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Breast reconstruction surgeons

Ministry of Health and medical association sign MoU to implement breast cancer project

January 20, 2021 by www.vir.com.vn

ministry of health and medical association sign mou to implement breast cancer project
The Ministry of Health and Vietnam Medical Association signed the MoU on January 19

The signing ceremony was hosted at the Ministry of Health (MoH) and chaired by Prof. Dr. Tran Van Thuan, Deputy Minister of Health, together with representatives from relevant departments and key hospitals.

The Deputy Minister said: “5-10 years ago, over 70 per cent of breast cancer patients visited hospitals and got treated at a late stage. In recent years, thanks to the communication campaigns, especially the national project on the prevention and control of non-communicable diseases including cancer, the rate of cancer patients getting medical examination and treatment in the early stage gradually increases.”

“The implementation of the project will contribute to the overall goal of the National Strategy on the prevention and control of non-communicable diseases, including cancer in 2015-2025. As this project is implemented nationwide with the cooperation between all levels of health departments and agencies, it is expected to bring positive and sustainable changes, leading to the improvement of Vietnam’s capability to respond to cancer,” he added.

The project aims to increase the rate of early breast cancer detection among women and improve access to advanced therapies for high-risk breast cancer patients. To achieve this goal, the MoH and Vietnam Medical Association will cooperate on the following areas:

(1) Increasing early detection of breast cancer through raising public awareness, screening for breast cancer, developing policy and professional guidance on breast cancer screening;

(2) Strengthening capabilities of medical system for breast cancer diagnosis and treatment;

(3) Develop real-world data system on breast cancer and optimise current data;

(4) Conduct general research on cost-effectiveness and policy on breast cancer screening status, survey drug use in treatment of high risk breast cancer patients.

This is the first time a specialised breast cancer project implemented nationwide with close-knit cooperation with stakeholders from all levels of government including the MoH, Social Insurance, Vietnam Health Insurance, professional medical agencies, hospitals including K Hospital, Bach Mai Hospital, Ho Chi Minh City Oncology Hospital, Hanoi Oncology Hospital, Cho Ray Hospital and the private sector, with Roche Vietnam playing the role of main sponsor for this project.

This signing ceremony demonstrates strong commitment among the government and healthcare departments to synchronise resources and provide simultaneous solutions to reduce the burden of disease on society.

Girish Mulye, chief representative of Roche Vietnam added: “As a global pioneer in pharmaceuticals and diagnostics, Roche is committed to working with Vietnam to address healthcare challenges through a variety of activities. Roche Vietnam is honoured to accompany Vietnam Medical Association and the MoH in this meaningful project, bringing new hope to breast cancer patients in Vietnam.”

Breast cancer is the top cancer of women in both developed and developing countries. Breast cancer incidence is on the rise in developing countries due to longer life expectancy, rapid urbanisation and changes in lifestyle. According to the Global Cancer Observatory 2020, in Vietnam, breast cancer ranks first among all types of women’s cancer, the number of new cases is 21,555 people, accounting for 25.8 per cent of cancer incidents in both genders, taking third place (after liver and lung cancer). The average age of breast cancer incidence in women is 34.2 per 100,000 people. In both genders, breast cancer mortality rate ranks fourth (with 9,345 cases) after liver cancer, lung cancer, and stomach cancer. The age-standardised mortality rate of breast cancer is 13.8 per 100,000 people.

While certain risks of breast cancer can be reduced through prevention, this strategy cannot eliminate the majority of developing breast cancers in low and middle-income countries, where breast cancer is diagnosed at a very late stage. Therefore, early detection to improve breast cancer treatment outcomes and survival are the cornerstone in controlling breast cancer. At the same time, improving access to innovative therapies is crucial in breast cancer control and management.

ministry of health and medical association sign mou to implement breast cancer project Immortal Wish programme launched to support pediatric cancer patients in Vietnam
ministry of health and medical association sign mou to implement breast cancer project Partnership tackles threat of rising breast cancer rates
ministry of health and medical association sign mou to implement breast cancer project Roche Vietnam helps improve diagnostics quality and patient outcomes
ministry of health and medical association sign mou to implement breast cancer project Restrictions curbing success of pharma groups of all sizes

By Bich Thuy

Filed Under: Corporate MoH, Vietnam Medical Association, breast cancer, Roche, MoU, Biz Link, Vietnam Medical..., icecure medical breast cancer, signs 0f breast cancer, medication about breast cancer, seven warning signs of breast cancer, medical associates health plans, medical associates health plan, medical associates health plans dubuque ia, medical associates health centers, signs n symptoms of breast cancer, signs and symptoms of breast cancer stage 1, sign of a breast cancer, signs you might have breast cancer

Vietnamese doctors in South Sudan

February 12, 2021 by en.qdnd.vn

This lunar New Year (Tet), all 63 personnel of Vietnam’s Level-2 Field Hospital (L2FH) Rotation 2 in South Sudan should have been reunited with their families in Vietnam. However, their tenure has been extended for a couple of months due to the COVID-19 pandemic. Though they have to enjoy another Tet away from home, they are still happy to celebrate with many meaningful activities, contributing to beautifying the image of Vietnam among international friends.

