List of Contents Topic/ Item Committee List of Participants Preface 5th Dhaka Declaration Introduction Page Number xiii - xx xxi -xxvii xxviii xxix-xxx 1 Inaugural Session 2-16 Welcome Address Prof. Mahmudur Rahman 2-4 Co-ordinator,Dhaka Community Hospital Trust Mr. Morten Giersing 5-7 Country Representative, UNICEF- Bangladesh Mr. Tapan Choudhury 8-9 Managing Director, Square Pharmaceuticals Ltd. Dr. Willard R. Chappell 10 Professor, Environmental Science, University of Colorado, USA Dr. Moniruzzaman Miah 11-12 Chairman, TWEDS Vote of Thanks Prof. Quazi Quamruzzaman 13-16 Chairman, Dhaka Community Hospital Trust Working Session 1 17-29 Arsenic Health Issues Arsenic Exposure, Diet and Skin Lesions in Pabna, Bangladesh Dr. David Christiani 17-18 Professor, Occupational Medicine and Epistemology Harvard Medical School v Topic/ Item Page Number Health Impact of Arsenic Contamination in the South-East Asia Region Dr. Deoraj Harry Caussy 19-20 The Environmental Epidemiologist, Department of Evidence and Information and policy, World Health Organigation, South East Asian Region, India Arsenic Neuropathy from Groundwater Arsenic Contamination in India Dr. S.C. Mukherjee 21-22 Assistant Professor, Department of Neurology Medical College, Kolkata Susceptibility of Arsenicosis in Bangladesh and Management of Arsenicosis Patients in DCH Dr. Shahjahan and Dr. Ainul Islam Joarder 23-24 Consultant, Dhaka Community Hospital Skin Manifestation & Complication in Arsenicosis Dr. Shahidullah Shikdar 25-26 Asstt Professor, Department of Dermatology and Venerology Bangabandhu Sheikh Mujib Medical University, Dhaka Ground water arsenic contamination and suffering of people in Bihar, Uttar Pradesh, and Jharkhand States of India In Ganga Plain Mr Sad Ahmed 27 School of Environmental Studies, Jadovpur University, Kolkata Social and Economic Effects of Arsenic Dr. Farida Akhter 28-29 UBING, Policy Research for Alternative Development Working Session 2 30-44 Continuation of Arsenic Health Issues Collaborative IRB Capacity Building Lia Shimada 30-32 Department of Environmental Health, Harvard School of Public Health Respiratory Effect and Chronic Arsenic Exposure in Bangladesh Dr. Ziaul Hasan Rumi 33-34 Technical Specialist, NGO Forum for DWSS vi Topic/ Item Experiences of DCH Arsenic Clinic And Yahia’s War Against Cancer Dr. Syed Nasrullah Page Number 35-36 Consultant, Dhaka Community Hospital The Pattern of Clinical Manifestations and Practice of Alternative Water Options of 50 Arsenic Affected Patients of Sirajdikhan Upazilla, Bangladesh Dr. Farzana Begum 37-38 Project Officer, Public Health, Dhaka Community Hospital Interaction of Ascorbic Acid and Iron in Arsenicosis patient Abdus Zaher 39-40 Assistant Professor, Institute of Nutrition and Food Science Dhaka University New Approach on Managing Non-Healing Ulcer Mr. Abdus Salam 41-42 Consultant on Physiotherapy, Dhaka Community Hospital Arsenic Contamination Problem In CHINA Dr. Jheng Baosham Professor, State Key Laboratory of Environmental Geochemistry Institute of Geochemistry, Chinese Academy of Science, Guiyang Ghizou Province 43-44 Working Session 3 45-54 Update of Safe Water Options The One-year