Monday, April 27, 2015
Tanna -
Another great island. We went over to where all the relief operations operate. Very interesting to see the maps with notes and dots all over them, action plans, delivery dates for food, and the inner workings of the many relief organizations.
There are two small villages that can only be reached by small
boat. Those will be the ones we will be heading for later this week. But first we need to tour the volcano. It is a very active volcano and you can see it very clearly on Google Earth.
Courage
There are two small villages that can only be reached by small
boat. Those will be the ones we will be heading for later this week. But first we need to tour the volcano. It is a very active volcano and you can see it very clearly on Google Earth.
Courage
Sunday, April 26, 2015
Port Patrick, Aneityum, 4-26
We had a very successful clinic in Port Patrick, Aneityum. We saw a total of 68 people. It's a beautiful place with a coral reef, a beach, and lush green landscape. This is where they grow much of the food for the island due to its soil and rainfall. It is on the windy side of the island, so got the worst of the hurricane damage for this island, but as we've been seeing, they are rebuilding and replanting and moving on. This village is really spread out; everyone has some land to grow their fields. There are no vehicles and little electricity or other modern conveniences. There are no stores, but 2 churches and a little "Aid Post" clinic.
There was a dead whale that washed up in the reefs, so we went to check him out. Very interesting. We also snorkeled this morning. It was nice to get in the water. Much of the reef appeared dead, but there were some areas of live coral. The water wasn't super clear and there wasn't many fish. Intrepid did see two turtles from the dinghy while we were going home though.
Our buddy boat Chez Nous came this morning with 1.5 tons of food for the town. They got 5 local boats to come out and pick it up and get it to the beach, which was a great community effort since this town only has one boat at this harbor. Yesterday Courage made cinnamon rolls and we brought them to the clinic. The school's headmaster was there with his son and he said, "Anything but kasava!" That is their local root, like yucca (I think it's the same), and most people are surviving on that right now all day every day. A few papaya trees have fruit hanging, which seems odd that they could survive 100+ mph winds on those flimsy trees, yet other larger, more solid trees were devastated. And the landscape was destroyed in patches. I don't understand exactly how that happened. I would think it would hit like a sweeping arm clearing everything in its path, but it was more selective than that and in a very unclear pattern.
Our clinic was successful, lots of people with muscular pains since they have been working very hard this past month. Kim was working all day, and this morning while they offloaded the food, a panga came to get Kim for a few more people that wanted adjustments. She was their favorite provider ever!! A few very interesting cases of cerebral palsy, jaundice from a metabolic enzyme disorder, probably episodes of SVT, and likely TB. One patient apologized to us that everything was in such shambles. "This is such a beautiful place usually."
Courage and Steffan met a man onshore who lost everything. He, his wife, and their 5 kids were sleeping in a lean-to type thing while he was rebuilding their house. But they lost everything in their house. When offered things, he'd state, "I'm not asking." He used to have a spear gun to go fishing for food for the family. Courage gave him his old one and said he was sooo happy. It must be hard to rebuild and resupply with no stores. Where do you get new pans, bedding, clothing? And with what do you get it? You grow your own food, but that has been wiped out right now also. The houses are made of natural materials (and nails if you are lucky). But cloth?
Usually Port Patrick can sell food to Anghowat. But usually Anghowat has money from cruise ships. Fortunately this is a hardy group of people and they do not live by "stuff" or judge each other by what they wear or what they have.
After offloading Chez Nous and snorkeling (and Kim being called to shore for an impromptu back pain clinic), we left Aneityum and headed to Tanna this morning. Upon arrival here, there was a warm greeting by the locals! It's a cute bay - Port Resolution.
Just above us is an active volcano!!!! We saw smoke on the horizon as we were coming to the island. There are steam vents that become visible on the hillside, and some areas of boiling up water along the rock cliffs. The coconut trees appear to have their leaves, but on the shore coming in, it appeared all the rest of the underbrush and trees were dead otherwise. They knew we were coming due to our coordinators, so we have a gathering on the beach at 8 am to get oriented. The population here is relatively small, don't think we're doing a clinic here, but of course if someone needs something, I think they'll know to ask.
My dream is to go up and see the active volcano! Seeing active lava has been on my bucket list for quite some time! Integrity too! We missed the one in Tonga so are quite excited to see what tomorrow holds for us! Then more of the population is on the other side of the island, which is the windy side and was hit harder. It's a rougher anchorage and the winds are picking up in the next week, but we may try to either take a truck or take the boats over there. I understand they have a doctor, but have had foreign doctors here working with him until last week. We will see if he wants/needs help.
