Modern-Day Slave Trade
With the governments of the U.S. and Mexico often up in arms with one another in regard to drug trafficking and transport of illegal aliens across international borders, it is amazing that the two crybabies reached an agreement in 1985 to permit the operation of maquila plants on Mexican soil. Mexican workers, predominantly from the country’s interior, were hired to work in the maquilas for the pittance of the Mexican minimum wage, which in 1988 amounted to less than $4.00 U.S. dollars per day. Meanwhile public health experts, researchers, and health care professionals began to see cracks in the pavement on the road to hell originally paved with good intentions. Garbage dumps sprang up in the midst of grocery stores and playgrounds, as children walked hand-in-hand along byways strewn with litter, human waste, and non-biodegradables. What had started out as a multinational experiment to elevate the human socioeconomic condition had degenerated into a public health nightmare and a pitched battle with hepatitis A, streptococcal infection, amebiasis, scabies, dehydration, diarrhea, contaminated water, and the fleeting hallucinations of a health education infrastructure.
That was then and this is now. What has changed? Not much. Inadequate resources, low socioeconomic status, and utter lack of education still run rampant in many indigent communities south of the border. Those communities, for better or worse, and with the intervention of outside experts when needed, must find ways to educate and financially remunerate community health promoters. They must also establish connections with governmental agencies, in Mexico, the U.S., and perhaps even in the “Land of the Rising Sun,” in order to secure much-needed financial backing and educational tools directed at enhancement of social reinforcement. Social planning and action phases are certain to follow community-wide raising of awareness. With communities themselves at the vanguard of their manifest destiny via a linkage approach between big business, health and innovation resources, health promoters, and community members themselves, development and implementation of health-related interventions stand a relatively good, though not certain, chance of success. At that point, immunizations can be administered, medicines can be dispensed, sewers and stagnant pools can be drained, and I can shut up.
Only when healthy minds and bodies become a reality on both sides of the border, can all eyes be turned to our next formidable adversary, the “modern-day slave trade!”
© 2008, Albert M. Balesh, M.D. All rights reserved.