Monitoring Programme Updates of Shallow Dug Wells to Provide Arsenic-Safe Water in West Bengal, India Fr. Xavier 45-46 Lecturer, Department of Environmental Science St. Xavier's College, Kolkata Dugwell And it’s Use as Sustainable Alternative to Ground Water Nandini Sabrina 47 Environmental Engineer, Dhaka Community Hospital Effectiveness and Usefulness of Arsenic Removal Plants: An Experience in West Bengal, India M. Amir Hossain 48 School of Environmental Studies, Jadavpur University, Kolkata vii Topic/ Item Page Number The Role of Bangladesh Arsenic Mitigation Water Supply Project in Fighting Arsenic Crisis of Bangladesh Mr. Khoda Bux 49-50 Project Director, BAMWSP Safe Water Options in Bangladesh: Piped Water Supplies Mr. Paul Edwards Chief, Water and Environmental Sanitation UNICEF - Bangladesh 51-52 Assessment of Options for Safe Water in Arsenic-Affected Areas of Bangladesh Dr. Phillip Crisp 53-54 Senior Lecturer, School of Chemical Engineering and Industrial Chemistry, University of New South Wales, Australia Working Session 4 55-66 Water Availability and Rational Use of Available Water Sources Water Supply in Arsenic Affected Rural Areas of Bangladesh – The Institutional Challenge Chowdhury Mufad Ahmed 55-57 Senior Assistant Secretary Ministry of Environment & Forest Arsenic Safe Water Supply: Potentials of Surface Water Sources Firoz Ahmed 58-59 Professor of Civil/ Environmental Engineering, BUET Aquifer Concept and Withdrawal of Safe Ground Water from the deltaic Plain of Bangladesh Md. Nehal Udidn 60-61 Deputy Director, Geological Survey of Bangladesh Impact of River Link Project Mr. A N H Akhter Hossain 62-63 Managing Director, Dhaka WASA The Present History of Surface Water in Bengal: A Cautionary Note Mr. Sallimullah Khan 64-66 Consultant viii Topic/ Item Special Session Mr. Mirza Fakhrul Islam Alamgir Page Number 67-74 67 State Minister, Ministry of Agriculture, PRB Mr. Shafiq Rehman 68 Editor, Jai Jai Din Mr. Rashed Khan Menon 69-70 General Secretary, Workers Party of Bangladesh Dr. Naila Zaman Khan Professor, Child Neurology & Development Bangladesh Institute of Child Health 71-72 Mr. Atiqur Rahman Salu 73-74 Member, International Farakka Committee Working Session 5 75-89 Health and Environmental Hazards Encountered with Extraction of Ground Water and Management of Water Resources Water Quality Characterization of The Bhairab-Rupsha River System of Khulna City and The Management of This Water Resource Through Environmental Biotechnology Mr. Nando Dulal Das 75-76 Biotechnology Discipline, Khulna University Status of Ground Water Contamination & Human Suffering in Murshidabad, One of the Nine Arsenic Affected Districts of West Bengal, India Mohammad Mahmudur Rahman 77-78 School of Environmental Studies, Jadavpur University, Kolkata GOB-UNICEF Arsenic mitigation program in Bangladesh Shafiqul Islam Team Leader, Arsenic Unit, Water and Environmental Sanitation UNICEF-Bangladesh Social Impact of Arsenicosis Patients in Bangladesh Mr. Jabed Yousuf 79-80 81 Project Director, Dhaka Community Hospital A plan of Action Dr. Richard Wilson 82 Professor, department of Physics, Harvard University ix Topic/ Item Sludge Management