“Grandma, I’ve got heavy metals. How much will I sell them for?” (...) “The boy has no idea that this is an illness that will last forever and ever. Not only for him, for his children too,” says Melchora Surco Rimachi while she squints, her eyes full of tears and rage.

Melchora complains, she gets angry, she’s broken. Yet she still holds her head up high. She’s the grandmother of Yedamel López Champi, a child born in Espinar, Cusco. When he was just seven years old health workers found heavy metals like lead, arsenic, cadmium and mercury in his urine. These are the four metals classed as highly carcinogenic to humans by the World Health Organization (WHO). In this lab test traces of rare metals such as molybdenum, cobalt, strontium, caesium and tungsten were also found.

In October 2010, the Centro Nacional de Salud Ocupacional y Protección del Ambiente para la Salud (Censopas) [National Centre of Occupational Health and Environment Protection for Health], a branch of the Health Ministry, took urine samples from hundreds of inhabitants of Huisa and Alto Huancané. These communities are located between the Salado and Cañipía rivers, not far from the operations run by the mining firm Xstrata Tinaya. In May 2013, this firm merged with Glencore, the Swiss giant that controls 50% of the global copper market. In 2013, Censopas took new samples for another report. Among these was Yedamel’s. Today he is 10 years old and no longer lives in Alto Huancané, where he grew up.

Photo: Stefany Aquise.

“The boy thinks ‘I’m rich!I’ve got heavy metals in my body’, little does he know....” Melchora Surco, president of the Alto Huancané community.
Melchora Surco, presidenta de la comunidad de Alto Huancané.

His family took him to the city of Espinar to avoid exposing him to the contamination. Many others have done the same. They are environmental refugees. They live with the same uncertainty as the women, men, children and elderly who haven’t been able to flee.

“Wherever we go, we already have metals in our bodies. It’s too late. “Where can I escape to?” Asks 60-year-old Melchora during our visit to Espinar. Convoca arrived here with La República newspaper to investigate the impact mining has had on the health of these rural communities in the Cusco highlands, five hours away by van from the capital of this region.

Our team accessed new documents and lab results from more than 100 inhabitants who authorised their distribution. They form part of the latest study carried out by Censopas in 2013. The figures were put into an Excel spreadsheet in order to establish new findings that would then be reviewed by doctors, toxicologists and related workers. This is the first part of an investigation that reveals that five years have passed, during which time negligence and half-truths have made it difficult for the people of Espinar to find a medical solution themselves.

Excess contaminating metals in the bodies of hundreds of inhabitants of Alto Huancané and Huisa have largely been proven in the two Censopas reports. In its first study in 2010, this organization found what would trigger social conflict including deaths and injuries in Espinar. Even today, there is no solution for this. 100% of the people who underwent the test had been exposed to arsenic (332 samples), mercury (231), cadmium (254) and lead (492). Moreover, 29 of these samples were above the WHO’s benchmarks for arsenic, 24 for mercury, 11 for cadmium and 9 for lead. However, these inhabitants didn’t know they were contaminated with heavy metals until May 2013. In fact, they would never have found out if the mining firm Quechua, (a subsidiary of Japanese copper producer Pan Pacific) had not asked Censopas to carry out this study in the mining area of Espinar. This mine coincidentally overlaps the one in Tintaya.

In 2013, Censopas carried out its second study. This study was carried out on behalf of Espinar’s round table discussion in order to resolve social conflict. This time 180 urine samples were taken. Yedamel’s was among them. In January 2013, Censopas sent the samples to the CDC (Center for Disease Control and Prevention) in the USA. An excess of at least one of the seventeen metals was found in every sample. Convoca carried out its own analysis on these results and found that in at least 52 of these cases there were levels above the WHO’s threshold. The most common minerals were arsenic and lead. Both were registered in 32 cases.

Antapaccay mining project operations, now operated by Glencore. Photo: Miguel Mejía - La República newspaper.

The analysis confirmed what has been known since 2010 in terms of lead, arsenic, mercury and cadmium. In addition, however, the analysis showed surprising results about Espinar’s exposure to substances such as uranium and molybdenum. The analysis also found nine other substances for which donors had not even given their consent.

Of the 17 metals, the consensual tests of six substances were handed over to the inhabitants after they became public at the round table in August 2013. Meanwhile, the other 11 remained in the hands of Censopas and were not handed over until December 2014.

People who were tested received unsealed proof of the results. Doctor María del Carmen Gastañaga was the head of Censopas when the study was carried out in 2010 and has now returned to the role. In a short telephone conversation, she told Convoca that Censopas only served as a middle man between the CDC and the researchers who were in charge, Carlos Sánchez Zavaleta and Fernando Osores. Sánchez claims that this was “completely false.”

They sent us the results as if it were a joke, unsigned,” says Santusa Noñonca de Kana, who lives 360 metres away from the Camaccmayo tailings dam in Alto Huancané. There are puddles of yellowish water in Santusa’s backyard and in one of the rooms in her house. “I asked Mr Pulgar Vidal (the Environment minister) if we were going to live like that with that stinking water. How far away from the dump will we have to live?” says Santusa angrily as she remembers the minister’s visit to her house.

