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31 May 2008

Update Emergency missions 1st June 2008

Sichuan

AMDA has so far dispatched 29 personnel (including 12 doctors, 8 nurses, 1 pharmacist) in collaboration with other AMDA Chapters. According to local report, relief supplies such as tents, blankets and sleeping bags are in need for evacuees out on the streets. The evacuees were obliged to move out from homes which could easily collapse in the case of after shock.

1. AMDA HQ/Taiwan Emergency Medical Mission in Sichuan

i) Sichuan Academy of Chinese Medicine Sciences in Chengdu

AMDA has formed its third relief team on May 23rd for further medical assistance at the Sichuan Academy of Chinese Medicine Sciences. The team comprises 3 doctors, 2 nurses and 1 coordinator. Despite after two weeks from the devastating quake, still a number of patients have been waiting for surgical operations as well as traumatic cases commonly seen. Beside surgeries AMDA doctors are providing counseling for the latter cases.

ii) West China Hospital in Chengdu

On May 22nd AMDA’s second team has completed its four-day mission at the West China Hospital which included 2 surgeons

iii) Mobile clinic in Anxien

AMDA’s first team held mobile clinic at the mountainous village in the suburbs of Anxien. The clinic was held at a local school used for evacuation shelter.

2. Evacuation site in Sufang
AMDA’S relief team (1 surgeon, 2 nurses, 1 coordinator) has been continuing its medical relief at a gym

Myanmar

Mobile health team expands work

AMDA’s clinical staff and local township medical personnel have been workign in the remote areas of Mankaleik
RHC (Rural Health Center) of Kungyangon Township
in Yangon Division.


With 17 members, 5 doctors, 2 health assistants,
1 midwife, 3 nurses, 1 coordinator,
4 health assistants, and 1 logistic assistant in total,
the team has decided to split in two teams so as to
effectively reach severely-affected remote communities.

Under the coordination of TMO (Township Medical Officer)
of Kungyangon Township, the mobile teams plan to extend
their coverage areas to Dayae Lu RHC
and Let Khoke Gon SH (Station Hospital) sections
as soon as they complete the work in Taw Kuu.

In addition to clinical services, the teams also provide
sanitary items such as soap and water purifying tablet
along with IEC materials.

The program is based on the following...

1.Provide medical care and support to needy patients
in timely and professional manner.
2.Coordinate field work in line with MoH guidelines,
in particular those of the ER section.
3.Collaborate with existing health infrastructure and
personnel on the ground, in particular ones
in the public sector, who know the area most.
4.Promote participation from community members
who suffered but are willing to give hands
to their neighbors.
5.Maintain communication channels with various stakeholders
that include UN agencies and diplomatic missions.












AMDA-RoseCharities Canada support these missions. Please donate via www.CanadaHelps.org AMDA-Rose Charities Canada is run by volunteers and so there are almost zero administration costs. All your donation goes entirely to one or other mission (as chosen by yourself)

25 May 2008





Images from AMDA Emergency Relief Clinics Myanmar



23 May 2008

Update 23rd May. Sichuan Earthquake relief

1. AMDA Taiwan Emergency Medical Mission in Sichuan
On May 17th, after having obtained permission from local authority and
assessment of the area previous days, AMDA Taiwan Mission carried out
medical activities in a village located in a mountainous region of
Anxian. 3 tents were provided to the mission where temporary clinic was
set up. 10 patients received treatment.
AMDA Taiwan Mission, consisting of 17 medical professionals, was joined
by Mr. Nithian Veeravagu, a coordinator from AMDA Headquarters, Okayama,
Japan.
On May 18th, the mission was instructed by local authority to evacuate
the area because of the possibility of dam breaks. AMDA Taiwan donated
medical supplies to village hospital and doctors and headed toward
Chengdu.
On May 19th, Sichuan Provincial Health Department issued permission for
AMDA Taiwan Mission to work at West China Hospital, West China School of
Medicine, Sichuan University(Chengdu) AMDA Taiwan Emergency Medical
Mission is the first overseas organization to receive such permission to
join the staff of West China Hospital in their efforts to treat the
victims of the earthquake disaster. As of 19th, there are 2 orthopedic
doctors, 2nurses and 2 coordinators in the mission.

2. AMDA Sichuan Emergency Medical Mission
AMDA Sichuan Emergency Medical Mission made up of 1 surgeon, 2 nurses,
and 1 coordinator. The team continues to provide medical care to the
victims in a gym, designated evacuation spot in Sufang.

Rose Charities Canada supports AMDA Canada and AMDA International. Please donate via www.CanadaHelps.org All donaations to the China Earthquake fund go to these efforts.

20 May 2008



Myanmar / Burma update relief Update 20-May-08

AMDA mobile clinics (commenced 11-May-08) continue to operate at full capacity. Hundreds of victims treated though needs are overwhelming.

Please Donate via Canada Helps. www.CanadaHelps.org - Rose Charities is listed there in the emergency donor section. All donations go directly to the AMDA clinics which began their work within a few days after the cyclone had struck.

16 May 2008

China earthqake and Myanmar cyclone disaster update 16th May 2008

For todays update please cut and paste into your server the YouTube clip
http://www.youtube.com/watch?v=z4ws4-rT1LU

Or go to www.YouTube.com and search under AMDA Canada (or) RoseCharities

AMDA International field assessor Veeravagu Nithiananthan is now on site working with combined AMDA team. Expected to report back to AMDA HQ in next 24 hours re further team deployment.

Myanmar and China: Donations continue to be needed. Please see www.CanadaHelps.org where Rose Charities is listed

15 May 2008


Updates 15th May 2008

China earthquake:
An AMDA-RoseCharities Canada / Chinese University of Hong Kong (CUHK) response team is now preparing to leave for Szechuan. Dr Collin Yong (AMDA-Rose Canada) is planning to join the CUHK team members in Hong Kong and proceed from there to Szechuan. Yesterday the AMDA Japan / AMDA Taiwan team departed to join their local medical response counterparts in the area.
Dr Collin Yong is a pediatrician at B.C. Childrens Hospital and has extensive international experience including tsunami in Sri Lanka (see picture) on the AMDA-RoseCharities team.

Myanmar. Clinic work continues as per report yesterday. The death toll is now officially over 40.000 and it is likely that there are many more dying daily as many of the areas affected are reported to be still isolated.

Donors. A huge thankyou to all those donors who have helped so far. RoseCharities funds go directly to the Myanmar clinic and the China earthquake medical team support. We are all volunteers so there are no administration fees. Easiest donation method is via www.CanadaHelps.org (look under Rose Charities). There, you can choose either cause. Donations are tax deductable. Please help if you can even small amounts add up.

14 May 2008

Myanmar cyclone relief update. 14th May 2008

1. AMDA has started Mobile clinic activities from the 11th of May for
the victims of recent cyclone.

2. The clinic is conducted by local medical professionals under the guidance
of the local Ministry of Health.

3. AMDA-RoseCharities Canada have dispatched funds to help with this effort. Further funds are needed.

DONORS. Please see www.CanadaHelps.org (and look under Rose Charities)
Szechuan China Earthquake update 14th May 2008

AMDA-RoseCharities Canada is involved now in the following initatives

1) Supporting and AMDA Taiwan / AMDA HQ medical support team initiative scheduled to start work today with local counterparts

2) Sending of an experienced AMDA-RoseCharities paediatrician to join University of Shanghai paediatric relief team within next few days

3) Liaising with contacts at Chinese University of Hong Kong to recruit professional personnel to assist activities

4) Fund raising for above initiatives and or general relief for this disaster

DONORS. Please go to www.CanadaHelps.org and look under Rose Charities.
There is a special donation field for the Chinese Earthquake Relief fund. UK, USA, Australia, NZ donors can also go through their own RoseCharities group sites (see www.RoseCharities.net ). Thank you. Everything you donate goes to relief with zero admin. costs as Rose Charities is run by volunteers.

13 May 2008

Szechuan (China) earthquake, and Myanmar relief updates 13th May 2008


A powerful earthquake with a 7.9 magnitude hit the central region of China. The earthquake brought down buildings schools and chemical plants, killing about 10,000 people in the towns set in the hilly areas north of Sichuan’s provincial capital Chengdu. The earthquake happened at about 14:30 and could be felt as far as Vietnam. Rescuers are still searching frantically for more survivors among the rubble. Continuing rain in the region is hampering the effort of rescue. According to the latest news, in the town of Juyuan, south of the epicenter, a three story high school collapsed, burying about 900 students and killing at least 50.

Rose Charities is supporting its senior partner in international disaster relief, AMDA. AMDA Taiwan has a request pending to the Chinese Government to send a relief team and AMDA HQ is in negotiation to send a team from Japan. AMDA-RoseCharities Canada has experienced disaster personnel standing by (Dr Collin Yong - B.C. Childrens's Hospital, and R.N. Kirsten Reems - VHG) and is collecting donations and resources to assist.

In Myanmar, AMDA Myanmar health team is currently assisting in the disaster area manned mainly by local AMDA employees and volunteers. Funding has been sent form AMDA-Rose Canada but more is needed.

09 May 2008



News from AMDA Myanmar Relief. Also see www.AMDA.or.jp

May 08, 2008

Myanmar Cyclone Disaster I

Early morning of the 2nd of May a powerful cyclone, Nargis hit the central and southern part of Myanmar. According to the state owned TV station there are 22,000 people confirmed dead and more than 41,000 are missing. The assessment of damaged has been faced with delays and the number of victims is more likely to increase. According to some latest unconfirmed reports the death toll might rise up to 100,000.

According to the Government of Myanmar 5 regions, Yangon, Ayeyarwady, Bago divisions and Mon and Kayin States have been affected by the Cyclone and as a result are decreased as disaster areas. It is also reported that there are more than 100,000 people are facing lack of evacuation centers and drinking water. Many of them are seeking shelters at their relatives or friend’s house and temples.

Because of the scale of disaster and AMDA’s presence in the country for more than ten years, there have been a lot of inquiries and interest from the media, general public as well as from our partners and donors. The safety of AMDA-MINDS staffs (2 Japanese and 9 local staffs) is confirmed and there are no injuries. However it was reported that some of the local staff’s home were damaged by the cyclone and water.

Because of the damage to the infrastructure communication was quite difficult to establish and fallen trees and roofless houses can be seen everywhere. Cost of living has soared since the disaster. Cost of food has doubled and the bus fare has gone up by 20 times. Markets and banks have partially opened in Yangon. Public hospitals have suffered considerable damages from the cyclone and some of them are not in operation. Infrastructure has broken down and most of them are still not in operation. Especially water is causing a lot of concern. Many of the victims are drinking lake water which may result in greater health problem. Myanmar Government’s national disaster center is asking the world community for the following items: funding, medicine, tent, blue sheets, instant food, construction material, blankets, and summer clothing.
Considering the scale of damage AMDA is planning to mobilize local doctors and medical staff from the current office location in central dry area to the affected areas.

