Medical Reports on Nandigram
Updated version, April 2, 2007
After the incident of firing by the police at Bhangabera, Nandigram on 14.3.2007, report of large-scale ailment arising out of and as a consequence of the said incident had reached the media. Some doctors and health workers decided to visit the affected area to render the very urgent medical help to the people affected by the incident.
A team of doctors (Medical Service Centre, Kolkata) visited several affected areas of Nandigram on 17.3.2007 and came out with a report which was reported in the press.
On 18.3.2007, a team comprising of 6 physicians including 2 female physicians, 3 junior doctors, 3 sisters, medical students and health-workers, organanised by three public-spirited organizations working on health, i.e., SRAMAJIBI SWASTHA UDYOG, PEOPLES’ HEALTH and JANASWASTHA SWADIKAR MANCHA visited some of the affected areas of Nandigram to render medical help to the affected people.
They found that the severely injured persons were already taken to the hospital and persons who were critically injured had already been transferred to Tomluk and SSKM/ RG Kar MCH of Kolkata. But they found that a large population, predominantly women were suffering from blunt trauma, very often multiple, had not received any medical help. The same is true also for a very large number of people, suffering from eye-problems ( watering, photophobia, burning sensation, redness in eyes etc.) even 4 days after the tear-gas exposure ( on 14.3.2007). People were also suffering from mental trauma, though unfortunately the medical team did not have a psychiatrist or a psychologist who could have professionally assess the actual extent of the trauma. The medical team treated 129 patients and had the opportunity to talk to about 300 victims, who described the unprovoked and brutal attack on unarmed assembly of villagers, including a large number of women and children which continued even after people had dispersed and was trying to flee from the scene. The women also described with horrid details of sexual assaults on them. Attackers, they said included a large number of persons with police uniform but with chappals. The Medical Team had also found that return to their home and resume their normal activities. Camps were organized by the local people to provide food for these affected people. These camps were suffering from an acute shortage of provisions required to run the kitchen ( the medical team provided a day’s provision to one camp).
The next visit took place on 21.3.2007. It was a general relief cum medical relief team consisting of two physicians and 4 health workers. There was plan for documenting the trauma of the victims, though due to shortage of time, addition burden of general relief work, the number of patients treated and documented was limited to 30 in three different places. We provided general relief and provisions to four different relief camps in the affected areas worth Rs 15, 790.
The third visit was on 24-25th March, 2007. from the experience of two previous visits by the medical team, it was decided that the team should stay in the affected areas for overnight to render more intensive and extensive medical assistance, and that it would concentrate on medical relief only. This time the team comprised of eight doctors, including two female doctors and one orthopaedic surgeon, one sister and seven health workers. They organized 4 medical camps, in Southkhali ( 24.3.2007), Sonachura High School (25.3.2007), Kalicharanpur Primary School ( 25.3.2007) and Dakshin Jalpai, Bhangabera (25.3.2007). It may be mentioned here that one eye relief camp was organized concurrently in Sonachura High School on 25.3.2007 by ARGUS COMMUNITY EYE SERVICES.
A brief description of various patients on 18.3.2007. The documentation quality was not upto the mark on this day as the medical team was overwhelmed by the extent and the magnitude of the problem.
Camp: Sonachura
Date: 18.3.2007
Total cases seen: 129
Female: more than 80%.
