospital
35-36
The Pattern of Clinical Manifestations and Practice of Alternative Water Options of 50 Arsenic Affected Patients of Sirajdikhan Upazilla, BangladeshDr. Farzana BegumProject Officer, Public Health, Dhaka Community Hospital
37-38
Interaction of Ascorbic Acid and Iron in Arsenicosis patientAbdus ZaherAssistant Professor, Institute of Nutrition and Food Science Dhaka University
39-40
New Approach on Managing Non-Healing UlcerMr. Abdus SalamConsultant on Physiotherapy, Dhaka Community Hospital
41-42
Arsenic Contamination Problem In CHINADr. Jheng BaoshamProfessor, State Key Laboratory of Environmental GeochemistryInstitute of Geochemistry, Chinese Academy of Science, Guiyang Ghizou Province
43-44
Working Session 3 Update of Safe Water Options
45-54
The One-year Monitoring Programme Updates of Shallow Dug Wells to Provide Arsenic-Safe Water in West Bengal, IndiaFr. XavierLecturer, Department of Environmental Science St. Xavier's College, Kolkata
45-46
Dugwell And it’s Use as Sustainable Alternative to Ground WaterNandini Sabrina Environmental Engineer, Dhaka Community Hospital
47
Effectiveness and Usefulness of Arsenic Removal Plants: An Experience in West Bengal, IndiaM. Amir HossainSchool of Environmental Studies, Jadavpur University, Kolkata
48
vii
Topic/ Item Page Number
The Role of Bangladesh Arsenic Mitigation Water Supply Project in Fighting Arsenic Crisis of BangladeshMr. Khoda BuxProject Director, BAMWSP
49-50
Safe Water Options in Bangladesh: Piped Water SuppliesMr. Paul EdwardsChief, Water and Environmental SanitationUNICEF - Bangladesh
51-52
Assessment of Options for Safe Water in Arsenic-Affected Areas of BangladeshDr. Phillip CrispSenior Lecturer, School of Chemical Engineering and Industrial Chemistry, University of New South Wales, Australia
53-54
Working Session 4 Water Availability and Rational Use of Available Water Sources
55-66
Water Supply in Arsenic Affected Rural Areas of Bangladesh –The Institutional ChallengeChowdhury Mufad AhmedSenior Assistant SecretaryMinistry of Environment & Forest
55-57
Arsenic Safe Water Supply: Potentials of Surface Water SourcesFiroz AhmedProfessor of Civil/ Environmental Engineering, BUET
58-59
Aquifer Concept and Withdrawal of Safe Ground Water from the deltaic Plain of BangladeshMd. Nehal UdidnDeputy Director, Geological Survey of Bangladesh
60-61
Impact of River Link ProjectMr. A N H Akhter HossainManaging Director, Dhaka WASA
62-63
The Present History of Surface Water in Bengal: A Cautionary NoteMr. Sallimullah KhanConsultant
64-66
viii
Topic/ Item Page Number
Special Session 67-74
Mr. Mirza Fakhrul Islam AlamgirState Minister, Ministry of Agriculture, PRB
67
Mr. Shafiq RehmanEditor, Jai Jai Din
68
Mr. Rashed Khan MenonGeneral Secretary, Workers Party of Bangladesh
69-70
Dr. Naila Zaman KhanProfessor, Child Neurology & Development Bangladesh Institute of Child Health
71-72
Mr. Atiqur Rahman SaluMember, International Farakka Committee
73-74
Working Session 5Health and Environmental Hazards Encountered with Extraction of Ground Water and Management of Water Resources