In Arsenic Removal Plants in Manikganj and Faridpur Ms Sharmeen Murshid Page Number 83-84 Chief Executive Officer, Brotee Safe Water for Agriculture: Treatment System Using Air and Scrap Iron (3-Kalshi Patra) to Remove Arsenic from Tube Well for Growing Arsenic –Sensitive Crop Mr. A.H. Chowdhury 85-86 School of Chemical Engineering and Industrial Chemistry University of New South Wales, Australia Increasing Trend in Hand Tube-wells and Arsenic Concentration in Affected Areas of West Bengal. India: A Future Danger Mrinal Kumar Senguta 87 School of Environmental Studies, Jadavpur University Community Demand Drinking Water From River Sand Filter Mr. Ariful Islam 88-89 Assistant Program Officer, Dhaka Community Hospital Working Session 6 90-101 Continuation Health and Environmental Hazards Encountered with Extraction of Ground Water and Management of Water Resources Appropriate Technology in Action: Experiences in Arsenic Mitigation at Micro-Level Ali Ahmed Ziauddin 90-91 Shobuj Shena Centre, Sibaloy, PRISM, Bangladesh Arsenic In Drinking Water and Recent Knowledge on food chain Contamination Prof. Imamul Huq 92-93 Department of Soil, Water and Environment,University of Dhaka The WHO Water Safety Framework Approach to Arsenic Mitigation Dr. Guy Howard 94-95 International Specialist, Arsenic Policy Support Unit (APSU) x Topic/ Item Arsenic Mitigation at The Village Level: The Araihazar Experiences and a Draft Framework for a National Strategy Dr. Kazi Matin Ahmed Page Number 96-98 Department of Geology,University of Dhaka Dr. Dipanker Chakraborti 99-100 Director & Head School of Environmental Studies, Jadavpur University Prof. Quazi Quamruzzaman Chairman Dhaka Community Hospital Trust 101 Closing Session 102-119 Dr. Ahmed Kamal 102 Professor, Department of History, University of Dhaka Prof. Ainun Nishat 103-105 Country Representative, IUCN Mr. Badiur Rahman 106-107 Member, Planning Commission Mr. S.K.M. Abdullah 108 Member, National Expert Committee Dr. Richard Wilson 109 Professor, Department of Physics, University of Harvard Mr. Mahfuz Anam 110 Editor, The Daily Star Ms Khushi Kabir 111-112 Chief Executive Officer, Nijera Kori Mr. Morten Giersing 113 Country Representative, UNICEF Christine Wallich 114 Country Director, World Bank- Bangladesh Mr. Atiqur Rahman Salu 115-116 Representative, International Farraka Committee xi Topic/ Item Ms Taleya Rehman Page Number 117 Chief Executive Officer, Democracy Watch Dr. David Christiani 118 Professor, Occupational Medicine and Epistemology Harvard Medical School Vote of Thanks Prof. Quazi Quamruzzaman 119 Chairman, Dhaka Community Hospital xii NATIONAL ADVISORY COMMITEE (CONFERENCE) Dr. A. M. Shawkat Ali Dr. Abdur Rahman Khan Dr. Ainun Nishat Mr. Amanullah Kabir Mr. Ashok Madhab Roy FAO DGHS Country Representative, The World conversation Union (IUCN), Dhaka Amar Desh Ministry of LGED & C Dr. Babar N. Kabir Programme Coordinator, SEMP Mr. Borhan Ahmed Mr. Choudhury Mufad Ahmed Janakantha Ministry of Environment & Forest GOB, Bangladesh Secretariat, Dhaka Ms. Christine Wallich World Bank Dr. Feroze Ahmed Mr. Han Heijnen Professor, CE, BUET WHO Ms. Janet Donnelly AusAID Mr. K.M. Minnatullah World Bank Dr. Kayode Oyegbit UNICEF Dr. M. Moniruzzaman Miah TWEDS Mr. Mahbub Jamil SINGER Mr. Mahfuz Anam The Daily Star Dr. Maidul Islam Mr. Matiur Rahman BSNMU The Protham Alo Mr. Nurul Kabir The Weekly Holiday Mr. Paul Edward UNICEF Prof. Quazi Quamruzzaman Chairman, DCH Mr. S.K.M. Abdullah National Expert Committee Mr. Shafiqul Islam UNICEF Mr. Shajahan Sarder Reports Unity, Dhaka Ms. Sharmin Morshed BROTEE Ms. Taleya Rehman Democracy Watch Mr. 