The valley is nestled in the green Himalayan foothills, a wedge of cultivated land where the scenery is so idyllic and the wheat and highland barley grow so high that it is easy to overlook the tiny man sitting by the road with a black pig on his lap.
His name is Gyampa, and when he props up his stunted body with a cane, he stands maybe 1.2m tall. He is bent at odd angles, his wrists knotted and his elbows swollen the size of lemons. He is not agile or strong enough to control the pig, so he has roped it around the waist and staked it to the ground.
He has what people in this tiny village simply call "the pain," known to medical researchers as Kashin-Beck disease, or Big Bone disease. Nor is he alone. Nearly everyone in the village, including the children who happily show off their swollen elbows, either suffers from or has been exposed to the disease. The situation is so bad that in October the government is planning to move everyone away.
"There is an illness in this ground," said Trakock, 39, a villager who like many Tibetans uses only one name, and whose sister, Trasel, suffers from the disease.
Throughout Tibet, where much of the population lives in villages largely disconnected from the modern world, Big Bone disease is a severe problem, infecting roughly 9 percent of the population. In the most severe cases, the disease can cause the long bones in the arms and legs to stop growing during childhood, as was the case with Gyampa.
Researchers believe that the soil near villages like Boronggang is infected with a fungus that contributes to Big Bone disease. Scientists have yet to discover a cure, but they believe that bad water, poor diet and crops grown in mineral-deficient soil are also at least partly to blame.
"It's really a disease of poverty," said Francoise Begaux, who worked with villagers for five years as part of a research project sponsored by Doctors Without Borders, and who now works for another aid group, Terma Foundation. "It's the people who can't afford to have different kinds of food."
The problem is compounded, Begaux and other researchers say, because Kashin-Beck is largely forgotten. The disease has been eradicated or brought under control nearly everywhere except China. Within China, it is particularly acute in Tibet, one of the poorest regions. Yet last year Doctors Without Borders halted their Tibet project because of budget restraints.
So late last summer, the physicians and researchers who had been visiting Boronggang about twice a week stopped coming. They did leave gifts: a new grain thresher to help dry the wheat and barley and, in the process, reduce risks of contamination; fungicide to treat the fields and a final shipment of the iodine and selenium that had been used to offset mineral deficiencies in the children. Those medicines have since run out.
"I don't take any medicine anymore because the doctors are not here anymore," said Tenzen Pungtsock, a 15-year-old boy, whose elbow is knobby, but who seems to have a milder form of the disease.
The children today at least have a better understanding of why so many people are sick. When he was a child, Gyampa, 61, knew only that he stopped growing, not why. In medical terms, the growth cartilage in his arms and legs developed necrosis and stunted his growth. With age, his joints have weakened with arthritis, so that now he earns money by mending clothes. He is too weak to do farm work.
Chinese officials boast that farmers and herdsmen in rural Tibet enjoy free health care, but Gyampa said he never saw a doctor until about a decade ago, when the first Western physicians arrived in the village. Now that the Western doctors have stopping coming, he takes Tibetan medicine for the pain that regularly flares in his hips and joints.
Republican US lawmakers on Friday criticized US President Joe Biden’s administration after sanctioned Chinese telecoms equipment giant Huawei unveiled a laptop this week powered by an Intel artificial intelligence (AI) chip. The US placed Huawei on a trade restriction list in 2019 for contravening Iran sanctions, part of a broader effort to hobble Beijing’s technological advances. Placement on the list means the company’s suppliers have to seek a special, difficult-to-obtain license before shipping to it. One such license, issued by then-US president Donald Trump’s administration, has allowed Intel to ship central processors to Huawei for use in laptops since 2020. China hardliners
A top Vietnamese property tycoon was on Thursday sentenced to death in one of the biggest corruption cases in history, with an estimated US$27 billion in damages. A panel of three hand-picked jurors and two judges rejected all defense arguments by Truong My Lan, chair of major developer Van Thinh Phat, who was found guilty of swindling cash from Saigon Commercial Bank (SCB) over a decade. “The defendant’s actions ... eroded people’s trust in the leadership of the [Communist] Party and state,” read the verdict at the trial in Ho Chi Minh City. After the five-week trial, 85 others were also sentenced on
‘DELUSIONAL’: Targeting the families of Hamas’ leaders would not push the group to change its position or to give up its demands for Palestinians, Ismail Haniyeh said Israeli aircraft on Wednesday killed three sons of Hamas’ top political leader in the Gaza Strip, striking high-stakes targets at a time when Israel is holding delicate ceasefire negotiations with the militant group. Hamas said four of the leader’s grandchildren were also killed. Ismail Haniyeh’s sons are among the highest-profile figures to be killed in the war so far. Israel said they were Hamas operatives, and Haniyeh accused Israel of acting in “the spirit of revenge and murder.” The deaths threatened to strain the internationally mediated ceasefire talks, which appeared to gain steam in recent days even as the sides remain far
RAMPAGE: A Palestinian man was left dead after dozens of Israeli settlers searching for a missing 14-year-old boy stormed a village in the Israeli-occupied West Bank US President Joe Biden on Friday said he expected Iran to attack Israel “sooner, rather than later” and warned Tehran not to proceed. Asked by reporters about his message to Iran, Biden simply said: “Don’t,” underscoring Washington’s commitment to defend Israel. “We are devoted to the defense of Israel. We will support Israel. We will help defend Israel and Iran will not succeed,” he said. Biden said he would not divulge secure information, but said his expectation was that an attack could come “sooner, rather than later.” Israel braced on Friday for an attack by Iran or its proxies as warnings grew of