75-89
Water Quality Characterization of The Bhairab-Rupsha River System of Khulna City and The Management of This Water Resource Through Environmental BiotechnologyMr. Nando Dulal DasBiotechnology Discipline, Khulna University
75-76
Status of Ground Water Contamination & Human Suffering in Murshidabad, One of the Nine Arsenic Affected Districts of West Bengal, IndiaMohammad Mahmudur RahmanSchool of Environmental Studies, Jadavpur University, Kolkata
77-78
GOB-UNICEF Arsenic mitigation program in BangladeshShafiqul IslamTeam Leader, Arsenic Unit, Water and Environmental SanitationUNICEF-Bangladesh
79-80
Social Impact of Arsenicosis Patients in BangladeshMr. Jabed YousufProject Director, Dhaka Community Hospital
81
A plan of ActionDr. Richard Wilson Professor, department of Physics, Harvard University
82
ix
Topic/ Item Page Number
Sludge Management In Arsenic Removal Plants in Manikganj and FaridpurMs Sharmeen MurshidChief Executive Officer, Brotee
83-84
Safe Water for Agriculture: Treatment System Using Air and Scrap Iron (3-Kalshi Patra) to Remove Arsenic from Tube Well for Growing Arsenic –Sensitive CropMr. A.H. ChowdhurySchool of Chemical Engineering and Industrial ChemistryUniversity of New South Wales, Australia
85-86
Increasing Trend in Hand Tube-wells and Arsenic Concentration in Affected Areas of West Bengal. India: A Future DangerMrinal Kumar SengutaSchool of Environmental Studies, Jadavpur University
87
Community Demand Drinking Water From River Sand FilterMr. Ariful Islam Assistant Program Officer, Dhaka Community Hospital
88-89
Working Session 6Continuation Health and Environmental Hazards Encountered with Extraction of Ground Water and Management of Water Resources
90-101
Appropriate Technology in Action: Experiences in Arsenic Mitigation at Micro-LevelAli Ahmed ZiauddinShobuj Shena Centre, Sibaloy, PRISM, Bangladesh
90-91
Arsenic In Drinking Water and Recent Knowledge on food chain ContaminationProf. Imamul HuqDepartment of Soil, Water and Environment,University of Dhaka
92-93
The WHO Water Safety Framework Approach to Arsenic MitigationDr. Guy Howard International Specialist, Arsenic Policy Support Unit (APSU)
94-95
x
Topic/ Item Page Number
Arsenic Mitigation at The Village Level: The Araihazar Experiences and a Draft Framework for a National StrategyDr. Kazi Matin AhmedDepartment of Geology,University of Dhaka
96-98
Dr. Dipanker ChakrabortiDirector & HeadSchool of Environmental Studies, Jadavpur University
99-100
Prof. Quazi QuamruzzamanChairmanDhaka Community Hospital Trust
101
Closing Session 102-119
Dr. Ahmed KamalProfessor, Department of History, University of Dhaka
102
Prof. Ainun NishatCountry Representative, IUCN
103-105
Mr. Badiur RahmanMember, Planning Commission
106-107
Mr. S.K.M. AbdullahMember, National Expert Committee
108
Dr. Richard WilsonProfessor, Department of Physics, University of Harvard
109
Mr. Mahfuz AnamEditor, The Daily Star
110
Ms Khushi KabirChief Executive Officer, Nijera Kori
111-112
Mr. Morten GiersingCountry Representative, UNICEF
113