Eye problems 40%
Direct hit by the police 45%
Other Musculo-skeletal injury 5%
Wound 5%
A brief description of various types of patients seen on 21.3.2007 is as follows:
Camp: Sonachura and GarChakraberia
Date: 21.3.2007
Total cases seen: 25
Cases directly related to the incident of 14.3.2007 1
Male 18 (72%)
Female 7 (28%)
Child 3
Eye problems 16 (64%)
Direct hit by the police 6 (24%)
Other Musculo-skeletal injury 4 (16%)
Mental problem 3 (12%)
Thigh Injury 1
Headache 1
Back pain 1
Blunt Injury 4 (16%)
Ear problem 2 (8%)
Wound 3 (12%)
Haematoma 1
A brief description of various types of patients seen on 24/25.3.2007 is as follows:
Camp: Soudkhali
Date: 24.3.2007
Total cases seen: 80
Cases directly related to the incident of 14.3.2007 72
Male 16 (22%)
Female 56 (78%)
Child 1
Hindu (mostly SC) 64
Muslim 8
Eye problems 55 (76.4%)
Direct hit by the police 13 (18%)
Other Musculo-skeletal injury 7
Multiple Injury 10 (13.9%)
Fracture 1
Bleeding P/V since 14.3.2007 1
Injury to private parts (female) 1
Mental Trauma 6 (8.3%)
Camp: Dakshin Jalpai, bhangabera
Date: 25.3.2007
Total cases seen: 54
Cases directly related to the incident of 14.3.2007 46
Male 24 (52.2%)
Female 22 (47.8%)
Child 1
Hindu (mostly SC) ALL
Muslim Nil
Eye problems 33 (71.7%)
Direct hit by the police 8 (17.4%)
Other musculo-skeletal injury 17 (37%)
Multiple Injury 1
Spinal Injury 1
Sexual assault on 14.3.2007 1
Mental Trauma 6 (8.3%)
Camp: Kalicharanpur
Date: 25.3.2007
Total cases seen: 56
Cases directly related to the incident of 14.3.2007 53
Male 8 (15%)
Female 45 (85%)
Hindu (mostly SC) ALL
Muslim Nil
Eye problems 43 (81.7%)
Direct hit by the police 13 (24%)
Other musculo-skeletal injury 7 (13%)
Multiple Injury 4
Bullet Injury 2
Sexual assault on 14.3.2007 3
Mental trauma 4 (7.5%)
Camp: Sonachura
Date: 25.3.2007
Total cases seen: 82
Cases directly related to the incident of 14.3.2007 59
Male 39 (59.3%)
Female 24 (40.7%)
Child 7 (11.8%)
Hindu (mostly SC) ALL
Muslim Nil
Eye problems 4*
Direct hit by the police 20 (34%)
Other musculo-skeletal injury 10 (17%)
Multiple Injury 12 (20.3%)
Bullet Injury 2
Ear injury 2 (children)
Mental Trauma 12 (20.3%)
* A concurrent eye clinic was running at the same place
Eye Camp: Sonachura
Date: 25.3.2007
Organised by: ARGUS COMMUNITY EYE SERVICES
Total cases seen: 155
Cases directly related to the incident of 14.3.2007 114
Male 55 (48.2%)
Female 55 (48.2%)
Child 4
Hindu (mostly SC) ALL
Muslim Nil
1. The breakup of the patients was done only on the cases directly related to
the incidence of 14.3.2007.
2. The team had did not have any psychiatrist or a psychologist to properly
assess the number and the extent of the psychological trauma. Only in the
Sonachura Camp, the doctors had some experience in PTSD cases.
3. The eye cases at Sonachura Camp were referred to the Eye clinic running
concurrently.
GENERAL OBSERVATIONS:
It was seen from the T.V. clips that many persons were shot at the chest, abdomen and even in their heads, though when dispersing a mob, the police is to "use as little force and do as little injury to person and property as may be consistent with dispersing the assembly, arresting and detaining such persons". ( Section 130, CrPc).
The medical team also saw bullet injuries (grazing) at the face level.
The number of victims was found to be very large and included a large number of women and children also.
The lathi charge was extensive, it was inflicted even on women who had already fled from the place of assembly and was hiding in nearby houses and bushes in and around the place. This lathi charge was severe, producing multiple blunt injuries with bruises which was evident on medical examination even on 4/7/11 and 12 days after the event. These injuries included fracture, spine injury, chest injury etc. Injury marks were mostly found on abdomen upwards. It may be mentioned here that when the medical team reached the scene, the people with major injuries had already been taken to various hospitals.
Many people suffered from the musculo-skeletal injuries including fall etc., as they were trying to escape the scene and police was persistently chasing them.
Many persons were injured due to beating by the police while they were trying to rescue the injured persons and the children. Many women complained of sexual assault. They were also found to bear injury marks on their breasts, abdomen and private part. However, lack of privacy and other infrastructure prevented the medical team from proper physical examination and even thorough history taking.
A very large number of affected people, predominantly women, were found to be suffering from eye problems (burning sensation, watering, phototophobia, foreign body sensation, dimness in vision, headache etc), persisting even 11 days after the exposure to tear gas. So much so that every camp attended to about 70-80 percent of patients suffering from eye problems related to tear gas exposure. Some persons also had injury from tear gas shell explosion, burning injury from contact of tear gas shell, history of breathlessness from close and prolonged exposure to tear gas etc. It may be mentioned that almost all the persons affected by the tear gas rinsed their eyes continuously with water for quite some time.
