Saturday, December 19, 2009

Best and Worst round 2 + Happy holidays!

OK so I forgot to mention the other best. The one that beats all others--waking up every morning knowing that I am in Africa. Yep, its a dream, and I am so happy I'm living it.

So, my sister asked me yesterday how Christmas is celebrated in Namibia...

I can't speak for everyone, but most of my friends and colleagues travel back to their villages. Everyone gathers together, cooks food, celebrates milestones (births, graduations, promotions), and generally has a great time. Even though temperature-wise it doesn't feel like Christmas, the joy and spirit of the holidays is alive and well here. Some people do get Christmas trees, but instead of coming from a lot in front of Home Depot, the trees here are of the plastic variety and come in boxes from PEP Store (the Namibian version of Wal Mart). My friend's seven year old daughter has been waiting patiently all week, because she knew today was the day they could go "pick out" their tree. Adorable!

This year I will be celebrating Christmas by hiking the Namibian Riviera, the scenic route spanning the area between Ruacana Falls and Epupa Falls. It is an extensive journey, and I will try and post pictures as soon as possible! Merry Christmas to you, my family and friends.

Much love....
Ani

Thursday, December 17, 2009

Best and Worst

A dear friend of mine asked me today what the best and worst part of this experience has been.

The best part so far?

The people I work with. The ladies I work with at the Ministry of Health inspire me every day. Their passion for healthcare and their determination to help people despite the mountain of challenges they face is astounding.

The incredible contrast of the landscape. Namibia...oh Namibia. Beeeeeautiful.

My host family. Even though I no longer live with them, they continue to be a source of love and strength despite the 800 some-odd kilometers between us. They are facing a difficult time at the farm now because the rains have not yet arrived, and yet they continue to be positive and uplifting. They are amazing.

The sound of rain falling on my tin roof at night. Its so soothing.

The African sky. You have to see it to believe it.


The worst part:

The heat some days. Uugh.

Giant mosquitos. Most nights they are so bad that they make an audible buzzing noise which echoes from the ceiling; the entire room hums with their presence. Its really bad when I'm sitting on the toilet and there are hundreds of them swarming around me. And heaven forbid an unfortunate toss or turn during the night leaves one of my limbs pressed against the mosquito net--it results in massive swelling of said body part due to thousands of bites in one concentrated area.

Flying cockroaches. Yep, you read that right. Its something out of my worst nightmare. Most people have an irrational fear or two...mine just so happens to be cockroaches. I know they can't hurt me, and yet they still gross me out. They are disgusting in the states, where they only scurry around on the floor. Here, they dominate both land and air. -Insert dry heave-

Not knowing if I am making an impact. Some days I get disheartened. At this stage I have plenty of "What am I doing here? Can I really change anything? Am I really making a difference..." moments. It comes with the territory, and I simply try to weather the tide.

Missing my family. This is a BIG one. As crazy and weird as my family is, they are an incredible group of people. I miss sitting in the garage shooting the shit with my stepdad and hearing about whatever his new project is (building shelves for his gun cabinet, planting a new round of peppers in the yard, remodeling some random thing laying around his garage). I miss snuggling with my mom under the afghan my grammy made, watching timeless old movies on TCM. I miss spending days with my sister Keri shoveling snow, watching movies, admiring her photography, and walking to our favorite sammich place. I miss romping around in the Burb with my brother, laughing til we want to vomit, eating obscene amounts of Del Taco, and having him blow foul smelling air up my nose through a straw while I'm trying to sleep. I miss beating up my brother Eric (who is, at heart, a big bucking chicken). I miss waking up to the sound of my dads guitar, and the smell of Ma's coffee and pancakes drifting into my room with the first morning light. I miss spending endless winter days watching the snowflakes fall from the windows in our Big Bear house while surrounded with some of my best friends on earth. I miss the sound of my little sister Bayli's laugh, I miss reading with her, and tucking her in to sleep. I can hear her little voice saying "commme hereeeee" for her thousandth goodnight kiss.

The last one is the hardest of all. Still, it all balances out and I wouldn't trade this experience for anything.

Until next time...



The Road Not Taken

One of my favorite poems by Robert Frost:

Two roads diverged in a yellow wood,
And sorry I could not travel both
And be one traveler, long I stood
And looked down one as far as I could
To where it bent in the undergrowth;

Then took the other, as just as fair,
And having perhaps the better claim,
Because it was grassy and wanted wear;
Though as for that the passing there
Had worn them really about the same,

And both that morning equally lay
In leaves no step had trodden black.
Oh, I kept the first for another day!
Yet knowing how way leads on to way,
I doubted if I should ever come back.

I shall be telling this with a sigh
Somewhere ages and ages hence:
Two roads diverged in a wood, and I--
I took the one less traveled by,
And that has made all the difference.

Wednesday, December 16, 2009

750

750 cases of measles have been reported in Opuwo district to date.

Seven hundred and fifty. Thats a BIG number.

Looking back two months to the beginning of October, we had 37 cases. At the time we were panicking, wondering how we could contain the outbreak. Our first line of defense was an immunization campaign. Over 800 children were immunized over the course of a week, which we considered a great success. As a second strategy, we set up a treatment center where patients could be kept in relative isolation, which was also a positive move. As a third line of defense, we carried out a mass social mobilization/awareness campaign to help inform the community about measles. And yet the cases continue to rise.

Its disheartening. Despite our efforts on various fronts, this epidemic cannot be quelled. We currently have teams out in the field treating sick villagers and immunizing children, but as one of our physicians pointed out today during our meeting, isolation is key. It is also nearly impossible in this area. People live in very close family compounds, and the highly infectious nature of measles thrives in such conditions.

The key challenges:

1. Measles is a highly contagious disease spread through close contact via mucous droplets.
In my area, most people live a communal lifestyle where many family members are sharing one small hut.

2. Measles is contagious for a relatively long period of time (starting around 4 days before the rash appears, up to 4 days after the rash appears).