Head quarter plans to organize mobile clinic with AMDA Myanmar office and its local staff and has already given instruction to get the approval from the government.
UN, its agencies and other big organizations are sending in relief goods to Myanmar. AMDA could act as a coordinator in distributing these goods to the people in need. The instruction has been also given to look into the possibilities.
Latest news:
Early this morning (8th May) one of the head quarter staff has left Japan for Bangkok to purchase relief items for the victims.

07 May 2008

MYANMAR CYCLONE RELIEF UPDATE

Current estimates.. 22,000 dead, over 100,000 (probably more) homeless. Many areas still cut off. AMDA-RoseCharities Canada is supporting AMDA HQ and AMDA Myanmar relief efforts. Below is latest update of progress....


AMDA Headquarters staff are in close contact with AMDA Myanmar office
since May 3rd. Because of the damage to the infrastructure
communication was quite difficult to establish but thanks to the hard
work of our staff we are keeping good communication line with the
Myanmar office. AMDA's office has also been hit by cyclone and some of
our local staff have suffered damages to their houses but fortunately
they all are fine and eager to offer assistance to other victims.
According to their information, cost of living has soared since the
disaster. Markets and banks have partially opened in Yangon. There are
no official evacuation sites for the victims, many of them are seeking
shelters at their relatives or friends house. Public hospitals have
suffered considerable damages from the cyclone and some of them are not
in operation. Rich people go to private clinics for the treatment of
injuries. Infrastructure has broken down and most of them are still not
in operation. Especially water is causing a lot of concern. Many of
the victims are drinking lake water which may result in greater health
problem. Myanmar Government's national disaster center is asking the
world community for the following items: funding, medicine, tent, blue
sheets, instant food, construction material, blankets, and summer
clothing.
AMDA's position at this moment....
1 Centers are being set up to take care of the health problem.
As many of the big organizations, such as UN and
related organizations, have been faced with difficulties getting into
the country, AMDA's achievement in the past and our present activities
in Myanmar are great advantage in implementing ER activities this time.
Our Yangon office is useful as a strategic basis
for ER activities.
2. Our Myanmar activities in Myanmar means that . There we have local doctors and other staff members
working for our project who can be very good possible human resources
for our ER activities.
3. Our International Chapter members are also our great assets as
usual. ASEAN countries have easier access to Myanmar. Many of them do
not need visa to enter Myanmar. As we have chapters in these countries,
Cambodia, Indonesia, Malaysia, and the Philippines, we may be able to
form AMMM depending on the permission from Myanmar government. Nepal as
well as India Chapters may also be able to take part in this. AMDA Canada
is offering assistance as well. Whether we are able to
dispatch AMMM to Myanmar or not, depends on the permission from Myanmar
Government.

The plan:
1. Medical... Mobile clinics with AMDA Myanmar- Govt approval pending

2. General relief... Distribution of relief materials from AMDA as well as other donating agencies

20 March 2008

04 March 2008

Rose Charities 10 Year Conference Penang 2008

Rose Charities International, comprising a group of non-political, non-profit, secular, independent organisations based in several countries, organised its inaugural international conference and planning meeting at Cititel Penang, Malaysia, recently.

The conference, held from February 22 to 24, 2008, entitled “New Perspectives in International Response” was attended by over 30 delegates from participating countries such as Australia, Canada, Madagascar, Vietnam, Nepal, Belgium, United Kingdom, Indonesia, USA, Cambodia, New Zealand, Malaysia, Sri Lanka, Hong Kong, Zimbabwe and Guyana.

Dr B. Anthony, president of AMDA(Association of Medical Doctors of Asia) Malaysia and host-organizers of this event, shared that the conference enabled all members and supporters of Rose Charities groups and projects worldwide to meet, exchange viewpoints and create friendships, strengthen international co-operation between Rose Charities branches, define medium and long term direction and priorities for Rose Charities, provide a forum to present and discuss all aspects of field projects, new programmes and initiatives, to extend thanks and appreciation to all who have made and continue to make Rose Charities what it is today as well as to celebrate ten years of Rose Charities International project work.

The keynote lecture was presented by Dr Collin Yong from the British Columbia Children’s Hospital, Canada and amongst the other projects papers shared by the delegates were ‘Infectious Diseases and Palliative Care in the Philippines’ by Ms Lise Groot, ‘Eye Camps in Nepal’ by Dr Basant Raj Sharma, ‘Micro-credit and Community Programmes’ in Sri Lanka by Mr Anthony Richard, ‘Child Care Projects in Madagascar’ by Ms Cheryl Anne Pine, ‘Emergency Disaster Response’ by Ms Kirsten Reems, ‘Rehab Surgery in Cambodia’ by Dr Nous Sarom, and ‘Corneal Transplants & Braille Teaching in Vietnam’ by Mrs Jan Johnston.

The conference ended on a high note with the Rose Charities International 10th Anniversary banquet dinner including the presentation of “Charity Rose’ Awards 2006/2007 at Cititel Penang.

Rose Charities International is made up of a group of independent organisations based in several countries which are non-political, non-profit and secular; all linked by a common aim, which is to rehabilitate people to a better, more productive life.


It started in Cambodia in 1998 by aid workers with the aim of delivering effective, sustainable programmes directly to those in need, with minimal bureaucracy and with transparency at every stage. Their projects include developing peace among communities through programmes such as ‘Peace through Education’, ‘Vocational Training for Youths’, ‘Peace through Sports’, ‘Counselling’, ‘Leadership Training for Children, Youth and Women’, ‘Relief and rehabilitation, ‘CRO Enterprise Development’ and other educational and health related projects.

…/2

Pip - Whil

Pip - While you were pounding round the colliseum I was pounding round Angkor Wat. It is 200 square km of ruins and two solid days of clambouring over temples has produced a new anciient ruin.....but they are marvellous...even when fighting through bus loads of jabbering koreans ..all in sun hats and face masks. But it was possible to be alone. As soon as you left the main temples behind you found exquisite little temples floating in the heat haze ...completely empty ..with nothing but the ringing cicadas...and everywhere the stone carvings: the dancing apsara, naga the 7 headed hamadryad, garudas, buddahs and elephants.
There must be 20-40 thousand people through every day...but the whole place was spotlessly clean...even the loos. That was really amazing...because Phnom Phen was anything but spotless.

We are now in Vietnam...in Hue. Today we went out to see our Rose Project. A fascinating drive off the main road and down little bumpy farm roads between padi fields and family tombs ...and eventually found a little blue building with a big banner saying welcome to Rose Charities. And inside almost everyone is blind. But we are escorted upstairs and given glasses of water and talk to the director...who is also blind. We talk through a translator..and are told that the money we sent them has allowed them to furnish a classroom with tables and chairs and books etc for 20 people to learn braille. We are taken downstairs...it is all desperately poor...but there is the classroom...full of 20 men and women...all beavering away at their braille reading and writing exercises. They all stand up when we come in and burst into a welcome song. Everthung has "rose charities" writtren on it...the desks, chairs, even the braille books. The teacher is young and enthusiastic ...and longs for a computer to teach them computer braille. He was at university when he suddenly lost his sight. So he taught himself braille...and this project has given him a few months of salary and a project that he is empassioned about. .

It is late and we are off on a long day trip tomorrow

xxJosiem of ruins and two solid days of clambouring over temples

04 August 2007

Emergency flood relief, South Nepal...

We went early in the morning to search the affected flood area. We had also Co-Ordination by Phone with AMDA staff especially with team leader Mr. Niraula. We observed two areas where people were staying in the school leaving house because of flood.

We went each House and met with each people from the morning but AMDA group was not visited yet. So we went to search more 15 KM far area almost near border but most people were unmanageable. They had House, Animal, Food, medicine and Animal crops problems. I went each House to get data. When we came back from the border the Health camp was running in the School. I met with Mr. Niraula and introduce my team and local political leader to support him in any problem. It was very big crowd in the Health camp. It was difficult to handle staff alone. So we made plan tomorrow to appoint local volunteer to control and deal with people. We went for lunch around 3 PM but before lunch went to meet with local police officer to get actual victim and needy people's data although we were also collecting data individually. We found 160 House are almost victimized in our first observation area and near health camp area 150 House were affected.

Tomorrow we and AMDA is going to distribute ration and some cloth from our side and only cloth from AMDA side together. I have chosen spot for distribution in the police office in front of 8 political parties and social worker. We observed that we can not distribute out side because people can create trouble to us. We should put police for our security which is obviously known to Mr. Niraula [AMDA leader] looking people's attitude today in the health camp.

Goodbye. Thank You.



Binod Aryal

20 July 2007

After 2 months in Sudan

Well, who would tell that time in Malakal goes so fast.
Almost time to go back to my life, first in Brazil, and later in Vancouver,
where I know I will go to many matinees, work a little, hopefully continue
my outreach travels, and eat lots of sushi…

Anyway, I have learned a lot working with the UN in a remote town,
devastated by armed conflicts, with a social structure that includes a
town/tribe court, and many groups who came here to provide support,
including the UN, NGOs, religious groups, and see all these signs in various
language – Arab, English, French.

It is wonderful to me to have dialogues with "nationals" who seek
counseling, and discuss their dilemma between 2 cultures- the traditional
one which establishes rules that not always are efficient in modern life.
For example, one of my "clients," a bright young man in his late twenties
struggles because his father wants him to get married, and has collected a
few cows to give to the bride's family. It seems that the average is 30
cows. He thinks this is absurd as he has a good job at the UN, and knows
that he will be able to provide his wife to be with a reasonable life. Also,
he wants to marry a woman who is bright, has ambition and admires what he
does. He struggles, and when we finish sessions, he usually grab my hand and
say – this was so good. I feel free talking to you.

It is almost disconcerting how the people treat me with gentle manners. They
always want to carry my heavy packs, always asking if I need anything, it is
remarkable. Some cannot believe that I am this old, and come and show to
others, and ask them to guess how old I am, and they admire because
according to some, many people at my age would be dead, and if not, they
look really old.

I continue to love the skin of their faces, with tattoos like lines,
sometimes they look like embroided faces. I wish I could take pictures.
Perhaps in the end, some of them would accept to take pictures with me.
Somebody told me that they are writing a petition to get me back in Malakal.
I was offered a real job with the UN for one year contract. It was
attractive, but not in my age, but I agreed to come for another 3 months –
up to December, so I will be back in Sudan, likely not in Malakal because
there will be other challenges.

Life and work is possible because I am living mindfully, and in every moment
I feel right to be here, to do what I am doing, and to help others to feel
that this is part of their journey. There is no doubt most of us have
thoughts about being here, AND about being or not being somewhere else. Only
a few of the people I see are truly citizens of this town. We are all
visitors, and we must remember to leave things in order, and make even
better after leaving. I continue absorbing more and more David Brazier's
books – I keep reading them again, and making notes, which I likely will
delete soon… The desire for so many things, for company of loved ones, for a
pedicure. It is amazing how sometimes it is hard to keep the fire in
control, smile at all thoughts I have about somewhere, someone who is not
present. And then I am able to return to my life and work in Malakal.