Christine WallichCountry Director, World Bank- Bangladesh
114
Mr. Atiqur Rahman Salu Representative, International Farraka Committee
115-116
xi
Topic/ Item Page Number
Ms Taleya RehmanChief Executive Officer, Democracy Watch
117
Dr. David ChristianiProfessor, Occupational Medicine and EpistemologyHarvard Medical School
118
Vote of ThanksProf. Quazi QuamruzzamanChairman, Dhaka Community Hospital
119
xii
NATIONAL ADVISORY COMMITEE (CONFERENCE)
Dr. A. M. Shawkat Ali FAODr. Abdur Rahman Khan DGHSDr. Ainun Nishat Country Representative, The World conversation
Union (IUCN), DhakaMr. Amanullah Kabir Amar DeshMr. Ashok Madhab Roy Ministry of LGED & CDr. Babar N. Kabir Programme Coordinator, SEMP Mr. Borhan Ahmed JanakanthaMr. Choudhury Mufad Ahmed Ministry of Environment & Forest
GOB, Bangladesh Secretariat, DhakaMs. Christine Wallich World BankDr. Feroze Ahmed Professor, CE, BUETMr. Han Heijnen WHO Ms. Janet Donnelly AusAID Mr. K.M. Minnatullah World BankDr. Kayode Oyegbit UNICEFDr. M. Moniruzzaman Miah TWEDSMr. Mahbub Jamil SINGERMr. Mahfuz Anam The Daily Star Dr. Maidul Islam BSNMUMr. Matiur Rahman The Protham Alo Mr. Nurul Kabir The Weekly HolidayMr. Paul Edward UNICEFProf. Quazi Quamruzzaman Chairman, DCHMr. S.K.M. Abdullah National Expert CommitteeMr. Shafiqul Islam UNICEFMr. Shajahan Sarder Reports Unity, Dhaka Ms. Sharmin Morshed BROTEEMs. Taleya Rehman Democracy WatchMr. Tapan Choudhury SQUARE
xiii
INTERNATIONAL ADVISORY COMMITTEE (CONFERENCE)
Dr. Alan H. Smith USA
Dr. Alison Baker AUSTRALIA
Dr. D.N. Guha Mazumder INDIA
Dr. David Christiani USA
Dr. Deoraj Harry Caussy INDIA
Dr. Gary Owens AUSTRALIA
Dr. K.C. Saha INDIA
Ms. Kristen Collins AUSTRALIA
Dr. Peter Nadebaum AUSTRALIA
Mr. Peter Robson AUSTRALIA
Dr. Phillip Crisp AUSTRALIA
Dr. Ravi Naidu AUSTRALIA
Dr. Richard Wilson USA
Dr. S.C. Mukherjee INDIA
Dr. Shyamapada Pati INDIA
Dr. Tony Fletcher UK
Dr. Willard Chappel USA
Dr. Y. Munekage JAPAN
xiv
CONFERENCE ORGANIZATION
Conference Convener Dr. Mahmuder Rahman Dr. Dipankar Chakraborti
Organizing Committee Chairperson Dr. Quazi Quamruzzaman Member Secretary Mr. Wakar Hossain Member Ms. Alison Quazi
Mr. Quazi Habibur Rahman Mr. Jalaluddin KhandakerMr. Golam MohiuddinMr. Abdur Rahman
Dr. Capt. (Retd) Md Shahajahan Dr. Ainul Islam Joardar Dr. Abdus SalamDr. Sayed Nasrullah Dr. Farzana BegumMs. Nandini SabrinaDr. Fazle Rabbi Dr. Fazana Aziz Dr. Probir BanerjeeMr. Sukumer ChakrabortiMr. Jabed Yousuf Mr. Golam Mostofa Ms. Hasmat Ara Parul Mr. Altab Elahi Sohel Mr. S. M. BasitMr. Ariful Islam Mr. Selim RezaMr. Ziaul Islam Ms. Marzina Begum Ms. Tithika Chakraborti Mr. Nazrul Islam Ms. Jannat Ara Irine Mr. Mihir Banerjee Mr. Mahbub Morshed Ms. Sabitri Roy Ms. Afroza Parvin Ms. Afroza Begum Mr. Kawser Alam Manik Mr. Anamul Kabir Ms. Shamima Alam Ranu Mr. Sakila Afroz Mr. S.M.A. Samih HasnatMr. Bivash Chandra Barmon Mr. Shafiqul IslamMr. SalimMr. Alam Mr. Wayazed
xv
Reception Sub-Committee Chairperson Dr. Quazi QuamruzzamanMember Secretary Mr. Saidur Rahman Mamber Dr. Mahmuder Rahman
Mr. Quazi Habibur Rahman Dr. Sabera Rahman Mr. Jalal uddin KhandakerMr. Golam Mohiuddin