3. Most of the Himba and Zemba people (adults and children alike) are not immunized. In some areas of Southern Africa they have carried out mass immunization campaigns, but we were strictly instructed to only carry out target immunization (age 9-59 months). This has left a vast majority of our people unprotected.

4. The Himba move frequently. Despite the fact that people are ill, they continue to travel to other villages and areas. This will be amplified during the holiday season, as many people will be travelling to distant villages to see their relatives, and people working in other areas of Namibia will return to their villages here.

5. Some of our health workers were never immunized against measles. Recently, one of our key health workers who frequently treats patients at the treatment center contracted measles.

6. We have a long-standing shortage of transportation (and resources in general).


So this is where we find ourselves--fighting an uphill battle. The interventions we have in place are quality, and our patients admitted to the hospital are well cared for, but ultimately we are powerless to stop the spread of the disease. We will continue to immunize, we will continue to treat, but ultimately this epidemic has to run its course. Its a hard reality, particularly because in the last week 4 more children have passed away. Three of the deaths came from a village called Okatumba: two children passed away before they reached the hospital and one died in our Casualty ward (ages 8 years, 5 months, and two months respectively). The latest case was an 11 month old baby girl.

If you can, I simply ask that you send positive thoughts our way. I am a firm believer in the power of setting an intention, whether through prayer, meditation, song, or any other way.

Okuhepa tjinene (thank you)...



Tuesday, December 15, 2009

Metaha.....

Today, while waiting in line at OK Grocery to have my mango weighed, a Himba man pushed up next to me with his cart. His eyes met mine, and his brusque voice was as course as gravel as he greeted me in Otjiherero. It was clear that he did not expect me to respond, but as I returned his greeting his entire demeanor changed. He asked my name. I responded in Otjiherero. Then he smiled as he turned to his friend,"Ingwi omuhinga kohimba, omuhinga kotjirumbu" (roughly translated to "this one is half Himba, half white person"). That made me laugh out loud.

It feels good when people are proud to see their culture reflected in someone traditionally considered an "outsider" (thats me). Back in training, Ashley and I dressed in full Herero dress for the Herero Festival in Okahandja. Our picture made the newspaper, as well as the National Namibian news broadcast. During the ceremony, one of the dignitaries was giving a speech, and suddenly pointed Ashley and I out in the crowd. He used the fact that we had dressed up to encourage people to be proud of their traditions. It seems strange but we somehow imparted an extra measure of worth to their practice simply by showing up and taking part in it. Powerful stuff.

At any rate, I think being Himba would be a lot cooler in the sense that wearing 7 layers of fabric and a big heavy hat in 110 degree heat is pretty rough. I respect and admire the Herero tradition, but I'd gladly take the ocher and skins any day of the week...

Friday, December 11, 2009

Rest in Peace...

I would just like to say a few words about Crazy Bill...

The first time I met Bill was at our neighborhood 4th of July block party. Though many years have passed since, I will never forget him that night. He ran down the street holding fireworks in his up-stretched arms shouting with joy. Most of the onlookers were terrified that he would burn himself (I'm pretty sure that he had no hair on his forearms after that night), but he just kept on running. That's Bill though. If there is an expression that characterizes him, its "balls to the wall." I can't imagine Bill ever doing anything halfway.

He passed away during the annual camping trip which our families have gone on for the last 7 years or so. His bike was in 4th gear, and I wouldn't expect anything less. My heart breaks for his daughter Jillian, who will grow up without her Daddy. I understand the accident occurred just moments after he said goodbye to her.

Bill was always the life of the party. He had an innate ability to get people excited, and he cherished time spent with his family and friends. And he loved hauling ass on his dirt bike.

The only light in this tragedy is that his strong, healthy organs will live on in others who are in need. I hope that the recipients will find the same enthusiasm and lust for life that he shared with so many.

Cheers. You will be missed my friend...

Wednesday, December 9, 2009

Digging in the dirt

When I first told my mom about my Peace Corps assignment she shared with me an interesting tidbit about the history of Peace Corps. When Peace Corps first began back in the 60's, apparently they ran a series of advertisements showing volunteers "digging in the dirt." There are some people from that generation who still associate Peace Corps service with said activity. Of course Peace Corps has evolved with time and volunteers now serve all over the world in a variety of capacities such as Education, Community Health, Small-Enterprise Development, and Youth Development to name a few. But I think the sentiment is still the same. Peace Corps is very much about working at the grass-roots level of development; volunteers live in their communities, and work one on one with their communities to illicit positive growth.

At any rate, she had a good time teasing me about it.

Recently, The Red Cross community garden benefiting the Orphans and Vulnerable Children of Opuwo had about 50 trees donated. In order to help get them all in the ground, I volunteered to assist in the "soil preparation" which basically involved Ed, Tate Haibundi, and I spending days digging a bunch of huge holes (at least one arm wide by one arm deep), and then mixing countless wheelbarrows full of manure and sand in with the soil. More than once I was struck by the irony of the activity--after all of my lofty explanations about Peace Corps development approaches, here I was in Africa digging in the dirt. Life is funny like that. So it turns out that the stereotype is sometimes right mom. Hope you have a good laugh :)












Little Blaundina had a great time helping out...











After digging the holes, the trees were planted and sticks put in place to protect them from grazing livestock...


Hopefully these little trees will grow big and strong!



Cheers!


Parabuthus capensis















Meet Parabuthus capensis.

I discovered this little fellow in my doorway recently, so I snapped a quick photo. Yesterday, while waiting for a meeting to start, I was browsing through a pocket guide to Spiders and Scorpions of Southern Africa and I came across a picture that looked remarkably similar. I compared the photo in the book to the picture I took, and thus made the identification. Turns out this is one of the most toxic scorpions in Southern Africa, and "is responsible for a handful of deaths annually."

Awesome. Lets hope he doesn't have any more friends nearby!

A picture is worth a thousand words...

