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    FOCUS:

    FEATURE:

    PLUS:

    FOCUS: Prevention & Clean-up of Unplanned Explosions

    FEATURE: Asia & the Pacifc

    PLUS: Notes from the Field and Research & Development

    Issue 17.2 | Summer 2013

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    Te Journal o ERW and Mine ActionCenter or International Stabilization and Recovery

    at James Madison UniversityIssue 17.2 Summer 2013 | ISSN: 2154-1469

    Print Date: July 2013

    Journal o Mine Action (printed edition)Issue 3.3 through Issue 12.1: ISSN 1533-9440

    Te Journal o ERW and Mine Action (printed edition)Issue 12.2 and ongoing: ISSN 2154-1469

    Journal o Mine Action (online edition): ISSN 1533-6905

    he Journal o ERW and Mine Action (online edition): ISSN 2154-1485

    Upcoming Issue

    Issue 17.3 | Fall 2013 (Print and Online)Focus: Survivor AssistanceFeature: Te Middle EastSpecial Report: SyriaVisit http://cisr.jmu.edu/journal /cps.html or more details and additional Calls or Papers.

    ON THE WEB: http://cisr.jmu.edu/Journal/17.2/index.htm

    Te Journal of ERW and Mine Action is a professional trade journal for the humanitarianmine action and explosive remnants of war community. It is a forum for landmine andERW clearance best practices and methodologies, strategic planning, mine risk education

    and survivor assistance.TeJournal o ERW and Mine Action Editorial Board reviews all articles or content andreadability, and it reserves the right to edit accepted articles or readability and space, andreject articles at will. Manuscripts and photos will not be returned unless requested.

    Te views expressed in Te Journal o ERW and Mine Action are those o the authors and do nonecessarily reect the views o the Center or International Stabilization and Recovery, JameMadison University, the U.S. Department o State or the U.S. Army Human itarian DeminingProgram.

    Authors who submit articles to Te Journalare expected to do so in good aith and are solelyresponsible or the content therein, including the accuracy o all inormation and correcattribution or quotations and citations.

    Please note that all rights to content, including photographs, published in Te Journal arreserved. Notication and written approval are required beore another sou rce or publicationmay use the content. For more details please visit our website or contact the editor-in-chie.

    Tao GrithsMartin JebensAtle KarlsenEdward LajoieNguy

    ~n Ti. Ty Nga

    ed PatersonVicki Peaple

    R&D Review BoardMichael BoldCharles Chichesterom HendersonPehr LodhammarNoel MullinerPeter NganErik olleson

    CISR Programming andSupport StaffKen Rutherord, DirectorSuzanne Fiederlein, Associate DirectorKaylea Algire, Fiscal echnicianDaniel Baker, Research AssistantGeary Cox, Program ManagerCarolyn Firkin, Program Support echnicianEdward Lajoie, Assistant Program Manager

    Cameron Macauley,rauma Rehabilitation Specialist

    Nicole Neitzey, Grants OcerJohn Meagher, Research AssistantSusan Worrell, Fiscal echnician

    CISR Program AssistantsRina Abd El RahmanBrandy HartEric KeeerPaige OberJessie RosatiChristopher SheehyKatie Stolp

    Please direct all Journalsubmissions, queries and subscription/CFP requests to:

    Lois Carter Craword, Editor-in-ChieCenter or International Stabilization & RecoveryJames Madison University800 S. Main Street, MSC 4902Harrisonburg, VA 22807 / USAel: +1 540 568 2503Fax: +1 540 568 8176Email: [email protected]

    ContributorsMarian BechtelDaniel BraunEmanuela Elisa CepolinaMichael CreightonAnna CroweBonnie DochertyJo Durham

    Cover PhotoQuality assurance for the Underwater UXO Clearance of Lake Ohrid, Republic of Macedonia, is conducted by PED

    Sava d.o.o., Kranj, Republic of Slovenia. The project was funded by the Ofce of Weapons Removal and Abatemen

    in the U.S. Department of States Bureau of Political-Militar y Affairs (PM/WRA) under the project management of IT

    Enhancing Human Security and implementing partner Republic of Macedonia Protection and Rescue Directorat

    (RMPRD). During three unexploded ordnance (UXO) clearance phases, RMPRD divers cleared more than 26,000 sq m

    of Lake Ohrids bottom using underwater metal detectors and additional 30,000 sq m using visual detection. Altogethe

    more than 19 tons of UXO were safely removed and destroyed.

    Photo courtesy of Mr. Esad Humo, PED Sava d.o.o.

    Mohammed QasimElena RiceKen RutherordAndy SmithAllen D. anBlake Williamson

    To help save natural resources and protect our environment, this edition

    of The Journal of ERW and Mine Actionwas printed on 30-percent post

    consumer waste recycled paper using vegetable-based inks.

    Like CISR on FACEBOOK at http://www.acebook.com/JMUCISR

    Follow our blog on TUMBLR at http://cisrjmu.tumblr.com

    Follow us on TWITTER at #cisrjmu

    CISR Publications StaffLois Carter Craword, Editor-in-ChieAmy Crockett, Copy EditorHeather Holsinger,

    Communications SpecialistJennier Risser, Managing EditorRachael ayanovskaya,

    echnical & Content EditorBlake Williamson, Assistant Editor

    Editorial BoardLindsay AldrichKatherine BakerLois Carter CrawordKristin DowleyJennier RisserKen RutherordRachael ayanovskaya

    Editorial AssistantsDaniel BraunChloe CunninghamAlison DomonoskeBrenna FeiglesonPaul GentineMegan HintonEric KeeerPaige OberSarah PeacheyErica QuilliotineElisabeth ReitmanKathleen SensabaughDane SosnieckiJulie Anne Stern

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    Editorial

    3 Director's Message

    4 Abandoned Ordnance in Libya: Treats to Civilians andRecommended Responsesby Bonnie Docherty and Anna Crowe

    Focus: Prevention & Clean-up o Unplanned Explosions

    8 Weapons and Ammunition Security: Te Expanding Role oMine Actionby Elena Rice

    Feature: Asia & the Pacifc

    12 Cluster Munition Remnant Survey in Laos by Michael Creighton,Atle Karlsen and Mohammed Qasim

    17 Assessment o Vietnams National Mine Action Programby ed Paterson and Tao Grifths

    22 Securing Health Care Rights or Survivors: Developing an EvidenceBase to Inorm Policyby Jo Durham

    26 Association or Empowerment o Persons with Disabilities in Quang BinhVietnam by Nguy~n Ti. Ty Nga

    30 Mass Fitting or Amputees in am Kyby Ken Rutherord

    Special Report: Underwater UXO Clearance & Detection

    32 Addressing Underwater Ordnance Stockpiles in Cambodiaby Allen D. an

    Notes rom the Field

    38 Going Mobile: Inormation Sharing and the Changing Face oDigital Data Collection by Edward Lajoie

    41 Making It Relevant: Risk Education in DRCby Vicki Peaple

    44 Land Release in Action by Emanuela Elisa Cepolinawith editorial support rom Andy Smith

    Research and Development

    52 A Stand-o Seismo-acoustic Method or Humanitarian Deminingby Marian Bechtel

    57 Analyzing Functionality o Landmines and Clearance Depth as a ool toDefne Clearance Methodologyby Martin Jebens

    Endnotes 64

    Access a PDF or html version o The Journal of Mine Action,

    Issue 17.2 with bonus online content, and all past issues o

    The Journal at http://cisr.jmu.edu.

    Dear Readers,

    Tis issue oTe Journalcovers a wide variety o interesting andtimely explosive remnants o war (ERW) and mine action topics, in-cluding unplanned explosions and weapons security, underwaterclearance, survivors rights aecting Asia and the Pacic, and re-search and development studies.

    For example, in an article by Elena Rice o the U.N. Mine ActionService, the author contends the mission o the mine action commu-nity must expand to include weapons and ammunition security. Dis-cussing victim assistance and disability rights o survivors in Asia

    and the Pacic, Jo Durham (University o Queensland) emphasizesthe importance o securing health care rights or survivors in Cam-bodia, Laos and Vietnam, while Nguyn T Ty Nga reects on howthe Association or the Empowerment o Persons with Disabilities,which employs ERW and mine survivors as outreach workers in Viet-nam, successully helps survivors reintegrate into their communities.Allen an o Golden West Humanitarian Foundation discusses thethreat o contamination rom sunken watercra littering Cambodiasrivers and tributaries, and how Golden West is addressing the prob-lem by identiying and training suitable candidates or underwatertraining. In addition, the online edition oTe Journalhas additionalarticles, and we suggest you access our current issue online.

    Besides producing this publication, the Center or InternationalStabilization and Recovery (CISR) is busy providing programs and

    training at James Madison University and abroad. For instance, CISRrecently wrapped up our ninth Senior Managers Course in ERW andMine Action (SMC). Currently supported by the U.S. Department oState, the SMC provides mine action program managers an innova-tive and challenging curriculum covering a broad range o topics toimprove par ticipants management ski llsrom conventional weap-ons destruction, victim assistance, physical security and stockpilemanagement to strategic management, public relations and emergingtrends in the post-conict recovery arena. Tis year we had the hon-or o hosting 14 participants rom 13 countries, bringing our total tomore than 270 participants rom 46 countries, including the mine ac-tion and ERW sessions we conducted in Jordan and Peru. We plan tocontinue with the SMC program next year (check the CISR website inwinter 2013 or application details).

