International Medical Commission on Bhopal

However, when the long term after effects began to appear, it was obvious that the social and legal climate was inadequate since there was little experience in dealing with a major environmental disaster.

On the other hand, the extreme sensitivities of the local and national government bodies towards all aspects of the disaster, coupled with the lack of expertise and funds, resulted in an inadequate response on India's part to meet the urgent health care and social recovery needs of the community.

[1] Recognising the dire need of the gas victims, the Permanent Peoples' Tribunal met in 1992 and recommended that an international medical commission provide an in-depth independent assessment of the situation in Bhopal.

During their stay, the IMCB met with government officials, various disaster experts, hospitals, research teams, local private physicians, biochemists, botanists, various survivor groups, environmental activists and veterinarians.

The main goals of the IMCB were: The commissioners divided their work in various groups: The IMCB committed itself to a) provide a full report of its findings and recommendations to the Governments of India and Madhya Pradesh, victims' organisations, and all other interested parties; b) stand ready to assist the government of India and medical colleagues to implement the recommendations of the commission; c) enlist the National Advisory Committee to follow up the initiatives of the commission; d) recommend research studies to be undertaken in India on the long-term effects of the gas exposure, and e) assure the wide circulation of its experience and findings in the professional literature.

The government of India also was faulted since no clear guidelines were laid down to determine compensation to the victims resulting in undue delays and aggravation of their health status and/or economic survival.

[7][8] There has been a lack of systematic collection of relevant information in these reproductive effects, and also with respect to cancer development or other chronic illnesses as sequelae of the gas exposure.

Recent investigations have shown that local well water has become contaminated by the improper storage of a large amount of hazardous waste in the facility, or on its grounds.

Faced with lawsuits and the prospect of bankruptcy, Union Carbide's efforts to keep open channels of communication were highly inadequate to address these issues and were considered by many to be a major human rights violation.

In addition, the transnational political and legal ramifications served to throw a veil of secrecy around the disaster, thus impeding the discovery of essential pieces of information.

As an example, the lack of information about whether MIC could thermally decompose to hydrocyanic acid led to years of contentious debate on the merits of treating the gas victims for cyanide poisoning and an unfortunate violation of patient confidentiality.

Recognising that Bhopal is a tragic model of an industrial epidemic, members of IMCB have expressed willingness to organise international teams when requested, to provide technical assistance and evaluation of other environmental disasters.

Almost 38 years after Bhopal, accidents continue to occur in the small, medium, and large-scale industries in the public, private, and transnational corporation sectors.

IMCB members (L to R) Ramana Dhara, Jerry Havens, Birger Heinzow calibrate a spirometer Jan 1994
IMCB members (left to right) Drs. Gianni Tognoni, Ingrid Eckerman, Rosalie Bertell, Sushma Acquilla, Birger Heinzow and Ramana Dhara