Here is a link to the photos from our recent trip North....hope you enjoy!

Wednesday, November 25, 2009

Measles and...Elections?

Just a quick update on our ongoing Measles outbreak: we now have 528 cases of Measles reported. Eek. The number continues to rise, and the demographic has shifted slightly. Currently our most affected age groups range from 0-10 years, and we also have a high number of cases in the 30-45 year range. Of course at this point all age groups are affected, but those are our two largest clusters.

In other news, National elections begin in Namibia this Friday (11/27). There have been a couple isolated incidences of violence in a few areas in the North of Namibia, but by and large things seem peaceful. Peace Corps is taking every precaution, and I am confident that everything will be fine. The last two elections Namibia has held have both been peaceful, so hopefully this time around will follow suit.

Keande nawa, and I will update when I can...

Gobble, gobble, gobble

Tomorrow is Thanksgiving! What the heck? Things I am missing out on this year: turkey, stuffing, cranberry sauce, stuffing, gravy, stuffing, mashed potatoes, rolls, and stuffing. Ohhh and pie. Did I mention stuffing? Aside from all of the food, I really miss my family. I hope everyone is well, and I cant wait for the next time we will all be together again.

I leave you all with a picture taken during our Turkey day celebration in Opuwo. You know I always keep it classy!

Cheers! :)



Monday, November 23, 2009

Okuti onguza

"I cant tell you not to go, but please don't go."

Not the most reassuring words in the English language. Particularly when uttered by the commanding officer of the Police just before we set out on a whirlwind adventure. His next words soothed us though, "If we don't hear from you by Saturday, we will send out a search party." Thats good to know.

With newfound confidence in our task, my three colleagues and I set out into the vast wilderness characteristic of this region. The characters: Barbra, the Chief Health Inspector for Opuwo District, Michael, our Health Informations Systems Specialist/nurse, David, our IT-savy driver, and myself. Our task: to travel to a village in the far North-West of Namibia where 10 people had reportedly died from Measles. Armed with a photocopied map of Northern Kunene region, three leaking plastic jerry cans of water, a mountain of mosquito nets, countless satchels of water-maker, a massive coolbox full of vaccines, and three mostly-intact fuel cans, we were ready for anything. Our route was clearly defined; the red ink from a ball point pen our trusty, albeit vague, guide. Very few people had ever successfully completed this journey and the only directions we were able to lock down were, "Follow this road until you think you reach a place called Orupembe. From there keep driving and you will reach a red drum, then a blue drum, followed by an Orange drum. Take the pathway to your right and continue until you can't go any further."

In this instance, the word "road" was used quite loosely. We had about five minutes of tar road, then about 10 minutes of decent gravel road conditions, and by the time we were 50km outside of town I was puking in a plastic grocery bag in the back of our enclosed bakki. The copious vomiting was largely due to the rough, bumpy, winding road on which we were travelling, although in hindsight I'm confident that the petrol fumes seeping out of one of our leaky fuel cans didn't help matters.

Road sickness aside, the route was incredible. As we headed North, the landscape gradually changed from the dense Mopane forests, to deep sandy riverbeds and steep rocky mountain crossings. After a particularly difficult, rocky pass, we emerged on an open savannah punctuated by tall, graceful ostriches. The open grasslands stretched for countless miles, only ending at the base of the tall mountains surrounding us on all sides. The only sign of human life was the narrow road down which we were travelling.

The first day we passed only one other vehicle. As nightfall approached, we finally reached a "town," the extent of which was a small shabeen (bar) and a police station. Hooray for civilization! The officer on duty suggested that we continue to a nearby camp, where we could rest for the night so that we would be nice and refreshed for the second leg of our journey. Since there is no telephone service in that part of the country, let alone cell signal, he promised to radio the Opuwo police and inform them that we had made it that far.

It was dusk when we finally reached our destination. The "camp" was an abandoned rest area peppered with a few broken down bungalows long since condemned; its only amenity an open air brick latrine with squat toilets. It was situated in the heart of an old blasting zone (what they were blasting for is anyones guess). We set up our makeshift camp in the dark of night, and fell asleep fast, too exhausted to even eat dinner.

The next morning we rose before dawn, packed up our tents, and set out just as the sun was rising over the mountains. The most difficult part of our journey lie ahead; our first obstacle was a steep mountain crossing hugged tightly by sharp rock outcroppings and drastic canyon drops on both sides. Bouncing along the road, I was struck by a sense of awe and wonder at the beauty of the scenery. It was a new side of Namibia, and the fact that I was one of few people to ever see this part of the country was not lost on me. At times it was necessary to stop the vehicle and survey the route, but by some miracle we made it successfully through. Little did we know that the real challenges were still awaiting us. After clearing the mountain pass and traversing a few uneventful kilometers, we reached our greatest challenge: SAND. We had entered the no-mans-land of the far North-West.

We reached the sand trap in the heat of the day. The intense winds coming from the coast blew long sections of sand across the sparse earth. The valley surrounding us was arguably one of the most barren landscapes on the planet. We found ourselves stubbornly pushing our bakki out of the sand in the Namib Desert in the heat of the day. After a few minutes David was able to get enough momentum to keep the vehicle moving forward and he carried on for a ways without us. Micheal, Barbra, and I began slowly trudging through the sand, alternately complaining and rejoicing over the insane situation in which we found ourselves.

In time, we caught up with the vehicle. David had made it a few kilometers before getting stuck in the sand again. At this point we saw the only other vehicle we would pass on our journey: a large 10-seater Land Cruiser. It was on its way from the lodge where we were headed to some invisible airport deep in the desert. There were 8 smiling white faces on board, and they seemed sympathetic to our plight and yet excited to be leaving on their chartered flight. The chap driving suggested we air down the tires, and told us that if we were still there when he returned he would help tow us in.