Doctor Koma Akim’s story

From Bentiu, South Sudan, Lieutenant Colonel Nguyen Quang Chien, Deputy Director of the hospital began his talk about the hospital’s support for local people with the story of his South Sudanese colleague named Koma Akim, a staff member at Bentiu Hospital.

left center right del
Acting Minister of Education of Bentiu presenting Vietnam’s L2FH Rotation 2 a certificate of merit for its active engagement in civilian-military coordination activities in the place it is stationed

The story started with a quote from the mother of 13-year-old patient Miss Nyakola Tely, “My daughter is alive. Thank God and pray to God for Vietnamese doctors who operated on my daughter.”

Previously, Doctor Akim seemed helpless to perform a surgery on the child patient to remove a giant tumor on her right thigh because of the lack of gigli saw, an indispensable medical device needed for an amputation surgery. Luckily, the “miracle” appeared and he promptly received not only the gigli saw, but also other necessary medical equipment from Vietnamese doctors to help him complete the surgery.

Doctor Koma Akim and his colleagues from Bentiu Hospital were so touched with the timely assistance of Vietnamese doctors that he did not know how to express his deep thanks to the Vietnamese doctors in general and Dr. Chien in particular. At last, he decided to email the life-saving story of Tely to all of the agencies under the UN Mission in South Sudan in the hope of spreading this meaningful story as a special way of expressing gratitude to the Vietnamese doctors.

According to Lieutenant Colonel Vo Van Hien, director of the L2FH Rotation 2, in spite of facing numerous difficulties and shortages of equipment amidst the COVID-19 pandemic, the hospital’s staff is always ready to give support to the host country, even if they have to save a pill or a medical facemask.

In fact, Vietnam’s field hospital has become a reliable health-care address, and a place for spiritual support for the UN Blue Beret Force in Bentiu. Health units under the UN mission are not the only ones that rely on Vietnam’s field hospital, but also local hospitals have asked for the field hospital’s professional assistance and medical equipment during times of difficulty. With the spirit of “a good doctor is like an affectionate mother,” and getting approval from the UN Mission’s medical agency, the field hospital of Vietnam has never refused any request for medical assistance. The hospital’s hotline is available around the clock to give assistance to any patient.

As a good South Sudanese surgeon, who graduated from abroad, doctor Akim always trusts the Vietnamese colleagues and often consults with them. Once visiting the hospital for medical consultations, he was moved when the hospital staff made and presented small gifts, including drawing paper and crayons, to child patients under treatment at Bentiu Hospital. Akim showed Chien the photos of the patients receiving the crayons with joy on their faces and messaged that “My heart was broken when I saw children with such great potential in a skinny and sick condition.”

Though he could find a better job abroad, doctor Akim still prefers to work at Bentiu Hospital and he is happy because his humanitarian spirit is shared by Vietnamese colleagues.

Doctor Chien said that he asked doctor Akim to maintain the good relationship between Bentiu Hospital and Vietnam’s L2FH for the benefit of the local people.

left center right del
In each gift to Bentiu primary students, there is a small piece of paper attached with information about Vietnam and late President Ho Chi Minh. Photo: Trong Tinh

According to doctor Tu Quang in charge of civilian-military coordination (CIMIC) activities of the field hospital, apart from their professional duties, the hospital’s personnel are responsible for making contributions to changing the lives of locals for the better. Through civilian-military coordination activities, Vietnamese doctors expect to spread the humane spirit of the Blue Beret Force.

Soldiers on the frontline

In the context that South Sudan is a COVID-19 flashpoint, the field hospital of Vietnam is assigned by the UN Mission to be one of the key hospitals on the frontline to fight the pandemic.

Last year, along with applying COVID-19 prevention and control measures, the Vietnamese hospital also carried out five programs to support South Sudan people in Bentiu. One of their programs involved making 31 sets of desks and chairs with Vietnamese and South Sudan flags and 100 sets of learning tools, toys and alphabet letters from recycled plastic products to present to Bentiu Primary School. This program was initiated by non-commissioned Senior Lieutenant Vu Anh Duc after a visit to a civilian protection area where he saw classrooms lacking essential items.

Each gift presented to the primary students was attached with a small piece of paper with English words introducing Vietnam and Late President Ho Chi Minh. As doctor Tu Quang said, he hoped that the children would learn more about Vietnam, a small, resilient country, half of the size of South Sudan, which underwent wars and has reaped great development achievements. He hoped this would inspire them to study hard to support their families and contribute to rebuilding South Sudan.

Regarding the civilian-military coordination activities of the Vietnam’s field hospital, Ms. Geraldine Chioma Nzulumike from the Reconciliation and Reconstruction Office and an envoy of the Head of the Field Office said that the deeds that Vietnamese doctors have done are typical for UN’s activities in South Sudan. These activities demonstrate the UN’s commitment to contributing to South Sudan’s sustainable development and peace. Vietnamese doctors have also inspired local students. She added that “if the hands with skills in surgeries and examinations can make such beautiful desks, tables and alphabet letters, you (South Sudanese students) should not be afraid to learn new things and try new things that are useful to the community and society!”.

Translated by Mai Huong

Filed Under: Uncategorized south sudan news agency today, south sudan new now, mundari tribe south sudan, splm south sudan

Vietnamese doctors successfully separate rare conjoined twins

July 16, 2020 by hanoitimes.vn

The Hanoitimes – The twins are classified as a pair of very rare conjoined twins.

A pair of conjoined twins was successfully separated in Ho Chi Minh City on July 15, in an operation which involved more than 90 doctors, nurses and medical experts and lasted for 13 hours and 40 minutes, VnExpress reported.

Hoang Truc Nhi and Hoang Dieu Nhi were born prematurely on June 7 last year at Hung Vuong Hospital in the city. The two girls were joined at the pelvis. After birth, they were transferred to the Ho Chi Minh City Children Hospital to be raised and monitored.