A nice organization, Samaritan's Purse, was the one who bought the 1.5 tons of food aid for Port Patrick that we delivered. They apparently were the first ones here with a plan and are organizing the recovery efforts for the Tafea group of islands (where we are now). They are headquartered here in Tanna and have a truck in Lenekal. They were suggesting maybe we run a portable clinic to the outlying villages with them in the truck. That could be fun and interesting, and maybe more useful than making them come to the hospital. We are staying flexible and seizing opportunities as they come. For now, sleep is the great opportunity ahead!!
Shannon
There was a dead whale that washed up in the reefs, so we went to check him out. Very interesting. We also snorkeled this morning. It was nice to get in the water. Much of the reef appeared dead, but there were some areas of live coral. The water wasn't super clear and there wasn't many fish. Intrepid did see two turtles from the dinghy while we were going home though.
Our buddy boat Chez Nous came this morning with 1.5 tons of food for the town. They got 5 local boats to come out and pick it up and get it to the beach, which was a great community effort since this town only has one boat at this harbor. Yesterday Courage made cinnamon rolls and we brought them to the clinic. The school's headmaster was there with his son and he said, "Anything but kasava!" That is their local root, like yucca (I think it's the same), and most people are surviving on that right now all day every day. A few papaya trees have fruit hanging, which seems odd that they could survive 100+ mph winds on those flimsy trees, yet other larger, more solid trees were devastated. And the landscape was destroyed in patches. I don't understand exactly how that happened. I would think it would hit like a sweeping arm clearing everything in its path, but it was more selective than that and in a very unclear pattern.
Our clinic was successful, lots of people with muscular pains since they have been working very hard this past month. Kim was working all day, and this morning while they offloaded the food, a panga came to get Kim for a few more people that wanted adjustments. She was their favorite provider ever!! A few very interesting cases of cerebral palsy, jaundice from a metabolic enzyme disorder, probably episodes of SVT, and likely TB. One patient apologized to us that everything was in such shambles. "This is such a beautiful place usually."
Courage and Steffan met a man onshore who lost everything. He, his wife, and their 5 kids were sleeping in a lean-to type thing while he was rebuilding their house. But they lost everything in their house. When offered things, he'd state, "I'm not asking." He used to have a spear gun to go fishing for food for the family. Courage gave him his old one and said he was sooo happy. It must be hard to rebuild and resupply with no stores. Where do you get new pans, bedding, clothing? And with what do you get it? You grow your own food, but that has been wiped out right now also. The houses are made of natural materials (and nails if you are lucky). But cloth?
Usually Port Patrick can sell food to Anghowat. But usually Anghowat has money from cruise ships. Fortunately this is a hardy group of people and they do not live by "stuff" or judge each other by what they wear or what they have.
After offloading Chez Nous and snorkeling (and Kim being called to shore for an impromptu back pain clinic), we left Aneityum and headed to Tanna this morning. Upon arrival here, there was a warm greeting by the locals! It's a cute bay - Port Resolution.
Just above us is an active volcano!!!! We saw smoke on the horizon as we were coming to the island. There are steam vents that become visible on the hillside, and some areas of boiling up water along the rock cliffs. The coconut trees appear to have their leaves, but on the shore coming in, it appeared all the rest of the underbrush and trees were dead otherwise. They knew we were coming due to our coordinators, so we have a gathering on the beach at 8 am to get oriented. The population here is relatively small, don't think we're doing a clinic here, but of course if someone needs something, I think they'll know to ask.
My dream is to go up and see the active volcano! Seeing active lava has been on my bucket list for quite some time! Integrity too! We missed the one in Tonga so are quite excited to see what tomorrow holds for us! Then more of the population is on the other side of the island, which is the windy side and was hit harder. It's a rougher anchorage and the winds are picking up in the next week, but we may try to either take a truck or take the boats over there. I understand they have a doctor, but have had foreign doctors here working with him until last week. We will see if he wants/needs help.
A nice organization, Samaritan's Purse, was the one who bought the 1.5 tons of food aid for Port Patrick that we delivered. They apparently were the first ones here with a plan and are organizing the recovery efforts for the Tafea group of islands (where we are now). They are headquartered here in Tanna and have a truck in Lenekal. They were suggesting maybe we run a portable clinic to the outlying villages with them in the truck. That could be fun and interesting, and maybe more useful than making them come to the hospital. We are staying flexible and seizing opportunities as they come. For now, sleep is the great opportunity ahead!!
Shannon
Simple Life - Rapid Recovery
They have rebuilt to a livable level, but not yet a thriveable level. They are eating roots and very tired of the lack of variety in the diet. BUT they have already cleared, replanted, done much rebuilding, but have much more to do. Many families are living in very temporary lean-to type places (they adapt better than most Americans would to that).
