In May 1998, an outbreak of diarrhea epidemic was reported from the Reang migrant camps of Anandabazar, Longtaria, and Kashirampura. Due to lack of medical care, hygiene, drinking water, and most importantly, the absence of health-seeking behavior among the tribals, the initial mortality rate was very high. It was only by June 9, 1998, that the epidemic came under control. The estimated mortality rate ranged from 250-350 deaths. Experts say that the infection was bacterial (mostly E. coli). With its limited resources, the Voluntary Health Association of Tripura helped in controlling the epidemic. It trained volunteers from the refugee camps in the prevention, control and primary treatment of diarrhea and supplied them with oral rehydration solution packets, medicines and educational materials on diarrhea control, health and hygiene. The Reang migrants are in serious struggle for survival in the camps. Urgent efforts are needed to address their needs. Recommendations include the following: 1) strengthen the infrastructural support; 2) ensure a minimum balanced diet to the camp inmates; 3) provide education to the children; 4) establish a regular health care system; and 5) improve the health-seeking behavior of the camp inmates.

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refugee India population Migrants demography Southern Asia developing country Population Dynamics Developing Countries Refugees Asia health service Disease health Epidemics Diseases diarrhea health services Disease Outbreaks Article epidemic migration Demographic Factors Emigration and Immigration Transients and Migrants Delivery of Health Care general aspects of disease health care delivery