The twins were classified as a pair of Ischiopagus Tetrapus (Quadripus) conjoined twins, which means they have a symmetrical continuous longitudinal axis with their area of union not broken anteriorly, according to doctors.

Over the past year, the twins had learned to sit up and coordinate with each other to move around despite their condition. Their parents, doctors and therapists all took great care of them daily, attending to their every need, from feeding them to changing diapers.

Two weeks before the surgery, the pair was administered antibiotics to prevent possible infections. The twins were deemed ready for the surgery after reaching 13 months, weighing 15 kilograms and having health statistics close enough to that of normal children.

Truc Nhi and Dieu Nhi shared parts of their ileums and colons, and a single anus. They also had two separate bladders on two sides of their belly. Two ureters led to the two bladders. Their pelvis was arranged similar to a circle.

Hoang Dieu Nhi and Hoang Truc Nhi before their separation surgery at the Ho Chi Minh City Children Hospital. Photo: VnExpress
The twins’ mother accompanied them all the way to the operating theater before parting ways and waiting outside with the father. Photo: VnExpress
The surgery started at 6:30am on July 15 at HCMC Children Hospital, and was expected to last for around 12 hours. Around 93 doctors, nurses and medical experts from several HCMC hospitals, including Tran Dong A, 79, a doctor renowned for successfully separating a pair of conjoined twins back in 1988, were on hand. Photo: VnExpress
The surgery went as planned. The surgeons managed to separate the two girls at around 2:10pm. Photo: VnExpress
Truc Nhi was then taken to another surgery room, while Dieu Nhi stayed on. The two will undergo reconstructive surgery to restore their appearance and some body parts. Photo: VnExpress
The surgery ended successfully at around 6:45 pm. The two girls were then transferred to a care unit in HCMC Children Hospital to be under observation. Photo: VnExpress
Doctors and nurses at the HCMC Children Hospital celebrate the successful separation of the two girls on July 15. Photo: VnExpress

Filed Under: Uncategorized Vietnamese doctors, conjoined twins, Ischiopagus Tetrapus, utah conjoined twins successfully separated, conjoined twins who were successfully separated, successfully separated conjoined twins, most successful conjoined twin separations

Vietnamese expert calls for enhancing community resilience to deal with natural disasters

February 9, 2021 by tuoitrenews.vn

In October 2020, according to the National General Statistics Office, central Vietnam was hit by four tropical storms with heavy rains and landslides that killed 129 people and damaged more than 111,200 houses. Even though the local people are no strangers to killer tropical storms, Nguyen Ngoc Huy, a Vietnamese international expert and senior advisor for Oxfam on climate change, believes more needs to be done in order to save lives and property after natural disasters.

Huy received a PhD in Environmental Studies from Kyoto University with a focus on drought risk management and climate change adaptation in 2010. He has over 15 years of experience working on water resource management, climate change adaptation, disaster risk reduction, and education in emergencies in Vietnam, Laos, and Cambodia. He has also served as an international consultant for UNISDR, UNCCD, IFAD, ADRC, and UNESCO in conducting research, studying policy, and developing tools for disaster risk reduction.

While he was a Ph.D candidate researching natural disaster mitigation, he realized that disaster management needed precise data from many fields. He continued to learn about meteorology, floods, droughts, climate change, and recovery efforts after disasters in his quest for knowledge. 

Since 2008, Huy has used social media to spread information and warnings about disastrous weather. He is motivated to share this information as he believes that forecasted information can save lives and property. Aware that countries have differences in disaster response and management and also suffer from gaps between forecasts and the needed response, he tries to narrow the gap.

To understand the weather forecast

Internet users in Vietnam refer to Nguyen Ngoc Huy as “Huy, the weather boy” and follow his weather forecasts online as they find them more understandable and useful than other forecasts.

On December 29, one forecast post about the unusually cold weather that occurred from late December to mid-January in the north and central northern parts of Vietnam had reactions from 7,000 people, 1,700 shares, and 614 comments on Facebook.

Dr. Nguyen Ngoc Huy is seen in this provided photo at Oxford University in 2019

Next to the temperature forecast for each province, Huy included recommendations: senior citizens in the area should wear proper clothes inside and outside and avoid sudden temperature changes, people in the mountainous areas should protect their buffalo and cattle by herding them and burning wood to provide heat when and where affordable. He also suggested that people consider harvesting farm-raised striped bass to avoid losses.

On the nights of October 17, 18, and 19, tropical storm Vamco caused historic flooding in Quang Tri, Quang Binh, and Ha Tinh, Vietnam. Numerous people in the provinces had to escape to their roofs in the middle of the night when circumstances were not appropriate for them to evacuate properly.

Although many other Vietnamese were moved and shocked to see such events, Huy was among a small group of people who knew historic rains were due to happen as early as mid-2020. This ability to foresee a disaster in the future through science could have avoided so many losses. However, what happened in October and November 2020 seems to show that there was a lack of readiness and preparation.

 “We can’t tell how many people knew that 2020 was going to be an extreme year of rain in central Vietnam, and we also don’t know how many people believed the prediction when they heard it. If the people had known that there would be excessive rain on the night of October 17, 2020 in Quang Tri Province, they could have evacuated sooner and the hotline for emergency rescue would not have been overwhelmed,” Huy reflected.