Dr. Capt. ( Retd) Md Shahjahan Dr. Ainul Islam Joardar Dr. Abdus Salam Mr. Jabed Yousuf Mr. Golam Mostofa
Finance Sub – Committee Chairperson Dr. Quazi Quamruzzaman Member Secretary Mr. Sukumar Chakraborti Member Mr. Jabed Yousuf
Ms. Jannat Ara Irine Mr. Nazrul Islam Mr. Jakir Hossain
Press and Publication Sub-Committee Chairperson Mr. Quazi Habibur Rahman Member Secretary Dr. Farzana BegumMember Mr. Mihir Banerjee
Ms. Nandini SabrinaMr. Jabed YousufMr. Golam MostofaMr. Shafiqul Islam Mr. Mahboob MorshedMr. Aqlasul MomaninMr. Alam
Accommodation Sub-CommitteeChairperson Mr. Quazi Habibur Rahman Member Secretary Mr. Ziaul IslamMember Mr. Shafiqul Islam
Mr. Aqlasul MomaninMr. Anamul Kabir Ms. Morzina BegumMs. Sabitri Roy
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Food and Catering Sub –committee Chairperson Mr. Jalal Uddin KhandakerMember Secretary Mr. Wakar Hossain Member Dr. Abdus Salam
Mr. Nazrul IslamMr. Kawsar AlamMs. Nighat Khanam Mr. Ali HossainMr. RahmanMr. Alam
Publicity and Media Sub-CommitteeChairperson Mr. Quazi Habibur Rahman Member Secretary Mr. Ziaul IslamMember Mr. Mihir Banerjee
Mr. Golam MostofaMr. Ariful Islam
Mr. Shofiqul Islam, Mr. Aqlasul Momanin Mr. Anamul Kabir KhanTransport Sub-Committee Chairperson Mr. Jalal Uddin KhandakarMember Secretary Mr. Wakar Hossain Member Mr. Enamul Kabir Khan
Mr. Abdul Mannan Mr. Zamal
Mr. Mosharaf HossainMr. Abdul HamidMr. Ali Hossain
International Relations Sub-CommitteeChairperson Ms. Alison QuaziMember Secretary Dr. Farzana BegumMember Mr. Jabed Yousuf
Mr. Golam MostofaMs. Hasmat Ara ParulMs. Afroza PervinMd. Ziaul IslamMs. Afroja KhatunMs. Morzina Begum
Scientific Session Sub-Committee Chairperson Dr. Mahmuder RahmanMember Secretary Ms. Alison QuaziMember Dr. Farzana Begum
Ms. Nandini SabrinaMr. Mahboob MorshedMr. Jabed Yousuf
xvii
Field Visit Sub-CommitteeChairperson Dr. Quazi Quamruzzaman Member Secretary Md. Jabed YousufMember Md. Altab Elahi
Md. Golam MostofaMd. Ariful IslamDr. Farzana BegumMs. Nandini SabrinaMr. Shafiqul Islam Shohag Dr. Selim Morshed
Auditorium & Venue Sub-CommitteeChairperson Md. Zalal Uddin KhandokarMember Secretary Dr. Abdus SalamMember Ms. Morzina Begum
Mr. Mahboob Morshed Md. Wakar HossainMs. Sabitri Roy Mr. Kabir HossainMs. Tithika ChakrabartiMr. SalimMr. Alam
Registration Sub-CommitteeChairperson Ms. Alison QuaziMember Secretary Ms. Marzina BegumMember Ms. Sabitri Roy
Ms. Hasmat Ara ParulMs. Afroja ParvinMs. Jannat Ara Irin
Patient Mobilization Sub-CommitteeChairperson Dr. NasrullahMember Secretary Dr. Farzana BegumMember Mr. Altab Elahi
Mr. Shafiqul Islam Ms. Tanjila KhatunMs. Rashida AkterMs. Masuma Akter
xviii
Volunteers Sub- CommitteeChairperson Dr. Abdus SalamMember Secretary Md. Khandakar Jalal UddinMember Ms. Mujrat Tanjib Laboni
Ms. Shama RahmanDr. Farzana BegumMs. Nandini SabrinaDr. Fazle RabbiDr. Farzana Aziz
Medical Sub- CommitteeChairperson Dr. Ainul Islam Joorder Member Secretary Dr. Fazle RabbiMember Dr. Salina Sultana
Dr. Probir BanerjeeMs. Kajal KaterMs. Rabeya KhatunMs. Tapoti
