Abstract

This paper describes the inadequacies in the response of the Union Carbide Corporation to the accidental release of the highly toxic gas, methyl isocyanate, from its plant in Bhopal, India in 1984. Over 20,000 people are estimated to have died from exposure to this gas since 1984, with some 120,000 chronically ill survivors. Union Carbide fought to avoid compensation or to keep it very low. The long, much delayed process of distributing compensation focused on minimizing payouts to victims. The corporation tried to blame the accident on a disgruntled employee, whereas key parts of the safety equipment designed to stop the escape of the gas were not functioning or were turned off. The corporation has always sought to underplay the health effects and has refused to release its research on the health impacts of the gas (which could have helped develop more effective treatment). In addition, the medical services in Bhopal have failed to develop a health care service that offers sustained relief and treatment to the communities most affected. This paper also describes the work of the Sambhavna Trust, a charitable body set up to work with the survivors, and its programme to develop simple, more effective, ethical and participatory ways of carrying out research, monitoring and treatment. Its programmes combine traditional and western systems for health care and it ensures that individuals and communities are actively involved in all aspects of public health.

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