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 Member Secretary Member Dr. Quazi Quamruzzaman Mr. Wakar Hossain Ms. Alison Quazi Mr. Quazi Habibur Rahman Mr. Jalaluddin Khandaker Mr. Golam Mohiuddin Mr. Abdur Rahman Dr. Capt. (Retd) Md Shahajahan Dr. Ainul Islam Joardar Dr. Abdus Salam Dr. Sayed Nasrullah Dr. Farzana Begum Ms. Nandini Sabrina Dr. Fazle Rabbi Dr. Fazana Aziz Dr. Probir Banerjee Mr. Sukumer Chakraborti Mr. Jabed Yousuf Mr. Golam Mostofa Ms. Hasmat Ara Parul Mr. Altab Elahi Sohel Mr. S. M. Basit Mr. Ariful Islam Mr. Selim Reza Mr. 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 Hasnat Mr. Bivash Chandra Barmon Mr. Shafiqul Islam Mr. Salim Mr. Alam Mr. Wayazed xv Reception Sub-Committee Chairperson Member Secretary Mamber Dr. Quazi Quamruzzaman Mr. Saidur Rahman Dr. Mahmuder Rahman Mr. Quazi Habibur Rahman Dr. Sabera Rahman Mr. Jalal uddin Khandaker Mr. Golam Mohiuddin Dr. Capt. ( Retd) Md Shahjahan Dr. Ainul Islam Joardar Dr. Abdus Salam Mr. Jabed Yousuf Mr. Golam Mostofa Finance Sub – Committee Chairperson Member Secretary Member Dr. Quazi Quamruzzaman Mr. Sukumar Chakraborti Mr. Jabed Yousuf Ms. Jannat Ara Irine Mr. Nazrul Islam Mr. Jakir Hossain Press and Publication Sub-Committee Chairperson Member Secretary Member Mr. Quazi Habibur Rahman Dr. Farzana Begum Mr. Mihir Banerjee Ms. Nandini Sabrina Mr. Jabed Yousuf Mr. Golam Mostofa Mr. Shafiqul Islam Mr. Mahboob Morshed Mr. Aqlasul Momanin Mr. Alam Accommodation Sub-Committee Chairperson Member Secretary Member Mr. Quazi Habibur Rahman Mr. Ziaul Islam Mr. Shafiqul Islam Mr. Aqlasul Momanin Mr. Anamul Kabir Ms. Morzina Begum Ms. Sabitri Roy xvi Food and Catering Sub –committee Chairperson Member Secretary Member Mr. Jalal Uddin Khandaker Mr. Wakar Hossain Dr. Abdus Salam Mr. Nazrul Islam Mr. Kawsar Alam Ms. Nighat Khanam Mr. Ali Hossain Mr. Rahman Mr. Alam Publicity and Media Sub-Committee Chairperson Member Secretary Member Mr. Quazi Habibur Rahman Mr. Ziaul Islam Mr. Mihir Banerjee Mr. Golam Mostofa Mr. Ariful Islam Mr. Shofiqul Islam, Mr. Aqlasul Momanin Mr. Anamul Kabir Khan Transport Sub-Committee Chairperson Member Secretary Member Mr. Jalal Uddin Khandakar Mr. Wakar Hossain Mr. Enamul Kabir Khan Mr. Abdul Mannan Mr. Zamal Mr. Mosharaf Hossain Mr. Abdul Hamid Mr. Ali Hossain International Relations Sub-Committee Chairperson Member Secretary Member Ms. Alison Quazi Dr. Farzana Begum Mr. Jabed Yousuf Mr. Golam Mostofa Ms. Hasmat Ara Parul Ms. Afroza Pervin Md. Ziaul Islam Ms. Afroja Khatun Ms. Morzina Begum Scientific Session Sub-Committee Chairperson Member Secretary Member Dr. Mahmuder Rahman Ms. Alison Quazi Dr. Farzana Begum Ms. Nandini Sabrina Mr. Mahboob Morshed Mr. Jabed Yousuf xvii Field