My last challenge was to fix or better say, to organize the laundry at the
Log base camp. I was excited with the task, and hopefully could complete
before I leave, in a less than 2 weeks. It is almost done. I dream with
clothes lines… should be an architect. Hahaha.

Last week before I went to Khartoum we had horrible storms and the flight I
was going to Khartoum did not land in Malakal, so the following morning we
took a small plane and ended up landing in another city because there was
the possibility of another Haboob in Khartoum. So, it took me more than one
day to arrive, but the training was excellent. Some form of Myers Briggs
stuff, we laughing discovering our preferences and matches in the counseling
team. I am glad that the new counselor who will come to Malakal – Jane is an
African who thinks like me, make decisions based on same principles, and
already knows she will love to come and replace me, after telling her the
adventures and the projects.

My undone project is a Peace park, involving the UNMIS police and the local
police, and I am sure she will carry one for me.

So, I have to go because I have a few meetings, and all. I am not
overwhelmed with the end of this, but I am in touch with how much I miss
many people around, particulars of my routine, and at the same time I
already know that I will miss this challenging job, its surroundings, the
people I met. But it is reassuring to know that I will come back, and may
meet some of them.

Keep the water boiling and we will have coffee soon. Hopefully a strong and
fresh one. With pao de queijo, or anything else that is appealing to our
taste.

Be well, love to all
Yaya
Oh Ya!
Yes, I laughed out loud! Out loud! when I read you are in charge of a
cafeteria!! How incredibly funny is that?! Its perfect, absolutely
perfect postioning for you. You love the food and serving of it to
others, and what better worker care than providing it! that's the best
yet! Don't especially like the news of the landmines being replaced
with new ones though, that must make you quiver a bit, no? Your stories
of how difficult things are with UN folks and the people of Malakal
remind me of Romeo Dallaire's story in Rwanda. Certainly the image of
the 'good' UN doesn't stand up. Although one of the things that I
remember being problematic was that partner countries with the UN
weren't contributing the dollars they promised which meant the UN didn't
have money. At any rate, you sure have your work cut out for yo
supporting those folks, but a daunting task! Especially considering the
short time frame. It seems an overhaul is required really, which is way
out of your role, for sure. But, I have no doubt already the place is
better...with your energy and willingness to dive right into working.
Metal bars? Rebar maybe, from construction sites? If so, they are
worth a lot of money. Here when they take down buildings they save the
rebar and sell it to Asia somewhere, who recycle it for their buildings.
They weigh a lot! Maybe by the time this is done you'll have defined
muscles on your arms, stomach and legs? (grin)

How wonderful to be meeting all these people from around the world,
different cultures! How especially wonderful to work with the people of
Malakal, to become perhaps, someone they can trust, even a little.

Here things are moving along. I had the first Provincial Disaster
Psychosocial Advisory Council meeting yesterday and it went well. I
look forward to seeing how this will work out, the main goal is to now
move this forward integrating psychosocial planning etc. into the larger
system, across ministries. Right now, as you know, the province is
preparing for very serious flooding, they are working 12-14 hours every
day getting ready. Maybe I told you in the last email that in the worst
case scenario, if the weather melts the snow too quickly we may have to
evacuate up to 100,000 people! And for those who have no place to go,
we will be putting them into group lodging. Evacuatioln of hospitals is
a possibility, over 600 beds, including the forensic hosptital. Anyway,
DSTRS is on alert. Next week is the DSTRS workhop again.

Otherwise, my life is very tame. I spend a lot of time alone now,
interesting. Perhaps I have withdrawn again.

So, my friend....you are no doubt richer today than yesterday, with
experiences and learning. Money wise too perhaps...the school board
cheque came.

Hugs to you,
Love heleen
here is, another week, almost half way through, it is passing faster than I thought.
Imagine if my 60th birthday I will be in a kitchen serving a bunch of military and civilians in a Sudanese poor city ofMalakal. something to remember eh? as brasilians would say - finish this work with " chave de ouro." hahaha
There is hope, always.

I know that you may believe, but this week has been great.
First, there were parties and movie nights (with the Indian battalion).
Many people approached me, and already know who I am, thanks to the big boss who introduced me to staff via email. Even he is now all praise and smiling, asking if I need anything, etc.

I find that email is a great way to connect not only personally with all, but also with staff in Malakal, and I have to think about how to use it in terms of counseling and welfare. Perhaps I could write positive things for all to read, or some ways to cope with boredom, missing home, about frustration, acknowledge the work of people who sometimes get the rage of those in power (not necessarily an authority on what they criticize, like one of the engineers told me one morning).

Heleen's tips on dealing with managers helped a lot.
I still struggle to see what exactly can I do in such a short time (to me seems too long, for everybody else is toooooo short as they tell me !!), and in a way I am convinced that perhaps I will come again, if there is a possibility- but I think I say this so they don't reject me in my temporary tasks...

I am sorry to say, but the UN in the capital don't have much direct experience about what goes on in the field in these small towns. There is a young man from Morocco who talked to me daily about this, and he keep pointing out that there is so much waste - it is true, the garbage we (UN) are creating is disgusting.
There is another guy from Afganistan- he takes a long route to the office and tells me about his family, his annoyance and his stress. Another one, who lend me his computersometimes comes to the office I am sitting (with the crew of local womenwho clean the place !) and tell me about his blood pressure, and healways leave saying - it is so nice that you finally came... as if he knew I would come. Oh my god

The women who clean is another story. I found 2 boxes filled withtshirts, women clothes, children clothes, and some shoes and I offeredto them. Now they treat me so nice, always coming and smiling, andcleaning my desk. They leave their water in front of the air conditioned to cool... and the water is horrible, yellowish, and I know they are not getting treated water. So I mentioned to someone, and the answer - they are accustomed with this water, don't worry.

I had an interesting experience, asked by the manager to be an observer of a task force. There 3 sectors involved and these "sub managers" don't talk well with each other. Collaboration is not a word being practice here.
Anyway, one of the tasks was to get a crew taking a pile of metal rods -lots of them, a sore to the eye - and moving. So we all agree to meet at8 hundred hour... as they say - a la military ! and there I was. Until 9:30 I was the only "leader" who showed up and the local workers. I was a great model of labor, and one of them look at me and said "you strong" as if alarmed, or surprised, as I was carrying these stupid things back and forth with them. It was the day to get a great tan, and many bites.

I counted 31 last night. My leg is in bad shape... by 11 AM I decided that the men needed water. And there was this argument with the woman, who certainly is beyond burned out... she told me supply water - slavery? I know the UN does not supply water to us. I must pay 10 dollars every 4 days for a dozen of bottles - to drink, brush my teeth, and make coffee...I could not believe. I told the men to stop working and take a break, and they seemed to liked me even more... and they looked at her defiantly. She could not believe. Well, the work was done finally.

Every day there are challenges to be faced and surprises to be considered.

Last week I went to a meeting, one of those burocratic meetings where 20 or so reps of particular organizations like the UN, UNICEF, Doctors without borders, and lots of NGO sit around... on security. And, as I was supposed to go to a small town nearby, one of the team sites as we called, I asked about the conditions of the road. Then one of the Cambodian told me that they collect 154 land mines (last week? Last month?) and 3 days ago they cleaned that particular road, and the day
after some car hit a (new) landmine... so I guess they are going to send me by helicopter sometime next week. Incredible to think that someone clean up the threats and danger, and just to find out that it is an on going process. Andd I heard yesterday that a convoy was "interrupted" by milicia and someone was beated up - there I go, visiting in a CIS debrief..

This trip is a process, a la Indiana Jones. If someone asked me what is the result, there is not much to say - there is no treasure in the end of the (hot) tunnel, it is pure process, and likely I see it as a reflection of what is gong on politically and socially. It is hard to work towards one particular goal as the process shows that is constantly revolving, or at least evolving to something else.

The highlight was that fi nally I hold a meeting with all staff interested in forming the Welfare committee, and even I was surprised to see that 9 people came. A successful meeting, according to the director (who sleeps in all meeting, and was somewhat awake in this one!!), and I was appointed chair until I leave. A cafeteria at HQ will be open under my command. Can you believe? Being in Sudan, in a town called Malakal, opening a cafeteria. And you will laugh even more when I tell you that I suggested a pan for its name STAFFBUCKS - given that the UN is not giving a cent to us, and we need to find ways to make money... they don't know what fiasco I am in
business. Anyway, the cafeteria has been cleaned spotless, I found someone to make bread, a delicious Kenian brioche that when I brought samples people could not believe that was made locally... I am know now to find jewels in this place.
Hahaha.

Now I am in Khartoum, in a bed and breakfast you must look at google - it calls Bougainvilla guesthouse, ran by a couple, Norwegian and Danish, he is a physician and she is a nurse. Lovely people, and I feel pampered. It is walking distance from the UN and it will be great to be around for a day or so with no work, not around military, and certainly with a decent breakfast (which is included in the 50 dol night). I woke up again with the religious prayers and chanting of Khartoum, and there was a familiarity already.

We all had one evening in the Blue Nile - finally I got to take a few pictures... and all is fine.

back to work now.

So, this is my week folks. There is hope eh?
Muita saudade dos brasileiros.
I miss you all, looking for to come home, finding a new home, sharing
it, as always.
Perhaps even more than one home...
And see what is next.

Keep well, keep healthy, and filled your life with joy and love.
Always

Yaya

08 February 2007

Visiting Rose Charities Cambodia.... full account.. see

http://www.travelblog.org/Asia/Cambodia/Phnom-Penh/blog-126628.html


ET Dorward family
We are back in Phnom Penh again this time on our way to Kampot in the south.

While preparing for this trip it was apparent there was a great need here. Cambodia is a country only just beginning to emerge from the ravages of war. American bombing in the 60s, civil war, genocide, and more civil war pretty well sums up the previous 40 years. We have been witness to a building boom here, much of it being generated for and from the tourism industry. However once the hotels are built then what? Not everyone can drive tuktuk or clean hotel rooms. As usual in the third world a select few seem to benefit. In today’s paper the garment industry just announced a minimum wage increase from $40 to $45 per month and they are the lucky ones. For the vast majority of Cambodians a brush with the tourist dollar or a factory job is the stuff of dreams. So to for many is basic healthcare. Imagine not knowing what your grandchildren look like because of blinding cataracts or suffering day after day unable to function because of untreated and improperly healed wounds or burns.

Today we took a day to visit with Cambodians working to help the disadvantaged here with these needs. Before coming to Cambodia we made a donation to Rose Charities Kien Khleang sight restoration centre and Operation FIRST Cambodia

Our first stop was the Kien Khleang centre. There we met briefly with Dr. Hang Vra. His morning is spent examining patients and today was no different, in the afternoon he does the eye surgeries. Taking him away from his work for a handshake and a hello was enough. Many of his patients come long distances at great inconvenience and expense to see him and who would want to do that then have some tourist show up to visit with the Doctor. Instead his assistant showed us around the facility and introduced us to some patients. I don’t have the words to begin to explain the need here, of course equipment is high on the list and the patient recovery areas are very basic. $25 pays for a sight restorative eye surgery.