Thus it appears to the medical team that the gas used against the people may not be the usual tear gas ordinarily used to disperse the mob, but something unusual having more permanent and serious effects. The medical team urges a serious investigation into this matter.
It was found that although most of the severely wounded people were transferred to hospitals, a few seriously wounded persons, including a nine years old boy suffering from supracondylar fracture of arm, a case of spinal injury etc., practically received no medical attention. Also, many people, who attended Nandigram Hospital, did not receive medicines due to shortage of required medicine and many patients could not be investigated properly due to lack of infrastructure there. Patients suffering from eye problems specifically did not receive any medical treatment. It may be noted here that Nandigram Hospital (BPHC) may be called a glorified primary health center and not equipped to deal with so many serious injury and other cases. It was also learnt that Nandigram Hospital did not receive much additional support even after the incident.
An interesting observation was that very few patients came to
the medical camp for ailments unrelated to the incidence of 14.3.2007 and those
who came for injuries etc also mainly reported the injuries only and generally
had no other medical complain.
Many patients were found to be suffering from mental trauma with symptoms of
sleeplessness, anorexia, anxiety and fear. They were in fear of repeat of
attack, anxiety for the safety of near and dear ones, and particularly about
sexual assault of young daughters. But unfortunately the medical team did have
trained human resource to properly assess situation, so the number of patients
suffering from mental trauma mentioned here would be an understatement of the
actual state of affairs. However, a team of psychiatrists and other mental
health workers has already organized a camp in Sonachura on 31.3.2007. Their
reports will be published soon.
ANNEXURE –I
Some of the persons injured in the incidence of 14.3.2007
4. Minhazur s/o Noorjahan Age 8 years, Villege Soudhkhali. Was with his mother in the Namaz ceremony that was held at Bhangabera. When police resorted to lathicharge, he received 4 blows in left elbow, resulting in a supracondylar fracture. These two photographs show the extent and seriousness of the injury before (1A) the team had rendered medical care and after (1B).
5. Saraswati Das, w/o late Kalipada Das, Villege Gangra F 40. Was in the puja ceremony at Bhangabera. When the tear gas shelling started, she started running for shelter. A shell exploded close to her. The police chased her out and she received two mighty blows in her right leg. The police had beaten her up when she fell down in the ground. The photograph (2) shows the wound because of the blows that he received from the police. Even after a week of the said incident, she did not receive any medical attention.
6. Tapasi Das, w/o of Late Ratan Das, killed during the firing on 14.3.2007, Village Gangra, Sonachura, F 24. Widowed with two small kids. Can’t sleep or eat, stopped speaking.
7. Sonali Das, W/o Pabitra Das, F 26, Village Sonachura. Was near the puja ceremony site. When firing started she started running and was engulfed by the tear gas fumes. She lost direction and was beaten up by the police at the left elbow. Did not receive any medical help even after a week.
8. Banabihari Das s/o Sripati Charan Das M (Adult), Village soudkhali, suffering to injury to left eye for tear gas shell explosion nearby on 14.3.2007. he has an red injury spot with injection just above the corneal margin.
9.Aswini Kumar Manna, 40 M, s/o Rashbihari Manna, Village Gangra, Sonachura, has been suffering from burning sensation, pain and swelling of left eye ( apparent even 7 days after the incident). He stated that tear gas shell exploded 20-25 meters away from him.
ANNEXURE-II
Prevalence of various complains for all the four days:
Previous Report
On 18th March 2007, 4 days after the massacre at Nandigram a medical team comprising of six doctors ( including two female doctors ),three junior doctors ( house staff of Medical College, Kolkata ),3 sisters and two health workers went to the affected areas to provide medical service to the victims of police atrocities. Three voluntary organizations (working in the field of health), namely Shramajibi Swasthya Udyog, Peoples’ Health & Janaswasthya Swadhikar Manch organized the medical camp.
The members first went to Nandigram Hospital (actually a glorified health center, with minimum infrastructural facilities), talked to four women (one of them accompanied by a very young child), who were admitted in the wards. Then the team went to Sonachura and Adhikaripara (Gokulnagar Area) and gave treatment to 129 affected persons. They also talked to above 300 villagers. Locals like Sri Prodyot Maity, Sri Buddhadeb Mondal, Sri Subhendu Karan; Sri Nishikanto Mondal (a leader of the committee for prevention of land acquisition) helped the team much and guided it to the worst affected areas.