Visit Sub-Committee Chairperson Member Secretary Member Dr. Quazi Quamruzzaman Md. Jabed Yousuf Md. Altab Elahi Md. Golam Mostofa Md. Ariful Islam Dr. Farzana Begum Ms. Nandini Sabrina Mr. Shafiqul Islam Shohag Dr. Selim Morshed Auditorium & Venue Sub-Committee Chairperson Member Secretary Member Md. Zalal Uddin Khandokar Dr. Abdus Salam Ms. Morzina Begum Mr. Mahboob Morshed Md. Wakar Hossain Ms. Sabitri Roy Mr. Kabir Hossain Ms. Tithika Chakrabarti Mr. Salim Mr. Alam Registration Sub-Committee Chairperson Member Secretary Member Ms. Alison Quazi Ms. Marzina Begum Ms. Sabitri Roy Ms. Hasmat Ara Parul Ms. Afroja Parvin Ms. Jannat Ara Irin Patient Mobilization Sub-Committee Chairperson Member Secretary Member Dr. Nasrullah Dr. Farzana Begum Mr. Altab Elahi Mr. Shafiqul Islam Ms. Tanjila Khatun Ms. Rashida Akter Ms. Masuma Akter xviii Volunteers Sub- Committee Chairperson Member Secretary Member Dr. Abdus Salam Md. Khandakar Jalal Uddin Ms. Mujrat Tanjib Laboni Ms. Shama Rahman Dr. Farzana Begum Ms. Nandini Sabrina Dr. Fazle Rabbi Dr. Farzana Aziz Medical Sub- Committee Chairperson Member Secretary Member Dr. Ainul Islam Joorder Dr. Fazle Rabbi Dr. Salina Sultana Dr. Probir Banerjee Ms. Kajal Kater Ms. Rabeya Khatun Ms. Tapoti Exhibition Sub- Committee Chairperson Member Secretary Member Ms. Sabitri Roy Mr. Mahboob Morshed Ms. Marzina Begum Ms. Tanjila Khatun Ms. Anna Parvin Mr. Sudipta Bayddha Ms. Shakila Afroj Ms. S.M.A. Shami Hasnat Photography Sub- Committee Chairperson Member Secretary Member Ms. Marzina Begum Mr. Ariful Islam Mr. Wakar Hossain Ms. Shova Akter Ms. Anjuman Ara Ms. Bina Rani Mollik Ms. Shakila Afroj Ms. S.M.A. Shami Hasnat Mr. Alam xix Audiovisual Sub- Committee Chairperson Member Secretary Member Dr. Abdus Salam Mr. Wakar Hossain Ms. Shahina Sultana Ms. Kajal Akter Ms. Anjuman Ms. Anjuman Ara Begum Social Evening Sub- Committee Chairperson Member Secretary Member Mr. Quazi Habibur Rahman Mr. Kawsar Alam Mr. Wakar Hossain Md. Golam Mostofa Dr. Farzana Begum Md. Jabed Yousuf Mr. Mihir Banerjee Mr. Bivash Chandra Barmon Mr. Ziaul Islam Mr. Altab Elahi Mr. Kabir Hossain Conference Secretariat Chairperson Member Secretary Member Ms. Alison Quazi Dr. Farzana Begum Mr. Mahboob Morshed Mr. Mihir Banerjee Ms. Nandini Sabrina Dr. Farjana Aziz Dr. Fazle Rabbi xx List of Participants National A B M Anwarul Haque Duncan Brothers Ali Ahmed Ziauddin Shobuj Shena Centre, Sibaloy PRISM, Bangladesh A F M Anisur Rahman Government of Bangladesh Aminul Islam Duncan Brothers A H M Abul Quashem Government of Bangladesh Aminur Rahman Shah DG Health A N H Akhter Hossain Managing Director, Dhaka WASA Babar N Kabir SEMP-UNDP A Z M Maidul Islam Bangabandhu Sheikh Mujib Medical University Mr. Badiur Rahman Member, Planning Commission Abdul Motin Khan Pabna Community Clinic, Pabna Choudhury Mufad Ahmed Senior Assistant Secretary Ministry of Forest & Environment Abdul Wadud Khan Christine Wallich Country Director for Bangladesh The World Bank NIPSOM Abdur Rahman Khan MOHFW Fahmida Shabnam Program Officer, AusAID, Dhaka Abdus Jaher Assistant Professor, Institute of Nutrition and Food Science Dhaka University Farhad Hossain Pabna Community