Huy believes that knowing about a storm one to two days in advance is enough for people in the vulnerable areas to protect their properties, as well as move to a safe place. Sometimes, those evacuating do not need to run far away from the area. It is as simple as temporarily staying at the house next door or somewhere a little farther as long as the building can properly resist the storm.

The reality of the poor response in the flood prone areas of Vietnam clearly showed that there was a need for a more meaningful weather forecast that could provide helpful information to people instead of just data and numbers.

“If we tell people that a precipitation of 20 mm will be seen in Quang Tri, most people won’t understand what it means. However, if we tell them that heavy rain will last for so many hours, where it will fall, and how likely it is that a flood will happen after so many days, the people will understand and be more likely to believe us,” Huy said.

Another example could be instead of using latitude and longitude information, which most people need to refer to a map, Huy suggested that news forecasts about storms should provide the most needed information: when and where the storm will hit the land, how strong it will be when it hits the land, and what type of housing could withstand the wind. In short, weather forecasts should be as accurate as possible while also providing useful and easily understood information.

“A very broad weather forecast that predicts a large range of possibilities and is read a few times a day everyday won’t trigger the required sense of alert,” Huy believes.

Resilient community

In an exclusive interview with Tuoi Tre News, Huy confirmed that 2020 was a historic year of tropical storms for the people in central Vietnam and emergency relief was indeed necessary. Without support from domestic and international communities, it would have been very difficult for the flood survivors to get back on their feet.

Vietnamese people, both from within and outside of the country, were called to donate money and goods to send to hard-hit provinces in the central region. The act reflected a famous proverb “La lanh dum la rach”, which simply translates into English as “the good leaves protect the worn-out leaves” and describes acts of unity in difficult times.

The question though is how to help in a sustainable and beneficial way? Social media posts showed food and clothes being tossed into the trash in the flooded areas soon after relief was sent, which demonstrated that those items were not needed. However, these things continued to pour into those areas weeks after the storm.

Partially because of this, Huy emphasizes that it is important for flood vulnerable communities to build their own resilience. In the case of the killer tropical storms in central Vietnam in October and November 2020, during the first three days, clean water, warm clothes, and ready-to-eat food were the most necessary items. However, after that, relief and reconstruction needed to be implemented.

In times of disaster, support needs to be enough and accessible for those who lose all means of living, but they also need to motivate those who can still thrive on their own. For example, people who still have land might only need some money to buy seeds for short-term vegetable crops or to start to raise poultry. Thus, loans should be provided based on the details and proposals based on needs such as rebuilding houses or restarting a resident’s livelihood.

It is important for everyone to understand that the rebuilding process takes time and it must involve the local people. No matter how long it takes, the people have to be the key players to drive it by their motivation to fix things. People in flood vulnerable areas should not be seen as victims who are waiting for the compassion of society. Contrary to that image, their dignity should be realized by strengthening their capacity to get back up with strong will and determination. This capacity is built through a process of learning through experience, continuously adapting to the changing environment, and passing the knowledge on to future generations, as has already been seen in Japan.

Not so far from Vietnam, Japan is particularly vulnerable to natural disasters because of its climate and topography, and it has experienced countless earthquakes, typhoons, and other types of disasters.

Aware of how vulnerable the country is, Japan has developed a comprehensive disaster response plan in which each individual in the society respects the plan and fulfills their role. For example, when there is a call for evacuation, clear information is released regarding where to evacuate to and the deadline to show up at the safe shelter. The people then manage their business and show up at the designated time. With this spirit and capacity, in case of disasters, it is less challenging for the government to carry out emergency response in an organized way.

For building resilience capacity in Japan, construction technique and raising awareness were among the key priorities. Infrastructure in Japan such as buildings and bridges are resistant to a certain level of earthquake or storm.

Most Japanese learn about natural disasters at school, and they are aware of their part in responding to natural disasters. This spirit and practice is passed through generations.

In Vietnam, there is a gap in passing on this disaster knowledge or experience. In areas that are prone to natural disasters, most of the people have the experience of facing storms. However, in areas where natural disasters are fairly new or only occasionally happen, such as the Mekong Delta area, the experience and knowledge is lacking.

In 1997, tropical storm Linda hit Ca Mau province, a deep southern province of Vietnam, and killed more than 3,000. Since then, a gap of 23 years is long enough for young adults in the area to lack the knowledge of how to respond to a similar storm. Due to climate change, which affects Vietnam more than most other countries according to a report of the International Panel on Climate Change, the weather will be more unstable, extreme, and more difficult to forecast in the future. Thus, the gap between generational understanding in terms of responding to natural disasters needs to be filled.

Even though weather forecasts can’t be guaranteed correct, it is wise for the people to consider the advice of the government and experts in the field. Here in Vietnam, instead of showing up at the safe shelter, local governments usually have to force villagers to evacuate. This could be avoided, if the people had enough information to evaluate the risks for themselves.

Take up lesson

For Vietnam, the stormy and historic year of 2020 meant many lessons were learned, both for short-term and long-term change.

There were questions and concerns raised in regard to building resilience for vulnerable communities. If this is not in place years into the future, after each storm, Vietnamese in other parts of the country will still need to call for donations.

“I think that emergency response should happen for a short time when really big disasters that hit people hard. For mild and average disasters, the community should be able to resist,” Huy suggests.

It is the tradition of Vietnamese to unite and share their fortune with one another. However, carrying out donation drives is not as important as building and strengthening the capacity of the vulnerable communities overall.