Exhibition Sub- CommitteeChairperson Ms. Sabitri RoyMember Secretary Mr. Mahboob MorshedMember Ms. Marzina Begum
Ms. Tanjila KhatunMs. Anna ParvinMr. Sudipta BayddhaMs. Shakila Afroj Ms. S.M.A. Shami Hasnat
Photography Sub- CommitteeChairperson Ms. Marzina BegumMember Secretary Mr. Ariful IslamMember Mr. Wakar Hossain
Ms. Shova AkterMs. Anjuman AraMs. Bina Rani MollikMs. Shakila Afroj Ms. S.M.A. Shami HasnatMr. Alam
xix
Audiovisual Sub- CommitteeChairperson Dr. Abdus SalamMember Secretary Mr. Wakar Hossain Member Ms. Shahina Sultana
Ms. Kajal AkterMs. AnjumanMs. Anjuman Ara Begum
Social Evening Sub- CommitteeChairperson Mr. Quazi Habibur RahmanMember Secretary Mr. Kawsar Alam Member Mr. Wakar Hossain
Md. Golam MostofaDr. Farzana BegumMd. Jabed YousufMr. Mihir BanerjeeMr. Bivash Chandra BarmonMr. Ziaul IslamMr. Altab ElahiMr. Kabir Hossain
Conference Secretariat Chairperson Ms. Alison Quazi Member Secretary Dr. Farzana BegumMember Mr. Mahboob Morshed
Mr. Mihir BanerjeeMs. Nandini SabrinaDr. Farjana AzizDr. Fazle Rabbi
xx
List of ParticipantsNational
A B M Anwarul HaqueDuncan Brothers
Ali Ahmed ZiauddinShobuj Shena Centre, Sibaloy PRISM, Bangladesh
A F M Anisur RahmanGovernment of Bangladesh
Aminul IslamDuncan Brothers
A H M Abul QuashemGovernment of Bangladesh
Aminur Rahman ShahDG Health
A N H Akhter HossainManaging Director, Dhaka WASA
Babar N Kabir SEMP-UNDP
A Z M Maidul IslamBangabandhu Sheikh Mujib Medical University
Mr. Badiur RahmanMember, Planning Commission
Abdul Motin Khan Pabna Community Clinic, Pabna
Choudhury Mufad AhmedSenior Assistant SecretaryMinistry of Forest & Environment
Abdul Wadud KhanNIPSOM
Christine WallichCountry Director for BangladeshThe World Bank
Abdur Rahman KhanMOHFW
Fahmida ShabnamProgram Officer, AusAID, Dhaka
Abdus JaherAssistant Professor, Institute of Nutrition and Food ScienceDhaka University
Farhad HossainPabna Community Clinic, Pabna
Abu Shahajalal AzadUNICEF
Dr. Farida AkhterUBING, Policy Research for Alternative Development
Dr. Ahmed KamalProfessor, Department of History University of Dhaka
Faridunnin Akhter KhanBAMWSP
Prof. Ainun NishatCountry Representative, IUCN
Farid Uddin MiaSDF
xxi
Professor Firoz AhmedProfessor of Civil/ Environmental Engineering, BUET
Dr. Kazi Matin AhmedDepartment of GeologyUniversity of Dhaka
G N M Shawkat Hayat KhanDhaka WASA
Khoda BuxProject Director, BAMWSP
Dr. Guy Howard International Specialist, Arsenic Policy Support Unit (APSU)
Ms Khushi KabirChief Executive Officer, Nijera Kori
Haroon Ur RashidAsian Development Bank
Korshed AlamDPHE
Hossain Zillur RahmanPPRC
M. NuruzzamanAPSU
Ihteshamul HuqDPHE
Mahbub JamilChairman & Managing DirectorSinger- Bangladesh
Prof. Imamul HuqDepartment of Soil, Water and Environment, University of Dhaka
Mr. Mahfuz AnamEditor, The Daily Star
Jahangir HossainCARE Bangladesh
Makammel HasanPSTC
Jalal Ahmed ChowdhuryZia International Airport
Dr. Moniruzzaman Miah Chairman, TWEDS
Janet DonnellyFirst Secretary, Australian High Commission, Dhaka
Mashuda Khatun Shefali
Jiptha BairagiCoordinator, Arsenic DASCOH
Md. Bazlur RahmanDhaka WASA