People are not put out because the water, electricity or sewers are out because they didn't exist in the first place. There are no cars or roads, so roads washing out aren't a problem. It seems many of our problems after Katrina were man made - our dependence on roads, cars, electricity, sewer systems, etc. have created our inability to tolerate a natural disaster. Rather than being a "horrible day", Katrina became a disaster. Here, it seems more so that they had a horrible day and are moving forward to recover from it starting the day after. It really is wonderful to see their lack of dependence or want/need for "stuff". There are some definite perks to many "stuff", so I am not ready to renounce it all, but there is a balance between what they have here and what we have in the US that I think could make a happy medium.
People are not put out because the water, electricity or sewers are out because they didn't exist in the first place. There are no cars or roads, so roads washing out aren't a problem. It seems many of our problems after Katrina were man made - our dependence on roads, cars, electricity, sewer systems, etc. have created our inability to tolerate a natural disaster. Rather than being a "horrible day", Katrina became a disaster. Here, it seems more so that they had a horrible day and are moving forward to recover from it starting the day after. It really is wonderful to see their lack of dependence or want/need for "stuff". There are some definite perks to many "stuff", so I am not ready to renounce it all, but there is a balance between what they have here and what we have in the US that I think could make a happy medium.
Volcano -
We are planning on heading off to the land of volcanos tomorrow morning. First though we are unloading about 1.5 tons of food at this lovely village. It is so nice to see a people who are completely self sufficient. They typically live and thrive on what they grow and catch from the ocean. The hurricane knocked out all their crops, and it takes about 3 months to get things going again. So this is the food that needs to tide them over for the next few months until their crops start producing again. Great hard working people who are not looking for help, or asking for help, but happy to have some food until things get going again.
Courage
Courage
Friday, April 24, 2015
Beached Whale -
There is a giant sperm whale washed onto the reef here. And there are these massive shark bites taken out of its tail. I guess after it died the sharks decided a meal of whale fat would be in order. I took the children up there while Shannon worked at the clinic checking out the locals, and making sure they were all healthy.
This village is quite rural, the people eat what they grow, and only a few houses have any form of solar. And of course there are no motorized vehicles, or roads for that matter. There are just little footpaths that connect the different houses. There is not really a town, just a closer grouping of houses. There are only about 200 people here, and they are spread along about 3 miles of coastline.
Our anchorage is protected from the typical SE winds, but not from the East winds that we have now. It is also quite squally making the reefs always seem closer than they really are.
Soon we will head over to Tanna where there is an active volcano, and hopefully go exploring the hot lava.
It has proved to be super to have a refrigerator as we still have fresh carrots and cabbage from Samoa. Then of course there is the ice cream, which we still are loving!
Courage
This village is quite rural, the people eat what they grow, and only a few houses have any form of solar. And of course there are no motorized vehicles, or roads for that matter. There are just little footpaths that connect the different houses. There is not really a town, just a closer grouping of houses. There are only about 200 people here, and they are spread along about 3 miles of coastline.
Our anchorage is protected from the typical SE winds, but not from the East winds that we have now. It is also quite squally making the reefs always seem closer than they really are.
Soon we will head over to Tanna where there is an active volcano, and hopefully go exploring the hot lava.
It has proved to be super to have a refrigerator as we still have fresh carrots and cabbage from Samoa. Then of course there is the ice cream, which we still are loving!
Courage
Aneityum 4-24
We have been having a very wonderful time here in Vanuatu. The people have been very welcoming, friendly and appreciative. We had all sorts of governmental regulatory issues as far as immigration and customs because we cleared in a less usual place and the local agent was in Port Vila escorting a suspect out of Aneityum, so wasn't here to clear us in, so we had to wait on our boats for a new plan. But it all worked out, then we had a formalities meeting with the chief, as is the custom, for his "permission" to come to the village. I get the sense that the answer is always yes, but it's customary to offer him a small gift, you place it at his feet, and then ask permission to talk. He will then talk to someone else who will tell us what he says. Strange to us, but traditional and normal for them and all went well.
The first two days we were in Anghowat, Aneityum Island. It was very interesting as our first time in Vanuatu. Apparently, they are quite well off due to cruise ships that come to Mystery Island. Then everyone from the island goes and sells their crafts and skills to the tourists. So they get money to buy from a couple of local "shops", so they have more western foods and influences than other towns. But since the cyclone, Mystery Island took a good hit and a representative told them that it was not suitable for cruise ships yet. Every day pangas full of building materials are going many times back and forth to Mystery Island to get it back up and running. It is the livelihood of much of Aneityum. This morning we went to see it, it is very cute with many huts set up to "stamp your passport" or to show shells and weaving and carving for sale. Also snorkeling tours, and cultural island tours. Half of the island has a traditional village built, which I think is where they give the tours. Also they have a Kava hut and I think they do Kava ceremonies (for a price I'm sure). There was also a big pot labeled "Cannibal soup" which was funny. We heard as late at the 1970's there was still cannibalism here. Not sure how you'd confirm that, but needless to say, we took pictures in the pot. The island had many men working, lots of debris that probably needs burning, some buildings standing, others with just frames, but they've certainly been working. The toilets were a big concrete building (western toilets). I think if I were nearby, I'd have gone to the toilets to weather the hurricane; it was the best building there.