There is so much to learn through example in central Vietnam, such as protecting the roof (housing or factories) better. A better roof may increase building costs by 10 percent or so, but businesses and people can protect 100 percent of their properties after the storm.In central Vietnam, people typically redo their roof the same way after a storm or disaster, and this is not considered a good practice. As the saying goes, the old path does not take us to a new destination. Based on past experiences, people must renovate what needs to be better in order to prepare for the next storm. In 1999, a historic flood happened in Hue. Since then, when building new houses, local people try to have their house foundation at least equal to or even higher than the historic water level. Reflecting on what happened in the storm season of 2020, local authorities should review their capacity to respond to extreme disasters.

If the region is not fully capable of handling such events, what can be done to change the situation? Reality has shown in some places that, even when all resources are in use, they are not enough. So, local authorities should plan for alternatives to address this. Perhaps they can mobilize resources from nearby provinces? Maybe privately owned trucks or canoes can be considered for rescue purposes? In order to do such a thing, a detailed plan needs to be in place for coordination before a disaster happens.

“Extreme weather events such as heat waves and large storms are likely to become more frequent or more intense with human-induced climate change,” Huy emphasized. Around the world, including Vietnam, climate change creates the need to improve current forecast and warning systems, practices, and response plans. Studies also show the impact of disasters on the economy has increased in many countries over the years, especially coastal countries. While the economy seems to be better in many countries, the cost related to disasters has been increasing at a similar rate. It’s obvious that climate change and natural disasters are linked, so we need to change our ways to adapt to it so we can all prosper instead of suffer.”

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Filed Under: Uncategorized Vietnam Life - Vietnamese expert calls for enhancing community resilience to deal with natural disasters, TTNTAG weather forecast, TTNTAG nguyen ngoc huy, report on natural disasters, natural disaster risk assessment, anathema natural disaster, information about natural disasters, natural disaster recent, worst natural disaster, whats a natural disaster, what is the natural disaster, what is natural disasters, what is natural disaster, what is a natural disasters, what is a natural disaster

Vietnam War vet uses French niche to claim Agent Orange justice

February 10, 2021 by e.vnexpress.net

Nga came online with her silver hair in rollers.

“My hair is way too long now. I have not made time for a haircut yet,” she said, explaining the hair rollers in a video call with VnExpress International from her apartment in Paris, where she lives by herself.

At almost 80, Nga gives herself no time to rest. She is busy with indictments, statements, speeches and interviews, especially since last January when her name became a byword for a doughty fighter.

On January 25, Nga’s profile shot up among millions interested in the Vietnam War in general and Agent Orange in particular. That day, she officially filed a suit against 14 companies that supplied the U.S. Army with the notorious, toxic defoliant during the Vietnam War. Studies have shown that they knew it was toxic but decided to make it for profit anyway. The case was filed in the southern Paris suburb of Evry.

The defendants in Nga’s case are on top of a Who’s Who list in international agriculture, like Monsanto and Dow Chemicals. She has accused them of being responsible for physical ailments and mental suffering sustained by her, her children and countless others, as well as for severe damage done to the environment.

“This is not my trial alone, this is not my fight alone. By now, the name Tran To Nga should only be a symbol. This is a fight for the people, for truth,” she said.

Nga suffers from certain typical Agent Orange effects, including type 2 diabetes and an extremely rare insulin allergy. She has contracted tuberculosis twice and a cancer once. She lost one of her daughters to a malformation in the heart. She has also suffered Alpha Thalassemie, which results in impaired production of hemoglobin, the molecule that carries oxygen in the blood, and her daughter and grandchild have the syndrome.

Tran To Nga during a rally to call for justice for Agent Orange victims in Paris, 2019. Photo by Collectif Vietnam Dioxine.

Nga, a naturalized French citizen now, has been fully backed by Vietnam in her fight for justice.

In an open statement early February, the HCMC Peace Committee and HCMC Development Foundation, two organizations within the HCMC Union of Friendship Organizations, said that “in line with our deep and steadfast commitment to humanity and justice, we declare our full moral support for Tran To Nga’s legitimate right to have her case as a victim of dioxin/Agent Orange impacts heard before a court of justice.”

They said manufacturers cannot “shirk their moral responsibility for the terrible pain and suffering endured by combatants and civilians, and simply shrug off this damning reality.”

While international cooperation, including between the Vietnamese and U.S. authorities, has made some progress on mitigating dioxin/Agent Orange’s impact on Vietnam’s soil, specifically through decontamination of former airbase hotspots, “proper recognition and remediation of the many facets of its long-lasting impact on humans, especially civilians in Vietnam, still lags far behind,” they said.

Foreign Affairs Ministry spokeswoman Le Thi Thu Hang said at a recent press meet: “We support Agent Orange/dioxin victims claiming legal liability from the U.S. chemical firms that manufactured and traded Agent Orange/dioxin during the war in Vietnam.”

Multinational firms taken to court by Tran To Nga should take responsibility for the impacts of the toxic defoliant used in Vietnam, she added.

A reporter and a fighter

Tran To Nga was born in 1942 in southern Vietnam. After graduating from college in Hanoi, she returned to the south and worked as a journalist for the Liberation News Agency, which later merged with the Vietnam News Agency. She covered the Vietnam War and also fought as a soldier. She was jailed for almost a year in 1974 and released when the war ended in 1975.

After the war, she became an educator as principal of the Le Thi Hong Gam and Marie Curie high schools, and later, the HCMC University of Technology and Education.

In 1993, she moved to France.

After she retired Nga engaged in charity work both in France and Vietnam, making herself a connection between benefactors and those in need, especially children. In 2004, her work was recognized with the Ordre national de la Légion d’honneur, or The Legion of Honor, the highest French order of merit.