    We are continuing our work with peer-to-peer support programsin Burundi and are moving into new areas o program management,including advocating or the rights o persons with disabilities inVietnam and providing mine risk education to Syrian reugees inthe Middle East.

    As we share our lessons learned in uture issues o Te Journal,we encourage you to send us articles detailing your best practicesand lessons learned as well. Our all issue oTe Journalis an excit-ing one, ocusing on survivor assistance, a long with current conictsand the evolving landmine/ERW situations in the Middle East, in-cluding Syria. We look orward to hearing rom you.Sincerely,

    Ken Rutherord

    Directors Message

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    4/854 editorial | the journal o ERW and mine action | summer 2013 | 17.2

    EDITORIAL Abandoned Ordnance in Libya:

    Threats to Civilians and

    Recommended ResponsesIn a report released in August 2012, Explosive Situation: Qaddas Abandoned Weapons and the

    Threat to Libyas Civilians, researchers rom Harvard Law Schools International Human Rights

    Clinic (IHRC) examined Libyas abandoned ordnance problem and its humanitarian consequences

    or the local population.1,2 Based on eld and desk research, the report documents the threats these

    weapons pose, analyzes steps to address them and oers recommendations to minimize civilian

    harm. IHRC co-published the report with the Center or Civilians in Confict (ormerly CIVIC) and the

    Center or American Progress. In this article, two o the reports authors summarize its 2012 nd-

    ings and recommendations.

    by Bonnie Docherty and Anna Crowe [ Harvard Law School ]

    Vast quantities o abandoned ordnance have littered

    Libya since the end o the 2011 armed conict. 3,4 Mu-

    nitions, ranging rom bullets and mortars to torpe-

    does and surace-to-air missiles, have been scattered around

    inadequately guarded bunkers; local militias have gathered

    stockpiles in urban areas; and individual civilians have col-lected weapons or scrap metal or souvenirs. Determining the

    scale o the problem is dicult, as Moammar Gadhas regime

    acquired an arsenal worth billions o U.S. dollars. 2 Moreover,

    the regimes weapons were divided among dozens o ammuni-

    tion storage areas, each containing 25140 bunkers.5

    Many experts express concern over the international pro-

    lieration o these weapons, but the abandoned ordnance has

    also posed serious domestic threats to civilians. Te report

    Explosive Situation: Qaddas Abandoned Weapons and the

    Treat to Libyas Civilians documents these dangers and ex-

    amines the key activities needed to minimize them: stockpilemanagement, clearance, risk education and victim assistance.

    As a oundational step, the Libyan government should create

    a coordinated and comprehensive national plan eliminating

    the government conusion generated by competing agencies

    and acilitating the our areas o work.5 In addition, the inter-

    national community needs to provide ongoing and increased

    assistance and cooperation. Te prevention o more civilian

    casualties requires urgent and immediate eorts by national

    and international entities.

    Threats to Libyas Civilians

    During its eld mission to Libya, Harvard Law Schools

    International Human Rights Clinic (IHRC) documented

    ve major threats that abandoned ordnance has posed to

    civilians.6 Each o them has the potential to lead to additional

    civilian casualties.7

    Stockpile locations. Te positioning o stockpiles in popu-

    lated areas coupled with poor management practices have in-

    creased the risk o catastrophic explosions that would cause

    signicant injury and death. In March 2012 a member o the

    Military Council o Misrata, where this practice has been par-

    ticularly common, estimated that in his city more than 200

    militias each held between six and 40 shipping containers ul l

    o weapons.8 In the same month, an explosion in Daniya, a

    town 20 km (12 mi) rom Misrata, exemplied the danger. A

    militia had stored weapons in 22 adjacent shipping contain-

    ers, and a stray shot reportedly penetrated one o the con-tainers, detonating the ammunition in a chain reaction and

    spreading explosive remnants o war (ERW) across the neigh-

    borhood. A mine rom the blast later killed a DanChurchAid

    deminer, and in late March the community was again using

    buildings in the aected area.9,10

    Curiosity. Inquisitiveness has urther endangered civil-

    ians who visit contaminated sites or handle abandoned weap-

    ons. Children are particularly curious and unsuspecting, and

    they have oen played with munitions. A Danish Demining

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    Group manager observed that children try to set o the anti-

    aircra missiles with nails and bricks, and IHRC learned o

    multiple casualties resulting rom such behavior.11

    Harvesting weapons materials. Civilians have been killed

    or injured while harvesting scrap metal to sell or explosives

    to use or shing. For example, a man and his two sons died

    during an explosion in the Zintan ammunition storage areawhile gathering scrap metal in December 2011. Te mans

    amily later asked a MAG (Mines Advisory Group) deminer

    to clear piles o collected metal and propellant rom the am-

    ilys home.12

    Community clearance. Since the conict, abandoned and

    unexploded ordnance has contaminated homes, public build-

    ings (such as schools and mosques) and armland. Eager to

    make their communities saer, some civilians have tried clear-

    ing areas without expert training or assistance, an activity

    that endangers them and exacerbates the challenges o pro-

    essional clearance.Displays o mementos. Finally, war museums and pri-

    vate individua ls have put weapons on display. Te museum

    in Misrata, located on the citys main street, has exhibited

    a large collection o weapons in a relatively haphazard way.

    Demining organizations have worked to make such muse-

    ums sae; however, the museums have undermined risk edu-

    cation eorts by normalizing the collection o weapons and

    subsequently encouraging private displays, which deminers

    cannot monitor.

    Stockpile Management

    Since the end o the 2011 armed conict, proper stockpile

    management has been sorely lacking in Libya, but good prac-

    tices are essential to minimizing the threats o abandoned

    ordnance to the Libyan people.13,14 International organizations

    and the national governments Libyan Mine Action Center

    (LMAC) have worked together to conduct surveys, and some

    local authorities have agreed to measures to improve prac-

    tices.15,16,17 Progress has been limited, however. Unstable and

    inadequately secured weapons have remained in bombed am-

    munition storage areas, temporary storage acilities and mili-

    tia shipping containers.

    Poor stockpile management practices have abounded. Max

    Dyck, the ormer U.N. Mine Action Service (UNMAS) pro-

    gram manager in Libya, reported in July 2012 that ammuni-

    tion storage areas, littered with munitions that were kicked

    out o bunkers by NAO bombings, had no real security. 5 As

    a result, civilians have had access to the weapons. Further-

    more, local militias have used dangerous storage methods,

    such as keeping dierent types o ammunition together and

    placing stockpiles within populated areas. A reluctance to give

    up weapons acquired during the armed conict has interered

    with U.N. and nongovernmental organization (NGO) eorts

    to improve management practices and destroy unstable weap-

    ons. In addition, unding or stockpile management initiat ives

    has been insucient, and coordination within the nation-

    al government, between national and local government, and

    among the militias has been inadequate.

    As a sovereign state, Libya bears the primary responsibil-

    ity or dealing with its stockpiles. W hile it is engaged in a time

    o political transition and has many pressing concerns, Libya

    Weapons ranging rom artillery shells to surace-to-air mis-

    siles spill out o an ammunition bunker near Zintan that wasbombed by NATO in 2011. These unstable and inadequatelysecured weapons exempliy the danger posed to civilians by

    Moammar Gadhas abandoned ordnance months ater the

    end o the armed confict.Photo courtesy of Nicolette Boehland.

    Curious locals explore a tank yard in downtown Misrata where an Egy

    tian migrant was gathering scrap metal. Many civilians have been killeor injured while harvesting scrap metal or explosives rom weapons.Photo courtesy of Bonnie Docherty.

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    should develop the national plan discussed above. In addi-

    tion, it should take specic steps to reduce the humanitarian

    threats caused by poor stockpile management. For example,

    Libya should do the ollowing:

    Allocate more resources to improving

    stockpile practices

    Increase physical security at ammunition storage areas

    Prioritize coordination with militias to

    move stockpiles out o populated areas

    Initiate a program or building technical expertise

    within Libya

    Request international assistance to help put these

    steps in place

    Remedial Measures: Clearance, Risk Education

    and Victim Assistance

    o maximize civilian protection, a trio o remedial

    measuresclearance, risk education and victim assistanceshould complement improvements in stockpile management.

    Aer the conict, UNMAS and international NGOs took

    the lead on clearance eorts.18 Tese groups, however, have

    not received support rom the Libyan government, have not

    had enough explosives to undertake controlled demolitions,

    have had diculty nding sta with technical expertise and

    sometimes have aced obstacles when accessing sites. Groups

    have also expressed concerns about the lack o local capacity

    to take over uture clearance activities.

    International NGOs have played a role in risk education

    and worked closely with local risk educators. Tey have held

    sessions raising awareness o the dangers o abandoned ord-

    nance and other ERW, distributed brochures, set up regional

    ERW-inormation hotlines, placed billboards on streets and

    created radio messages.19,20 Handicap International and MAG

    told the IHRC team that they have also cooperated with the

    Ministry o Education to train school teachers to provide risk

    education.21 Tese NGOs have received some additional as-

    sistance rom LMAC (part o the Army Chie o Sta s oce)

    and the Libyan Civil Deense.17,22

    Risk educators have aced several challenges, including

    dangerous attitudes toward weapons, particularly among

    children; diculties in reaching inuential audiences (espe-

    cially women, who play a key role in educating their amilies

    about ERW risks); insucient unding and the need to in-

    crease capacity in Libyan civil society to undertake urtherrisk education activities.