The airing-down worked, and with a little more heave-ho we were soon on our way. As we moved further North toward the boarder of Angola, the landscape became even more desolate. The sparse grass was replace by large sand dunes, and towering mountains surrounded us on all sides. The grass that could survive was so sparse and small that it was difficult to imagine that the springbok we occasionally passed could be sustained by it.

In time we reached a Himba village on the top of a large outcropping. We stopped and greeted them, ascertained our bearings, and proceeded to distribute mosquito nets, water maker, and jerry cans to the people staying there. We also gave some health education about Measles, and promised to return to vaccinate the children. It was at this time we were met by a man on a quad bike; he had been radioed at the lodge and informed that we were stuck in the sand. Finding us free, he proceeded to lead the way to the camp. We started up a steep hill, the road largely lost in a deep sand dune. He knew the way, and carefully led us through a series of passes, which culminated in an intense final descent. We were perched on the edge of a monstrous sand dune and the only place to go was down.

The sand rushing past my window was falling at an equal rate with the vehicle, which may of may not have been cause for concern. The stark panoramic views were incredible; wide barren valleys intersected vast mountain ranges and for as far as the eye could see there was nothing but desert. By some divine grace, we made it down the pass, and from there it was only a short distance to the lodge.

As we turned the last bend, life burst forth. The Kunene River, rich and abundant with flora, was a startling contrast to the vast emptiness around it. The quadbike led us to the staff area of the lodge, where we were greeted by a nice gentleman holding a tray of cold towels, and a lady offering us ice cold beverages. We were filthy and sweaty, and yet the staff treated us like we were their esteemed guests. They served us lunch on a patio overlooking the Kunene River, during which time the manager informed us of the situation in their area.

This particular lodge is part of a larger system of game lodges stretching all across Southern Africa. Nestled in the junction where the Skeleton Coast wilderness meets the Kunene River, it boast being the most geographically isolated, and therefore one of the most exclusive lodges in the world. Visitors to this lodge reach their destination exclusively through chartered planes, and the going rate to stay is around 1000 USD per person per night. In exchange for the exorbitant fee, guests are treated to exclusive river tours, quadbike excursions to the Skeleton Coast and the surrounding dunes, beautiful wilderness drives in their stately Land Cruisers, excellent food, and panoramic views in all directions. However, because the lodge is built on communal land, they also have a responsibility to care for the local indigenous people in the surrounding area. One of their responsibilities is to provide transport to the migrant Himba people who frequently move back and forth along the river. The manager was alerted when people crossing the river began expressing great fear; reports were circulating that 10 people in one village on the Angola side had passed away due to Measles. A slow panic began to spread among the locals, and the manager quickly alerted the medical headquarters, who put him in touch with the Director of the Ministry of Health and Social Services, Kunene Region (aka my boss).

So there we were, dispatched to assess the situation, and treat/immunize when necessary. The manager wasted no time. He refused to let us camp and provided us an incredible room, which was far beyond anything we could have ever expected. After settling in, we headed out to visit four villages in the area. Because the villages were in hard-to-reach places, the manager took us and all of our supplies out with the Land Cruiser.

The first village where we stopped was tucked between a sand dune and a mountainside. Small scrub-grass managed to grow here in isolated patches, but it seems to be the only thing capable of eeking out an existence. Yet somehow the Himba were thriving. The villagers were so welcoming; we sat in the shade and they gathered around, listening as we explained why we had come, and sharing with us their fears and concerns. There were many children present, and we immunized them one by one. Some were stoic and some screamed with tremendous force, but in the end they were all covered. We did the same in three other villages, and passed out many mosquito nets and water-maker along the way. Luckily, we did not find any people with symptoms of Measles, and hopefully the villagers will stay that way.

It was a once-in-a-lifetime experience, and I am so grateful I was a part of it. Seeing how the Himba have been able to survive and thrive in one of the most unforgiving environments in the world really put my own life into perspective. Here are a people who seem to have "nothing" and yet they find enough to be satisfied in life. Their huts survive an average of three months before the environment destroys them, so they simply move and build different ones. When we asked the villagers what their cows were subsisting on, they could not answer; they don't understand how their cows could live in such sparse grass, yet somehow they do. They find joy in their children, and from the land itself.

Later that evening, as I drifted off to sleep in my exceptionally comfortable, thousand-dollar-a-night bed, I contemplated all that I have to be thankful for. I couldn't even begin to list them all here, but suffice it to say that I am grateful. It is an incredible adventure I am living, and it would not be possible without the love and support of my family and friends.

Our task completed, we loaded up our gear and headed back into the wilderness early the following morning. On the way back, we continued to distribute mosquito nets and other goodies, and we provided plenty of health education. We also collected 5 people intensely affected by Measles in a distant village and took them back with us to Opuwo State Hospital. All in all it was a very successful journey, and despite the many chips stacked against us and everyone who said we couldn't, we made it back in one piece. And in the vast emptiness (okuti onguza), we found a wealth of life and hope, scratching out an existence somehow...



Words to live by...

From A Rolling Stone
To pitch my tent with no prosy plan,
To range and to change at will;
To mock at the mastership of man,
To see Adventure's thrill.
Carefree to be, as a bird that sings;
To go my own sweet way;
To reck not at all what may befall,
But to live and to love each day.
To scorn all strife, and to view all life
With the curious eyes of a child;
From the plangent sea of the prairie,
From the slum to the heart of the Wild.
From the red-rimmed star to the speck of sand,
From the vast to the greatly small;
For I know that the whole for good is planned,
And I want to see it all.
-Robert Service

Wednesday, November 11, 2009

Adventures...

I am heading out to the field tomorrow morning with a small team of health workers. We are going to investigate some suspected cases of Measles, and possibly to immunize some children. I will do my best to take some pictures! Updates coming soon......

:)

Monday, November 9, 2009

Measles Update:

As of this morning, we have 362 cases of Measles reported in Opuwo District....and the number continues to rise. Our Measles Treatment Center is now fully operational, which is great for the 29 patients we currently have on admission at Opuwo Hospital. We are still struggling to acquire supplies and balance our staff, but at least the patients are now in relative isolation. Also, the health outreach teams returned from the field last week, and they were able to cover 872 children who had never been previously immunized. With any luck, we will have another round of outreach teams in the field next week so hopefully more children will be protected!