Clinic, Pabna Abu Shahajalal Azad Dr. Farida Akhter UBING, Policy Research for Alternative Development UNICEF Dr. Ahmed Kamal Professor, Department of History University of Dhaka Faridunnin Akhter Khan Prof. Ainun Nishat Country Representative, IUCN Farid Uddin Mia BAMWSP SDF xxi Professor Firoz Ahmed Professor of Civil/ Environmental Engineering, BUET Dr. Kazi Matin Ahmed Department of Geology University of Dhaka G N M Shawkat Hayat Khan Dhaka WASA Khoda Bux Project Director, BAMWSP Dr. Guy Howard International Specialist, Arsenic Policy Support Unit (APSU) Ms Khushi Kabir Chief Executive Officer, Nijera Kori Haroon Ur Rashid Asian Development Bank Korshed Alam Hossain Zillur Rahman M. Nuruzzaman PPRC APSU Ihteshamul Huq Mahbub Jamil Chairman & Managing Director Singer- Bangladesh DPHE DPHE Prof. Imamul Huq Department of Soil, Water and Environment, University of Dhaka Mr. Mahfuz Anam Editor, The Daily Star Jahangir Hossain CARE Bangladesh Makammel Hasan Jalal Ahmed Chowdhury Zia International Airport Dr. Moniruzzaman Miah Chairman, TWEDS Janet Donnelly First Secretary, Australian High Commission, Dhaka Mashuda Khatun Shefali Jiptha Bairagi Coordinator, Arsenic DASCOH Md. Bazlur Rahman Dhaka WASA Kazi Ali Azam Dhaka WASA Md. Harunar Rashid PSTC xxii Md. Moniruzzaman Howlader Karsha Community Clinic, Madaripur Md. Siddiqur Rahman Alt Medicine Md. Monjur Kader Brotee Mirazul Hossain Tara Pabna Community Clinic Md. Mustakim Sabuj Pabna Community Clinic Mohammad Humayun Kabir Zia International Airport Md.Nehal Udidn Deputy Director Geological Survey of Bangladesh Monirul I. Khan Professor Department of Sociology University of Dhaka Md. Owaliur Rahman Ranaping Community Clinic, Sylhet Mr. Morten Giersing Country Representative, UNICEF Md. Ruhul Amin DIG, Bangladesh Railway Mostafijur Rahman Md. Saiful Islam Dr. Naila Zaman Khan Professor, Child Neurology & Development Bangladesh Institute of Child Health RRD Md. Salim CARE-Bangladesh Mr. Nando Dulal Das Biotechnology Discipline Khulna University Md. Sekendar Ali Pabna Community Clinic Nasima Akhter NGO Forum Md. Seraj Uddin Dhaka WASA Nayeem Chowdhury Dr. Md. Shahidullah Shikdar Asstt Professor, Department of Dermatology and Venerology Bangabandhu Sheikh Mujib Medical University, Dhaka Nishith Ranjan Bindu Pabna Community Clinic Md. Abdur Rahman Khan DG Health Nurul Islam Khan BAMWSP xxiii Nurul Kabir The Weekly Holiday Sanat K. Bhowmik COAST Trust Paban Ritcil HEED Bangladesh Sayed Tanveer Hussain Secretary, Ministry of Forest and Environment Mr. Paul Edwards Team Leader, Water and Sanitation Program, UNICEF Selina Zaman Duncan Brothers Quamrunnahar Mr. Shafiq Rehman Editor, Jai Jai Din Ramdulal Bhowmik Pabna Community Clinic Mr. Shafiqul Islam Team Leader, Arsenic Unit, UNICEF Mr. Rashed Khan Menon General Secretary, Workers Party of Bangladesh Shafiul Azam World Bank Rejaul Karim COAST Shahidul Huq Bhanga THC Rifat S. Khan Program Officer, AusAID, Dhaka Shahnewaz A. Khan Concern S.K.M. Abdullah National Expert Committee Ms Sharmeen Murshid Chief Executive Officer, Brotee Dr. Salek Ahmed Sharmina Banu UBINIG Salimullah Khan Consultant Siddiqur Rahman Begum Setara Samsunnahar Shaptadinga