    As o July 2012, Libya had no established assistance pro-

    gram dedicated to the victims o abandoned weapons and

    other ERW. However, the broader assistance program or war

    vict ims, which is run through t he Libyan Ministry o Health,

    has helped those harmed by ERW.23

    Libya, as the aected country, bears primary responsibility

    or these remedial measures. In addition to developing a na-

    tional plan, it should do the ollowing:

    Increase its al location o resources

    Promote capacity building and assist with the growth olocal civil society

    Help deminers obtain explosives or ERW destruction

    and acilitate access to contaminated sites or clearance

    Ensure its victim assistance program ollows inter-

    national standards articulated in the Plan o Action

    on Victim Assistance under Protocol V on ERW to

    the Convention on Prohibitions or Restrictions on the

    Use o Certain Conventional Weapons Which May Be

    Deemed to Be Excessively Injurious or to Have Indis-

    criminate Eects24

    International Cooperation

    and Assistance

    Te our areas discussed previouslystockpile manage-

    ment, clearance, risk education and victim assistancerequire

    signicant resources and expertise, so international coopera-

    tion and assistance is critical to protecting civilians rom the

    threat o these weapons.

    As o July 2012, the international community had provid-

    ed more than US$20 million to address ERW in Libya, but

    A visitor looks at the weapons on display at a war museumlocated on the main street in Misrata. Civilians may interpret

    such public displays o munitions to mean it is sae to bringweapons into their homes.Photo courtesy of Anna Crowe.

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    Anna Crowe completed a Master o

    Laws at Harvard Law S chool in 2012.

    Her academic interests lie in interna-

    tional human rights law and interna-

    tional humanitarian law. She works in

    Bogot, Colombia, as a Henigson Fel-

    low rom Harvard Law School. She

    previously worked as a clerk to the

    chie justice o New Zealand and as

    a New Zealand government lawyer.

    Anne Crowe

    Human Rights Program,

    Harvard Law School

    Tel: +57 320 2720 163

    Email: [email protected]

    that assistance was decreasing while the

    threats to civilians remained.25,26,27 o

    address the situation adequately, Libya

    needs increased and ongoing assistance.

    During the conict, NAO launched

    an estimated 440 airstrikes on ammu-

    nition bunkers. Rehabilitating a sin-

    gle bombed-out bunker can cost more

    than US$1 million, not including secu-

    rity walls, ences and lights, or clearance

    o the ordnance scattered in the attack. 5

    While nancial contributions are valu-

    able, assistance can also come in the

    orm o material or technical support.

    As a result, all states, even those with

    a limited ability to give nancial assis-

    tance, should be in a position to provide

    some kind o assistance.

    NAO and its member states should

    accept special responsibility to provide

    cooperation and assistance to address

    the abandoned ordnance problem re-

    lated to bombed ammunition bunkers.

    Although lawul, NAO airstrikes on

    the bunkers contributed to the ERW

    situation. NAO assistance would be

    consistent with the emerging princi-

    ple o making amends, under whicha warring party provides assistance to

    Bonnie Docherty is a senior clinical in-

    structor and lecturer on law at Harvard

    Law Schools International Human

    Rights Clinic (IHRC).She has extensive

    experience doing eld investigations on

    the eects o armed confict and spe-

    cic weapons systems on civilians. She

    was actively involved in the negotiations

    o the Convention on Cluster Munitions

    and has conducted in-depth legal

    work promoting its implementation.

    Bonnie Docherty

    Human Rights Program

    Harvard Law School

    6 Everett Street, 3rd Floor

    Cambridge, MA 02138 / USA

    Tel: +1 617 496 7375,

    Email: [email protected]

    A shipping container that was part o a militia's urban stockpile exploded inMarch 2012, setting o a chain reaction that littered a Daniya neighborhood

    with weapons. The painted message at the site reads, Dont come closer

    danger, death.Photo courtesy of Nicolette Boehland.

    civilians harmed in the course o law-

    ul combat operations. Finally, such

    assistance would be consistent with

    the mandate under which NAO in-

    tervened in Libyas armed conict: the

    protection o civilians.

    Conclusion

    Due to the scale o Libyas aban-

    doned ordnance situation, solving the

    problem is a monumental task. Te

    weapons have already killed or injured

    civilians , and more casualties are almost

    guaranteed. Libya and the international

    community must thereore urgently de-

    velop a coordinated response seeking to

    minimize this humanitarian threat. As

    a member o Libyan civil society told

    IHRC, the country needs more cooper-

    ation between all partiesall the way

    rom NAO to the man who lives next

    to the abandoned ordnance.28 I suc-

    cessul, such coordinated action could

    not only reduce the loss o lie in Libya,

    but also serve as a model or dealing

    with abandoned ordnance in other post-

    conict situations.

    See endnotes page 64

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    F

    OCUS Weapons and Ammunition Security:

    The Expanding Role o Mine Action

    by Elena Rice [ United Nations Mine Action Service ]

    Signicant expertise is necessary to meet the security challenges posed by unsecured and poorly

    stored weapons and ammunition. To address this threat, many donors and mine action actors, in-

    cluding the United Nations Mine Action Service, are including weapons and ammunition security

    management as a core role.

    OOn 27 November 1944, an underground bunker

    holding 4,000 tons o ordnance detonated at the

    Royal Air Force Fauld underground munitions

    depot in Staordshire, England. Te explosion was the larg-

    est non-nuclear explosion ever recorded, leaving behind the

    Hanbury Crater (120 m deep [394 ] and 1.2 km [1,312 yd]

    wide). While the exact death toll is unknown, approximately

    70 people died.1 ime and time again, accidental explosions

    at ammunition storage acilities have caused death and de-

    struct ion. For example, in Nigeria in 2002 an armory ex-

    plosion claimed 1,100 lives. In 2012 in the Republic o the

    Congo (ROC) 282 people were killed, and children at a near-

    by school were spared only because the explosion occurred

    on a weekend.2

    Te human tragedy o these events highlights the impor-

    tance o preventive measures against unplanned explosions.

    The inside o a damaged ammunition bunker.Photo courtesy of the author.

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    9/8517.2 | summer 2013 | the journal o ERW and mine action | ocus

    However, the immediate impact is compounded by what is

    arguably a more widely catastrophic byproduct o improp-

    erly stored stocks. Te medium- to long-term security threat

    posed by unsecured munitions holds exponentially more dan-gerous potential or destabilizing countries and regions, with

    serious implications or international peace and security.

    Prolieration o weapons and ammunition during and

    in the atermath o recent conlicts starkly reveals the

    dangers o unsecured arms and ammunition. As Moammar

    Gadhais government gradually lost control over Libya

    in 2011, opposition orces and other groups gained access

    to unsecured depots. Looted weapons have since been

    traced to Gaza, Somalia, and West and North Arica. he

    U.N. Security Council stated in December 2012 that the

    continued prolieration o weapons rom withi n and outside

    [the Sahel] threatens the stability o states in the region.3

    Weapons prolieration uels insurgency, with the 20122013

    crisis in Mali clearly demonstrating the impact o poorly

    stored and easily accessible weapons.

    Stockpile Security

    With the U.N. General Assembly calling or practical

    measures to mitigate this threat, the international communi-

    ty increasingly recognizes the challenge and calls upon states

    to make realistic assessments o the potential security risks

    o their stockpiles, while appealing to states in a position to

    do so to assist those with less developed capacity. 4,5 Ensuring

    the physical security o storage acilities reduces the possibil-ity that these weapons will be removed and used or nearious

    purposes, including as components o improvised explosive

    devices. Te role o the mine action community in alleviating

    this risk is apparent and the need to ocus resources into practi-

    cal implementation in the eld is increasingly recognized.

    Te United Nations Mine Action Service (UNMAS) in-

    volvement in weapons and ammunition security management

    draws upon its ability to contribute expert skills, specialized

    equipment, and experience with explosive hazards. Several

    UNMAS-implemented projects ocus on securing weap-

    ons and ammunition rst and storing the materials second,emphasizing simple preventive measures such as perimeter

    encing around ormal and inormal storage areas. For in-

    stance, with the program in Misrata, Libya, UNMAS placed

    secure storage containers inside the existing ammunition

    storage areas (ASA), which were too large to secure quickly.

    Implementing nongovernmental organizations (NGO) con-

    ducted clearance inside the ASA to provide space, then add-

    ed encing to increase security around the portion o the ASA

    that was cleared. While extensive damage has already been

    A damaged ammunition bunker in Libya.Photo courtesy of author.

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    done in terms o weapons prolieration rom Libya to region-

    al conicts, these measures, implemented at the local and

    national levels, address the ongoing threat in the context o

    Libyas eorts to restore public secur ity.

    Te U.N. program in Cote d Ivoire represents a pivotal suc-

    cess or mine action-driven implementation o weapons and

    ammunition management. Te HALO rust (HALO), with

    UNMAS coordination, worked with Ivorian security orces

    to rehabilitate a majority o the countrys storage acilities.