Our next stop was to visit Dr. Nous Sarom with FIRST Rose rehabilitation surgeries at the Chey Chumnas Hospital. The Operation FIRST Cambodia facility is newly built and offers corrective surgery for tumors, burns, wounds and congenital defects such as cleft palate. Dr. Sarom had just returned from a plastic surgery conference in Vietnam and so there were no patients there today. Tomorrow morning he has three surgeries, a cleft palate, a foot skin graft and a burnt hand thats healed shut. He has need for a modern suction device, operating table and separate toilet for patients. $50 covers the cost for one complete surgery.

Unlike the NGOs who’s brand new SUVs we observed parked outside expensive downtown riverside restaurants, both these charities have little overhead, donations go right to the Cambodians in need being helped by Cambodians. We encourage anyone reading this to consider making a donation to Rose Charities with the knowledge your donation is helping those that need the help.

Cam with patients
Cam with patients
As usual people took a shine to Cameron. This woman wanted to keep him.
Talking in the opthomology office
Talking in the opthomology office
Providing opthomology services to the poor is new for Rose.
Explaining the varios eye surgeries
Explaining the varios eye surgeries
About 7 out of 10 surgeries involve cataracts.

01 September 2006

A quick update from down under.

Have just completed the second stage of my TRANS OZ walk for ROSE- Meckering to Medderin as well as the chunk from Freemantle on the Indian Ocean to Perth.

The walking was good - with an improved cart - a Chariot Cheetah 2 - a big improvement over the 2004 equipnment albeit the tires need an upgrade - there is a particular type of low Aussie thornbush that punctures the tires with no conscience.
3 flats en route till I figured out what the culprit was. One more day in the next session will have me through the Wheat Belt and into the Ghastly Blank. Whilst I can move unsupported for most of the next section it is clear that I now have to work on the putting in place an upgraded support mechanism as the ghastly blank is just upon upon me.

Met a lot of good people en route - an Austrian bicycling from Kalgoorlie to Perth yielded a roadside chat and a contribution of $10 for ROSE. An inadvertent stop in a toy stoy in Merredin to pass some time waiting for a bus - yielded some more good people, a good chat and another $10 for ROSE. This and a more significant allocaiton will be transmitted to ROSE upon my return to Whitehorse later in September.

Just outside of Merredin I was overtaken by a mob of Brits - a lad Dave Cornthwaite who is skateboarding across Aussie - similiar route to moi, for three charities. He had his own personal massage therapist (girlfriend!), 3 support vehicles, a film maker and about 5 other support team members. He expects to be in Brisbane by xmas. We had a good roadside film session and later on in Merredin a few beer swapping information and encouragement. As a former graphic designer he even offered to do a web site for me if my daughter fades on that mission! A picture of "The Walking Man" is available on Dave's website along with a narrative comment on our meeting! www.boardfree.co.uk - gallery for pic and Dave's blog for narrative.

Today I took in the RC of Perth meeting and established some additional contacts and support for future years. On Sunday, I head east to Adelaide to meet with Rotary clubs there and then Melb and then Sydney before heading home on the `18th of September.

Before heading to Perth I stopped in at the Sydney Children\s hospital to see a 3 and 1/2 year old kid fighting luekemia - Matthew Brock. I had sent him three boxes of toys as a boost and needed to cap off the initiative by seeing him bedecked in a TEAM CANADA hockey jersey and ballcap. A spiderman figure which shoots water was seeing effective use on the nursing corps and young Matthew was grinning at the prospect of a surprise for his doctor (The Prof) - I met his mum and grandmum. A slight diversion from my main Aussie objective but one worth addressing because " In the End, Only Kindness Matters". I had a number of gold plated coins done up and they are proving to be very effective at raising awareness and commitment to the projects aims. Prior to leaving Canada I had been in contact with Steve Nash Foundation in Vancouver and they had committed to sending Matthew some appropriate Steve Nash autographed item.

I hope to forge a stronger relationship with that Foundation in the future to look at opportunities for mutual collaboration and support.

I am the charter club president for a new RC in Whitehorse - the RC of Whitehorse Entrepreneurs - to be chartered in October upon my return and this will be a useful vehicle to opening more doors and gaining more support for my ROSE related initiative.

From Down Under,

The Keeper of Australia Mt

08 June 2006

Latest update from Indonesia from Kirsten Reems...

Hello to everyone! You've probably seen the news, Mt Merapi is erupting as I type!! It started this morning which caused an earthquake (small one) and is now erupting There is NO danger in this city at all, it's only 30km away, but there's no chance the lava will flow this direction....apparently there will be ash rain though, so when it starts we have to stay inside......We were supposed to go to jojakarta today and see the hospital and the earthquake ruins, BUT nancy and I decided NOT to go, it's to close to the volcano for our liking, and there's to much concern over getting stuck in traffic....pretty obvious decision if you ask me! the rest of our crew is gone, but i'm content with my decision! You can see it from our city, its' pretty neat...lots of HUGE clouds, but safely in the distance....

We've still been having a GREAt couple of days...I spent some time in the OR yesturday, saw a total hip replacement and an ORIF of a humerus,it was pretty well done.

We did a presentation to the hospital staff this morning which was awesome, on infection control and wounds....we did a little skit and had a great time....they had lots of questions and i think we got some really valuable info across without seeming like 'superior know it all' canadians!!

I had some fun yesturday handing out a tonne of toys....got attacked by the kids which was hilarious!! The people are wonderful, so so happy to see us and intrigued with my hair, the foods great (nasi nasi nasi!!!), still no real shower (there's running water, but pretty gross bathroom.....), and we're hardly sleeping...to darn hot and noisy! but, loving it, a few days to go....loads of love.... kirst

06 June 2006

Email from Kirsten Reems Monday 5th June 2006:

Wow, Here we are in beautiful HOT Indonesia, amazing amazing time so far!! This will have to be quick, internets really hard to find!!. We're in Solo at Soeharso Orthopedic Hospital, normally it has 200 patients, right now it has 500plus. The earthquake hasnt done any damage at all to Solo, but it is taking all the complicated ortho patients....which is TONNES from the quake, so many stopries of walls, beams, beds, falling on people...its quite a poor city. We're staying in the hospital in a little room, no shower, lovely squatty potty, tiny cots....life is grand! Nancy's great to be with, she's really enjoying it too. and I cant get over how much we are learning and how much we are teaching!!
The things we are seeing are horrific, we spent all day today doing wound care and dressing changes in the infection room, honestly the worst infections I have ever seen, never even thought possible. The technique they use to change dressings is awful, no sterility, same instruments and gloves between patients, and antibiotics are unaffordable for most of these poor people, so infection just spreads. We did a lot of teaching today, and got them doing sterile technique, and we're doing a presentation to all the staff ( they're coming in on their day off to hear it !) on wound care and infection treatment because they are so lacking in it! The worst so far was an 11 year old boy, I took off his dressing, expecting to see a "normal" surgical incision and I found an entire exposed tibia! The whole bone, right there, green flesh around it, unbearable small...he still had sensation, but the kid needed an amputation so bad....and a man with 4toes all open bone....like, right there! Amputation needed to happen now! I got some amazing ( well horrendous) pictures and , these people have np pain meds....NONE! They get bupivicaine in the OR and that is all, Its just amazing if you compare it to so many in our narcotic dependant needy sociaty. There are about 5 other doctors here from other parts of Indonesia and the Phillippines but thats it, no other military help or NGO's so we've got lots to do !
So work work work for 4 more days, its exhausting and amazing, this just fires me up! even though its so hot, you're barely sleeping, and you're working your butt off....you feel so alive, so purposeful, and we're so useful!


Nancy Arbuah working with an Indonesian physician dressing wounds in Solo 4th June 2006


Kirsten Reems dressing a wound at the Solo Hospital.
There are still apporx 500 patients in a hospital built for 200, many with serious orthopedic problems and severe wounds from the earthquake. No other NGO is working here.

02 June 2006

Three nurses left Vancouver for Indonesia on Thursday. They will travel to Solo, about 70 km from the earthquake zone and will be working at the hospital there with an international team run by AMDA.

Kirsten Reems has already been to 2 other disasters: the Tsunami in Banda Aceh and Hurricane Katrina. Jeff Miguez, has just returned from 3 months in Nepal. Nancy Arbuah has never done anything like this before.

They should be arriving by now and hopefully they will be in touch

Wednesday 31st May 2006. Team departs YVR for Indonesia

30 April 2006

Doctor of the Fallen Turtles: Kratie Province Cambodia 1994

I can still see it. The great clay green waters stretching like a slowly moving ocean. The tooth-like jagged rocks puncturing the surface as though some giant had scattered a pepper shaker of molten larva into the waters eons ago and the huge green islands basking in sun-warmed languor under the dusty sky of a Cambodian dry season day. Some time in the future there will be tourist hotels here and bars and swimming pools and stalls selling trinkets and handicrafts. But now there is just the rustle of the wind in the sugar-palm trees, the whack of small boy driving a water-buffalo to the river and the humming background chirp of a crickets.

And here in this small patch of dangerous paradise works a remarkable doctor. She is in her early 30's, dark haired and graceful in her step as she moves softly between the raised wooden houses of the small riverside village a small notebook in her hand. She wears around her waist the coloured kromma of the Khmer, and she speaks in their language to the people who come to greet her. Yet her skin is white and her dress of western style. Now and then she pauses to bend and put a comforting arm around a small child while the other lightly yet expertly assess the full curve of its protruding tummy. Then she rises to make a small note in her book while the children, unafraid stare at her with their big liquid eyes and smile.

To some of the children it is all part of a game, bu Dr. Sophie Biays and the people of the river well know otherwise. For this is the land of the 'Fallen Turtle Disease' which swells children's stomachs and causes them to vomit blood until they can take no more. Old belief by some was that a turtle had fallen down inside the belly. Others considered the culprit was a bees nest. To Westerners it is known as Schistosomiasis.

For the people who live beside the Mekong it is their life. They drink its waters, use them as their source of refuge on in the relentlessly long afternoons of the hot season, wash in them, fish them, are carried by them in their small wooden boats and use them to transport the great jungle logs that they cut to be sold to eager traders from Thailand, Malaysia and Singapore.

Yet it is in these very waters that the fallen turtle disease lurks and is maintained by an unlikely creature; a tiny water snail, the largest of which are no bigger than a shirt button. The snails live on and under rocks and hence thrive in this area of the Mekong. Known as the 'Sambo Rapids', there are no real rapids in the normal sense of the word. Rather it is an area where for some primordial geological reason, the normal mud and earth bed of the river gives way to a structure predominantly of rocks and stones. As you run your eye across the glistening water great jagged icebergs of stone rise from the surface like dragons teeth and small swirls indicate boulders lying just below.

