Delivering Healthcare on the Thailand-Myanmar Border: A Dispatch from Mae La
Global Health | Refugees | Social Impact | Healthcare | Thailand
Since April, our organization has been dispatching medical doctors to the Mae La refugee camp along the Thailand-Myanmar border. Today, I want to share a powerful dispatch directly from the field, written by our stationed physician, Dr. Kaung Zan Oo.
The hospital inside the camp serves as a lifeline, providing comprehensive medical care to protect the health of its residents. The clinic's services cover everything from pediatrics and general outpatients to cardiovascular care, malaria treatment, dentistry, mental health support, and maternal and infant check-ups.
The scale of the need is immense. In June alone, the hospital handled 5,594 outpatient visits and admitted 330 inpatients. This monumental task is shared among a small, dedicated team consisting of Dr. Kaung Zan Oo, two other doctors, and the tireless local medical staff.
The Dengue Surge: Fighting with Manual Ingenuity
June marks the beginning of the rainy season in Thailand, and with it came a rapid spread of mosquito-borne dengue fever inside the camp. In May, we saw only 9 cases. By June, that number skyrocketed to 70, leaving our medical team scrambling to respond.
The camp hospital is not a modern facility. We do not have automatic blood testing machines, sufficient diagnostic kits, or electronic intravenous (IV) pumps.
In this resource-constrained environment, the medical team relies on sheer ingenuity and whatever materials are at hand. For example, when administering IV drips to young children or dengue patients, giving too much fluid can cause water to pool in the heart or lungs—a potentially fatal complication. Without machines to regulate the flow, nurses must manually adjust the drip speed, literally one drop at a time, checking on the patients every single hour around the clock.
Despite the chaotic state of the wards due to the sudden spike in cases, the team’s meticulous manual monitoring, careful IV management, and rapid transfers to partner hospitals paid off. Thanks to their unwavering dedication, we did not lose a single patient to dengue fever in June.
A Life Saved Through Teamwork
One evening, a 40-year-old woman was rushed to the hospital. She had lost consciousness and was convulsing.
She is a single mother to a 7-year-old daughter and a son who is currently serving as a novice monk. Upon arrival, her consciousness level was dangerously low. Her throat and lungs were blocked with phlegm, and she was on the verge of respiratory arrest.
The medical team sprang into action. They immediately secured her airway and administered life-saving oxygen via a mask. Thanks to the team's rapid and coordinated response, she slowly regained consciousness.
During the follow-up examination, we discovered the cause: she had accidentally taken a massive overdose of her regular asthma medication. By administering an antidote and IV fluids, the team successfully pulled her out of critical condition.
During the morning rounds the next day, she smiled at us from her bed. Turning to her son who was visiting her, she said:
"The doctor saved your mother’s life. You need to say thank you."
Reflecting on that day, Dr. Kaung Zan Oo told us, "Seeing her recovered and smiling in a facility with such limited equipment was the exact moment that made all the hard work of our medical team worth it."
A Message from Dr. Kaung Zan Oo
We received a message of immense gratitude from Dr. Kaung Zan Oo, who continues to work on the front lines:
"Thanks to the support from everyone, we are able to deliver essential medical care to families living in incredibly harsh environments. Before I arrived, the medical team here was stretched far beyond their limits. A lack of time and manpower meant they sometimes had no choice but to turn patients away.
However, with additional doctors on the ground, wait times have drastically decreased, and we can now provide careful, individualized examinations for every patient. We are also finally able to respond to nighttime emergencies. On behalf of all the patients we treat, I want to express my deepest gratitude to everyone supporting this initiative."
The refugee camp's medical facilities may lack sufficient equipment and modern supplies, but the staff and residents make the most of what they have. They survive—and thrive—through mutual cooperation.
It is only because of your warm and generous support that we can continue to dispatch doctors to the field and carry on these life-saving activities. Thank you, as always, for standing with us.