    National technical capacity was strengthened to such an ex-

    tent that the state became a regional model or sae and se-cure ammunition storage and is increasingly called upon to

    share experience and technical expertise. In a strong display

    o SouthSouth cooperation, Chad, the Democratic Republic

    o the Congo (DRC) and the ROC v isited Cote d Ivoire in 2012

    to learn rom its experience and apply the countrys methods

    in the implementation o their own national weapons and am-

    munition management operations.6

    UNMAS made strong headway in accessing peacekeep-

    ing and political unds or weapons and ammunition man-

    agement, successully advocating to the U.N. Department o

    Peacekeeping Operations and U.N. Department o Political

    Aairs that unsecured munitions threaten security and sta-

    bility and uel terrorist activities. As a result, the U.N. mis-

    sions in Cote dIvoire, DRC, Libya and South Sudan have

    allocated specic unding to UNMAS or projects that ad-

    dress security and storage. UNMAS has in turn coordinat-

    ed and implemented these activities through NGOs, such as

    HALO, MAG (Mines Advisory Group) and t he Swedish Civil

    Contingencies Agency. As circumstances demonstrate the ne-

    cessity or similar projects in Mali and other conict-aected

    countries, the trend o including weapons and ammunition

    security management unding in peacekeeping budgets will

    likely continue.

    The Expanding Role o Mine Action

    he term mine action implies that the work ocuses sole-

    ly on landmines . Many states a nd NGOs have long advocat-

    ed that explosive remnants o war (ERW) and small arms/

    light weapons (SA/LW) need to be looked at in un ison. For

    Libyan stockpile with artillery shells and a man-portable air-deense system (MANPADS).Photo courtesy of Nathan Beriro.

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    example, the U.S. Department o State

    initiated a comprehensive approach

    to conventional weapons destruction

    (CWD) incorporating mines, ERW

    and SA/LW, as well as physical securi-

    ty and stockpile management (PSSM)

    with the consolidation o s everal relat-

    ed oices into the Oice o Weapons

    Removal and Abatement in 2003; other

    states have also adopted t his approach.

    An important step in educating

    the disarmament-ocused diplomat-

    ic community was the participation

    o UNMAS and several mine action

    NGOs, including MAG and Handicap

    International, in the Programme o

    Action on SA/LW in September 2012.

    1

    For instance, UNMAS presented a side

    event at the conerence: Preventing

    big bangs and saving lives ocused on

    UNMAS work in Cote dIvoire and

    Libya. Practical implementation les-

    sons: armory and stockpile assessment

    in Arica was organized by the U.K.s

    Foreign and Commonwealth Oce and

    MAG. Tese eorts represent progress

    in encouraging member states to adopt

    an expanded mine action role. However,more remains to be done beore the mine

    action community is recognized as a key

    implementer, supporting the weapons

    and ammunition management agenda.

    All mine action actors are responsible

    or lobbying, advocacy and re-branding

    their wide range o work (to include all

    mine action, CWD, PSSM, SA/LW and

    weapons security issues) as critical or

    both security and development.

    Second, sucient and sustainedunding is essential to the predictability

    and eectiveness o interventions; how-

    ever, gaining access to unds remains a

    challenge or those implementing mine

    action. Mine action implementers must

    continue to engage in outreach eorts,

    establish new links with these entities

    and lobby states likely to und projects

    in aected states.

    Mine action work has traditionally

    been unded through a dedicated gov-

    ernmental department or mine action

    or by oces dealing with humanitar-

    ian unding. Meanwhile resources or

    weapons and ammunition management

    projects are requently derived rom di-

    erent departments ocusing on disar-

    mament, nonprolieration, security and

    stabilization. Clear exceptions exist, or

    example the U.S. State Department has

    consolidated CWD and PSSM und-

    ing in one combined budget. Likewise

    U.K.s Department or International De-

    velopment has generously unded arms

    and ammunition management along-

    side conventional mine action in com-

    bined projects. We hope that this trend

    will continue.

    By securing weapons and ammuni-

    tion, the mine action community can

    prevent their prolieration and misuse

    by nonstate actors. Tis role or mine ac-

    tion is becoming increasingly recog-

    nized by U.N. member states. However,

    more work remains, including accessing

    new resource pools and expanding or

    re-branding the mine action mission tocorrespond with the widening spectrum

    o its activities. UNMAS stands ready to

    assist with these eorts.

    See endnotes page 64

    Te views expressed in this article are

    those o the author and do not necessarily

    represent the views o the United Nations.

    Elena Rice began her mine action ca-

    reer in 2006 with the United Nations

    Mine Action Service (UNMAS) in South

    Sudan. She has worked or UNMAS in

    Aghanistan and in Gaza in the ater-

    math o Operation Cast Lead. Currently,

    she works in New York as special ad-

    viser to the UNMAS director. Originally

    rom Belast, Northern Ireland, Rice

    holds two masters degrees rom the

    University o Edinburgh in the U.K.

    Elena Rice

    Special Adviser to the Director

    United Nations Mine Action Service

    DC1, 760 U.N. Plaza

    New York, NY 10017 / USATel: + 212 963 6975

    Email: [email protected]

    Skype: elena.rice

    Website: www.mineaction.org

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    Cluster Munition Remnant Surveyin Laos

    As the most heavily bombed country per capita in the world, clearance o cluster munition remnants

    is a long and ongoing process in Laos. Norwegian Peoples Aid developed survey methodology to

    address the unique challenges posed by cluster munition contamination.

    by Michael Creighton, Atle Karlsen and Mohammed Qasim [ Nor wegian Peoples Aid ]

    he clearance community traditionally uses struc-

    tured surveys to locate and evaluate the extent o

    contamination rom cluster munitions and explosive

    remnants o war (ERW). However, Norwegian Peoples Aids(NPA) involvement in Southeast Asia over the last ew years

    suggests current practices should be analyzed or eective-

    ness and subsequently updated. raditional practices ocus

    on battle area clearance and all types o unexploded ordnance

    (UXO). In Cambodia, Laos a nd Vietnam, NPA ocuses on the

    more commonly occuring cluster munition remnants (CMR)

    in its method or UXO clearance. However, NPAs method still

    considers and incorporates ecient ways to detect other UXO

    and ERW.

    When trying to dene the extent o the

    problem with surveys, CMR present a dierent

    challenge than landmines. CMR have uniquecharacteristics, which dier rom other types

    o UXO and landmines.1,2 For instance, due to

    the lack o extensive ground warare in Laos,

    the incidence o considerable ragmentation

    aecting detector use is inrequent and man-

    ageable. CMR also all into more identiable

    patterns than other UXO due to the deploy-

    ment method. Tese patterns can be searched

    or during echnical Survey (S). Additional ly,

    CMR have a relatively high ailure rate, making

    the pattern o deployment identiable in waysthat mines are not.

    Te duration o CMR contamination can

    also aect a traditional surveys ability to dene

    the problem. Recent cluster munition strikes

    may provide clear ootprints that can be sur-

    veyed rapid ly and tasked or clearance, whereas

    assessing the location and extent o contamina-

    tion or older strikes is more challenging. Changes in the veg-

    etation and landscape, deterioration o CMR and intererence

    rom local populations, such as villagers completing partial

    demining eorts, oen make the location and extent o con-tamination dicult to assess. Tis presents survey and clear-

    ance organizations with the challenge o identiying where to

    start and stop clearance.

    For survey and clearance organizations using clearance re-

    quests rom the local population as the only element o sur-

    vey in their operational land release systems, the chal lenge

    o when to start and stop is not oen adequately addressed.

    While the inormation the local population provides orms a

    large part o Non-technical Survey (NS) and S eorts, it

    Figure 1. Surveyors move through a box beyond the initial evidence point.All graphics courtesy of the author.

    FE

    ATURE

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    should not determine conrmed hazardous areas (CHA) or

    where to employ clearance assets.3 Survey decisions based

    solely on requests rom the local population typically involve

    extremely large areas that sometimes encompass entire vil-

    lages. Recording a suspected hazardous area (SHA) or CHA

    is not acceptable unless the area has a proven, valid claim o

    contamination. Clearing an unconrmed area as i it is a CHA

    wastes signicant time, unding and eort. In contrast to the

    advances made in mine act ion over the last decade, many con-

    taminated countries rely on civilian inormers to relay loca-

    tions and the ex tent o contamination. However, CMR require

    a more proessional, rigorous approach.

    A New Approach

    Demining organizations need to compile data gathered

    rom the local population into a more thorough and proes-

    sional NS and S system, using local inormation as well as

    other indicators and survey methods to determine how best

    to clear CMR. In the case o cluster munitions, their specic

    types and methods o deployment can be used to develop oth-

    er methodologies or NS and S approaches.

    CMR have contaminated Laos or almost 50 years. Pro-

    longed exposure to weather causes CMR to become in-

    creasingly volatile, which makes determining the extent o

    contamination dicult. Due to high levels o contamination,

    CMR evidence is prevalent throughout most o the coun-

    try; however, determining the extent o each area o con-

    tamination is dicult. Tis uncertainty prohibits deminers

    rom ocusing clearance assets in the contaminated areas. By

    sourcing local inormation, NS can determine where survey

    eorts should begin. Tese start or evidence points are iden-

    tied and used to target the S, which then determines the

    extent o the contamination in that area and creates a CHA.

    Te CHA is reported to the national authority or addition to

    the national contamination database (in the case o Laos, the

    National Regulatory Authority or NRA).

    Because determining where to start may be more manage-

    able than determining where to stop or where to deploy clear-

    ance assets, NPA developed the CMR survey methodology in

    Laos to address the latter two issues.

    Background Inormation

    NPA ound that evidence points may be more dicult

    to identiy in countries with contamination similar to Laos,

    where contamination may be disturbed or partially exposed

    (e.g., some areas o Vietnam). In these cases, the existence o

    veried CMR in an area, determ ined through NS, may be

    used as the start point or the S eort.