We did a clinic for two days in Anghowat with a nurse, Roger. He was such a wonderful and welcoming man! He really takes care of him community with what little resources he has available. He has not been paid by Ministry of Health since December. So he's just been volunteering to run the clinic since then and shows up every day. Twice while we were there he was up at night doing deliveries also (including a 7 month old gestation). He ran a vaccination clinic also. MoH gives him medications (some, no recent supplies, last ones were a month before the hurricane), but has no money to pay staff. He says if it were not his village, he may have left, but since it's his village, he stays and helps them. The clinic was very interesting, a lot of musculoskeletal complaints, so it was GREAT to have Kim (my cousin) onboard with us who has training and experience in such treatments. I was kidding that I was merely triaging for Kim's clinic . . . But in general we were seeing chronic complaints that Roger had been addressing previously and was doing well with.
He was appreciative for the help of getting so many patients seen, which relieved him some. Then we were able to resupply him with our medical aid package. Probably the biggest help for him was that he'd been given a bunch of "aid" medications 2 weeks after the cyclone from New Caledonia (French). He couldn't read it and had no idea what it all was, so was going to give it to Tanna, the provincial center, since he can't use what he doesn't know. Elinor (a Swedish pediatrician) and I sat for 3 hours sorting out his box of things, translating the names, dosages and indications into English. Then I made him an alphabetized spreadsheet that he can refer to. It was a wide variety of pain medications, antibiotics, eardrops, diarrhea medications, inhalers, creams, etc. Strange collection, including lyrica and neurontin and lovenox, but only one box of each, which is nearly useless because these are long term medications or nothing. But some of the stuff was quite useful. No one really understands the genesis of who or why this random selection was donated.
Roger is the only person on the island who can give injections and he does all the birth deliveries for the island. Nelson proudly runs a lab. Further questioning shows that he can make and read a malaria smear as well as prepare TB slides with stains. He sends the TB slides to be read, but hopes to learn to read them some time this summer so he can do both malaria and TB. Incidentally, the last positive malaria was in 2005 and that was a tourist bringing it, not a local. That is the extent of his lab. Most of his time is spent volunteering in the clinic. He too had the MoH contract, which ended in December and is hoping for something in the summer (but there's no back pay). If Roger has a delivery and thinks the woman is anemic, he can give her iron pills, then have her come in the morning that a plane arrives (usually twice a week), draw her blood, then send it to the hospital with the plane. He then has to call them repeatedly for the results.
Now after the hurricane, there is one satellite phone in town provided by the government for the whole town, so he'd have to borrow that from the chief if it was necessary. If he wants to air evacuate a patient, same plan, wait for the twice-weekly plane.
He told me a story of an 18-year-old asthmatic he cared for earlier this year who came in very bad. He gave a steroid injection and puffs of an inhaler. He has no nebulizer or oxygen. He said the boy came on the wrong day; it wasn't a plane day. The boy ended up dying. Roger has been asking and very much wants a nebulizer. The cruise ships organized a fundraiser and just in December 2014 finished building a clinic with 4 exam rooms that Roger works at now. It has solar and 2 batteries, so he can now finally use that nebulizer. I am going to put out requests to boats that have said they are coming and are asking what to bring to see if I can help get him one. He is quite competent if he could be given and taught with new materials.
We gave Roger some clothes for his 2 year old (Valiant's old stuff) and for his new coming baby. We will also give Nelson some clothes as I just learned he has 6 kids. At the end of the clinic, they presented all of the caretakers with a gift of a beautifully carved wood walking stick with a snake in relief and a skeleton head and writing under a polish. It was really nice, made by the father of one of the nurse aids (who again is working voluntarily at this point).
We met two Peace Corp girls there also. They came to the boat for an evening, and then one girl took us up to see her house and the river. It was a beautiful walk through the tropics. We saw the new crops starting to grow and some of the damage, but this village had faired relatively well. The river is a great source of fresh water for the village, but their main supply is through a spring. She showed us her house, outhouse, and shower facility. There is a building for everything. They also have an outdoor, but sheltered, cooking area where they cook over fire. The Peace Corp girl had a propane stove provided for her by her family, but she was out of propane and there was no telling when it was going to be available again, so she told her host father she'd like a place to cook over a fire, he built her an enclosure next to her house. Quite accommodating.
Overall the experience there was wonderful, the people are great. No one is starving or dehydrating, which is good. They have replanted and are rebuilding, so things are not normal by any stretch, but they are making it and on the road to recovery. There does not appear to be a dependence on aid, although there is room for it for sure.