On May 2012 the minister of environment assured that Censopas’ investigation had not taken place in the area that was affected by, at the time in question, the Xstrata mining company. Today, more than three years later, the Deputy Minister of Environmental Management, Mariano Castro, acknowledged in a response sent by mail last night, that some communities, like the Huisa, “are located at the intersection of the area affected” by the Quechua project and that of Tintaya Antapaccay.

By the foot of the waste deposits

In the Paccpaco sector of Alto Huancané people live up to just 100 meters from the Camaccmayo tailings deposit held by Xstrata Tintaya, and dozens of local villagers have shown traces of metals in their bodies, according to records collected by Convoca in the area. The same applies to the Huisa community in the Chipta sector, where Ceferino Kana Achiri lives in front of the Huinipampa tailings deposit, with his wife Teresa and their two children.

In fixed penalty notices upheld by the Agency for Assessment and Environmental Control (Organismo de Evaluación y Fiscalización Ambiental - OEFA), between 2010 and 2014, at least three violations related to mismanagement of the mining company’s waste deposits, appear. Among the most frequent offenses detected inside and outside the mine in seven penalty cases, include failure to comply with environmental protection standards, effluent discharges, dumping of tailings and erosion of natural soil.

The Antapaccay mining company replied that "it is not responsible for the contamination of Espinar" and that the presence of "very small amounts of heavy metals" in the waters is due to "geological or natural causes" as stated in a monitoring report on environmental health conducted in 2013 as part of the round-table discussion.

Santusa Noñonca, resident of Alto Huancané. Photo: Miguel Mejía - La República.

The dozens of Interviewed villagers have complained that the Espinar doctors gave them a clean bill of health despite of the high concentrations of metals in their bodies. They do not believe these diagnoses, and they are worried about the risks. The human body tends to secrete heavy metals that enter the organism, either through sweat, urine, or feces. Metals that are more difficult to filter are "chelated", that is to say that our body captures and removes them from the bloodstream whereupon they accumulate in various keloid tissues or in the bones. This process is largely influenced by the time and intensity of exposure.

If the exposure to heavy metals and other substances has been too long and consistent, and has exceed the threshold of our body’s ability to process them, it is possible – metaphorically speaking - that our organism will mutate into a time bomb, as explained by Dr. Raul Loayza, coordinator at the ecotoxicology laboratory of the University Peruana Cayetano Heredia.

Puede que hoy la bomba esté desactivada, y que esas personas, de continuar expuestas a la contaminación, acumulen los metales en los tejidos queloides y en los huesos durante años, y que no pase nada. El biólogo Carlos Sánchez Zavaleta puso el ejemplo de un niño de La Oroya que tenía cuatro veces más plomo en la sangre de lo que la OMS recomienda para una vida saludable. Con esos niveles de plomo, el niño debía tener cáncer o serios problemas neurológicos. Lo singular es que no presentaba síntomas. Sin embargo, las posibilidades de que este pequeño desarrolle cáncer se multiplican: si los queloides que aíslan estos metales pesados de nuestro organismo, fallan, y el metal se activa, es altamente probable que esos tejidos devengan en un cáncer.

“Los estándares de la OMS lo que nos dicen”, dice Loayza, “es qué tanta cantidad de plomo (o de otros tres metales: mercurio, arsénico y cadmio) podemos soportar sin arriesgar nuestra salud”. Lo dicho por el experto cobra relevancia si se considera que desde julio de 2005, el Ministerio de Salud cuenta con un plan nacional para fortalecer la gestión ambiental y reducir el número de muertos por contaminación por plomo y otros metales pesados. En ese contexto, se aprobaron guías de práctica clínica para el manejo de pacientes intoxicados de manera aguda y crónica con plomo, entre 2007 y 2011.

The human body does not need lead, arsenic or mercury to function normally. Therefore, according to the plan and the approved guidelines, no matter if the metal levels found were above or below the limits set by the WHO, the State was obliged to take immediate action. Convoca asked Joseph Bernable Villasante from the Cusco Regional Health Authorities about the matter and he responded that the guidelines do not provide detailed information for medical treatment. This is not true; the guidelines even specify the treatment according to the level of mineral exposure.

In an analysis of the health situation of Cusco, ordered by the same Regional Health Authorities that was published in 2013, it appears that the primary cause of mortality in the province Espinar is kidney failure: out of 799 deaths in Espinar in 2011, 97 were caused by this condition. The report states that this tendency, "would show that we are entering a process of epidemiological transition in the province of Espinar" and stresses that it is unusual with such high mortality promoters in the area. It was recommended that an investigation of this cause of deaths be made.

By the deadline for submission of this article, Deputy Minister Castro assured that the dialogue table has other prioritized "the health of the people" and has even developed a health action plan for Espinar. But the people interviewed question the medical care they have received so far. Their statements will appear in the second part of this report.

Residents of the communities of Huisa and Alto Huancané tell how they are affected by minerals in their bodies. (Click on each photo to see video).