    Due to the lack o extensive ground warare in Laos, bat-

    tle areas requiring area clearance on the surace or at shallow

    depths are rare, and spot tasks are sucient to destroy individu-

    al pieces o ordnance. However, there are vast areas where large

    bombs reside deep underground, and these are usually not en-

    countered unless a particular development project requires deep

    excavation.4

    I an area experiencedground warare and received extensive

    contamination, a CHA may be creat-

    ed relative to the extent o the visible

    contamination. Tis is rare in Laos, as

    most contamination near the surace

    usually consists o cluster munitions

    and should be addressed through di-

    erent methodologies.

    Technical Survey

    o address CMR contaminat ion inthe most ecient way possible, NPA

    developed a system o S that takes

    into account the unique characteris-

    tics o cluster munitions contamina-

    tion in Southeast Asia, including the

    high metal signature o cluster muni-

    tions (i.e., ootprint) and the ability

    to walk with relative saety through

    a suspected area. NPA uses a rapid

    Bomblet found:

    Stop / Record / Move to next box

    Bomblet fragment(s) found:

    Carry on survey / record if nothing else is found

    Nothing found, after 20-30 minutes

    Move on

    UXO (not CMR) found:

    Record for spot tasking & carry

    on survey

    Meaning

    Bomblet gured by CMRs

    Bomblet fragments found by CMRs

    Nothing found by CMRs

    Other UXO found by CMRs

    Not surveyed inaccessibility

    Not surveyed

    ColorName

    Red

    Yellow

    Green

    Blue

    Gray

    Blank

    CMRs

    Figure 2. Team leader with GPS reading.

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    14/85eature | the journal o ERW and mine action | summer 2013 | 17.2

    survey technique to eectively determine the extent o the

    contamination beore clearance assets are employed.

    In this process, the initial non-technical phase o the land

    release process is conducted through village meetings and re-

    view o existing documentation. Instead o identiying SHAs,

    the NS records evidence points or both CMR and other

    UXO in the area. All evidence points identied in a given area

    (e.g., within the boundary o a village) are assigned to UXO

    spot task teams, while CMR evidence points are addressed by

    CMR survey teams.

    Once the CMR survey (i.e., the S phase o the land release

    process) is complete, a CHA polygon is ormed around the

    contamination evidence and reported to the NRA as a CHA.

    When clearing a CMR-surveyed site, in addition to clear-

    ing the CHA, a 50 m (54 yd) ade-out area, the agreed dis-

    tance rom a specic evidence point where the S/clearance

    is carried out, is adopted rom the outer-most bomblets ound

    within the CHA polygon.4

    Te area cleared within the poly-gon, which includes any cleared, ade-out areas that extended

    outside o the polygon, is classied as released ground. Te

    rest o the area surveyed during the CMR survey, while deter-

    mining the CHA, is classied as area surveyed only. Tis area

    is not released as there was never a conrmed claim o con-

    tamination rom which to release it.

    Notably, to release land, there must have been an actual

    conrmed claim o contamination. As a means o surveying

    an area, visual observation cannot conrm contamination or

    release land. Likewise, an area determined by a request-based

    system should be considered a SHA and not a CHA. Te SHA

    can be cancelled; when the actual contamination within the

    SHA has been determined through S, it would then become

    a CHA. In the CMR survey methodology a SHA is not creat-

    ed, as it would be articial. Te S process commences rom a

    conrmed evidence point, and a CHA is created through the

    S activity.

    CMR Survey

    Te CMR survey methodology is based on existing

    evidence (e.g., a bomblet or a valid claim o contamination)

    and involves rapidly surveying 2,500 sq m (2,990 sq yd) boxed

    areas or boxes beyond the initial evidence point. CMR survey

    determines which boxes contain evidence o contamination.

    Five surveyors are assigned to each box, and they use UXO

    detectors (e.g., Vallon VMXC1-3) set to maximum sensitiv ity.

    Te surveyors move through the box in a systematic manner,

    under the direction o the section commander. I extensive

    metal contamination is encountered in any area, the area

    is skipped and the survey moves to an adjacent area. Te

    purpose o the CMR survey is to paint a general picture o the

    contamination in the area, with which surveyors can create

    a CHA.

    I surveyors nd a bomblet, survey in that boxed area is

    terminated and the box is recorded in red. I the surveyors

    nd ragments o CMR (e.g., a ragmentation ball rom a BLU

    8 2 8 4868 88

    9 29 49 69 89 109 129 149

    7 27 47 67 87 107 127 147

    6 26 46 66 86 106 126 149

    5 25 45 65 85 105 125 145

    4 24 44 64 84 104 124 144

    3 23 43 63 83 103 123 143

    108 128 148

    BLU26

    BLU26BLU26

    BLU26BLU26

    BLU26BLU26

    BLU26 BLU26 BLU26 BLU26BLU26

    BLU26

    BLU26BLU26BLU26

    BLU26

    BLU26

    BLU26

    BLU26

    BLU26

    BLU26

    BLU26

    BLU26BLU26

    40mm Rifle Grenade

    BLU26

    BLU26SboxName SearchDate Finding Result

    A09

    A10

    A026

    A027

    A028

    A029

    A030

    A044

    A045

    A046

    A049

    A050

    A069

    A070

    A083

    A084

    A089

    A090

    A0104

    A0109

    A0123

    A0124

    A0129

    A03

    A07 11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    11-Aug-2011

    12-Aug-2011

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26 = 2

    BLU 26 Fragment

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Nothing Found

    Could not be surveyed

    Could not be surveyed

    6

    2

    2

    2

    6

    6

    6

    2

    2

    2

    2

    4

    2

    6

    2

    1

    2

    6

    2

    2

    2

    1

    2

    6

    2

    Figure 3. CHA establishment.

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    15/8517.2 | summer 2013 | the journal o ERW and mine action | eature

    pecially signicant in Southeast Asia, where the vegetation is

    a dominant limiting actor in any mine or UXO operation.

    Te CMR survey methodology works eciently in average

    levels o vegetation and only requires the ability o the de-

    tector head to be pushed through and around vegetation. In

    most cases, only minimal vegetation removal is needed or the

    CMR survey methodology to operate.

    Conclusion

    Developed by NPA, the CMR survey approach in Laos

    commenced in 2010 and the methodology was ully accept-

    ed in mid-2012. As the CMR survey process involves prelimi-

    nary survey, suspected areas can be conrmed and recorded

    prior to targeted clearance, eliminating costly clearance o un-

    contaminated land. Tis process provides a clear estimation

    o clearance needs, and enables Laos to make more specic

    and accurate assessments o needed assets and donor unding.

    Tis requirement is dicult to achieve i survey/clearance or-

    ganizations accept tasks based only on community requests,

    where the extent o contamination is unknown until clearance

    has been completed. Beore the use o CMR survey, alternate

    surveys have resulted in expensive, superuous searches that

    spent unnecessary assets without nding contamination.

    26), the box is recorded in yellow. In yellow areas, sur veys are

    continued until either a bomblet is ound or surveyors exceed

    a timed limit o 2025 minutes. In this event, the recorded box

    remains yellow. I no CMR evidence is ound within the box

    during the allotted t ime, the box is recorded as green. Inacces-

    sible boxes are recorded in gray, and boxes that contain other

    UXO are recorded in blue. While the CMR survey is ocused

    on identiying the CHA o CMR contamination during the S

    phase, all other UXO in the area are recorded during the NS

    and are destroyed by UXO teams during the clearance phase

    o the land release process.

    Five deminers and a section commander spend a maxi-

    mum o 20 to 25 minutes in each boxed area. Tis includes

    the time to lay out the dimensions o the box, which is donerapidly with a rope system. An assessment during the trials

    showed that this time rame allows the group o deminers to

    cover approximately 6070 percent o each box in the allotted

    time. During normal operations a CMR survey team surveys

    up to 4 hectares (10 ac) in each three-week period. Tis gure

    is based on ideal ground conditions and will drop as condi-

    tions deteriorate.

    Te ecient speed o CMR survey is possible largely be-

    cause excessive vegetation removal is unnecessary. Tis is es-

    TP1 TP2

    TP3

    TP4

    TP5

    TP6

    TP7

    SPBLU 26

    BLU 26 BLU 26

    BLU 26

    BLU 26

    BLU 26BLU 26BLU 26

    BLU 26

    BLU 26BLU 26

    BLU 26

    BLU 26

    BLU 26BLU 26

    BLU 26BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    BLU 26

    40mm Rie Grenade

    Figure 4. Village contamination.

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    Michael Creighton holds a Bachelor

    o Arts in politics and a Ma ster o

    Arts in international relations rom

    the University o New South Wales(Australia). He served 11 years as an

    ocer in the Royal Australian Engineers

    beore establishing himsel as a project

    operations and planning manager in the

    explosive ordnance disposal and mine

    action elds in 2001. Creighton has

    since worked in Aghanistan, Bosnia

    and Herzegovina, Cambodia, Iraq, Laos

    and Lebanon in a variety o commercial

    and United Nations Mine Action Service

    positions. From 200 9 to 2011 Creighton

    held the position o programme

    manager or land release at the Geneva

    International Centre or Humanitarian

    Demining. In 2012 he joined Norwegian

    Peoples Aid (NPA) and is currently the

    operations manager o NPAs Surveyand Clearance Programme in Laos.