Today we moved up to the north part of the island, Port Patrick, which was hit quite hard. The men presented the chief with a gift and we were welcomed onshore. We ran an afternoon clinic, but the village had 237 people and is very spread out, so word will pass to them and tomorrow we anticipate a bigger clinic. The waves came up quite a distance, to the clinic, but left the clinic standing (it's a "post", small square building with a front waiting area, a consultation room and an exam room in the back half of the building). The walls are made of woven bamboo, you can see out through parts of them, but the roof is corrugated steel. There are a solar panel and a battery, even a wire running to a light socket, but no bulb, so I don't know if the power actually works. The people here were not terribly hurt, no one died. There is some "hurricane house" that she showed like an A-frame construction that is very strong and many people went there to weather the hurricane. Daisy, the CNA who runs a clinic at this post every M, W, F for 11 years (again no pay or contract since December) weathered the hurricane at her parent's house so she could be close to the clinic in case people needed her. She said they were not hurt at the house, but the roof blew off. I said, "so it was OK then?" and she said "no" with a very flat affect. It was very interesting. So, while one month later houses are still leveled, the community is eating what they have and looking after each other, feeding each other, housing each other (or making do with temporary lean to shelters), what they went through was definitely distressing! Everything looks better than I had expected it to, but they are still in somewhat shock and recovery mode.
Steffan on S/V Salsa with us met a man onshore today who lost everything. He has 4 small children, his house is gone as well as everything in it. It was below the tidal surge line. We saw him in the clinic, all of his muscles are sore from so much clearing and building work this month. Steffan was asking what he needed, but he said he was asking for nothing. Steffan asked if we gave him hammer, nails, or machete if it would help. He said they have 2 hammers, but nails and machete he would not ask for (but we think he could use). Also there is a chainsaw, but the pull rope is broken along with other issues. The men are going to find him tomorrow and give some supplies and try to help tune the chainsaw and see what they can do with the building or food or otherwise while the two women run a medical clinic and the kids run wild on the beach (and check out the dead whale in the mouth of the river).
Our third boat, Chez Nous, is waiting in Anghowat for a large donation of food aid from Samaritan's Purse. They have 1.2 tons for Port Patrick and were going to try to bring it all up in little pangas along the coast (2 hours one way). We offered to help transport and they were so happy!! The supply boat didn't come in at 3 today as scheduled, so we will wait to hear tomorrow how that is all working out. Yesterday we offloaded all of Chez Nous' aid supplies so they'd have room for the new stuff, so we are getting a little crowded on our boat now with what we brought from American Samoa as well as what they brought from Fiji!!
Incidentally, we are not finding as much need for food aid as we believed initially. Maybe because they are resourceful, maybe because that's what everyone brings. Sadly they had to harvest all their bananas before the hurricane (the only wise thing to do) and you can eat brown coconuts, but the going rumor is that you cannot eat the green coconuts right now because of all the wind shaking them up. I don't understand that for sure, but the Peace Corp girl said it's a staple of their diet and they won't touch them now. I asked Nelson today and he said the green ones will give you a stomachache and/or make you sick right now because of the shaking. I'm curious if there's anything to that or if it's an old wives’ tale. It's a shame to eradicate any food supply right now and it seem that coconuts of all things are hurricane proof!!
So we are all finding things to do and ways to make ourselves useful out here while getting a chance to really get integrated quickly into a community, which I find, is the best way to learn about a culture and a people. It was been really great and interesting and we are all enjoying ourselves!
Shannon
The first two days we were in Anghowat, Aneityum Island. It was very interesting as our first time in Vanuatu. Apparently, they are quite well off due to cruise ships that come to Mystery Island. Then everyone from the island goes and sells their crafts and skills to the tourists. So they get money to buy from a couple of local "shops", so they have more western foods and influences than other towns. But since the cyclone, Mystery Island took a good hit and a representative told them that it was not suitable for cruise ships yet. Every day pangas full of building materials are going many times back and forth to Mystery Island to get it back up and running. It is the livelihood of much of Aneityum. This morning we went to see it, it is very cute with many huts set up to "stamp your passport" or to show shells and weaving and carving for sale. Also snorkeling tours, and cultural island tours. Half of the island has a traditional village built, which I think is where they give the tours. Also they have a Kava hut and I think they do Kava ceremonies (for a price I'm sure). There was also a big pot labeled "Cannibal soup" which was funny. We heard as late at the 1970's there was still cannibalism here. Not sure how you'd confirm that, but needless to say, we took pictures in the pot. The island had many men working, lots of debris that probably needs burning, some buildings standing, others with just frames, but they've certainly been working. The toilets were a big concrete building (western toilets). I think if I were nearby, I'd have gone to the toilets to weather the hurricane; it was the best building there.
