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As bad as conditions are for Russian and Belarus orphans, the situation for handicapped chilren is much worse. At the age of 5 years, the second group of orphans under the Russian Education Ministry's purview "the debily" is channeled to spets internaty (or "auxiliary internaty"), where they reside while taking a significantly abbreviated course of education totaling only 6 years, far short of a high school diploma. They are also offered vocational training, but their program and residence are generally segregated from the non-debil orphans. The Ministry of Labor and Social Development takes charge of orphans who are diagnosed by a board of state medical and educational reviewers as having heavy physical and mental disabilities at the age of 4 years. Officially labeled 'imbetsil' or 'idiot', they are committed to closed institutions which often resemble Dickensian asylums of the 19th century. There they remain until the age of 18 years if they survived. Those who survive to that age are transferred to adult psychoneurological internaty, or asylums, for the duration of their lives. Fragmentary statistics on the mortality rates in the institutions under the Ministry of Labor and Social Development indicate that these orphans are at significant risk of premature death. One leading child welfare advocate in Moscow told Human Rights Watch that estimates from government figures indicate the death rate in these internaty is twice the rate in the general population. He also knows one internat where he said that the death rate rose to as high as three and a half times the rate in the society outside its walls. The Chernobyl disaster created a new group of hndicapped children (1986).
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