Friday, November 6, 2009

Omeva...

Water. Beautiful water.

Over the last nine months, I have become painfully aware of water. In my life before Africa, I understood water in simple terms: It comes out of the tap when you turn the handle, you can buy it in nice little bottles, the faucet has an endless supply, and you shouldn't let it run while you brush your teeth. Turns out that my understanding of water was very limited.

When I turn the handle in my bathroom, more often than not nothing comes out. Sometimes we go many days at a time without any water whatsoever; in the past seven days we have had about 6 hours of water service at the hospital. I repeat AT THE HOSPITAL. We deliver babies here and perform surgery. It boggles the mind that there is no water in a place where patients come to be treated for TB, HIV, Measles, and a variety of other illnesses. But it is a reality, and its now my reality.

The Director of the health facility has been very active of late trying to solve this ongoing water crisis at the hospital. Numerous meetings and discussions have been held with key officials in our area regarding the struggle we are facing in the absence of water. As often happens when a crisis breaks out in Namibia, a committee was assembled to address the issue. A couple months ago, representatives from various water agencies came out to the hospital and took a long look at why water is not being supplied effectively. They discovered that one of the main reasons why water is not being supplied to the hospital stems from an engineering oddity. The intake area in the reservoir from which the hospital should be pulling its water supply is quite high, and as such the reservoir must be over 60% full in order for the hospital to receive any water.

Now here is where the first problem arises. As long as NamWater is suppling all of Opuwo town and surrounding settlements with water, the reservoir level will remain too low for the hospital to receive water. Upon making this discovery, the decision was made among some officials to stop providing water altogether to two local villages, so that the water level could be raised. The water returned at the hospital, but when the Director discovered that it was at the expense of countless people in our local community, she again took up the issue.

It turns out that things are even more complicated; it just so happens that the vast majority of water contracts in my area are held by the Town Council, an organization of traditional authorities from the surrounding territories. NamWater pumps the water up from the earth, and the Town Council buys the water and in turn supplies it to the town. It seems that the Town Council has some past due contracts which are outstanding, and currently they do not have the money to square their debt. Thus, NamWater has refused to continue to supply water until some agreement is reached. So, for the time being Opuwo has water only when the Town Council can pay.

Now, unfortunately for us, the hospital is one of major contracts held by the Town Council. So we are subject to the same "water outages" as the rest of the town while Nam Water and the Town Council sort out their problems. This political problem, coupled with the engineering problems at the reservoir, have left us both literally and figuratively high and dry.

We have now begun the process of getting a direct water supply, where the hospital would have a direct line from Nam Water complete with private meter and a pressure boosting pump, thereby eliminating the Town Council as the middleman. The process is long, but if it works out Opuwo Hospital may have water once again. Of course the Town Council is not pleased to be losing such a large contract, but all of these things will have to sort themselves out in time.

So to add to my previous water understanding: water is scarce. water is political.

Thursday, November 5, 2009

Otjinguenjenje


Otjinguenjenje is the Otjiherero word for Measles. The entire Northern area of Kunene Region is being heavily affected by Measles at the moment. The outbreak started about a month ago, and so far Opuwo District has had 292 cases reported. Currently we have 36 patients on admission (15 adults, 21 children) and to date we have admitted 120 patients at Opuwo Hospital. Thus far two people have died: one a woman of 42, the other a two year-old child.


Measles is a virus which is highly contagious, and also highly preventable. Symptoms include rash, coughing, fever, conjunctivitis, and spots in the mouth (Koplik spots). In the Western world, people are routinely immunized for Measles as children, and outbreaks are virtually unheard of. However the vast majority of people in my area are not protected, and as a result Measles is spreading like wildfire. In schools children often stay in "hostels," where they sleep in close quarters, and the home situation is very much the same; the traditional style of living here keeps families very close together. As such, when one person is exposed, they then spread the virus to many other people.


This crisis has stretched us to the limit. Our wards are overflowing with people, and after three patients who were here for treatment for other diseases contracted measles, along with two hospital staff members, we reached out for assistance from other organizations in Namibia. Thanks to the Namibian Defense Force, we have now had five tents donated to our health facility so that Measles patients can be kept in relative isolation. Some nurses have also joined us from other regions of Namibia, and they are helping to ease the heavy burden on our staff.


So its been a very busy time here, to say the least. As one of the coordinators for the social mobilization/targeted immunization campaign, I have been working to help ensure that we protect as many children as possible from this disease. Last week we had 8 teams in the field, and over the course of 3 days they were collectively able to immunize 581 children who had not been previously immunized. It was a great start, and hopefully this week will prove to be an even greater success. Despite the fact that we are facing a transport crisis, as well as a water crisis, progress is being made!


There is still a lot of work to be done...wish us luck!



Wednesday, September 30, 2009

Here comes the rain!


The clouds have officially returned, and with them the rain! In the last few weeks the temperatures have climbed rapidly and the sky, which has been a startling shade of royal blue for the last few months, is now adorned with huge storm clouds. IT'S GLORIOUS.



Friday, September 4, 2009

Hungira....

Hungira means "speak" in Otjiherero, and it is used as a both a command and a request. So I'm going to speak on it. Here goes....

1. Namibia is rad. Its true. I have been here close to 7 months and I still get a kick out of passing goats, pigs, and cows on my walk to the grocery store.

2. I love street meat. One of my favorite treats is going down to the open air market and buying a few hunks of delicious cow. Most of the ladies who cook in the market know me, and I have become such good friends with one of them that she usually gives me an extra piece of meat for free :) They cook sirloin because it is one of the cheapest and least desirable cuts of beef (its not considered a "good" piece of meat here unless there are bones and gristle attached). After grilling the beef, it is seasoned and mixed with grilled onions and sliced tomatoes. When you buy some, they wrap it in torn pieces of old newspaper and top it off with some chili sauce...its AWESOME.