We did a clinic for two days in Anghowat with a nurse, Roger. He was such a wonderful and welcoming man! He really takes care of him community with what little resources he has available. He has not been paid by Ministry of Health since December. So he's just been volunteering to run the clinic since then and shows up every day. Twice while we were there he was up at night doing deliveries also (including a 7 month old gestation). He ran a vaccination clinic also. MoH gives him medications (some, no recent supplies, last ones were a month before the hurricane), but has no money to pay staff. He says if it were not his village, he may have left, but since it's his village, he stays and helps them. The clinic was very interesting, a lot of musculoskeletal complaints, so it was GREAT to have Kim (my cousin) onboard with us who has training and experience in such treatments. I was kidding that I was merely triaging for Kim's clinic . . . But in general we were seeing chronic complaints that Roger had been addressing previously and was doing well with.
He was appreciative for the help of getting so many patients seen, which relieved him some. Then we were able to resupply him with our medical aid package. Probably the biggest help for him was that he'd been given a bunch of "aid" medications 2 weeks after the cyclone from New Caledonia (French). He couldn't read it and had no idea what it all was, so was going to give it to Tanna, the provincial center, since he can't use what he doesn't know. Elinor (a Swedish pediatrician) and I sat for 3 hours sorting out his box of things, translating the names, dosages and indications into English. Then I made him an alphabetized spreadsheet that he can refer to. It was a wide variety of pain medications, antibiotics, eardrops, diarrhea medications, inhalers, creams, etc. Strange collection, including lyrica and neurontin and lovenox, but only one box of each, which is nearly useless because these are long term medications or nothing. But some of the stuff was quite useful. No one really understands the genesis of who or why this random selection was donated.
Roger is the only person on the island who can give injections and he does all the birth deliveries for the island. Nelson proudly runs a lab. Further questioning shows that he can make and read a malaria smear as well as prepare TB slides with stains. He sends the TB slides to be read, but hopes to learn to read them some time this summer so he can do both malaria and TB. Incidentally, the last positive malaria was in 2005 and that was a tourist bringing it, not a local. That is the extent of his lab. Most of his time is spent volunteering in the clinic. He too had the MoH contract, which ended in December and is hoping for something in the summer (but there's no back pay). If Roger has a delivery and thinks the woman is anemic, he can give her iron pills, then have her come in the morning that a plane arrives (usually twice a week), draw her blood, then send it to the hospital with the plane. He then has to call them repeatedly for the results.
Now after the hurricane, there is one satellite phone in town provided by the government for the whole town, so he'd have to borrow that from the chief if it was necessary. If he wants to air evacuate a patient, same plan, wait for the twice-weekly plane.
He told me a story of an 18-year-old asthmatic he cared for earlier this year who came in very bad. He gave a steroid injection and puffs of an inhaler. He has no nebulizer or oxygen. He said the boy came on the wrong day; it wasn't a plane day. The boy ended up dying. Roger has been asking and very much wants a nebulizer. The cruise ships organized a fundraiser and just in December 2014 finished building a clinic with 4 exam rooms that Roger works at now. It has solar and 2 batteries, so he can now finally use that nebulizer. I am going to put out requests to boats that have said they are coming and are asking what to bring to see if I can help get him one. He is quite competent if he could be given and taught with new materials.
We gave Roger some clothes for his 2 year old (Valiant's old stuff) and for his new coming baby. We will also give Nelson some clothes as I just learned he has 6 kids. At the end of the clinic, they presented all of the caretakers with a gift of a beautifully carved wood walking stick with a snake in relief and a skeleton head and writing under a polish. It was really nice, made by the father of one of the nurse aids (who again is working voluntarily at this point).
We met two Peace Corp girls there also. They came to the boat for an evening, and then one girl took us up to see her house and the river. It was a beautiful walk through the tropics. We saw the new crops starting to grow and some of the damage, but this village had faired relatively well. The river is a great source of fresh water for the village, but their main supply is through a spring. She showed us her house, outhouse, and shower facility. There is a building for everything. They also have an outdoor, but sheltered, cooking area where they cook over fire. The Peace Corp girl had a propane stove provided for her by her family, but she was out of propane and there was no telling when it was going to be available again, so she told her host father she'd like a place to cook over a fire, he built her an enclosure next to her house. Quite accommodating.
Overall the experience there was wonderful, the people are great. No one is starving or dehydrating, which is good. They have replanted and are rebuilding, so things are not normal by any stretch, but they are making it and on the road to recovery. There does not appear to be a dependence on aid, although there is room for it for sure.