Kazi Ali AzamDhaka WASA
Md. Harunar Rashid
xxii
Md. Moniruzzaman HowladerKarsha Community Clinic, Madaripur
Md. Siddiqur RahmanAlt Medicine
Md. Monjur KaderBrotee
Mirazul Hossain TaraPabna Community Clinic
Md. Mustakim SabujPabna Community Clinic
Mohammad Humayun KabirZia International Airport
Md.Nehal UdidnDeputy DirectorGeological Survey of Bangladesh
Monirul I. KhanProfessorDepartment of SociologyUniversity of Dhaka
Md. Owaliur RahmanRanaping Community Clinic, Sylhet
Mr. Morten GiersingCountry Representative, UNICEF
Md. Ruhul AminDIG, Bangladesh Railway
Mostafijur Rahman
Md. Saiful IslamRRD
Dr. Naila Zaman KhanProfessor, Child Neurology & Development Bangladesh Institute of Child Health
Md. SalimCARE-Bangladesh
Mr. Nando Dulal DasBiotechnology Discipline Khulna University
Md. Sekendar AliPabna Community Clinic
Nasima AkhterNGO Forum
Md. Seraj UddinDhaka WASA
Nayeem Chowdhury
Dr. Md. Shahidullah ShikdarAsstt Professor, Department of Dermatology and VenerologyBangabandhu Sheikh Mujib Medical University, Dhaka
Nishith Ranjan BinduPabna Community Clinic
Md. Abdur Rahman KhanDG Health
Nurul Islam KhanBAMWSP
xxiii
Nurul KabirThe Weekly Holiday
Sanat K. BhowmikCOAST Trust
Paban RitcilHEED Bangladesh
Sayed Tanveer HussainSecretary, Ministry of Forest and Environment
Mr. Paul EdwardsTeam Leader, Water and Sanitation Program, UNICEF
Selina ZamanDuncan Brothers
Quamrunnahar
Mr. Shafiq RehmanEditor, Jai Jai Din
Ramdulal BhowmikPabna Community Clinic
Mr. Shafiqul IslamTeam Leader, Arsenic Unit, UNICEF
Mr. Rashed Khan MenonGeneral Secretary, Workers Party of Bangladesh
Shafiul AzamWorld Bank
Rejaul KarimCOAST
Shahidul HuqBhanga THC
Rifat S. KhanProgram Officer, AusAID, Dhaka
Shahnewaz A. KhanConcern
S.K.M. AbdullahNational Expert Committee
Ms Sharmeen MurshidChief Executive Officer, Brotee
Dr. Salek AhmedUBINIG
Sharmina Banu
Salimullah KhanConsultant
Siddiqur RahmanBegum Setara
Samsunnahar Shaptadinga
Siddiqur RahmanDG Health
Samsur Rahman Shimul BiswasChairman, BIWTC
Sylvia IslamCIDA
xxiv
T. OtsukoJICA
Tapon Kumar Nath
Tahmida Banu Tarik Hasan ProtikPabna Community Clinic
Ms Taleya RehmanChief Executive OfficerDemocracy Watch
Dr. Ziaul Hasan Rumi Technical SpecialistNGO Forum for DWSS
Mr. Tapan ChoudhuryManaging DirectorSquare Pharmaceuticals Ltd
Zakir HossainDG Health
xxv
List of ParticipantsInternational
01 Mr. A.H. ChowdhurySchool of Chemical Engineering and Industrial ChemistryUniversity of New South Wales, Australia
09 Kristen Collins Project Manager – Social Infrastructure International DevelopmentGHD Pty Ltd, Level 12, 390, St Kilda Road, Melbourne Vic 3004, Australia
02 Dr. Alan H. SmithProf. of Epidemiology, School of Public Health, Eart Warren Hall University of California, Berkley California 94720 USA
10 Lia ShimadaDepartment of Environmental Health, Harvard School of Public HealthHarvard University, USA
03 Dr. Alison Baker Senior Project ManagerGHD Pty Limited, 380 Lonsdale Street, Melbourne Vic3000, DX 611 Melbourne Australia
11 Michael O’RourkeHealth Management, Planning & Development Consultant46, Knowles Avenue, North BondiNSW 2026, Australia