3. Conditions at our grocery store vary. For instance, now that tourist season has gotten underway, we have been getting an incredible selection of fruits and veggies. Last week the store even had feta cheese! Crazy! In general, our produce selection is decent...we get cabbage, tomatoes (usually better from the street vendors), onions, apples, pears, bananas, avocados, beets, potato's, oranges, broccoli....its enough to live off of. Sometimes the quality is poor, and sometimes things from South Africa are quite expensive, but overall I consider myself very lucky to have access to fresh produce!

4. On tourists: as grateful as I am for the influx of tourist friendly food-stuffs, by and large tourists are terrible. I know its awful to generalize like that, but I'll explain why...its not the "khaki nightmare" phenomenon which I find repulsive. In a weird way I almost appreciate the people who climb off the tour buses clothed head to toe in various shades of khaki (especially when they come complete with a floppy had and a gigantic camera) because they never fail to give me a good laugh. What really gets to me is the general sense of entitlement which people seem to feel over the local people. Walking to the store the other day, a shiny vehicle stopped in the middle of the main road and the smiling white faces inside quickly grabbed their cameras and started shooting photos of the local mama's sitting under a tree selling their herbs. It made me want to scream! Not only had they stopped the cars behind them, but it was a tremendously rude thing to do. Local traditional Himba and Herero people are often happy to pose for photos...they simply request that you get their permission first, and that you pay a few cents as a sign of good faith. I KNOW most tourists read that in their handy-dandy guidebooks, and yet they still take pictures and video of the Himba while driving by in giant air-conditioned buses. Arrrgg...is it too much to ask for just a little cultural sensitivity?

5. Summer is coming! Winter is now coming to a close and not a moment too soon. I am looking forward to the increasingly longer daylight hours (we actually "spring forward" this weekend), but along with more daytime comes the incredible HEAT. It is already starting to warm up a little more every day. Even the nights are getting warmer--i haven't needed a sweatshirt for rara's nightly walk this past week :)

6. My pupster is growing up. She got fixed a couple of weeks ago and recovered just fine! Most of the dogs in Opuwo are semi-wild and it seemed responsible parenting to have her spayed. No need to add to the uncared for population of local dogs (thanks Bob Barker). Everyone wants puppies but no one really seems to care much about the scrawny, malnourished dogs they turn into. Plus she will be happier and healthier in the long run!

7. On that note Rara went on her first long hike this past weekend!
We hiked the plateau with some volunteers who were in town visiting, and it was a lot of fun. She definitely tired out at the end, but overall she did excellent! This weekend I think I will take her on a hike in some of the nearby hills.

8. I miss my (American) family so much! Its no secret that I am head over heels in love with each and every one of them...i love getting updates on what everyone is up to and how things are going. I'm super proud of my sister Keri for starting her second year of college soon, and my sister Bayli starting fourth grade! I'm glad my brother Owen is recovering well and that my parents (all of them) are somehow finding their way through the nightmare that is the US economy. I love you guys and I cant wait for all of the future adventures we will have together....

That's all for now!

keande nawa, matu hakeanea....
(go well, we shall meet again)



Friday, August 21, 2009

Ongombe.....

Ongombe is the Otjiherero word for cow. The cow has great significance in Herero and Himba cultures; it is simultaneously a measure of wealth, a integral part of the marriage ceremony, a source of fashion, and a source of food.

Turns out cows are so important that they have somehow found their way into my dreams...twice. My first cow dream happened in training. In this dream my host family had given me a herd of 25 cattle (that's a LOT of cattle by the way). The problem was that I had to find a way to transport said cattle over the countless kilometers from Okahandja up to my permanent site, Opuwo. I was able to find a truck that would accommodate half of my herd, but I was really stressed about how I would move the others. In fact I was so stressed that it almost felt like a nightmare and I woke up without coming to any type of resolution. Yet when I shared this dream with my Namibian trainers, the consensus was that it was a great dream! A woman with 25 cows is rich and powerful here, and their interpretation was that in the future I am going to find myself in a very happy, rich, and productive marriage. This definitely made me giggle.

Yet not too long ago the cow revisited my dream world. In this most recent dream, I was flying back to the US and, for whatever reason, felt it necessary to bring a very large bull along with me. For obvious reasons, this became a problem when I was going through customs. Expecting a fair amount of corruption among the customs officers at the Namibian airport, I attempted to bribe the chief so that he would let my bull on board. No dice; apparently there was some worry about the length of his horns and the overall awkwardness a cow would lend to the distribution of cargo. Major bummer. Eventually I was able to talk them into allowing my bull to come along, on the promise that he would lay down the entire flight. Crazy right?

I have not yet had the most recent dream interpreted, but I'm sure when I do the explanation will be interesting. :)

One last thing while we are on the subject of cows: They are also great natural roadblocks!



Tuesday, August 18, 2009

Namlish...

English is the national language in Namibia. Of course, the quality of English varies greatly depending on whether one is in a rural or urban community, the individuals' level of education, etc. Interestingly enough most of the Namibians I know speak multiple languages including, but not limited to, their mother tongue, at least one other Bantu language, Afrikaans, and English. For instance, one of the women I work closely with at the office speaks Damara (a click language) as her mother-tongue, Otjiherero (a Bantu language) because her husband is Herero, Otjiwambo (another Bantu language) because it is closely related to Otjiherero, Afrikaans because she was educated under the apartheid regime, and English because it is now the language of the government! And she is not alone; I am continually impressed by how effortlessly Namibians flow between two or more languages in the course of a 3 minute conversation.

With all of these languages floating around in peoples brains, it is no small wonder that things can sometimes get a little mashed up. Enter Namlish. Namlish is the amalgamation which has resulted from Namibians infusing English with various expressions used in the assortment of mother-tongue's found here.