Today we moved up to the north part of the island, Port Patrick, which was hit quite hard. The men presented the chief with a gift and we were welcomed onshore. We ran an afternoon clinic, but the village had 237 people and is very spread out, so word will pass to them and tomorrow we anticipate a bigger clinic. The waves came up quite a distance, to the clinic, but left the clinic standing (it's a "post", small square building with a front waiting area, a consultation room and an exam room in the back half of the building). The walls are made of woven bamboo, you can see out through parts of them, but the roof is corrugated steel. There are a solar panel and a battery, even a wire running to a light socket, but no bulb, so I don't know if the power actually works. The people here were not terribly hurt, no one died. There is some "hurricane house" that she showed like an A-frame construction that is very strong and many people went there to weather the hurricane. Daisy, the CNA who runs a clinic at this post every M, W, F for 11 years (again no pay or contract since December) weathered the hurricane at her parent's house so she could be close to the clinic in case people needed her. She said they were not hurt at the house, but the roof blew off. I said, "so it was OK then?" and she said "no" with a very flat affect. It was very interesting. So, while one month later houses are still leveled, the community is eating what they have and looking after each other, feeding each other, housing each other (or making do with temporary lean to shelters), what they went through was definitely distressing! Everything looks better than I had expected it to, but they are still in somewhat shock and recovery mode.
Steffan on S/V Salsa with us met a man onshore today who lost everything. He has 4 small children, his house is gone as well as everything in it. It was below the tidal surge line. We saw him in the clinic, all of his muscles are sore from so much clearing and building work this month. Steffan was asking what he needed, but he said he was asking for nothing. Steffan asked if we gave him hammer, nails, or machete if it would help. He said they have 2 hammers, but nails and machete he would not ask for (but we think he could use). Also there is a chainsaw, but the pull rope is broken along with other issues. The men are going to find him tomorrow and give some supplies and try to help tune the chainsaw and see what they can do with the building or food or otherwise while the two women run a medical clinic and the kids run wild on the beach (and check out the dead whale in the mouth of the river).
Our third boat, Chez Nous, is waiting in Anghowat for a large donation of food aid from Samaritan's Purse. They have 1.2 tons for Port Patrick and were going to try to bring it all up in little pangas along the coast (2 hours one way). We offered to help transport and they were so happy!! The supply boat didn't come in at 3 today as scheduled, so we will wait to hear tomorrow how that is all working out. Yesterday we offloaded all of Chez Nous' aid supplies so they'd have room for the new stuff, so we are getting a little crowded on our boat now with what we brought from American Samoa as well as what they brought from Fiji!!
Incidentally, we are not finding as much need for food aid as we believed initially. Maybe because they are resourceful, maybe because that's what everyone brings. Sadly they had to harvest all their bananas before the hurricane (the only wise thing to do) and you can eat brown coconuts, but the going rumor is that you cannot eat the green coconuts right now because of all the wind shaking them up. I don't understand that for sure, but the Peace Corp girl said it's a staple of their diet and they won't touch them now. I asked Nelson today and he said the green ones will give you a stomachache and/or make you sick right now because of the shaking. I'm curious if there's anything to that or if it's an old wives’ tale. It's a shame to eradicate any food supply right now and it seem that coconuts of all things are hurricane proof!!
So we are all finding things to do and ways to make ourselves useful out here while getting a chance to really get integrated quickly into a community, which I find, is the best way to learn about a culture and a people. It was been really great and interesting and we are all enjoying ourselves!
Shannon
Thursday, April 23, 2015
Great People -
The hurricane was pretty minimal here, and most buildings escaped unscathed. The winds were primarily blowing out of the north, so we are heading up to a village on the north cost that had waves breaking right into the village.
Once again this is a totally different culture. After getting permission to land from the government, you go and see the local chief, and bring a small gift that you lay at his feet. He pretty much accepts whatever you give him and gives you his blessings to visit and explore his village. He also does not speak to us, but rather has a friend who he tells his answer to, and his friend tells us what he says. He also does not make eye contact.
And the adventure continues.
Courage
Once again this is a totally different culture. After getting permission to land from the government, you go and see the local chief, and bring a small gift that you lay at his feet. He pretty much accepts whatever you give him and gives you his blessings to visit and explore his village. He also does not speak to us, but rather has a friend who he tells his answer to, and his friend tells us what he says. He also does not make eye contact.
And the adventure continues.
Courage
Tuesday, April 21, 2015
First Impressions - So Far So Good
Well, shore looks pretty good from here. A police boat was nice enough to come by with 9 big guys (not super official looking) and make sure we didn't disembark until customs and immigration came to clear us. Well, apparently there was a snafu in our plan. The immigration guy was flying in for a 1 pm appointment, but the flight was canceled, so there is no immigration here. The police boat came by at 3:30 and asked if we'd be here Saturday to take care of it. It is Tuesday the 21st. We are supposed to run a medical clinic here, then hit a few more ports and be at the island of Tanna to resupply (another issue) by the 26th. So we can't wait 5 days to clear in (and after 14 days on a boat, we can't wait 5 days to hit the shore!) So phone calls were made, but no decisions were. We had pre-approval to land and clear in here on this date thanks to Sea Mercy, so now we just see how it all plays out.