From the dialogue with the villagers that included many eye- witnesses of the ghastly incident, a horrifying story of torture, murder, molestation, rape and killing of children gradually unfolded—which in our view is a planned genocide and barbaric large scale sexual crimes committed upon innocent people. The description, appear to us nightmarish and in spite of our long standing association with medical profession ranging from some years to few decades—some of us felt mentally sick.
Ours was not a fact finding team. These are collateral information that we have gathered. But we feel that it is our duty to communicate this monstrous and sinister incidence that stands singular and in isolation (the comment made by Winston Churchill in the British Parliament after Jalianwala Bag massacre) to the world outside Nandigram. Rest is up to the readers to believe or to reject.
We took some photographs also, which are in our custody and may be circulated in future. With the prelude, let us divulge what the locals said on that day to us.
The local people irrespective of their villages, ages and sex told us the incidences as summarized below—
A.
A lot of people (ranging up to few hundreds) are still missing. It is not that all of them are killed. Some have fled away but the number of casualties are many fold of the officially declared number of 14.In Sonachura alone 50-60 people are untraceable.
No comprehensive list of the missing person is available till date. Firstly, because they are still shell socked and dumb in horror and pain. There is no one to take such initiative for door to door survey (like a census) in the vast stretch of area. Secondly, due to absolute lack of faith in administration/ police and to avoid harassment (including arrest), no one has formally lodged a missing diary either.
B.
The locals say that many families have been torn apart as occurred after Tsunami. One house has got only two children with the father battling for life at hospital and in the other missing. Many have lost their parents, children or beloved who are not included in the lists stain and hospitalized persons. The villagers say that some of them, who ran away, may come back after some time and a proper account of the loss can be taken only after that.
C.
Many small children of the K.G. school are missing in Bhangabera (another badly hit village). The villagers say that during the commotion they were released from the school. Many of them had been butchered by the attackers. Their throats were slit or heads chopped off, put in gunny bags, loaded in trucks and transported to unknown destinations. The locals feel that either the bodies had been burnt in brick-kilns, thrown to Haldi River / Bay of Bengal (not very far off) by tying with stones in fishing nets or dumped in marshy land or jungles. It may so happen that the bodies to the ditches and the overlying roads repaired. Some people said that they have either witnessed themselves or heard from other that the legs of a small child were torn apart. A breast-fed baby was reportedly thrown to a pond.
D.
It is the general perception that the trucks carrying the materials for road repair were extensively used to transport dead bodies during 48 hours subsequent to the attack, when neither the media nor the ‘opponents’ from outside the ‘action area’ were allowed to infiltrate.
It may be mentioned here that news was published in the Bengali Daily Statesman on March 19 that a truck loaded with bullet-ridden bodies covered with tarpaulin was taken to the Haldia State General Hospital at Durgachak past midnight. The hospital superintendent was asked to keep the bodies of the victims of a so called road traffic accident in the hospital morgue ‘temporarily’. The superintendent refused to oblige and was threatened with dire consequences. By refusing to oblige he drew the wrath of almighty Sri Laxman Seth, the M.P. of Haldia.
E.
Many persons were chased and hacked or smashed to death by sharp or blunt weapons. Their bodies were carried away to abolish evidence as it occurred in Chhoto Angaria of West Midnapur, where bodies of eleven murdered persons could never be traced. The local wanted to show us a portion of a road at Bhangabera which was still thickly smeared with blood and even with soft brain matter. They said that the CPI (M) goons tried to wash away the blood stains throughout the night by lighting halogen lamps with generators but failed. The site has been visited by the CBI officials.
F.