    Michael Creighton

    Operations Manager Norwegian

    Peoples Aid

    368 Unit 20

    Ban Saphanthong, Sisattanak District

    Laos

    Tel: +61 267 323 090

    Fax: +85621246813

    Email: [email protected],

    [email protected]

    Website: http://npaid.org

    NPA has ound that CMR survey is

    the best survey approach in Southeast

    Asia and potentially or other cluster

    munition contaminated countries as

    well. Providing answers to questions o

    conrmation o contamination, it re-

    mains cost-ecient and presents an e-

    ective, low-tech clearance option that

    allows rapid implementation. NPA has

    already established more than 16 sq km

    (6 sq mi) o CHAs in Laos using the

    CMR survey approach (more than 238

    CHAs o known and marked areas o

    contamination). Tese CHAs were the

    rst to be entered into the national data-

    base, providing a basis rom which the

    national authorities can set priorities and

    plan the use o clearance resources.

    See endnotes page 64

    Atle Karlsen is the country director or

    Norwegian Peoples Aid (NPA) in Laos.

    Karlsen holds a Master o Art s in devel-

    opment economics rom the Univer-

    sity o East Anglia (U.K.) and a Master

    in Management rom the BI Norwegian

    Business School (Norway). Karlsen has

    worked in mine action or more than

    10 years ater accidently getting in-

    volved in strategic assessment or NPA

    and conducting an evaluation o the

    global Landmine Impact Survey initia-

    tive. He has worked as regional director

    or NPA in South Arica and as a policy

    and strategy advisor to NPA prior to

    taking his current position in Laos. He

    is a board member o the InternationalCampaign to Ban Landmines, the Clus-

    ter Munitions Convention and the Land-

    mine and Cluster Munitions Monitor, and

    a co-c hair or the United Nations and

    nongovernmental organization orum.

    Atle Karlsen

    Country Director/Policy Advisor

    Norwegian Peoples Aid

    368 Unit 20

    Ban Saphanthong, Sisattanak District

    Laos

    Tel: +856 207 744 7000

    Fax: +856 21246813

    Email: [email protected]

    Website:http://npaid.org

    Mohammad Qasim is a skilled mine

    action inormation management and

    geographic inormation systems spe-

    cialist and has more than 15 years

    experience with various mine action

    programs around the world. Qasim has

    worked with Norwegian Peoples Aid

    (NPA) since 2009. Qasim is currently

    based in Laos as the regional inorma-

    tion management supervisor, provid-

    ing inormation management services

    to NPAs Southeast Asia programs in

    Cambodia, Laos, Myanmar (Burma),

    Thailand and Vietnam, and assisting

    national authorities where NPA is en-

    gaged in national capacity development.

    Mohammed Qasim

    Regional Inormation Management

    Supervisor

    Norwegian Peoples Aid

    368 Unit 20

    Ban Saphanthong, Sisattanak District

    Laos

    Tel: +856 202 221 2802

    Fax: +856 212 46813

    Email: [email protected]

    Website: http://npaid.org

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    Assessment o Vietnams NationalMine Action Program

    by Ted Paterson [ GICHD ] and Thao Grifths [ VVAF ]

    A December 2012 assessment conducted by the Geneva International Centre or Humanitarian De-

    mining and the Vietnam Veterans o America Foundation ound that despite Vietnams well- received

    mine action program reorm eorts, various actors, including economic and bureaucratic challeng-

    es, continue hindering progress.

    Vietnam suers rom extensive landmine and ex-

    plosive remnants o war (ERW) contamination

    as a result o the Vietnam War (19651973).1

    Vietnamese oicials maintain that ERW contamination

    covers one-ith o Vietnams total land area, or 66,000 sq

    km (25,483 sq mi), and that an estimated 350,000600,000

    tons o ERW still need to be cleared.2

    Vietnams response to contamination has undergone a

    number o distinct stages:

    19751979. Te Ministry o Deence (MoD) organized

    post-war clearance eorts as a campaign model to

    clear essential livelihood spaces.

    19792006. Military demining supported national

    development projects.

    20062010. On 29 April 2008, the government o

    Vietnam initiated mine action reorms, including the

    establishment o Vietnam Bomb and Mine Action Center

    (VBMAC), a civilian entity housed within the Ministry o

    Labour, Invalids and Social Aairs (MoLISA).2

    2010present. Vietnams National Mine Action Pro-

    gram (VNMAP) transitions rom military to civil-

    ian oversight.

    Financing Mine Action

    VNMAP (also known as Program 504 in Vietnam as it

    was established in Decree 504 by the Prime Minister in De-

    cember 2010) is unded primarily by its national budget and

    private investors, through our channelsthe MoD, other

    ministries, subnational governments and private investors

    as depicted in able 1.3 A number o international mine ac-

    tion nongovernmental organizations (NGO) are active in

    Vietnam and generally work with provincial governments.

    International donors und these NGOs. Grants rom interna-

    tional donors such as Australia, Germany, Ireland, Norway,

    aiwan, the U.K. and the U.S. averaged about US$6.1 million

    per annum in recent years and continue to rise.

    Still, the bulk o unding comes rom Vietnams national

    budget. Engineering CommandVietnams headquarters or

    military engineering units, including demining unitsreports

    that demining expenditures averaged US$20 million rom

    1979 to 2006, then rose signicantly rom 2006 to 2010, driv-

    en largely by a demand or demining support to inrastructure

    projects a nd private investments.4 Te recession in 2011 led to

    a reduction in public and private investment, delaying imple-

    mentation or a number o approved demining tasks.

    Source of funding Decision-makers Purpose Service provider

    National budget Ministry of Defence Military requirements Military deminers

    Other ministries Public investment Military

    Sub-national governments Provincial-district-commune

    investments

    Local demining firms

    NGOs

    Private investors Private investors Private investments Firms

    Table 1. VNMAPs unding channels.All graphics courtesy of the authors.

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    VNMAPs nancing pattern is distinctly dierent rom

    that in most other mine/ERW-aected countries (Figures 2,

    3 and able 2).

    Outline o Recent Reorms

    Evidence rom the Vietnam Landmine Impact Survey

    (VLIS), as well as the World Bank and Asian Development

    Bank, suggests that VNMAP is eective in terms o develop-

    ment (e.g., support to public and private investment projects).5

    However, the national program was not as eective in sup-

    porting humanitarian mine action or bottom-up initiatives

    o communities or or targeting clearance and mine risk edu-

    cation (MRE) services based on casualties incurred.

    In addition, Vietnam was unable to attract international

    mine action support, in part because many donors reuse to

    nance act ivities undertaken by the MoD. Tereore, VBMAC

    initiated the reorm with a demining capacity under MoLISA.

    VBMAC received some international unding, but this has

    been sporadic.

    In 2010 the government approved an ambitious National

    Mine Action Program Plan or 20102025, with seven tasks

    set or the period o 2010 to 2015:

    Complete VLIS

    Conduct unexploded ordnance (UXO)/landmine clearance

    projects that support the governments socio-economic

    development plans and ensure saety or the people

    Establish a national database center

    Develop the Vietnamese National Mine Action Standards

    Implement MRE programs

    Initiate victim assistance

    Raise international awareness o the scale o Vietnams

    contaminationIn 2011, the government established and appointed mem-

    bers to a steering committee to oversee the VNMAP plan. Te

    plan or 20102015 was extremely ambitious; nancing re-

    quirements reached $110 mill ion in 2011 and continue to rise

    in subsequent years to an annual average o almost $150 mil-

    lion. Implementation was successul on some components,

    $140

    $120

    $100

    $80

    $60

    $40

    $20

    $0

    USDmillions

    2005 2006 2007 2008 2009 2010 2011 2012

    Delayed

    Actual

    Figure 1. Annual expenditures or survey and clearance operations.

    Delayed

    Actual

    2005 2006 2007 2008 2009 2010 2011 2012

    70,000

    60,000

    50,000

    40,000

    30,000

    20,000

    10,000

    0

    Hectares

    Figure 2. Areas cleared by year in Vietnam.

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    he results were reported in December 2012 at the Vietnam

    Mine Action Forum held 14 December 2012 in Hanoi. he

    assessment ocused speci ically on the views o internation-al stakeholders.

    Working with the Vietnam Veterans o America Founda-

    tion (VVAF), GICHD developed a simple questionnaire and

    distributed it primarily through email to donors, U.N. agen-

    cies, operators, government ministries and provincial author-

    ities involved in mine action. Ten, on a trip to the cities o

    Hanoi, Quang ri and Hue in October 2012, an assessment

    team rom VVAF and GICHD met with 19 organizations to

    review responses and ask ollow-up questions.

    Te assessment team obtained 21 questionnaire responses

    which were broken down into the ollowing categories: Operators (7)

    Donors (5)

    Government ministries/oces (5)

    Provinces (2)

    U.N. agencies (1)

    Consultants (1)

    Findings

    In brie, the assessment ound t hat international stakehold-

    ers approved o VNMAP, but current progress disappointed

    them. More specically, the majority o respondents were hap-py with VBMACs establishment in 2008 and with the an-

    nouncement o a national program in 2010 or a variety o

    reasons, as these actions showed the ollowing:

    Signied growing awareness within the Vietnamese gov-

    ernment o the mine/UXO problem

    Included provision o MRE and victim assistance

    Suggested greater transparency and a level playing eld

    (i.e., national standards that all operators would be re-

    quired to meet)

    such as VLIS, but progress was uneven overall. In some cas-

    es, the international community seemingly remained largely

    unaware o new initiatives launched by VNMAP.