In the meantime, we are re-distributing our loads, trying to get the "life units" and "medical units" organized as units for distribution. We did hear that this village has rice and food, but needs medical supplies, so we are tentatively thinking that we'll keep a life unit for another more needy village, but we'll run a medical clinic here if we can get to shore.
Port Patrick was the worst hit village on this island as we've heard, so we are looking at if/how we can land there, apparently it's a small entrance on the windy side of the island.
This village is in a well-protected anchorage. The outlying island looks more browned and cleared off, but the mainland has concrete structures with intact roofs. Even some thatch roofs are intact. The trees are all funny-looking half trees, like a child's drawing, with leaves only on one side of the trees. You can see where the brunt of the winds blew and in what direction.
We were supposed to resupply in Tanna, but apparently that plan also took a turn. The resupply didn't come in due to cyclone Solo that just passed through here and delayed our trip. We are going to remain flexible and do what we can. Maybe the extra life unit that isn't needed here can be useful if Tanna doesn't get the supplies in. It's going to be interesting because we of course need to follow all the regulations and requests of the Ministry of Health, while at the same time trying to provide the most useful help in the most needed areas. I have lots of kid's clothes to give, but apparently there were some rules involved with that. I will not give them as part of Sea Mercy because I don't want to disrupt any of their reputation here, but maybe as person to person onshore to a "friend". I have no idea what the rules are, making it even harder, but we'd like to offload the clothes and we understand them to be in need of clothes, so it seems like a no brainer to me . . .
Life is good, we are anchored and calm, we are in for a great adventure, and we had an excellent fresh Dorado dinner.
Shannon
In the meantime, we are re-distributing our loads, trying to get the "life units" and "medical units" organized as units for distribution. We did hear that this village has rice and food, but needs medical supplies, so we are tentatively thinking that we'll keep a life unit for another more needy village, but we'll run a medical clinic here if we can get to shore.
Port Patrick was the worst hit village on this island as we've heard, so we are looking at if/how we can land there, apparently it's a small entrance on the windy side of the island.
This village is in a well-protected anchorage. The outlying island looks more browned and cleared off, but the mainland has concrete structures with intact roofs. Even some thatch roofs are intact. The trees are all funny-looking half trees, like a child's drawing, with leaves only on one side of the trees. You can see where the brunt of the winds blew and in what direction.
We were supposed to resupply in Tanna, but apparently that plan also took a turn. The resupply didn't come in due to cyclone Solo that just passed through here and delayed our trip. We are going to remain flexible and do what we can. Maybe the extra life unit that isn't needed here can be useful if Tanna doesn't get the supplies in. It's going to be interesting because we of course need to follow all the regulations and requests of the Ministry of Health, while at the same time trying to provide the most useful help in the most needed areas. I have lots of kid's clothes to give, but apparently there were some rules involved with that. I will not give them as part of Sea Mercy because I don't want to disrupt any of their reputation here, but maybe as person to person onshore to a "friend". I have no idea what the rules are, making it even harder, but we'd like to offload the clothes and we understand them to be in need of clothes, so it seems like a no brainer to me . . .
Life is good, we are anchored and calm, we are in for a great adventure, and we had an excellent fresh Dorado dinner.
Shannon
Arrival Vanuatu -
We made it in!! Great night's sleep last night and happy to be in after 13-14 days!! We did a bunch of clean up, our buddy boats both arrived this morning after we'd had breakfast. Knowing they'd been out all night and we had plenty of leftovers of our pancake breakfast, we invited them over for a meet. Both groups came over, a couple and a family with 2 kids, we had a nice pancake breakfast, met about our logistics, exchanged flags, shared "Sea Mercy" T-shirt uniforms so we can present onshore as a cohesive group, and the women had done some shopping for each other. We got sliced ham and canned tuna that they couldn't find, they got popcorn and BBQ sauce that I couldn't find, and so we exchanged our goods. Shared stories of our passage and caught up on each other's boat and cruising histories. It was lovely; everyone recessed back to their boats to rest up until hopefully 1 pm when we will have our meeting with customs and immigration. A police boat loaded with 9 locals (not looking too official) came by and made sure to tell us not to disembark until we were officially checked in. It was a little funny because clearly they were not all representing the police department. Maybe they borrowed it to go fishing?
We are not totally used to waves breaking over our hatches, especially not all the way up to our roof. Although it's happened before, it's not commonplace. Maybe because we don't lay on our side to make our way?? We also won the fishing tournament of the group with our 4-foot Dorado, which will make an excellent dinner now that we have our appetites back.
We are not totally used to waves breaking over our hatches, especially not all the way up to our roof. Although it's happened before, it's not commonplace. Maybe because we don't lay on our side to make our way?? We also won the fishing tournament of the group with our 4-foot Dorado, which will make an excellent dinner now that we have our appetites back.
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