“I have been doing a lot of charity work, but it was only in 2008 that I truly put my heart and soul into helping Agent Orange victims,” Nga said.

That year, Nga had struck a deal with a donor to build houses for people in difficulties in Vietnam. On some friends’ advice, she decided to direct this assistance to Agent Orange victims. She asked local authorities in Vietnam for beneficiary suggestions and was advised to visit the northern province of Thai Binh.

That trip turned out to be a life changer.

‘Don’t cry’

“One day I visited a family and met a person whose whole body is distorted with crooked arms and legs, and humps both in the front and back of the body. I burst into tears immediately.

“What happened next was that the person reached out with a crooked arm and wiped my tears, telling me, ‘Don’t cry!’

“I realized at that moment that whatever miseries I have experienced in my life, it could never compare with the suffering of such people.

“For days after that visit, I could not sleep well. If I don’t do anything, then who. I asked myself.”

As a direct participant in the war, Nga had direct experience of being exposed to Agent Orange, and could no longer do nothing.

She decided to devote the rest of her life to supporting Agent Orange victims and procuring justice for them.

Lending her voice

In 2009, when Nga returned to France, she learned by chance that the International Peoples’ Tribunal of Conscience in Support of the Vietnamese Victims of Agent Orange would meet in May in Paris to hear evidence on the impacts of the use of Agent Orange by the U.S. military in Vietnam from 1961 until 1971.

Nga wrote to the organizer of the tribunal, offering herself as a witness, “on behalf of those that can no longer be there to speak up because they had died in the war, and those that cannot make it to the court.” Her offer was accepted.

The day she showed up as a witness, nobody knew who she was because she was on her own while all others testifying were introduced by the Vietnam Association for Victims of Agent Orange/Dioxin (VAVA).

The only reference she got was from Nguyen Thi Binh, who had led Vietnam’s delegation to negotiate at the Paris Peace Conference and later served as the nation’s vice president. Binh introduced Nga to other people as “the daughter of a friend of mine.” Nga’s mother was Nguyen Thi Tu, who was chairwoman of the South Vietnam Women’s Liberation Association.

Compared to other witnesses, Nga had a distinct advantage: her French skills. Before attending the tribunal, she had already submitted a statement that she wrote in Vietnamese and translated into French by herself.

Nga also speaks French fluently and this made her testimony more convincing as she detailed the serious impacts of Agent Orange that she had witnessed as a soldier, a victim and as an activist.

Her statement was powerful: “I would like to invite all of you, all the Americans, all the lawyers, to come to Vietnam with me and see for yourself the consequences of the Agent Orange; and I’m sure you will never have the courage again to defend those that caused such consequences.”

She has repeated that statement at the ongoing trial in Evry.

By now, it is known internationally that between 1961 and 1971, the U.S. army sprayed some 80 million liters of Agent Orange, a compound of dioxins and dioxin-like substances, over 78,000 square kilometers (30,000 square miles) in southern Vietnam.

Dioxin stays in the soil and at the bottom of water bodies for generations, entering the food chain through meat, fish and other animals, and has been found at alarmingly high levels in human breast milk.

Between 2.1 to 4.8 million Vietnamese were directly exposed to Agent Orange and other chemicals before the war ended in April 1975. These chemicals have been linked to cancers, birth defects and many other chronic diseases.

Nga’s appearance at the tribunal took her fight for Agent Orange victims to a new level. More and more people started to know what she was doing and she captured the media’s interest.

“From that day, I officially walked into the public light.”

The perfect candidate

After the 2009 appearance, Nga was approached by André Bouny, a French writer and president of the International Committee of Support (CIS) to support victims of Agent Orange; and William Bourdon, a French lawyer who practices criminal law, specializing in white-collar crime, communications law and human rights.

Even before they saw her at the tribunal, the two men had visited Vietnam and met with Agent Orange victims. They were looking for ways to help and fight for them.

In 2008, in a meeting with the then Prime Minister of Vietnam, Nguyen Tan Dung, they said if there was an Agent Orange victim with French citizenship, they could help that person file a suit in France against U.S. firms that had either made or sold dioxin, on behalf of all other Vietnamese victims.

Nga was the perfect candidate: She is the only plaintiff who can sue firms that had made and traded dioxin on behalf of Agent Orange victims in Vietnam. She is a victim herself and a Vietnamese-French citizen who lives in the only country that allows its citizens to turn to the courts for justice against foreign attacks.

It took Nga a while to accept the offer made by Bouny and Bourdon.

“I was almost 70 then and quite satisfied with what I’d done so far, spending years doing charity work and supporting unlucky people. So I was not keen on any involvement in such legal drama.”

However, some people, including several in Vietnam, convinced her, telling her how important it would be for her to take the case, as she lived in the only country that allows such an international lawsuit.

They also said if she turned down the offer, there would be no one else to pick up the cudgels, ever. Before her, the VAVA had filed a lawsuit in the U.S. in 2004 against 37 U.S. chemical manufacturers – including Dow Chemical and Monsanto. However, the case was rejected three times by U.S. courts, which ruled that there was no legal basis for the plaintiff’s claims.

After Nga eventually decided to sue the U.S. chemical firms, lawyers explained to her that she could always accept the option of reconciliation outside the court, “which would allow me to get lots of money from those companies.”

The other option would be to take “a very long and very challenging path, but would pave the way to justice for so many Agent Orange victims out there.”