    Assessment

    In June 2012 Vietnamese mine action oicials request-

    ed that the Geneva International Centre or Humanitarian

    Demining (GICHD) undertake an assessment o VNMAP.

    Government

    Donor

    Private

    Figure 3. Financing VNMAP in Vietnam (2009 ).

    Government

    Private

    Donor

    Figure 4. Financing mine action in other countries.3

    Map o Vietnam.

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    Indicated that a balanced ap-

    proach might emerge, with more

    demining targeted to support

    community development and re-

    duce the number o victims

    Tough the national program repre-

    sented a signicant advance, several aws

    were noted, including the ollowing:

    Vietnams unwillingness to join

    the Convention on Cluster Muni-

    tions

    Te ailure to make VBMAC ul-

    ly civilian

    Lack o oversight, as VBMAC

    serves as both a national mine

    action center and as a demining

    operator

    Most international stakeholders

    were unhappy with the rate o imple-

    mentation or one or more components

    o the 20102015 plan. Specic con-

    cerns included the ollowing:

    Delays in completing the nation-

    al standards

    Failure to appoint ull-time personnel to VBMAC

    Lack o communication by national ocials

    International stakeholders avorably mentioned a number

    o recent actions, including the attendance o VBMAC ocials

    at Mine Action Working Group meetings and the meeting o

    the rst Vietnam Mine Action Forum in December 2011.

    Interestingly, most international stakeholders seemed

    unaware o progress on certain ronts. For example, they

    were not aware o MRE messages broadcast on television in

    Vietnam. Nor did they know that highly contaminated prov-

    inces received national budget transers o approximately $7.5

    million per year in 2011 and 2012 or demining projects.

    Concerns raised most oen were the continuing depen-

    dence o VBMAC on the MoD, VBMACs lack o progress in

    draing national standards, establishment o a true mine ac-

    tion center and the absence o a national database center.

    Operators emphasized that they worked closely with pro-

    vincial authorities and were not ul ly aware o developments

    in Hanoi. Most said relations with provincial authorities were

    improving steadily; a ew expressed concern that the new na-

    tional program might create problems or operators because o

    additional registration requirements.

    International respondents presented a number o hypoth-

    eses as to why implementation lagged:

    Dem

    $160

    $140

    $120

    $100

    $80

    $60

    $40

    $20

    $0

    2011 201215

    Oth

    VA

    MR

    Figure 5. Annual nancing requirements or VNMAP 20112015.

    YearFinancing ($ millions)

    Total funding International as% of total

    Government& investors

    Internationalgrants3

    07 $ 49.50 $ 3.95 $ 53.45 7.39%

    08 $ 69.50 $ 7.64 $ 77.14 9.90%

    09 $ 84.17 $ 4.20 $ 88.37 4.75%

    10 $ 116.70 $ 7.07 $ 123.77 5.71%11 $ 50.73 $ 7.89 $ 58.62 13.46%

    Table 2. Annual nancing requirements or VNMAP 20112015.

    Recent economic downturn pushed mine action lower

    on the government agenda.

    Bureaucratic battles delayed progress (e.g., MoD wanted

    to keep ul l control o demining).

    Unresolved policy issues (e.g., the relative roles o na-

    tional ministr ies and provincial governments) hinderedimplementation.

    Inaccuracies in initial assumptions and policies, and

    mine action ocials now realize these should be amend-

    ed (e.g., VBMAC should not have been created as both a

    regulator and an operator).

    National Stakeholders

    National stakeholders ocused more on the work that has

    been done to get VNMAP operating, and mentioned the

    ollowing:

    Progress on VLIS and MRE Establishment o a high-prole steering committee

    ransers rom the state budget to provinces to und de-

    mining projects

    he Ministry o Planning and Investment also empha-

    sized that mine action is a priority or both oicial devel-

    opment assistance and in its priorities issued to donors.

    Ministry oicials also spoke o plans or 2013 that await-

    ed Prime Minister Nguyen an Dungs approval. hese in-

    clude the ollowing:

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    Ted Paterson has a background in in-

    ternational development, working with

    nongovernmental organizations, re-

    search and education institutes, and

    consulting rms, as well as in an inde-

    pendent consultant capacity. Paterson

    has been active in mine action since

    1999 and has worked on socioeco-

    nomic and perormance-management

    issues. Paterson joined the Geneva

    Centre or International Humanitarian

    Demining in 2004 and serves as se-

    nior advisor on strategic management.

    He has a Bachelor o Commerce rom

    the University o Manitoba (Canada),

    a Master o Arts in economics rom

    York University (Canada) and a Mastero Science in development economics

    rom the University o Oxord (U.K.).

    Ted Paterson

    Senior Advisor, Strategic Management

    Geneva International Centre

    or Humanitarian Demining

    7bis, avenue de la Paix

    P.O. Box 1300

    1211 Geneva 1 / Switzerland

    Tel: +41 22 906 1667

    Email: [email protected]

    Skype: gichd.t.paterson

    Website: www.gichd.org

    Thao Grifths has been the country di-

    rector o Vietnam Veterans o America

    Foundations (VVAF) Vietnam oce

    since 2007. Previously, Griths worked

    as the senior Vietnamese program o-

    cer at VVA F and also held positions at

    Microsot and the United Nations De-

    velopment Programme. Griths holds

    a Master o Arts in international rela-

    tions rom American University (U.S.)

    and a Master o Science in systems

    engineering rom Royal Melbourne In-

    stitute o Technology (Australia).

    Thao Griths

    Vietnam Country Director

    Vietnam Veterans o AmericaFoundation (under the International

    Center)

    No 20, Ha Hoi St

    Hanoi / Vietnam

    Tel: +84 4 733 9444

    Email: [email protected]

    Skype: thaogriths

    Website: http://www.ic-vva.org/

    Establishment o a national regu-

    latory oce

    Division o VBMAC to create a

    new Viet Nam Mine Action Coor-

    dination Centre (VNMACC) and

    a separate civilian operator

    Appointment o qualied person-

    nel to VNMACC on a ull-time

    basis and to a new location

    Assuming approval is obtained,

    these plans address the majority o the

    concerns raised by stakeholders.

    Conclusions

    While VNMAPs approval was widely

    welcomed, the pace o implementation

    disappointed many stakeholders. Te di-

    vision o roles and responsibilities among

    MoD, VBMAC and the proposed regula-

    tory oce remains unclear to most stake-

    holders, and this represents a signicant

    concern to those involved. Contributing

    to disappointing progress on other mea-

    sures envisaged, the delay in providing

    adequate human and nancial resources

    to the mine action center is a core prob-

    lem. However, better progress can be ex-

    pected in 2013 and beyond, assuming that

    the plans and budgets already prepared

    are approved.

    See endnotes page 64

    17 YEARS / 40 ISSUES / SEARCHABLE CONTENT

    Clearance Operations Age and Gender Issues Mine/ERW Risk Education Challenges in Africa Mine Action Disability Is-sues and Rights of Persons with Disabilities Small Arms and Light Weapons Urban Land Release NGOs in Mine Action Food,

    Water and Health Security Issues Cluster Munitions Government Stability and Mine-action Support Victim Assistance

    Deminers on the Front Lines Information Systems and GIS Mapping The Middle East Training and Capacity Development Le-

    gal Instruments Non-state Actors Physical Security and Stockpile Management Land Cancellation and Release ...and more.

    HTTP://CISR.JMU.EDU/JOURNAL/PAST.HTML

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    Securing Health Care Rights orSurvivors: Developing an Evidence

    Base to Inorm Policy

    Analysis o current literature on landmine/explosive remnants o war casualties in Cambodia, Laos

    and Vietnam reveals faws in recording systems. An integrated course o action should aid mine ac-

    tion and public health communities in preventing incidents and providing care to survivors.

    by Jo Durham [ University o Queensland ]

    he United Nations Convention on the Rights o Per-

    sons with Disabilities (CRPD), adopted by the Gener-al Assembly in December 2006, aims to promote and

    protect the rights o people with disabilities (PWD). It recog-

    nizes that PWDs have the right to the highest attainable stan-

    dard o health without discrimination, and should be able to

    access the same range, quality and standard o ree or aord-

    able health services as people without disabilities, as well as

    any specialized health resources they may require.1 Te pro-

    tections o the CRPD, however, only apply in countries that

    have become states parties to this convention. Te rights o

    landmine and cluster munition sur vivors are urther protect-

    ed by the Convention on the Prohibition o the Use, Stockpil-

    ing, Production and ranser o Anti-personnel Mines and on

    Teir Destruction (Anti-personnel Mine Ban Convention or

    APMBC) and the Convention on Cluster Munitions (CMC),

    again, only in states that sign and ratiy these conventions.2,3

    In order to ulll these international obligations, a con-

    sistent and comparative description o injuries, risk actors

    and comorbidities is required to inorm the health decision-

    making and planning processes. Tis is especially important

    as a substantial number o nonatal injuries result in perma-

    nent disabilities, which can put signicant strains on existing

    health care systems.4,5 Valid estimates are also needed to cal-

    culate the cost-eectiveness o interventions.6

    Using Cambodia, Laos and Vietnam as examples, the

    World Health Organization (WHO) signicantly under-

    estimates landmine and explosive remnants o war (ERW)

    injuries. It is important to note that only Laos is a state party

    to the CRPD and CMC. Cambodia is a state party to the

    A survivor rom Laos, 1998.Photo courtesy of Sean Sutton/MAG.