Stories of rape and molestation are widespread. The locals say in the aftermath of the attack, the hard core criminals hired by the CPI (M) took advantage of the situation in a full swing. The male members of the families ran away. The criminals attacked, molested and even gang raped the hapless farmers’ wives and daughters even in the broad daylight. They did not spare the aged also. One lady in her fifteen bears deep cut marks on chest by sharp weapons and other marks of molestation. Villagers tell that a number of teenage girls or young unmarried women have been abducted without trace. The locals believe that were taken to the house of Naba Samanta (a CPI(M) party member cum muscleman and brother of the local tyrant Sankar Samanta who was burnt to death after the fired on the mob from his house), gang raped and slaughtered. Villagers insisted us to visit the place to see blood stained female undergarments, sarees, broken bangles etc. still lying there. But we could not go, partly due to the shortage of time and partly due to the fear. We saw a young girl (14 to 16 years) is moving all along the team with a small packet in her hand. On enquiry, it was known that many young girls are afraid of staying back home alone lest they are attacked and tortured by police or cadres of CPI(M). They were loitering in public places in the village. At night, many women are hiding in the bushes and not staying at the thatched houses which can be attacked any time. Men are also sitting or lying sleeplessly on the paddy field for last 3-4days (since the attack). The apprehension of quick and organized removal of dead bodies is overwhelming. At Sonachur, an eyewitness lady told that after the firing a number of persons (including children) were jolting in pain and screaming for help on the bank of the pond of Naba Samanta .They were wanting water. The pond turned red. The assistance could reach them on the face of attack. The attackers killed some by them by stones or by bamboo sticks. After two hours, when the villagers could approach the spot, no one was left out. This is a big puzzle. The villagers believe that the bodies and half dead are carried away.
Who fired on them?
Men in uniform, but some of them with ‘chappals’ on their feet. It was revealed subsequently that the CPI (M) procured some 250-300 sets of police uniform from the local ‘Sunny Tailors’ a month back. The villagers concluded that the uniform clad goons accompanied the police force on that day.
The injury marks:
There were all sorts of injuries e.g.
1. Bullet injuries—most of the injured either died or were transferred to hospitals.
2. Injuries on heads caused by blunt weapons.
3. Injury on the forehead of a woman in her seventies caused
by some sharp weapon.
4. Extensive and barbaric lathi-charge marks on the whole bodies of women and
men. Even after 4 days the parts were red, hot, swollen and very painful. Some
of them may have fractures but x-rays could not be done. Some of them were still
unable to move from beds.
About three-fourth of the victims are children and women. Interestingly the preferred part of the woman body for such attack was below the umbilicus and above the knees. A rod was forcefully driven to the private part of a lady.
When some persons attacked a lady, her husband resisted. The attackers threatened to kill their small child. The husband ran away with the small child and the lady was molested.
We met two victims who requested to remain anonymous lest they were not accepted by the society. One of them came to her father’s house and was molested on the black day. Villagers said that there were more victims who were too shy to depose before us.
5. Many patients (including children) complained of eye problems—blurring of vision, eye pain and burning sensation in eyes following exposure to tear gas. A number of elderly patients complained of loss of vision.
Name of the attackers
Police and CPI (M) henchmen like Naba Samanta, Jaidev Paik, Anup Mondal, Badal Mondal etc. allegedly led the attack.
Current situation
Still there is tension in the locality and enough provocation by the CPI (M) men from the other side of the canal (Khejuri side), they bring out armed processions with slogans like ‘Those who want to destabilize industrialization will not be spared’. We saw such a long procession ourselves. There are spates of bombing across the canal throughout the night. People spend sleepless nights. The assurance of peace appears hollow to them and they believe that CPI (M) is taking a breathing time only to bounce back with more force after a month or two.
There is no faith in police as the criminals are hiding in the police camps at times. The police camps are the source of constant fear to the villagers and they want removal of the camps. They are not even ready to allow any government medical team to enter the villages. A fear psychosis looms large in the whole area.
Since agriculture and other economic activities are at stake, there is crisis of food in many houses. Moreover the villagers can not go freely to the market places as police and CPI (M) musclemen often abduct persons moving alone or in small groups.
What we felt
The loss of life is huge, the physical injuries widespread, the psychological trauma unthinkable. The women and the children are the worst affected. In the days to come, many of them are likely to suffer from various psychiatric disorders.
But the morale is still high. Still they are not ready to part with even an inch of their ancestral land, which they consider like their mother. They declare that even further blood shed will not be able crush their movement.
Many people spontaneously came out and spoke to us. They said repeatedly that since they were almost living in ghettos, they were unaware of the impact of their movement on the outer society. There are needs of medicines, food and clothes. But most badly needed is the healing touch of the civil society.
Another team visited Nandigram on March 24-25. They have examined 240 victims, treated them and documented their injuries. They also trained activists in First Aid. Their report will be sent to you soon.
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