Until the French administration mapped out and marked a usable channel in the 1940's navigation through the area was a risky business. Now the large cement markers still stand, one of the very few remnants of the colonial era left untouched by the Cambodian holocaust of the 1970's.

The snails themselves are not the culprits, simply an inadvertent intermediate vehicle for one of the stages in the infection cycle of the miniscule blood 'fluke', a type of tiny short worm, which is responsible for the disease. After a gestation in the infected snail the organism is released as a tiny, torpedo shaped form known as a ceracria. The cercariae swim freely but will bore through any human or animal skin which has entered the water in their vicinity. Once inside the body, the organism changes shape and migrates to the veins around the liver and stomach. There the flukes mate and produce eggs. Of social interest in these days of increasing broken marriages it is interesting to note that the male and female schistosome mate for life. The longitudinally grooved male wraps his body around the cylindrical female to spend their days affectionately locked together as one egg producing unit.

It is not the adult flukes but the eggs which cause the long term damage. They excite inflammatory and immune reactions which block vessels and cause massive enlargement of the spleen and liver which will often lead to complications and death. Some eggs however will find their way through the intestinal wall and be excreted with the faeces. If the faeces are deposited near the river and are not treated the next rain storm will wash the eggs back into the river where they hatch into yet another form. And this form, the miricidium, penetrates the water snail to comple the cycle..

Dr Biays speaks with the soft accent of her native Brittany. She tells me modestly that the disease in Cambodia had been discovered years before and that her project was simply a continuation. The enormity of this understatement makes me smile. Although it was certainly recorded in the mid 1960's the almost umimaginable holocaust of the Marxist 'Khmer Rouge' overthro of the government ten years later resulted, along with the deaths of three million people, in the total destruction of almost every record of every fact in the country. The Khmer Rouge themselves appropriately referred to the start of their regime as 'year Zero', and set out to remould society comletely from a beginning wiped clean all local links with its past.

And within bloodshed and the destruction, the forced labour and the so called 're-education camps', later found to be basic extermination camps, the fallen turtle disease of the river and its sufferers were simply carried along in the juggernaut of horror. Their disease had been forgotten about and their lives hung like the others only on tiny threads of chance. For a smile or a tear at the wrong time was not permitted, a word or silence when it was not appropriate could mean a sentence of execution.

So when the UN men in the blue caps followed in the NGO workers so fifteen years later, they found a country almost totally devoid of any fabric of infrastructure or historical record. They found a people shattered, confused and shocked, and evrerywhre, the crumbling aftermath of mass distruction.

And into this vortex of disoriented confusion came Dr Biays, her job arranged through an NGO to assist the National Malariology Department in the capital, Phnom Penh to re-establish its role within the country. This meant regular field trips and one of these took her to the Sambo District of the Mekong.

'I was shown some "bad cases of malaria"' she said. 'Well, they do have malaria here and it does give enlargement of the spleen and liver.. but these cases seemed just too largd... I was suspicious ... I came back and took samples..'

So, far up the Cambodian Mekong Dr.Sophie Biays rediscovered Shistosomiasis. She realized immediately that there was a desperate problem. Medical services in traumaitzed rural Cambodia were in an almost totally non-functioning condition and even where help might be available, the disease was being wrongly diagnosed as Malaria, for which the treatment was entirely different. But she knew also that there was hope. Her training in Tropical Medicine had given her the knowledge that there was a cure and what was more, that it was close to 100% effective, could be given in just one dose - an enormously important point for treatment compliance. Developed originally for the lucrative vetinary world, the drug Praziquantel had to wait several more years before anyone was prepared to spent the money to carry out the necessary trials for human use. The sad fact is that the humnan pharmaceutical industry well knows there is little money to be made in developing countries where such diseases tend to lie. Eventually however the World Health Organization agreed to subsidize the trials, and a human wonder drug was borne.

But Praziquantel is relatively expensive and Dr Biays knew that if she were to start a treatment program, she would need help. And the help came from the Dutch/Belgian/Swiss branch of the NGO Organization Medicins Sans Frontieres, one of the most effective in the world. They not only agreed to sponsor Dr Biay's program but also to put her in charge and assist in building a small district hospital for the area. Early in 1984 Dr Biays bumped up the potholed hour and a half access road, moved into her small wooden house in Sambo Village and started work.

Few others would have. For in the dark brooding forests of Cambodia, the men of death, the Khmer Rouge guerillas, still lurk, moving silently into the villages at dusk or nightime to take food or money from the inhabitants. In the daytime they melt back into the forest but from their jungle bases manage the logging trade by taxing those who come to cut wood. Mainly without roads and largely ignored by their own governmment except by corrupt officials after the same lumber taxes, the villages of Sambo live in a semi- autonimous shaddow land of alleigance, bending theis way and that depending on who is making demands on them. No one, not even the villagers themselves, know when the Khemer Rouge will turn up, and neither does Dr. Biays. 'I have been lucky' she says. 'No problems so far, although there three full time Khmer Rouge villages we cant get to'

Yet there were problems, twice. In late 1994 when there was a flare up in fighting MSF had to pull Dr Biays and her team out for three weeks, and later, perhaps more seriously, she narrowly avoided being kidnapped at the time when the Khmer Rouge we looking for Western hostage. Dr.Biays had been held up by work-load in the small clinic that day and cancelled plans for a district visit. She later heard that on the road she had intended to travel, every passer by had been stopped by Khmer Rouge soldiers looking for Westerners. Of the seven that they did end up in taking in several episodes over those weeks, only one survived.

In the height of the dry season, the heat is intense. From middy to around 4pm it becomes almost unbearable as the land sweats and swelters under an apoplectic Cambodian sun. Only the tall sugar palms with their neat green haircuts seem to stand up to intensity. Yet on the doorstep of Sambo village runs the great river, its waters now low but softly calling a cool invitation to all those who are within earshot. And the buffalo and the children are the first to accept, the former wallowing happily their horned heads only visible like a cluster of Viking helmets thrown overboard by some ancient raiding party, while the latter in contrast jump and roister in a flurry of splashy antics which bring smiles to the fishermen and log cutters labouring on the sandy bank.

But it is in the dry season when schistosomiasis transmission is the highest. Then the water flow is slow and the low level brings the rocky habitats of the aquatic snail close to the surface. In their free time, the children are almost constantly in the water but to try and change this lifestyle of a thousand years or more would have been almost an impossibility.

Dr Biays knew that she had to concentrate on the children. It was the children that the 'Fallen Turtle Disease' effected most severely and where the greatest suffering and death occurred. Travelling around the villages she could see whole families where every child was effected, many to a horrifying degree of severity and some close to the end.

My visit to Sambo was almost a year after Dr. Biays had started her work. In that time, with almost limitless energy she had time

systematically screened and treated the children of almost every village in the area. Like some tropical Florence Nightingale,

Everywhere we went we would be greeted by children and their grateful parents. Time and again she would point out to me a

child in the process of reverting to health under the effect of the drug or those who had ben completely cured. Amazingly she

seemed to know every one by name and I could see her overwhelming pleasure in their happiness. 'I love my work' she said,

and I believed her.

29 April 2006

26 November 2005 - Kalmunai
SriLankan Hoop Dreams

Dreams are a wonderful thing---they come in all shapes and sizes. We thought that basketball in SriLanka was a pipedream but we were wrong. It was probably Charles’ wildest dream that he would conduct a basketball clinic in Kalmunai!

It all started when Reverend Brother Stephen Matthew, the principal of Carmel Fatima school decided to show Charles and I the school basketball court. It was covered with sand and full of potholes with two aging wooden backboards and no nets. All things are possible! The next day we drove to Batticaloa with the priest in his long white robes to visit the bishop. The bishop was a good natured soul who wanted to see the Kalmunai boys beat the St. Michael’s boys at Batticaloa. These Batti boys are the reigning champions although it is difficult to understand who else they have ever played against. It seems that St. Michael’s has the only other basketball court in eastern SriLanka. In any case the bishop blessed us and sent us on our way.

We went next to visit the famous St. Michael’s school and the sports coach showed us their courts. These weren’t just courts---they had an entire stadium with custom backboards, real stands and a digital scoreboard. Apparently, one of the Jesuit priests at this school many moons ago was an American from Pennsylvania who is famous for introducing the game to the island. Not to be put off by this kind of competitive display, Charles and the priest went to a tiny sports store to buy nets and basketballs.

The first practice was hilarious. The nets we bought didn’t fit because they were net ball nets (which the girls play) and they are smaller, although the sealed package clearly stated they were basketball nets. Now we got out the netball nets that were too big for the netball hoops and they were the right size for the basketball hoops, but the hoops didn’t have any hooks for the nets to attach to, so the sports coach sent one of the boys to get some skotch tape. He climbed up on a rickety student’s chair on top of a rickety student’s desk and proceeded to skotch tape the net to the hoop.

And then the boys showed up! They were the cutest little 9 and 10 year olds in their little school uniforms and many of them had bare feet, the skinniest little brown legs I have ever seen and they all had crooked ties and shirt tails hanging out and big smiles on their faces , although they did look a little frightened of Charles. The practice was a sort of disorganized confusion as Charles told them what to do in English and the school coach translated into Tamil with his limited knowledge of English and Charles complete inability to speak even one word of Tamil. I wish I had it on film. The boys were so incoordinated, happily bumping into each other, laughing, balls were bouncing off their heads and mayhem was everywhere. Before the session was over however, they had figured out how to line up and imitate Charles and that that the object of the game was to throw the ball in the basket, not at each other. This led to an unfortunate incident when one of the boys actually hit the hoop with his ball and the backboard, the hoop and the net came tumbling down off the pole. Luckily not one child was hurt and a big laugh was shared by all.

So, now they have a basketball court with one hoop and potholes full of puddles and 20 little boys with big dreams of someday beating St. Michael’s, but hope springs eternal in this amazing place. Twenty four boys came out to the next practice. When we mentioned that they were beginning to look like young Michael Jordans, they said, “ Who is Michael Jordan?”
I love these kids! Such are the hoop dreams of post tsunami Kalmunai, SriLanka. After all we do have the bishop’s blessings---

Life is beautiful during the Rainy ‘Monsoon’ season.It’s ever changing from one exteme to another. We leave our shoes outside the Hotel and hope they are dry the following morning, as the rain comes and goes in rages amd burst.We’re hoping to become more adventuresome but the climate remains tense and the roads to the South are closed as the election fallout continues. Apparently the story is that the canidates that lost the election by a slim margin are punishing this particular Muslim community for not casting any votes.
We did spend a day on the road travelling in a van about 40 kms to the town of Batticalao.
We saw more areas affected by the Tsunami and visited schools along the way.We also did some shopping for basketball equipment,as I conducted my first Basketball Clinic yesterday with a group of 20 nine and ten year olds.Some practiced in bare feet and they seemed to enjoy this introduction to the game,which is quite popular ,to my surprise.In Sri Lanka time is dealth with much as it is in the West Indies.Being an hour late is no big thing and events are often postponed to the next day without warning or ceremony. The one exception to this trend is the Carmel Fatima school.This is the largest school in Kalmunai and is run by the priest and nuns.They operate on a strict timetable and emphasize the word ‘sharp’when they state what time an event is going to take place.We arrived at Carmel Fatima school this morning to the sounds of Jingle Bells being player on the PA system.It brought instant smiles to our faces and Gail commented on the playing of these tunes during a speech she gave to the assembly of students while making an awards presentation.
We are becoming more familar to the townsfolk, but Gail is clearly the biggest attraction with her fair skin and blue eyes.The school age girls can’t help showing their excitment once they spot Gail. Our time is growing short in Sri Lanka and there still is so much that is needed to do.