04 Prof. David ChristianiProf of Occupational Medicine and Epidemiology Harvard School of Public Health, Boston, MA 02115,USA
12 Md. Amir HossainSchool of Environmental StudiesJadavpur University, Kolkata, India
05 David GarmanExecutive Director, CRC for Waste Management & Pollution Control LtdValentine Annexe (H22), Gate 11, Botany Street, UNSW Sydney NSW 2052, Australia
13 Mohammad Mahmudur RahmanSchool of Environmental Studies, Jadavpur University, Kolkata, India
06 Dr. Deoraj Harry CaussyEnvironmental Epidemiologist, Department of Evidence for Information and Policy, World Health Organization, South East Asia Region, Indraprastha Estate, New Delhi, India.
14 Mrinal Kumar SengutaSchool of Environmental Studies, Jadavpur University, Kolkata, India
07 Dr. Dipanker ChakrabortiDirector, School of Environmental Studies Jadavpur University, Kolkata, India
15 Dr. Peter Nadebaum Senior Principal –Environment GHD Pty Ltd, 380 Lonsdale Street Melbourne Vic3000 DX 611 Melbourne Australia
08 Dr. Jheng BaoshamProfessor, State Key Laboratory of Environmental GeochemistryInstitute of Geochemistry, Chinese Academy of Science, Guiyang Ghizou Province, China
16 Phillip Crisp Senior Lecturer School of Chemical Engineering and Industrial Chemistry, University of New South Wales Sydney NSW 2052 Australia
xxvi
List of Participants
International
17 Rhett ButlerChairman, Sky Juice, Sky Juice Foundation3 Bardwell Road, Mosman NSW 2088
21 Prof. Willard R. ChappellChairman Arsenic Groundwater Committee, Campus Box 136, University of Colorado at Denver, PO. Box 173364, Denver, Colorado 80217-3364, USA
18 Prof. Richard WilsonMallinckrodt Research Professor of PhysicsCambridge, MA 021238Harvard University, USA
22 Xavier SavarimutiLecturer, Department of Environmental ScienceSt. Xavier's College, Kolkata, India
19 Mr. Sad AhmedSchool of Environmental Studies, Jadovpur University, Kolkata, India
23 Xue WangGuiyang Ghizou Province, China
20 Dr. S.C. MukherjeeAssociate Prof. Dept. of Neurology, Medical College, Kolkata, India
24 Yukihiro MunekageKochi University, Japan
xxvii
Preface
In recent years Arsenic problem has surfaced as a mega health and environment problem for Bangladesh and in other South and South Asia countries. To understand various aspects of this problem and to plan and implement mitigation programs will obviously need uniform and coordinated activity of all national and international agencies including UN, bodies.
This conference helped them to come together and able to share their experiences and help to formulate ideas, which helps national and regional policy to formulate Arsenic Mitigation programmes.
One of DCH’s major public health programme is arsenic mitigation and Arsenicosis case management. In its course of action DCH have developed partnership with UNICEF, WHO & UNDP. Different agencies of the Government of Bangladesh, engaged us on various mitigation activities in Health and Environment. Many donor agencies like World Bank, AusAid, DFID, and Canadian CIDA, also working with us.