If the French court rules in her favor, it will be the first time ever that Vietnamese victims of the Agent Orange win compensation for the horrific aftereffects caused. So far, only military veterans from the U.S., Australia and South Korea have been compensated.

Nga chose the latter path, one that she has walked on for more than a decade and that is yet to reach its end.

A ‘happy’ poisoning

For five years (2009 to 2013), Nga had a lot to do to prepare the paperwork for her lawsuit. During this period, she had to convince and get the endorsement of VAVA members.

In 2011, though Nga had been in the fight for almost two years, official medical confirmation was needed that she had a higher-than-permitted level of dioxin in her body.

Nga explained that such a test was costly, one that is beyond many people in Vietnam. For the case, Nga had her blood samples taken for testing and sent to a laboratory in Germany via the VAVA. The test results arrived after two months, cementing the foundation for her case: the amount of dioxin in her blood is a bit higher than the European standard but much higher than the Vietnamese standard.

“It means that after more than 50 years, it is still there in my body. But, holding the result, I cried a happy tear, knowing for sure that I was totally capable of taking those firms to court.”

But that very year, French President Nicolas Sarkozy removed the law allowing international courts in the country.

Nga’s hands were tied. She planned to switch to Belgium but that European country had also removed the relevant law, following an incident related to the arrest of Chilean dictator Augusto Pinochet.

Nga ended up waiting until 2013, when France had a new president and the law was reinstated. In March that year, the Crown Court of Evry City approved her petition for the case. Until then, every preparation for the lawsuit had remained undisclosed to the public.

However, she encountered another problem: money.

Nga said her personal income had always placed her among the poorest population segment in France, and that has not changed until today.

“Even my lawyers told me: ‘We know you cannot afford to pay us. We will not charge you anything.’”

But for the lawsuit to be taken to the international court, she had to have an international lawyer translate an indictment of 30 pages from French to English aside from other related fees. In all, she needed about $36,000 euros.

Her lawyers held a meeting, gathering around 20 people that Nga “had never met before.” Among them were overseas Vietnamese, French people, and some that had joined the war as soldiers fighting for the South Vietnamese side backed by the U.S., which means they were once Nga’s rivals.

Nga and the lawyers tried to explain the cause of her trial and why it was essential. In just one week, she received $16,000 from the people who attended the meeting.

“I was very happy, but my surprise was greater. It was for me such clear example for national reconciliation. The reconciliation happened only because everyone believed in justice and wanted to fight for it,” she said.

The rest of the sum was raised by the VAVA via different sources.

In April 2014, the court opened the first procedural session. A total of 26 chemical companies were sued in the beginning, but 12 of them have been sold or shut down over the past years.

After going through 19 procedural sessions during which Nga had to struggle with various types of legal issues aside from her own health problems, on June 29, 2020, the court finally issued a notice in her case and directed that procedural sessions be closed on September 28, so that the trial with litigation sessions could begin on October 12 the same year.

The trial, however, was further postponed to January 25, 2021 due to the pandemic.

Tran To Nga and André Bouny at the court on January 25 in Evry, France. Photo by Collectif Vietnam Dioxine.

At the trial, 20 lawyers of the 14 U.S. chemical companies, including Bayer-Monsanto, Dow Chemical, Harcros Chemicals, Uniroyal Chemical and Thompson-Hayward Chemical among others, had four hours to present their arguments debate, while Nga’s three lawyers had one hour and 30 minutes.

Nga’s lawyers – William Bourdon, Amélie Lefebvre and Bertrand Repolt – have been representing Nga pro bono from 2014 onwards.

Speaking on behalf of the three lawyers, Repolt wrote in an email: “We chose to take this case because Agent Orange is a drama in 20th century history linked to a war that made no sense. No one wants to see such a human and environmental disaster recurring in the future.

“One of the ways to prevent this from happening again is to make everyone understand that there is no impunity, including no impunity for the American companies that supplied Agent Orange to the U.S. Army and who must now account for what they did and assume their responsibilities.”

Commenting on their support, Nga said: “To reach where I am right now, I don’t know how to thank my lawyers and the public around who have been supporting me nonstop, especially the wonderful young people here in France.”

From a virtual unknown, Nga now has thousands of people who have supported her directly and via different social media platforms.

The France-based NGO, Collectif Vietnam Dioxine, which has backed Nga from the beginning, wrote on their Facebook page: “Almost 60 years after Agent Orange’s first spread, we remember and are still here to support the victims of yesterday and today of the first and greatest ecocide in history. Our fight will serve future generations!”

On January 31, a rally held by this organization gathered nearly 300 people in Trocadero Square, expressing support for Nga and other victims of Agent Orange in their fight for justice.

The NGO was established in 2004 to raise awareness and claim justice for the Agent Orange victims.

“The organization had not even considered the option that Ms. Nga would one day appear and take the issue to trial, and after six years of non-stop activism, the issue has caused a social upheaval in France,” Charlotte Tsang, in charge of media and communications for the NGO, wrote in an email.

“Ms. Nga is our last hope. Being French and Vietnamese directly touched by Agent Orange during the Vietnam War, she fulfills the French requirements to condemn the firms responsible for Agent Orange’s conception,” she added.

Not us… they knew

The 14 multinationals have argued that they cannot be held responsible for the use the American military made of their product.

Bayer said Agent Orange was made “under the sole management of the U.S. government for exclusively military purposes.” Its lawyers argued that the court was not the proper jurisdiction for holding the trial, AFP reported.