All the Best

Gail and Charles aka Abbas

Greeting from Sri lanka friends and relativesThe days are moving slowly, with minimal activity dueto the Shut Down following the elections.The mood is grim as the Opposition Party failed in its attempt to overthrow the Government in power.Therefore the possibilities of a solutions to the twenty years plus of civil conflict appears remote.Gail and I are settling in to a rountine of waking up late and spending the day at the AMDA/Rose Charities office.The resolve of the team there is amazing, led by former Surrey resident Antony Richard, A Sri Lankan born immigrant to Canada.Though the days are moving slowly we do have to adjust to some fast moving mosquitoes.They are quite small but pack a whallop.The food situation is another majoradjustment and we are using the less is more approach presently.The good news is that we both get very busy on Monday.Gail will begin further training with the counsellors while I embark on a series of basketball training clinics.We have met many our the teachers but still get the sense that the community is very divided.There has been much tension in the muslim section of town since an explosion which took place outside the mosque early Friday. The goings on of the outside world is rapiding fading as it is extremely difficult to access the news.The weather continues to be overcast with an occasional burst of sunshine ,which reminds all how hot it would be without the cloud cover.There was a brief rain today which was momentarily refreshing.With the best wishes to allGail and Charles aka Abbas
TROUBLE IN PARADISE The recurring sound of gunshots throughout the day has driven me to a mildly hypomanic state. I feel the overwhelming desire to comment on the humour of our journey here. I recall that when Charles and I were traveling in South Africa at the time of the White referendum vote, we were constantly befuddled at how everything worked backwards----the water even went down the drain inth opposite direction. In this township in eastern Sri Lanka it is quite different-----it just doesnt work at all. The little family-run hotel that we are staying in is a case in point. The SuperStar Hotel-----yes Super Star-----is the Sri Lankan version of Faulty Towers, the British comedy series starring John Cleese. h On our first night here we arrived around midnight having been delayed by so many military checkpoints and detours. The gates were locked for the night and we had to honk our horn, shake the metal gate, yell loudly, flash our headlights, raise all the dogs in the neighourhood and generally be as obnoxious as possible.We asked for a room with a double bed and were cheerfully escorted to a spartan room with two double beds and a single bed. Our first morning we asked for coffee and they brought us a tiny empty bottle of instant Nescafe with some lukewarm water. We asked for bread and they said, Sorry sir, we have no bread. When we asked what they did have for breakfast they said Stringhoppers sir. Now, we are in a very foreign place and ,to us ,the breakfast sounded like skinny grasshoppers, so we chose not to eat. That evening we returned to the SuperStar for dinner. When we asked what they had for dinner they said, Fried Rice. When we asked what else they had, they said, Fried Rice with chicken and Fried Rice with fish. When we asked whether they had anything else, they said, Yes, we have Fried Rice with p rawns. We decided on fried rice with prawns and they returned moments later to say, Sorry sir, we have no prawns. I said I would have chicken and Charles said he would have fish. When dinner arrived we each had a giant pile of fried rice. Mine tasted like fish and Charles tasted like fish, although we could find no chicken or fish in either. I ate two spoonfuls. We had laundry that needed washing and there is a washig machine here. When we asked if we could do laundry, they said, Sorry sir there is no water. Our telephone doesnt work. Our lights go out quite regularly---thank heaven we brought a flashlight! Charles has become the great brown hunter of mosquitoes in our room---I think we kept the whole hotel up last night whacking the ceiling and walls with wet towels and rubber thongs. Did I mention, however, that we are the only guests in the hotel?There were two Chinese couples who were tourists from Hong Kong who were staying here two nights ago---go figure! I know it sounds like we do a lot of communicating with these people, but, honestly, we have decided that they dont understand a single word we have spoken since we have arrived here. Charles just went downstairs to use the telephone because if you remember we only have a mock telephone in our room. He called Anthony to find out how to use the adaptor to get the antiquated laptop to work. On his return, Charles says there are six people watching a cricket match on television between Soth Africa and India, broadcast in Tamil. He also reports that there is one baby salamander and an army of mosquitoes lined up outside our room, waiting to come in. Did he find out how to use the adaptor---its really quite simple.You put two prongs in the bottom two holes on the wall and you put a ballpoint pen in the large top hole and the whole thing works.Oops! I see sparks coming from the ball point pen. Annie, annie, can you hear me? I shake Charles and we both laugh. The final irony in all of this---our sweet young translator, Mercy, asks if we are comfortable in our hotel. We answer, Yes. She replies, That is good. It is the finest hotel in all of Kalmunai
Basketball 101 Sri Lanka Aim and Objective: To provide a recreational outlet to children living in stressful a environment To promote a sense of pride and accomplishmentTo stress the importance of teamwork and co-operationTo promote a positive self imageTo promote sportsmanship and fair play Agenda Items to be covered during the Clinics: -The philosophy of basketball-Any Team can defeat any other team on a given day eg. US Olympic teams of NBA -Skill training Triple Threat position Lay-Up Drills..1-2-2 offence positions-both hands Shooting philosophy and technique Defensive philosophy and stance Passing Drills: Chest Bounce Baseball Tap Drill and Rebounding Outlet passing Defences-man to man---zone Shooting Game

19th November 2005… Kalmunai Sri Lanka
ONE SOLITUDE

There are not two solitudes in SriLanka---only one---and it is the Tamil region of SriLanka. Charles and Anthony and I drove across the island from the comfort of our Colombo Hotel to Kalmunai. It was quite a magical trip at the beginning---driving through the Sinhalese countryside with it’s lush farms and mountains and jungles. We saw an elephant by the roadside! The villages were lively and happy. As dark began to fall and we reached the east coast, the military presence began to be felt---a very different SriLanka than the one occupied by world aid organizations in May.

The military checkpoints became more and more frequent, the barbed wire was all around us, the special forces units were heavily armed and dressed in camouflage gear, the roads were blocked and replaced by almost impassable detours. Close to Kalmunai the very young forces began to look very anxious---a sign to me that they they might become trigger happy at the slightest provocation. The streets were deserted and dark---a curfew was in effect.

Along the way there had been so many other roadside attractions---beautiful little shrines everywhere---more frequent even than the military. There was Ganesh, the Hindu god of the traveller, Budda looking serene and peaceful, sometimes Jesus and sometimes Mary depending on which church you attend, and attractive Muslim mosques. I turned to Charles and made some innane comment about the religious faiths not practicing the peace and love that they preach. I guess this trip has been Religion 202 for me---a lesson about the differences and not the blessings.

Today is election day and the entire town is closed down. If you are not going to vote you stay home. As we were discussing plans for the kids here in Kalmunai with Anthony, there was the sound of an explosion. Anthony told the counsellors to be calm and that it was probably nothing. A little later one of the school principals came by to tell us that a bomb had exploded in a nearby residential neighbourhood killing one young man and two children and injuring others who had been taken to the hospital next to our house. The news shocked me however, as the principal told us that the man who had been killed was the son of Loga, the local nurse who was part of our team on my trip to Kalmunai in May. I had met her whole family at that time when we had tea in her home. Loga was a part of our daily life in Kalmunai and my heart is aching for her tonight---anf for the families of the two children. There have already been too many tears in Kalmunai!

Gail and Charles Belcher


17th November 2005 – Sri Lanka
HAPPY AS CLAMS


“ Love consists of this: that two solitudes reach out and greet and touch and protect one another---”
Yeats?

Two Solitudes
( from the Canadian novel about the tensions between French and English society in the 1930s---can’t remember all the details or the exact quote but the concept keeps coming to my fading mind---I loved this book---early Canlit)

Part 1 Day 1
Charles and I have spent our first day in SriLanka at the posh Mount Lavinia Hotel south of Colombo. I have been seduced by this island again. It is an island drunk with the nectar and buzz of all things living---the rolling of the sea, the depth of the colours, the tintillating spices of the food and the intoxicating scent of plumeria on our pillows as we fall into a deep, delicious sleep---the sleep of children.

Part 2 Day 2
We have had lunch beside the sea. We are sitting on the pool deck of our hotel following a refreshing swim. We are chatting about litle things. A cracking noise breaks the stillness of the moment. It is a sound repeated again and again.

We all try to ignore it. We want this bliss to continue. The unmistakable sound of gunshots continues and we all begin to look along the beach towards the city. We see smoke. It is coming from the Tamil suburb of Colombo. It looks like the smoke from an an explosion and the gunfire continues. It is a harsh reminder that there is an election in two days and that the Sinhalese and the Tamils have been at war for over twenty years. Theirs is an uncertain peace. Today we are in Sinhalese territory. Tomorrow we will travel across the island into the poverty of Tamil territory. Peace is elusive. Life is fragile. This is truly an island of two solitudes.


PS. I am reminded that only yesterday I wrote an email home to Canada. I signed it---” Happy as clams in paradise.” It is a tenuous paradise.


17 November 2005 CAMBODIA and elsewhere…

Many months since anyone has written on this page. They have been months of rush and build, plan and push. Things go forward on so many fronts and its hard to say which has progressed further. Sri Lanka, Cambodia in the field and NZ, Australia and the USA in the network are all moving forward at a great pace. Rose-AMDA Canada has just hosted the 19th International AMDA Conference in Kuala Lumpur. AMDA Canada and Rose Charities Canada are, of course run tightly together in B.C. with AMDA being the organization which organizes our emergency relief, leaving Rose Charities to concentrate on the long-term sustained projects. The conference was a great success with guests of honour being Ms Rachael Bedlington, Head of International Affairs from the Canadian High Commission to Malaysian, and Colonel Khor, Director of the Medical Division of Civil Defense Malaysia. An AMDA Malaysia Chapter was formed with Colonel Khor agreeing to be a member. The setting in the harmony of Malaysia, and Malaysia is truly a harmonious country - with much I think to teach the world in this area.