Siddiqur Rahman DG Health Samsur Rahman Shimul Biswas Chairman, BIWTC Sylvia Islam CIDA xxiv T. Otsuko JICA Tapon Kumar Nath Tahmida Banu Tarik Hasan Protik Pabna Community Clinic Ms Taleya Rehman Chief Executive Officer Democracy Watch Dr. Ziaul Hasan Rumi Technical Specialist NGO Forum for DWSS Mr. Tapan Choudhury Managing Director Square Pharmaceuticals Ltd Zakir Hossain DG Health xxv List of Participants International 01 Mr. A.H. Chowdhury 09 Kristen Collins Project Manager – Social Infrastructure International Development GHD Pty Ltd, Level 12, 390, St Kilda Road, Melbourne Vic 3004, Australia School of Chemical Engineering and Industrial Chemistry University of New South Wales, Australia 02 Dr. Alan H. Smith 10 Lia Shimada Prof. of Epidemiology, School of Public Health, Eart Warren Hall University of California, Berkley California 94720 USA 03 Dr. Alison Baker Department of Environmental Health, Harvard School of Public Health Harvard University, USA 11 Michael O’Rourke Senior Project Manager GHD Pty Limited, 380 Lonsdale Street, Melbourne Vic3000, DX 611 Melbourne Australia 04 Prof. David Christiani Health Management, Planning & Development Consultant 46, Knowles Avenue, North Bondi NSW 2026, Australia 12 Md. Amir Hossain Prof of Occupational Medicine and Epidemiology Harvard School of Public Health, Boston, MA 02115,USA 05 David Garman School of Environmental Studies Jadavpur University, Kolkata, India 13 Mohammad Mahmudur Rahman Executive Director, CRC for Waste Management & Pollution Control Ltd Valentine Annexe (H22), Gate 11, Botany Street, UNSW Sydney NSW 2052, Australia 06 Dr. Deoraj Harry Caussy School of Environmental Studies, Jadavpur University, Kolkata, India 14 Mrinal Kumar Senguta Environmental Epidemiologist, Department of Evidence for Information and Policy, World Health Organization, South East Asia Region, Indraprastha Estate, New Delhi, India. 07 Dr. Dipanker Chakraborti 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 Director, School of Environmental Studies Jadavpur University, Kolkata, India 08 Dr. Jheng Baosham Professor, State Key Laboratory of Environmental Geochemistry Institute 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 Butler Chairman, Sky Juice, Sky Juice Foundation 3 Bardwell Road, Mosman NSW 2088 18 Prof. Richard Wilson Mallinckrodt Research Professor of Physics Cambridge, MA 021238 Harvard University, USA 19 Mr. Sad Ahmed School of Environmental Studies, Jadovpur University, Kolkata, India 20 Dr. S.C. Mukherjee Associate Prof. Dept. of Neurology, Medical College, Kolkata, India 21 Prof. Willard R. Chappell Chairman Arsenic Groundwater Committee, Campus Box 136, University of Colorado at Denver, PO. Box 173364, Denver, Colorado 80217-3364, USA 22 Xavier Savarimuti Lecturer, Department of Environmental Science St. Xavier's College, Kolkata, India 23 Xue Wang Guiyang Ghizou Province, China 24 Yukihiro Munekage Kochi 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 Arsenic Developing 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 Declaration Date: 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. xxix 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. xxx