"The soldiers dragged out a pregnant woman and slit open her belly. A witness who was personally tortured for his political activism in Congo is more haunted by that image than his own pain." It's not just a Cambodian issue, it's all victim of war trauma.
The 300,000 survivors of the Cambodian holocaust and their families living in the United States bear the physical and psychological scars of war, torture, and genocide. They also sustain the economic burdens of a community that has lost at least one-third of its people; inlcuding over 90% of its doctors, lawyers, teachers, civil servants and clergy. There is no prehistoric precedent for a community rebuilding after such a massive loss of its citizenry and resources.
The National Cambodian American Health Initiative (NCAHI) is a membership organization of Cambodian leaders founded in October, 2003. NCAHI's mission is to improve and preserve the health of survivors of the Cambodian holocaust and their families through research, health education, model programs and advocacy. Members come from 16 states and service area, representing more than 75% of Cambodians living in the United States.
For the past 7 years, the National Cambodian American Health Initiative has been gathering information about the health of survivors of the Cambodian holocaust and their children in 2005 declared a “health emergency” in the Cambodian community. Science tells us that extreme trauma causes long term chronic disease and early death in survivors and children of survivors. We know this is happening in the Cambodian community because we have statistic that show that:
1. Cambodians have diabetes at a rate twice that of the general population and we are 6 times more likely to die of this sickness than others.
2. Cambodian dies of stroke twice as often as the general population.
3. Cambodian have liver cancer at a rate 8 time that of others.
In addition to having more chronic illness it is not surprising that Cambodians have a rate of disability of 30% for adults over 18 and 30% of our families are living in poverty. Resources for building a new home after genocide are few. More than 95% of educated Cambodians were exterminated leaving few human resources for leadership and health care. This is a reality that is not clearly understood by our community or by our government.
As new Americans, Cambodian want to work and contribute to our new home but we face the consequences of trauma and chronic disease in a real and practical manner. Based on 5 years of talking with the community across the country, NCAHI developed a strategic plan for health that calls for the following:
1. Raise awareness of the Cambodian holocaust and the health problems of survivors.
2. Mobilize the Cambodian community to participate in their own health care.
3. Increase the capacity of Cambodian organizations to deliver healthcare to their own communities.
4. Workforce development in the area of health care.
5. Development of a national Cambodian American Medical Home Program (CAMHP)
6. Assuring that health services are available on a long term basis.
We want to take this information and plan to the Congress of the United States. We invite you to join us by signing the petition. If you would like more information please request a copy of Health Emergency in the Cambodian Community in the United States and Strategic Plan for Health for the Cambodian Community in the United States (2007-2012 by sending an email to MScully@Khmerhealthadvocates.org .
With your help, we can improve the health of Cambodian survivors while lowering the cost of essential health care through a community based approach to health.
Theanvy Kuoch, MA, LPC
Khmer Health Advocates, Inc.
Chair of National Cambodian American Health Initiative
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West Hartford, CT 06110
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