Up in Cambodia we will be reaching our 10,000 th operation this year. These are predominantly eye operations, and most of those sight restoration / blindness prevention. And almost all of the eye operations have been carried out by Dr Vra. Dr Vra deserves a medal. His determination is amazing. Even after all his equipment, fittings furniture, vehicle(s) even garden plants, had been looted by (expatriate) crooks three years ago, he would still turn up at his empty shell of a clinic to see what he could do to help patients. Now, he has made Rose Charities Cambodia significantly the most functional Cambodian run health facility in the Country, building up from his catastrophic loss to a state again where he operates on around 2000 impoverished Cambodians per year, and sees 8 to 10 times that number in his consultation room.

Operation Rainbow, a B.C cleft palate and child surgery team visited our other Cambodian center (Dr Saroms First-Rose) center and Chea Chumnas hospital in October. They had planned to carry out around 40 operations, but ended up doing 90. It is a good, honest, charitable and generous organization and we at Rose are very happy to be partnering with them..


ARCHIVED BELOW FROM MARCH 2005 - TSUNAMI NOTES SRI LANKA

Yaya 9th March 05

Interventions

A few children said they were in shock during the Tsun. And in fact 4 of the group reported being under water and struggling to be alive. 4 of them had their house destroyed but now are living with relatives. 17 reported being distressed by the sight of many dead bodies, and one told he always see his best friend, whom he saw dead.


In this first session I used a clinical inventory regarding post traumatic stress signs, and coincident with the existing literature, the adolescents described their problems as follows: (statistics are high and will be later reported)

Also it is important that we realize that there are confounded variables, triggers and contextual factors such as the on going social instability and violence in the area (before the Tsu), and the concerns these good student have that they are failing and may not pass the final exam. In a sense they seem worried about the past, and certainly one can see its impact, but also their future. In order of highest to lowest percentage (75% reported memory difficulties while 8% feel guilty for being alive.


- problems to remember material and can't study or recall as before
- difficulties concentrating while reading, in class
- feel unhappy, more nervous, more anxious, depressed sometimes
- has a sense of uncertainty
- don't trust much, hypervigilant, startled easily
- get mad when people talk about Tsun.
- apathetic and not as interested in activities as before
- pain such as headaches, shoulder, stomach
- more angry, more frequently
- scary images and thoughts popping in the mind
- feels guilty


Interventions


The first session was successful according to reported feed back.


Their teachers will meet tomorrow and I intent to point out the importance not only for them to become models in class (calming down through breathing, providing breaks, helping them to "mirror" learning with a friend, etc.).

I was given a newspaper (The Island from Colombo) in which Prof. Dr. M. Thiruvanakarasu, a leader of the medical delegation arrived on a training program for health workers. He pointed out in the article that not only those directly affected by the Tsu and who lived in the area most affected has suffered its impact but all. The injury of the mind is important and must be healed properly.


It is a convincing small article and he predicts that 3 to 6 months is a good time for people to assess and help with healing. If help is not provided, long lasting impact and more complex, chronic mental health needs will appear.


The most important is routine, as well as the ability of medical professionals identify and refer to counseling services.

It was reassuring to see that our plans with the Rose Children Center is not a western model, but something that we all (around the world) are learning - we must address psycho social needs of children, families and communities, even though I am aware that there is a long and difficult history of violence, violations, etc.

Yaya 9th March 05


yesterday, the surgeon from the hospital called me at his home and expressed some concern about our safety. apparently there was some demonstration in town and he was afraid of what would or could happen... evidently these occurrences have happened in the past and people died, and after a couple of days everything is fine. so, we decided to sit and wait.


in the afternoon I went for a bike ride and everything was quiet. they close the city during the day, but there was no fights, only some kind of speech from the people who want to come back and build their homes in the original place - nearby the beach, and they are not being permitted...


it is interesting to see that a house was fixed there, and it call - tsunami guest house. I am sure it will be in the lonely planet book, and there is arrangement to something else be fixed - which will become a bar. bad decisions in my view, but, I don't know how people make city planning decisions here.

the work is great, yesterday I had 36 students from grade 13 and all was fine. they made great drawings and we laughed and they told me about the hunting images that pop into their minds from nowhere... about the dead people they saw after the tsunami.


these kids have lived a variety of great stressors, before the tsunami and one cannot avoid to think that they have resilience and go on living, as all of us, despite many things around.

so, the house is fine, today I woke up very early and took my bike to town and bought a fresh bread that was eaten immediately by all - and I made toast on the stove and it was delicious. ah, if we only had way to make a real cup of coffee. so far it is instant coffee with powder milk, not very appealing to me, but I also got condensed milk, and it is very nice with tea.

the food is also very nice, and I am teaching the cooks to make garlic mashed potatoes. imagine, and yesterday they had this great bread like, fried chappati or something like that and a delicious chicken. also we found a wonderful papaya and so, we all are happy.

keep well, in peace and in love with all and life
namu amida bu

Yaya 10th March 05

..just a brief hello in the middle of the day. I am in a sort of break. the house is empty and I will be back working in 5 minutes or so, but could not resist to read emails.

everything is fine. you can trust our responsible leader . and count on the individual sense of responsibility and safety. but we are fine, really. aware and careful, but safe.

the program at school is getting better every day. imagine that today there were 43 children and in the beginning of the session a boy (all grade 12 and 13 - we started with the older ones) stood up and said he thought some other few kids should join us and here thet come, a batch of more than 10 we did not think would be interested. they are far from my experience in any high school in vancouver. they are polite, quiet and listen with great attention (to my english and the interpretation). it is a delight to be here.


they knod their head when I talked about possible normal reactions and certainly raise their hands. the statistics are high, and in a way I am happy that I knew they would report post traumatic stress, even someone would ask him specifics. also, they are enjoying the healing tasks, and a group of teachers today decided they will do some exercises in class, and become models (I tried to convince them that workers care is as important as good teaching....) anyway, the high light of the day was that the PE teacher said he would come with me and a group of children (we will choose carefully) to the ocean and exercise breathing and taking control again of AALI (the ocean) and everybody laughs sure... as I throw one single word I learn...


also, tell mike that the garden is in place, as he knows and I would like to suggest the kids to bring rocks to put around in 2 layers (like a path, as I told you in vancouver) and they could write their names or paint faces, or whatever they want, and in the future they would come and walk around and identify their contribution to it. the school said they would arrange for such an event.


and we could also make an event in which the kids would "" print" their hands on the wall - it is a beautiful blue and it would be an artistic playful scene to see the hands of children on the walls. perhaps diana could do something like that when she is here…


Josephine 10th March 2005

Thank you for your email. I am glad things are quiet. we were all sitting yesterday in a Steering committee meeting ...thw whole team.!!!when the phone rang and it was Dr Bagawan saying it was not safe...so the meeting ended in high drama and we rushed about and tried to get you all evacuated to Columbo..and perhaps luckily...the road was closed ...so that was that. I was worried for you all but also sort of glad that your wonderful work was not interrupted...but please stay safe…

Josephine 12th March 05

Over 10,000 people were killed by the tsunami in the area around Kalmunai on the East Coast if Sri Lanka. Many of them were the mothers and young children who were at home when the Tsunami struck and devastated a 3 km band of coastline.

Two weeks ago the schools reopened and faced the daunting task of trying to provide some stability and healing for the children. Many of these children have lost parents, siblings, best friends and pets. They have lost their homes and are living in one room makeshift shelters or tents. There is nowhere for the older children to study for their exams. They have lost their school uniforms, their bicycle to ride to school, their pens and books. Some of their teachers are dead and others have lost their own families. There are no counseling facilities in any of the schools

Dr Yaya de Andrade arrived in Kalmunai at the beginning of March with the mandate to assess and increase our counseling program. We already had a Saturday morning clinic for traumatized children but felt that this was inadequate to meet the urgent needs of the children. After 2 days of assessment Yaya has selected a school to act as a pilot project. The school has approx 2000 pupils who have been severely affected by the Tsunami Our field coordinator, Anthony Richards recruited 12 local volunteers interested in assisting with counseling. They had experience ranging from an 8 months diploma course to one 3-hour training session. All were prepared to work and very motivated.
The urgency of the children’s needs has left little time for lengthy preparations and Yaya has immediately begun interventions for all grades at the school. She is supervising teachers and counselors for the younger grades, and is focusing her attention on the teenagers, especially the grade 13’s who face final exams in May and are suffering all the symptoms of post traumatic stress, combined with disrupted lives which makes it almost impossible for them to study. Yaya is helping them understand these symptoms and provide them with coping mechanisms. She is advising the teachers on how to assist e.g. by providing shorter study periods, incorporating lots of short breaks, pairing students to assist each other. She is taking groups of older children back to the beach to help them overcome their fear of the sea.


On Yaya’s advise we are increasing the number of clinics at the Rose Children’s Centre to 3 times a week, and possibly more. She is training the hospital staff to recognize and identify children in distress to be refered to the clinic and will begin training clinic staff to assist in the program. She suggests we use the Children’s Memorial Garden as a healing place and that we encourage the children to help build the garden, by making a winding path of painted stones, painting their hand prints on the wall, planting..

Yaya – 14th March 05


Another journal from Kalmunai
> Half way through my trip and days continue to be enriched by new
> experiences, and new levels of learning and experiences with people I have
> met.
>
> Yesterday we went for another outing as a group. Great trip, beautiful
> country side, rice fields and a dam, or a lake or some large portions of
> water. we were supposed to get into a boat and see wild elephants
> (apparently at times you may see 150 of them) but no chance. A policeman
was
> nice enough to allow us to come into the gates and climb to another big
rock
> - ha. But no boats allowed. Sally could not resist and got herself into
the
> water. Later on, as we are passing by another portion of water. with many
> water buffalos, here she goes again. She is attracted to water as I never
> imagine. but today she has a horrible sore throat and we diagnosed a wbs -
> water buffalo syndrome.
>
> By the afternoon we were all cooking in the van despite all he windows
wide
> open, and voila, a surprising vendor with many watermelons - we bought 5
of
> them and continue our journey, until we found a place indicating a
> restaurant and bar - ah. Another surprise, as everything here.a place that
> could be a nice place anywhere, brazil, even in Canada. So, we enter -
open
> spaces with lovely tables and chairs, and there we go, giggling like kids,
> cutting our water melons and having fun, after many hellos we figured that
> perhaps it was an abandoned place, but a man came after few minutes and
we
> bought beer and orange crush and he was very happy and did not mind we
were
> making a meson the table with our water melons.
>
> So, we left well fed, and went to another beautiful site - a budhist
temple.
> Wonderful space and I even meditated for a while.
>
> Today I am talking to a group of 45 students in a school nearby one of the
> camps and one student simply fainted in front of me - for 15 minutes I did
> everything I could, knew, than I called pargat and here he comes, takes
her
> in a "too too" to the hospital and she was admitted. Her story, as many
> others is brute, but by now I am getting accustomed, not less alarmed by
the
> potential distress in their minds.
>
> And here is another day. tomorrow I will take a large group of kids with
the
> pe teacher of one school to the beach. Everybody wants to come, and see,
and
> perhaps even the media. Ha I just imagine what will happen. Tell you
later…
>


Josephine 16th March 05

…There is still a great need for pediatric support in Kalmunai, not only at the Base Hospital but also in the Muslim hospital and at the surronding smaller centers. The pediatric clinic has over 100 patients every day. We have reduced this clinic to 3 times a week on a trial basis and are using the time to support the Muslim hospital and conduct outreach clinics. These have been well attended and we find we are reaching children who have not been to the Base Hospital. We are treated such things as infected wounds, asthma, and really a whole range of diseases.

