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The humanitarian impacts of economic sanctions on Burundi

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Sancti<strong>on</strong>s further weakened the health infrastructure already<br />

devastated by civil war. Despite exempti<strong>on</strong>s for human medicines,<br />

emergency medical supplies, water purificati<strong>on</strong> agents, and other<br />

essential materials, these items remained in short supply. Since the<br />

government and private sector were in practice prohibited from<br />

importing medicines or health-related supplies, importati<strong>on</strong> became<br />

restricted to internati<strong>on</strong>al <str<strong>on</strong>g>humanitarian</str<strong>on</strong>g> agencies. However,<br />

these agencies lacked the financial and logistical capacity to supply<br />

<strong>Burundi</strong>’s entire health care system.<br />

Furthermore, l<strong>on</strong>g delays in obtaining <str<strong>on</strong>g>sancti<strong>on</strong>s</str<strong>on</strong>g> approval for<br />

importing drugs and other supplies from neighboring countries<br />

led to the exhausti<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> existing stockpiles. In government health<br />

facilities, essential medicines were <str<strong>on</strong>g>of</str<strong>on</strong>g>ten absent or in short supply.<br />

Private pharmacies began running out <str<strong>on</strong>g>of</str<strong>on</strong>g> stocks <str<strong>on</strong>g>of</str<strong>on</strong>g> medicines as<br />

early as late August 1996. Smuggled medicines were available<br />

<strong>on</strong>ly at high cost. <str<strong>on</strong>g>The</str<strong>on</strong>g> state company resp<strong>on</strong>sible for importing,<br />

manufacturing, and supplying medicines to the country’s health<br />

services was unable to obtain raw materials, resulting in a rapid<br />

decline in producti<strong>on</strong> and <strong>on</strong>ly sporadic supplies.<br />

Vaccinati<strong>on</strong> programs were also severely affected by <str<strong>on</strong>g>sancti<strong>on</strong>s</str<strong>on</strong>g>.<br />

Supplies <str<strong>on</strong>g>of</str<strong>on</strong>g> polio vaccine ran out by August 22. A nati<strong>on</strong>al<br />

vaccinati<strong>on</strong> campaign was canceled in August due to the high cost<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> fuel. A lack <str<strong>on</strong>g>of</str<strong>on</strong>g> disposable syringes, kerosene for refrigerators,<br />

and fuel for sterilizati<strong>on</strong> jeopardized vaccinati<strong>on</strong> efforts at rural<br />

health centers. UNICEF estimated that approximately 50 percent<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> 190,000 children under the age <str<strong>on</strong>g>of</str<strong>on</strong>g> <strong>on</strong>e targeted for vaccinati<strong>on</strong><br />

in 1996 would not get vaccinated as a result <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>sancti<strong>on</strong>s</str<strong>on</strong>g>.<br />

Water and sanitati<strong>on</strong> programs were suspended due to inadequate<br />

supplies and equipment as well as the high cost <str<strong>on</strong>g>of</str<strong>on</strong>g> fuel. <str<strong>on</strong>g>The</str<strong>on</strong>g><br />

largest outbreak <str<strong>on</strong>g>of</str<strong>on</strong>g> typhus recorded since World War II began in<br />

north and central <strong>Burundi</strong> in October 1996. Local resp<strong>on</strong>se to the<br />

outbreak suffered due to difficulties obtaining medicines, pesticides,<br />

and other urgent inputs. It is likely that <str<strong>on</strong>g>sancti<strong>on</strong>s</str<strong>on</strong>g>-related<br />

higher food costs, reduced harvests, and decreased household<br />

purchasing power led to a decline in nutriti<strong>on</strong>al intake by most<br />

families.<br />

xiii

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