Monsanto lawyer Jean-Daniel Bretzner told the court that the companies “acted on the orders of a government and on its behalf,” and since the U.S. government cannot be expected to answer to a foreign court for its war actions, the companies should also be immune from prosecution, he said.

Nga’s lawyer Repolt said he and the other two lawyers in the team had had to provide proof of the liability of American companies.

“Indeed, we had to demonstrate that when the chemical companies supplied Agent Orange, they were aware of the dangerousness of the product. This required producing, before the French judge, exchanges of internal correspondences from the 1960s, demonstrating this perfect knowledge of dangerousness. Given the age of the facts, this was not easy, but I think we produced sufficiently convincing documents in court to win our case.”

For Nga, the case has “obtained some initial successes in making many more people know about Agent Orange/dioxin and what it has done to the Vietnamese people because apparently, before the trial, not many people were aware of this issue.”

Tran To Nga waves as she stands with her supporters at the Trocadero Square in Paris, January 31, 2021. Photo by Collectif Vietnam Dioxine.

Tsang of Collectif Vietnam Dioxine made the same observation: “When Ms. Nga launched the legal proceedings in 2014, the scandal of Agent Orange was pretty unknown in France.

“The trial happened but the challenge remained the same: how can we raise Agent Orange as a global environmental and social issue in France? How can we raise Ms. Nga’s trial as a symbol of resistance against imperialist wars and ecocide?”

The court’s ruling is scheduled on May 10.

From a legal point of view, attorney Repolt said: “If we do not succeed in establishing legal responsibility, before French or another foreign court, the only reasonable and effective way that we will have left is the diplomatic channel, that is to say a commitment by the U.S. for the benefit of Vietnam to repair the damage caused by the war, especially of Agent Orange.”

The U.S. government is working on different projects to clean up dioxin contamination in Vietnam. It was announced last month that the clean up of an area at the Bien Hoa Airport, a former airbase of the U.S. army during the war, has been completed. The U.S. has also approved a grant of $65 million to support people with disabilities affected by Agent Orange in eight provinces.

‘I’ve already won’

Asked if she had ever thought of giving up, given the long and tough path she’s been on, Nga said that the Agent Orange victims in Vietnam, including those whose parents used to fight the war as her comrades, “have placed so much hope in me and I cannot let them down.

“Their hope and their trust does not allow me to ever stop fighting.

“I am old and really sick now, and I could die anytime, but I do not regret anything I have done. For the long fight ahead, I only wish to have three things: courage, patience and hope. The truth has been distorted, and I have to keep speaking up.”

And, she added firmly: “We will not lose, the power of truth and justice will win.”

“We could see so clearly at the court that when the group of almost 20 lawyers that represent the 14 firms showed up, they were extremely lonely; while my three lawyers and I have been receiving such warm welcome from the public,” she said, adding that there were people waiting for her outside the court just to tell her that they will always stand beside her.

“Such genuine support can only happen because people know what is right and believe in justice, and in that, I have already won.”

Filed Under: Uncategorized Vietnam, Vietnam dioxin, Vietnam Agent Orange, Vietnam War, Vietnam War vet uses French niche to claim Agent Orange justice - VnExpress International, why agent orange was used in vietnam, when was agent orange first used in vietnam, napalm and agent orange vietnam war, when was agent orange used in the vietnam war

Vietnam to master homegrown dioxin remediation

January 9, 2021 by e.vnexpress.net

Colonel General Nguyen Chi Vinh, Deputy Minister of National Defense, told a Friday meeting Vietnam targets to complete dioxin remediation across all contaminated areas that have been detected by 2025.

Affected areas include Bien Hoa Airport, the most contaminated spot in the country in Dong Nai Province, neighboring Ho Chi Minh City, and A So Airport in central Thua Thien-Hue Province.

Related agencies will continue to investigate the current status of toxic chemical and dioxin residues in other areas sprayed during the war that last from 1955 to 1975.

Vietnam is expected to develop its own method of cleaning up dioxin, with all such projects thus far completed in collaboration with the U.S.

Between 1961 and 1971, the U.S. army sprayed some 80 million liters of Agent Orange, compounds of dioxins and dioxin-like mixtures, over 78,000 square kilometers (30,000 square miles) of southern Vietnam.

Dioxin, a highly toxic chemical contained in the defoliant, stays in the soil and at the bottom of lakes and rivers for generations. It can enter the food chain through meat, fish and other animals, and has been found at alarmingly high levels in human breast milk.

Between 2.1 to 4.8 million Vietnamese were directly exposed to Agent Orange and other chemicals, which have been linked to cancers, birth defects and other chronic diseases.

In the past 10 years, dioxin remediation has been completed at Da Nang International Airport in central Da Nang City and Phu Cat Airport of central Binh Dinh Province.

The 2025 target of Vietnam’s national defense ministry also includes clearing about 800,000 hectares of land contaminated with bombs, mines and explosives left from the war.

In the 2010-2020 period, the total area to have been surveyed and cleared of bombs and unexploded ordnance (UXO) was more than 500,000 hectares (1.23 million acres). Of this, 400,000 hectares had been cleared by the ministry and the rest, by international organizations.

More than VND12.624 trillion ($546.23 million) has been spent on clearing UXO in Vietnam, including more than VND1.42 trillion from its own budget.

Filed Under: Uncategorized Vietnam, Vietnam War, Agent Orange, Vietnam dioxin, UXO, Vietnam to master homegrown dioxin remediation - VnExpress International, service master mold remediation, homegrown remedies

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