School of Environmental Studies (SOES) of Jadavpur University and School of Public Health, Harvard University of USA are jointly working with us in various research activities.
This conference is the fifth one staged jointly by DCH and SOES and was actively supported by UNICEF. We are also acknowledging the kind support provided by the various government agencies of Bangladesh. The private organisations like Square Bangladesh, Duncan Brothers Bangladesh, and Singer Bangladesh also helped us all the way in organising the conference. Media, both print and electronic, helped and supported us from the early stage of our struggle against Arsenic contamination.
We hope Proceeding of this 5th International conference on Arsenic will help the policy planners and researchers and other agencies to implement programmes. We sincerely thank UNICEF, Square Pharmaceuticals, Duncan Brothers, DPHE and the members of the organising committee for their kind support and help.
xxviii
5th International Conference on ArsenicDeveloping Country’s Perspective on Health, Water and Environmental Issues
Held in Dhaka on February 15th, 16th & 17th, 2004 Henceforth to be called
The 5th Dhaka DeclarationDate: 17.02.04
We, the Participants of the 5th International Arsenic Conference, note that while certain achievements been reached so far regarding the supply of arsenic free safe water to the people of Bangladesh, concrete and long-lasting efforts remain to be implemented. We were, however, pleased to note that a national policy and guidelines is under the process of approval by the Government of Bangladesh regarding the supply of safe drinking water to the arsenic affected population. We understand that major initiatives have started. but considering the severity and magnitude of this human tragedy, the efforts are still too slow. As such. We continue to urge upon all concerned, irrespective of their nationality or affiliation, to come forth to help the people of Bangladesh on an emergency basis.
We have heard and noted the progress achieved in mitigating the arsenic crisis from the 1st International Conference in 1998 till the 4th Conference in 2002. While we appreciate that efforts are more significant than in the previous years, we cannot but stress the need for placing greater emphasis on patient care and development of an approved protocol for the treatment of arsenic patients. In this strategy, the interests of the people of Bangladesh should be given utmost priority.
More specifically, we the Participants do hereby declare that:
In matters relating to patient management, It is important to develop both an acceptable and affordable form of treatment, keeping in mind that many of the patients will not be able to afford costlier forms of management.
In matters relating to water resource management, all stakeholders are earnestly requested to adhere to the National Arsenic Mitigation Policy and the Implementation Plan under the process of approval by the Government of Bangladesh. As mentioned in the Policy, priority must be given to exploiting perennial sources of surface water, which is found in abundance in Bangladesh. Bangladesh being endowed with abundant surface water and rain water, all agencies must consider the use of surface and rain water before any suggestion of ground water withdrawal is made, except in unavoidable circumstances or in known safe areas.
Before recommending extraction of ground water from deeper aquifers, the safety of the deep aquifers must be ensured and adequate understanding of the geological parameters developed to ensure that these aquifers would not become contaminated in the future.
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3rd party audit and analysis of all the deep tube-well both Government and Non-Government installed from 1997 onward should be undertaken immediately to monitor the quality. This has become very urgent from the experience of the Sharsha Upazila More understanding is required to quantify the impact of arsenic contaminated irrigation water on the food chain and food production.
We, the Participants of this Conference, Recommend that:
All activities related to arsenic mitigation or research in Bangladesh should be significantly increased and expedited after scientific evaluation.
All mitigation activities must be undertaken to ensure the full participation of local communities and local government institutions before, during and after implementation to ensure ultimate ownership. We believe that without the involvement of communities and local government institutions all efforts will be unsustainable. Transparency and mutual respect should the basis for all future work.
All future mitigation activities should involve the private sector, forging a partnership and coordination between the public and private institutions.
Tests so far indicate that none of arsenic removal technologies works in all the hydrological regions. It is strongly recommended that more scientific scrutiny and public discussion should be held before validating any of the technologies for the purpose of marketing and large-scale use. In conclusion, we re-iterate the seriousness of the situation in Bangladesh and urge all concerned to actively assist the people of Bangladesh in overcoming this crisis.
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