A few brief examples of Namlish:

  • "I am coming now" = "I am leaving and will be back at some undisclosed time" (this is often used as someone is walking out of the room)
  • "Now now" (as in 'i am coming to meet you now now') = "it will happen eventually" note: the number of "nows" generally indicates the urgency so if someone says they will do something "now now" it may happen in the next few days, whereas if they said "now now now now now" it may happen within the next few hours
  • "Iz it?" = wow, i had to think for about 5 mins before i could remember the English equivalent "really? for real? is that so?"
  • "So?" = used in my region the same way that 'Iz it' is used in the rest of the country
  • "Borrow me" (as in "Borrow me a dollar") = " give me" the concept of "borrowing" something doesn't really exist in most Namibian cultures; lending and giving are typically considered the same thing.
  • "nay?" (as in "the weather is hot today, nay?") = often used as a way to affirm your statement
  • "a rubber" = "rubber band" Im sure you can imagine how confused and surprised I was the first time one of my older female colleagues asked me to "borrow her a rubber."
  • "naughty" = "bad" this is generally used to describe people or animals and it still makes me giggle every time i hear it. "oh, that cow is very naughty"
  • "Fine/nawa" = Fine (nawa) can be used as a response to a greeting, such as "how are you? I am fine" or as the entire greeting. Occasionally I will pass someone in the street and they will greet me with "Fine" or "Nawa." This might be unique to my area, where making an "Mmmmmmmmm" sound at the back of your throat is also considered a greeting.
Needless to say, my English has degenerated significantly. Sometimes it takes me a little while to figure out how things are said in American English. I am aware that my spoken English now has a slightly different structure, i have developed a funny accent, and in general I speak much slower. I sometimes wonder if I am doing a disservice to my mother tongue by adapting my English to the Namibian way, but i believe adapting ultimately helps me to be better understood, nay?

Monday, August 17, 2009

I am back from Reconnect, and I must say it was great to see my friends from Group 29 again! We stayed at a lovely conference center which was about 20km south of Windhoek. The center was on the top of a hill, surrounded by rolling hills and sparse trees, stripped by the winter. The second day we were there, a large group of tourists set off on a three-week bus trip to Tanzania, so we had the entire place to ourselves which was great. Unfortunately it is still winter so even though the sun was shining, the frigid breeze kept us from fully enjoying the outdoors. Still, we took the opportunity to take nature walks, and i was able to do yoga almost every day!

Harmony Center/Reconnect


Today I am busy doing some preparations for National Oral Health Day (August 18th) and Condom Awareness Day (Aug 22). I just wanted to take the opportunity to share a couple interesting facts I learned from one of my colleagues during our Monday morning meeting; last week she was out at a workshop and today she reported on the things she learned.

**Namibia is one of the two countries in the world with the highest Tuberculosis infection rates. This is aggravated by the fact that Namibia is in the top 3 countries in the world with the highest HIV prevalence rates (HIV makes people much more prone to TB infection). If you want to learn more about TB, check out what wiki has to say http://en.wikipedia.org/wiki/Tuberculosis
**So far this year my region (Kunene) has had 4 cases of MDR-TB (Multi Drug Resistant TB), two of which have turned into XDR-TB (Extensively Drug Resistant TB). This condition develops when people default on their treatment multiple times and the bacteria mutates and becomes immune to the standard lines of TB therapy.

**Of the 23 new cases of XDR-TB confirmed last year, 13 people have died. That is a more than 50% fatality rate. Pretty intense.








Tuesday, August 11, 2009

She ventures out......

As of today (July 21, 2009), I have been in Namibia for five months. My goodness the time flies! That is not to say that there weren’t plenty of days which endlessly dragged on, but overall I am amazed at how fast the time has passed. The last week has been particularly hard for a variety of reasons, and it dawned on me today that having hard times is ok. It’s easy to forget that life is different here and I am still adjusting. Learning to be patient with myself has been a process, but I think I am slowly making progress. :)



Last week I broke my routine and left site for the first time since I was sworn in as a Peace Corps volunteer back in April. I had my first meeting as a new member the Volunteer Support Network, an organization run by PC Volunteers in Namibia to offer confidential support to our fellow volunteers working in the field. I was lucky enough to get a free hike down with our Ministry of Health patient bus, which was awesome because it literally left 200 meters from my front door. The down side is that it was a typical hike in Namibia: I was crammed into a seat too narrow to accommodate my small frame and the lovely lady who climbed into the seat beside me brought along a full sized keyboard, which she then preceded to stuff into the non-existent space between us. (Leg room is way overrated, right?) So there I sat, smashed against the window with said keyboard digging into my legs, when two lovely Herero women in yards and yards of traditional dress squeezed into the row with us. “It’s only 8 hours,” I said to myself as I inwardly braced for the long journey. Within about 20 minutes my back started to ache and my legs went numb. Oh well, at least the ride was free.



I tried to fall asleep quickly, which wasn’t too difficult because it was 6am (did I forget to mention that?) and when the throbbing in my back forced me to open my eyes a couple of hours later, I was greeted with a lovely surprise. We had just crossed the red line, a check-point which divides the rural north from the rest of the country, when I saw something move in the bush. I squinted my eyes against the harsh morning light and there stood a HUGE elephant, eating his leafy breakfast right off the side of the road! I was so excited to have spotted an elephant in the wild that I literally tried to jump out of my chair. This didn’t go so well, as I bashed my already numb legs into the sharp edge of the keyboard, while simultaneously jarring the poor lady who was sleeping next to me with her head resting against my shoulder. Oops! She sort of snorted awake, and glanced at me for a second before she readjusted the keyboard and fell back to sleep.



My heart pounded as I contemplated the thrill of this sighting. The elephant was remarkable; large and proud, it feasted on the tree totally oblivious to our bus full of people gawking foolishly at it as we barreled down the road. It took my breath away, seeing this giant animal in the wild. No zoo could ever compare. I sealed the mental image of it in my memory, and settled back into my seat only to sit straight back up three minutes later. Moving slowly across the land stalked a herd of 10 full grown giraffes! It was one of those moments where it dawned on me: this is indeed Africa!