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    APMBC, but not the others. Vietnam is not a state party to

    any o these conventions; Cambodia and Vietnam have signed

    but not ratied the CRPD. Nevertheless, this underestimation

    o landmine/ERW injuries means that survivors are more

    likely to be excluded rom health systems planning, and this

    has important ethical and social justice implications.

    Estimates o Mine/ERW Injury-related Fatalities

    Te author systematically studied the peer-reviewed

    health literature examining landmines and ERW deaths and

    disabilities in Cambodia, Laos and Vietnam, nding only six

    relevant studies. One o the articles ocused on Laos while

    the remaining ve examined Cambodias situation. O the six

    studies, ve were undertaken beore 1996. Furthermore, our

    o the studies relied on hospital data and did not capture a

    large proportion o deaths.7,8,9,10 able 1 summarizes the pa-

    pers and main ndings o each.

    No studies were ound that ocused on Vietnam in peer-reviewed literature. However, WHO Global Burden o Disease

    (GBD) studies or Vietnam reported 30 deaths in 2004 and

    no deaths in 2008.11,12 Conversely, the Landmine and Cluster

    Munition Monitor reported 238 injuries in 2004, 89 o which

    were atalthree times as many as WHO estimated. In 2008,

    the Landmine and Cluster Munition Monitorreported 90 in-

    cidents, including 36 deaths.13 A recent WHO/UNICEF na-

    tional child injury (rom inancy to 17 years o age) survey

    in Vietnam did not report any landmine/ERW injuries or

    children or their parents.14 Yet in Quang ri, a household

    survey undertaken by Project RENEW with the provincial

    Department o Health estimated that 1.2 percent o the pop-

    ulation was injured by landmines or ERW between 1975 and

    2010. Te majority were male children, adolescents and work-

    ing-age adults, between the ages o 15 and 45.15

    In Laos, a recent retrospective national level survey reported

    20,008 casualties between 1974 and the end o 2007.16 Shown in

    able 1, this is a much higher estimate than reported in the Laos

    study.17 In its 2004 WHO GBD study or Laos, WHO reported

    60 deaths.11 In the same year the Lao National Regulatory

    Authority (NRA) recorded 294 incidents, which resulted in

    117 deathsalmost twice the WHO estimate. In 2008, the

    Lao NRA reported 99 ERW deaths, while WHO reported no

    atalities.11 Te WHO GBD 2004 study or Cambodia reported

    127 deaths, whereas the Cambodia Mine Victims Inormation

    System (CMVIS) reported 171 deaths. More agreement was

    seen in the WHO and CMVIS ndings in 2008. Te data or

    each country was rated as Level 4, which means country-

    specic inormation on cause o death is unavailable. Tereore,

    the casualty estimates are based on mathematical models.11 In

    other words, WHO does not use injury data rom the mine

    action community in estimating landmine/ERW injuries and

    thus signicantly underestimates the burden.

    Most available data is based on dichotomous outcome

    measures, i.e., being alive or dead. Nonatal injuries have a

    Table 1. Summary o ndings in peer-reviewed literature.Table courtesy of the author.

    Study CountryStudyType

    Samplemethod/size

    Year ofstudy

    Outcomes

    Andersson, Dasousa

    & Paredes, 1995Cambodia

    Population

    basedN=6,090 1994, 1995

    432 civilian injuries

    51.3 per 1,000 males aged 15-44

    61% in debt to cover health costs

    Morikawa, Taylor

    & Persons, 1998 Laos

    Population

    based

    Each village head inter-

    viewed, N=276 villages Not stated

    870 civilian injuries

    70% male

    46% < 15 years of age

    Bendinelli, 2009 Cambodia

    Review of

    trauma

    database

    All patients admitted

    within timeframe,

    N=356

    20032006

    6.4% < 16 years of age, mean age =

    11.6 (+/-2.8), mostly due to UXO

    73.6% adults mean age = 32.5

    (+/- 11.1), mostly due to landmines

    Jackson, 1996 CambodiaClinic

    based

    All blind patients

    admitted within time-

    frame, N=453

    1994 Bilateral blindness due

    to trauma, n=14

    Husum et al. , 2002 CambodiaClinic

    based

    Consecutively injured

    survivors with severe

    injury, N=25

    Not stated

    Male n=19, female n=6

    Mean age = 36

    Chronic pain in survivors n=12

    Stover, Keller, Cobey,

    & Sopheap, 1994 Cambodia Clinic based

    All landmine patients

    hospitalized between

    Jan. 1990 and June

    1993, N=842

    1993

    85% male

    7% female

    8% < 15 years

    Mean age = 29

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    wide scope o severity. Tese injuries can range rom insigni-

    cant scratches to needing ambulatory medical care, hospital-

    ization or major surgery or permanent disability.14 As a result,

    only measuring whether people die or are injured masks the

    true burden.

    Ongoing Needs

    Most landmine/ERW survivors are between the ages o15 and 49 and live their remaining years with some level o

    disability.5 With an estimated lie expectancy o 59 years in

    Cambodia, or example, a male injured at 15 may live or an

    additonal 44 years with a disability. Where injury results in

    traumatic amputation and requires a prosthesis, the pros-

    thesis will need changing several times.5 A 15-year-old male

    landmine survivor in Cambodia, who requires prosthesis,

    will need approximately 11 prostheses replacements in his

    lietime. Furthermore, in malaria-endemic areas, post-injury

    malaria is a common complication to injury and surgery, re-

    sulting in an ex tended recovery.17

    Survivors oen suer multiple injuries that may include

    ruptured eardrums, blindness, loss o unct ion, loss o mobil-

    ity and chronic pain. Tese are also risk actors or high lev-

    els o psychological distress. In turn, psychological distress

    is a risk actor or harmul health behaviors, such as hazard-

    ous drinking and increased smoking, which also may increase

    the uture risk o diseases.18 Tis actor underscores the pub-

    lic health issue, revealing that the total breadth o landmine/

    ERW injury extends beyond atalities. I the true burden o

    landmine/ERW injuries is invisible to health systems, service

    providers will be poorly equipped to address sur vivors needs

    in the immediate and the long-term, particularly in countries

    with high levels o inectious disease.

    Out-o-pocket health expenditure associated with ERW in-

    jury and related comorbidities is high. When combined with

    loss o productivity, this nancial stress can represent a cata-

    strophic economic burden to a household, creating a downwardspiral into poverty, malnutrition and disease.8,19 Permanent dis-

    ability or losing a parent also has a signicant impact on the

    uture health o children and limits their educational and eco-

    nomic opportunities.5 Tus, injuries resulting in permanent

    disability also incur high social and economic costs, prooundly

    altering the lives o survivors and their amilies. Reducing inju-

    ries would contribute to policymakers achieving their econom-

    ic objectives at the micro and macro level, as well as ensuring

    survivors rights are met. I healthy individuals will more like-

    ly be productive individuals, it also ollows that the children o

    healthy parents will more likely complete at least primary and/or secondary level education and become economically produc-

    tive adults.5, 20

    Continuing to underestimate the true burden rom

    landmine/ERW injuries perpetuates the perception that

    landmines and ERW impairments are not a signicant

    health-policy issue. I the injuries incurred rom the explo-

    sives were distributed equally across all ages o the popula-

    tion, then this strategy may be appropriate. However, injuries

    are mainly concentrated in male adolescents and the working

    Landmine/ERW survivors in Cambodia.Photo courtesy of Sean Sutton/MAG.

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    population, many o whom also belong

    to low socioeconomic groups. Measur-

    ing injuries in age groups and commu-

    nicating epidemiological acts to health

    policymakers is a necessary step to en-

    sure the legal rights o survivors are met,

    as articulated in international conven-

    tions. Tis will also ensure that survi-

    vors are not discr iminated against due

    to a paucity o accurate data.

    What Is Needed?

    o understand the true extent o

    landmine/ERW disabilities, injuries

    need to be systematically accounted

    or in the health care system. his re-

    quires mine action and public health

    communities to cooperate to meet the

    needs o survivors and reduce micro

    and macroeconomic impacts through

    the ollowing:

    Surveillance o community-based

    injury data compatible with the

    Inormation Management System

    or Mine Action and health inor-

    mation systems.

    Clarication and standardization

    o the coding o multiple injuriesand their severity.

    Collection o accurate incidence

    and prevalence data including

    mapping.

    Analysis o age-specic demo-

    graphic details and risk actors

    as dierent groups have dierent

    exposure patterns.

    Measurement and attribution o

    noncommunicable diseases or oth-

    er disabilities linked to landmine/ERW injuries.

    Measurement o the impact o

    multiple concurrent inections

    and chronic morbidities.

    Use o the standard disability-

    adjusted lie years (DALY) to

    measure the impact o disease

    and disability. One DALY rep-

    resents losing one year o ull

    Jo Durham has worked in various po-

    sitions in mine action or more than 10

    years. She teaches Health and Develop-

    ment and Health Aspects o Disasters

    at the University o Queensland (Austra-

    lia). Durham completed her doctorate in

    International Health at Curtin University

    (Australia). She holds a masters in in-

    ternational health rom the same univer-

    sity. Her doctoral studies included an

    examination o the livelihood impacts

    o landmine/ERW clearance. Her other

    research interests are injury prevention,

    disability and related comorbidities.

    Jo Durham

    Lecturer, Health and Development/

    Health Aspects o Disaster

    University o Queensland

    School o Population Health

    Australian Centre or International

    and Tropical Health

    Herston Rd.

    Herston QLD 4006 / Austr