I think we need to maintain at least one pediatrician and 1 RN at Kalmunai on a continuing basis for the next 6 months..

..Our main area of concern now is the psyco-social needs of the children. We sent an expert Dr Yaya de Andrade to Kalmunai. She has done an assessment of the needs of the children and has started a pilot project working in one school with 12 volunteer local counselers. Seh has developed programs for each of the grades and is working with the staff, assisting them to meet the needs of the children and their own needs.
One of the areas of great need is the teenagers. They have been somewhat neglected as a group and are struggling to study for exams. Many are displaying the symptoms of Post traumatic stress: ie inability to concentrate, inability to make decisions, depression, rage, suicidal thoughts etc. They return hoome at night to unlit tents and have no where to study.

We have also started the Rose Children's Centre as a referral centre for children who need extra support. The clinic meets 3 days a week and is aimed at children up to about 10 years of age. We need play therapists to assist us at this clinic…..


Yaya – 17th March 05


>
>…. A few things (new) happened today. Good ones in my view as I am learning.
at
> all times.
>
> First we had our first psychosocial morning. A teacher brought around 8
> students and we worked with them for a couple of hours. It was good, the
> counselors came late (communication is not 100%) but were efficient and
> theanne and sally (nurses) were of great help. It was good for a first
> opening, knowing that not many people knew about it. But perhaps this is
not
> the best way to help specific kids because it is school time, and going to
> school remains the best option (in my view). Although the nice thing about
> the morning at the clinic was that one girl - who was admitted after a
> school session (follow up by pargat in the ward) and is now under dr.
> kumudini - spent time with the group, and enjoyed very much because a
> couple of the girls who came were from her class. So, great support for
her
> (she will remain in the ward for a couple more days).
>
> I had the opportunity to attend a meeting of NGOs and locals planning
> psychosocial activities. I reported in our work and was surprised how many
> people were interested. But realistically UNICEF is planning more training
> to volunteers (I am not sure how our counselors, who are payed will feel
to
> be part of that ) as well as 5 community centers to address not only
> children but also women, men (who need self help group due to alcohol,
etc.)
> widows, orphans, and elders. They want to have a place in which all people
> can use and is focused on various activities, including in housing
training.
>
> Dr. kulmudini introduced me to a young man who is a teacher-counselor and
he
> agreed to replace me in the supervision and on going training of the 12
> counselors. They need more training. Their experience and background is
> different and as you know, 3 of them have some formal training while the
> others don't. this may pose a problem in the future, but they all can
help.
>
> My sense is that school can make good use of the supportive counselors,
and
> they need to learn how to refer when children may need something more than
> support. So, we have to count on the skills of someone who is capable of
> assessing risk, needs and provide appropriate assistance to the children.


Yaya 19th March 05


> Ah. babushka, a small kitten that theane decided to keep at the house was
> badly beaten by a big, mean cat. Someone run to the hospital, brings drugs
> and there she is, being treated by a pediatrician and 3 nurses. I watch
all
> this in awe. One week later babushka is running around, with an ugly cut
on
> her belly but alive and well, eating all the cockroaches and flies that
she
> can catch.
>
> This week I started working in 2 different schools. One of them was small,
> around 100 children, from those 49 died in the tsunami and the school was
> totally destroyed. The teachers run classes now at the house of the
> principal. The conditions are very poor, and the kids all sit nicely as we
> talk to them, the counselors interacting with them, playing while I talk
to
> the teacher. Nice people, making the best opportunity from a situation no
> one could control.
>
> Today was my last day at Fatima school, where I worked the last 2 weeks. I
> have met all the 100+ teachers and many more hundreds students. They were
> lovely, and as I meet them around they tell me that they are now
breathing.
> and laugh. And this afternoon as we finished the last group of teachers,
> here comes the principal and all and gave me a gift. They made a speech
that
> took me almost to tears. They said that they were happy because I came
with
> love and stay with them, and told breathing is good. We all laugh. And
they
> expect that I come back in 3, 4 months and they will tell about the
practice
> of meditation and all exercises we talked about. Their NORMAL reactions
are
> now all labeled, and there is no denial.
>
> On the other front,. I went for ice dream with theane
and
> sally. Wonderful mango ice cream, and we drove around the camps, stop for
a
> while to talk to a woman who wanted to tell her story, and show us the
> destruction of her home.
>
> I wonder how come we don't have lots of young men coming from our
countries
> and working on building, rebuilding, cleaning up - I can see an army of
very
> young men and women (perhaps grade 12 with credits) who would work daily
and
> in one week Kalmunai would be a very clean and nice city. What a dream.
> There was an article in the paper today about the money given by the west
> disappearing who knows where. and phony people claiming they are refugees
> who lost their homes. What a shame.
>
<

Yaya 25 March 2005

Journals from Kalmunai
>
> we had a wonderful lunch at the sea breeze restaurant, in the mids of all
> the destruction and as always, we heard stories of people on the roof of
the
> restaurant - which seems to me very solid... delicioius prawns, rice, and
> especially freshly done guava and mango juice
>
> It is Saturday, and in one week I will no longer be in Kalmunai. Last
night
> pargat and I were invited to dinner at a.'s mother in akkarapatu, one hour
> from here. The trip as always, was interesting going through muslin areas
> and tamil areas. The muslin communities are well organized, lots of bakery
> (with sweet buns like Portuguese) and good roads, while the tamil areas
are
> poorer, no lights on the road and commerce is less alive. These distinctive communities seem to be living well
side
> by side, despite their difference in wealth.
>
> The dinner was a typical lanka. someone come with a jar and bowl and you
> wash your hands, the water is literally thrown out (of the house) and next
> person washes, etc. coke was served to drink and the food was a series of
> bowls - pargat kept telling me to use the hands to get the food from the
> bowls - oh well, some of them. For ex. The rice, some kind of noodles,
> boiled eggs, fried little fishes like sardines, a delicious tapioca with
> curry, and chickpeas. Imagine. And there was some vegetables with chillis
> that I only looked at. Well, I am almost an expert eating with hands as I
am
> with chopsticks, and serving also (very clean hands - be sure). At the
end,
> another round of washing hands and for desert I was given a delicious
guava.
> Ah. I enjoyed so much that mother gave me another one that I share with
the
> nurses in the morning. Really good. Like brazilian, red and juice.
>
> Today I am going at the orphanage and distributed some more crayon. Cheryl
> was right. The crayola boxes have been a great success with the children.
I
> made bundles with elastic bands and we give away to the children. They
have
> so little of nothing. and they smile immediately at the colorful sticks
they
> get all the time.
>
> Yesterday all counselors and all in the house came to the ocean. No kids
and
> I realized that perhaps their parents still not permitting, protective and
> afraid perhaps. The counselors were reluctant at first, but in the end all
> came. One has no idea about what has meant to each and all to be there and
> be engulfed by the mass of water. I was somewhat concerned but in the end
> was a great experience. the counselor who lost many members of family
asked
> me to come together and we did, and she cried, and we laughed and it was
all
> beautiful. Later I told a story I knew about difficult to have closure
when
> someone loose someone and do not have the opportunity to see the dead body
> of that person, to look at it and come to terms with end of life. Very
> budhist I thought. Too philosophical perhaps. But they look at me and knod
> their head in this funny sri lanka way that you don't know if they are
> saying yes or no.
>
> Well, these contacts are very present and I keep passing on my love to
them,
> my sense of optimism and lots of hope. They all need, but in fact I
realized
> that being in Kalmunai and meeting these beautiful, simple and poor people
> made me a better person, so I only wish that the opportunity of the
tsunami
> in Kalmunai will transform this place in a better community to all,
> especially the children.
>

From Carol R.N.


March 25, 2005
>
> Hi all,
> We are now in the home stretch, I am now trying to decide what should be
packed at the bottom of the suitcase and what needs to be near the top.
This will probably be the last email from Sri Lanka but I will do a wrap up
when I get home.
> Palm Sunday was very interesting, the service was at 7 am in the cool of
the morning, which is a treat. The service was in Tamil, of course, but we
managed to get the gist of it all. There was at least 450 people there and
the procession was long and colourful. We very much enjoyed the service.
> After the service, the Project Co-ordinator took us to the site of the
proposed Childrens Community Centre. It is next to a lake where the water
purification takes place. It is operated by Operation Blessing along with
World Vision and makes thousands of gallons a day which is distributed by
bowsers, big water tank trucks to the various storage tanks around the
area.
> The site will be next to a resettlement project to be built by World
Vision for 300 homes. The breeze off the lakes is very nice and the
proximity to clean water is a real positive.
> On the way back we stopped at what looked to be a newly built refugee
camp. The huts are open and made of tubular steel with thatched roofs. The
people there told us they do not have a water storage tank and that no
medical NGOs had ever visited. We went back the next day, the Co-ordinator
had got a tank and it was set up, he was also organizing a bowser to fill it
on a regular basis. We did a clinic, saw at least 60 people, sent 1
straight to the hospital with congestive heart failure, saw a 12 year old
with tonsils that had just about obstructed her throat, another young teen
with a very irregular heart beat who had never seen a doctor, a young man
who a year ago stepped on a land mine and needs a revision of his stump, a
year old boy with a ring on his finger that had to be cut off as his finger
had grown around it etc., etc., it was basic medicine! Of course we also
saw the 60 year old who has had knee pain for 8 years but I really felt that
she might be followed long term
> elsewhere!
> We also started to teach first aid to our second group of nurses as well
as to a group of teachers. The teaching conditions are less than optimal,
the room at the hospital was crowded, hot and had no tables but the learners
were very eager to learn. Their English reading skills are quite good, all
their Nursing education was in English. The real problem is not in what
they do not know, it is in giving them the confidence to use it. I found
out from them that their base salary is 15,000 rupees, about $150 a month!
The cost of living here is certainly less than ours but not that much!
> The teachers provided a very nice room in a local school. The principal
was very welcoming and she showed us around and pointed out some of the
deficiencies. One of the teachers is interested in being an Instructor for
First Aid, St. Johns is quite active here. We are leaving our teaching
materials here for him so he has some resources.
> We went to the pediatric ward and gave away all our stuffed toys. We got
pictures of each one including two who were not too happy about being given
the toy but the mothers were grateful!
> The local flora and fauna are very different. The mosquitoes are very
tiny, not what we are used to, the geckos look after most of them but they
still bite! We have some squirrels that are striped like chipmunks that run
around the tops of the cement walls and a few iguanas that wander in and
out. One night I awoke with a cockroach on my chest, that was about the
worst that has happened and we count ourselves lucky!
>
> Carol