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Community-led Health Impact Surveillance: A Case Study of the Gold Mining Operations by Akara Resources Public Company Limited

สมพร เพ็งค่ำ; Somporn Pengkam; ขวัญประชา เชียงไชยสกุลไทย; Kwanpracha Chiangchaisakulthai; จารุภา พานิชภักดิ์; Jarupa Panitchpakdi; เพ็ญโฉม แซ่ตั้ง; Penchom Saetang; นวพร อาดำ; Nawaporn Adum; วิสาข์ สุพรรณไพบูลย์; Wisa Supanpaiboon; อภิญญา กาดขุนทด; Apinya Kardkuntod; สมเกียรติ จันทรสีมา; Somkiat Juntursima; อ้อมจันทร์ วงศ์สดสาย; Aomjan Wongsodsai; บัณฑิต หอมเกษ; Bandit Homket; ประภัสสร ปานป้อมเพชร; Prapassorn Panpompechr; คนางค์ คันธมธุรพจน์; Kanang Kantamaturapoj; ธีรพัฒน์ อังศุชวาล; Theerapat Ungsuchaval;
Date: 2568-11
Abstract
Public complaints regarding the environmental and health impacts of the gold mining operations conducted by Akara Resources Public Company Limited since 2014 led to the temporary suspension of its operations under the Head of the National Council for Peace and Order’s Order No. 72/2559 and the establishment of a fact-finding committee. However, the lack of comprehensive environmental and health data made it impossible to draw clear conclusions. After the enactment of the Minerals Act B.E. 2560 (2017), the mining operation resumed. The National Human Rights Commission subsequently discussed the issue with the Minister of Public Health, leading to a joint agreement for the Health Systems Research Institute (HSRI) to support the research project “Community-led Health Impact Surveillance” to enhance community knowledge and participation in monitoring the health impacts of gold mining activities. This action research project, grounded in the concept of Citizen Science for Health, was implemented during its first phase (2024–2025). It covered pollution source analysis, risk mapping, the development of community indicators and monitoring tools, the creation of a community data recording system (C-Site platform), and the design of a citizen scientist training curriculum in environmental and health literacy. The findings revealed that contamination of arsenic and sulfate in village water supply wells surrounding the mine was closely related to the area’s topography, with Phichit Province identified as the highest-risk area, followed by Phetchabun and Phitsanulok. Pilot testing of the community-led surveillance tools and system demonstrated high feasibility for practical implementation at both community and school levels. However, improvements are still needed in managing hazardous waste from arsenic test kits and developing response mechanisms when contamination is detected. Key policy recommendations include promoting Citizen Science for Health at the national level, developing affordable and user-friendly surveillance tools for public access, integrating citizen science curricula into educational institutions, incorporating community-generated data into mining oversight processes, and amending relevant laws—such as the Minerals Act B.E. 2560 and health surveillance fund regulations—to formally recognize and support the role of communities in sustainable environmental and health surveillance.
Copyright ผลงานวิชาการเหล่านี้เป็นลิขสิทธิ์ของสถาบันวิจัยระบบสาธารณสุข หากมีการนำไปใช้อ้างอิง โปรดอ้างถึงสถาบันวิจัยระบบสาธารณสุข ในฐานะเจ้าของลิขสิทธิ์ตามพระราชบัญญัติสงวนลิขสิทธิ์สำหรับการนำงานวิจัยไปใช้ประโยชน์ในเชิงพาณิชย์
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