Spending about five minutes in Windhoek gave me the opposite reaction though. The capital is huge and bustling. There are too many cars, too many shops, too many lights…it was overwhelming. It was as if someone had magically transported me into different area of the world. In 8 hours, my quiet, dusty Opuwo streets had transformed into multi-lane roads with actual streetlights! Designer clothes had suddenly replaced the rich red ocre of the Himba people. Exotic restaurants punctuated the blocks of shiny new buildings and all around everyone seemed rushed. Namibia is often called a land of stark contrasts, and traveling from my region down to the madness of Windhoek, this becomes very apparent. Almost as soon as I arrived in the big city I was ready to go back to site. Don’t get me wrong, the food in Windhoek was amazing! We had Tex-Mex, Indian food, Sushi, and good hamburgers and fries. Unfortunately I had gotten a stomach bug right before I left Opuwo which prevented me from eating very much at one time, but what I was able to eat was DELICIOUS! However, good food aside, the most valuable aspect of being in Windhoek was coming to the realization that I really love my site.



Our VSN meeting went very well and it was great to get to spend time with some of my fellow PCV’s. I am now back home in Opuwo for the rest of this week, and then Sunday I will head down to Windhoek again for our “Reconnect” which is a two week long Peace Corps training. I will meet up with my group of Health volunteers for the first time since we swore in so that we can all discuss what we have been doing for the last three months and hopefully gain some skills which we can use in our future projects. I am so excited to see my group again but I must admit the prospect of going back down to Windhoek so soon is a little daunting. At least this time around I won’t have the stomach flu, so hopefully I will be able to enjoy the delicious food a bit more!

Sunday, June 28, 2009

Wildlife

I've been in Namibia for over four months and so far I've seen giraffes, zebra, kudu, orex, baboons, and a variety of other assorted creatures. The bad news? No pictures of any of them. I know, I suck. Sorry Mom. At any rate I have been able to snap some pictures of some of my favorite local critters, and I will share them now....




Really big beetle. They seemed to love the grass at the Kukuri Center. Their furry-looking feet make them excellent diggers. :)


This picture is for my mom. She has the most irrational fear of moths, and I enjoy teasing her about it. Betcha cant wait to come visit!





This is my spider Bob. He's really big. I noticed him one night stringing his web from my windowsill to my jerry can and the original game plan was to sweep him outside, only I was too tired. The next morning when I looked he had somehow managed to trap a gigantic cockroach in his handy-dandy web. So he can stay! (Bob is up at the top, followed by a cricket he caught and the monster roach).






Praying Mantis. There are tons of them around my house and I love them because they eat lots and lots of bugs.





On the outside, it looks like a normal toilet........






But inside it's the home of Ronald and Reagan (thanks for the names sissy)!







Rara likes to pretend she is a lion. She lays on my porch and surveys the tall grass (and of course growls at anything that happens to walk by).






She's also likes to help with laundry. :)





Rara <3

Saturday, June 27, 2009

Feels like the first time.....



Thanks to some pressure from my little sister, I am now blogging! Thus far my updates have been sent through email, but its proved to be a pain for a variety of reasons so hopefully this works out better.


In honor of Keri's new blog, i have decided to share some photos from my last four months in Namibia! Hope you enjoy :)


I honestly don't think I'll ever get over the Namibian sky....



This is the welcoming mural at the Kukiri Center, where we had our Pre-Service Training.





Ashley and I had our Otjiherero language lessons under the grass hut every day :)





A beautiful cactus garden which was right next to our language hut...




The not-so-nice creature which came out of the garden...ya, that's a black mamba.




Benna saved the day.






Group shot with my family: (Top left moving counter-clockwise) My sister Drusilla, and her children Tandiue (age 9), Camerster (age 11), Tjizaa (age 6), and Victoria (age 6)





Victoria :)







Victoria and Tandiue playing in the backyard. The white thing in Tandiue's hand is a bunch of rolled-up plastic bags. That is what kids commonly use to play soccer here.

This picture was taken right before I left homestay for my permanent site. It cracks me up every time I look at it because Tandiue is making a marvelous face and Victoria is looking at the T.V. screen. The show that's playing is Camilla, a Spanish soap opera that is dubbed (horribly) in English. The drama is intense and for whatever reason many Namibians are really into it. By the end of training a fair proportion of Group 29 was hooked too!

My kids. <3>

I will just preface the next few pictures by saying Namibian food is great....if you like LOTS of meat! However, if you are vegetarian/PETA friendly (that means you Keri) you may want to skip these next pictures.


Important lesson learned: Herero men are not good at making fires. They struggled with this one for about 45 minutes until our training manager Linda and I showed them how it's done.


Peggy and I preparing the chicken for our meal.




Magreth hard at work.







Some of the girls from Nam 29: (from left) Myself, Peggy, Lindsay, Ashley, Shawn, and Amelia.
This picture was taken on our cross-cultural day. We spent the morning learning to prepare regional specialties from many of the different cultural groups in Namibia.




On our Host-Family Appreciation Day we bought a goat and slaughtered it.





My language trainer Richard. He loves warm Coca-Cola, Shamu #2, and throwing babies around. Ok that baby thing is a lie but the rest it true. (:




Richard working the braai. Its necessary to char the hair off of the hooves and head before they can be cooked.





Busy scraping the charred hair off of the hooves. Yummy ;)

Our trainers Linda and Raymond enjoying the chow. Linda is going to kill me if she sees this picture because she has a whole plate full of meat. Love you Linda!



My host-mom Barbara and I during our host family award ceremony.

This is a typical training day. We often lounged around on the grass during our much-needed break time.


Swearing in ceremony. We are now PCV's as of April 17, 2009! Whooooo!