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Environmental and Social Impact Assessment - Gibe III

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<strong>Gibe</strong> <strong>III</strong> – <strong>Environmental</strong> <strong>and</strong> <strong>Social</strong> <strong>Impact</strong> <strong>Assessment</strong> 300 ENV R CS 002 C - A9003099<br />

information on the prevention of schistosomiasis. Such support <strong>and</strong> reinforcement of local medical facilities<br />

in providing preventive measures has been found to be lacking in schemes elsewhere in the country, <strong>and</strong> is<br />

now considered an essential prerequisite to international funding.<br />

<strong>Impact</strong>s During Construction<br />

Construction is inherently a relatively dangerous industry, <strong>and</strong> has a number of adverse impacts on public<br />

health <strong>and</strong> safety unless appropriate mitigation measures are undertaken. Particular concerns include the risk<br />

of increasing the incidence of social <strong>and</strong> communicable diseases due to the influx of migrant construction<br />

workers, the risk to the workers themselves of contracting malaria, the risk of injury from traffic accidents<br />

<strong>and</strong> blasting activities.<br />

Of the potential adverse social <strong>and</strong> health impacts, some of the most serious are the transmission of sexually<br />

transmitted diseases including HIV/AIDS. Due to the immigration of workforce to the project area, this risk<br />

is expected to increase from time to time.<br />

Many persons will influx to the project area in search of job opportunities, <strong>and</strong> these migrant workforces<br />

may bring non-endemic diseases to the project area. This may aggravate the health situations of the<br />

communities of the project area.<br />

In the project areas, which already have relatively poor resources in terms of medical services, the presence<br />

of contractor's workforce can impose additional strains, reducing their effectiveness as far as the local<br />

population is concerned. It is also reasonable to expect that the contractor should exercise a duty of care<br />

towards his workforce in relation to injuries sustained at work.<br />

To mitigate the potential health risks to the construction workers the following measures are recommended:<br />

• Require the Contractor to provide a quality health services to the construction employee’s by<br />

establishing appropriate health facility with subsidiary treatment posts at the local camp <strong>and</strong> first aid<br />

posts at each construction sites;<br />

• Medical screening <strong>and</strong> treatment of workers coming from outside the project area;<br />

• Utilisation of preventive <strong>and</strong> curative measures to reduce transmission of communicable diseases<br />

between the work force <strong>and</strong> the local population;<br />

• Organise awareness campaign on sexually transmitted diseases <strong>and</strong> their prevention methods for the<br />

construction works. Workers will be sensitized to the risks, particularly of HIV/AIDS;<br />

• The provision of a safe water supply, good drainage <strong>and</strong> appropriate sewage <strong>and</strong> waste disposal <strong>and</strong><br />

treatment facilities on the site;<br />

• Sanitation <strong>and</strong> hygiene education to the workforce <strong>and</strong> the community;<br />

• Institute anti-malaria measures following current accepted practice at campsites <strong>and</strong> facilities<br />

established for the early diagnosis <strong>and</strong> treatment of patients with the disease;<br />

• An active surveillance network to facilitate the detection of fever cases. The efficiency of the<br />

surveillance system <strong>and</strong> the timely examination of blood slides/films <strong>and</strong> treatment are the crucial<br />

components of malaria control programme;<br />

• Require the Contractor to provide to construction camp buildings mosquito proof facilities;<br />

• The prime means of controlling malaria in construction camps is the use of bed nets. Levels of<br />

human infection have dropped dramatically since impregnated bed-nets (IBN) were introduced.<br />

Therefore, provide as much as possible pyrethroid-treated mosquito nets;<br />

CESI SpA - Mid-Day International Consulting Engineers Page 219

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