Tuesday, June 19, 2012

No Tuesday


Well the adventure(s) begin again...! After 14.5 hours of flying, finally on land again temporarily in Hong Kong in transit to Singapore en route to Calbayog, Philippines via Manila where I'll hop on the USNS Mercy for 3.5 months of research and writing. Armed with a newly minted MPH in Global Health and a one-way ticket I'm excited but also anxious, nervous, and all the other feelings that accompany a big leap into the unknown.

Last night was yet another bittersweet good bye to the Pilram family, just when I was settling back into home again. It was 1 am Tuesday when I departed and 5:30 am Wednesday when I landed here, rendering Tuesday non-existent. The funny thing about crossing that dateline and popping up in another world and zone! It was also freezing and drizzling in San Francisco as we took off into the fog but it's already 85 here and humid enough to appear foggy... But looks can be deceiving and the heat mixtures and convective currents made for anything but a smooth approach. Given the heat, and fashion-forward culture of this shiny airport, my sweatpant-chic look appropriate in San Francisco, complete with black fleece, is unacceptable in Hong Kong! Into the trendy shorts, sandals, and blazer all in the name of fitting in. Which of course I dont!

Out of time, now boarding for Singapore... Onward!

Friday, April 20, 2012

Day with the vets in Nicaragua

As we round out the Guatemala stop I'm feeling re-motivated about the project and catching up on posts. Our internet on the ship is 1980s slow (yep, it actually predates the invention of the world wide web) which makes it tough to keep up with the outside world. So I'll mention it here and move on... Here are some pictures from my day with the veterinarian team. We started with a 1-hour ride through the muddy and roadless jungle to reach a central ranch where local farmers brought their stallions (unbroken horses) and a few cows for deworming treatment. While not the most sustainable intervention, from the vets' perspectives, the emerging theme of the mission is to arrive with what you have and do what you can. An unexpected bonus of this particular stop was the opportunity for the vets to talk with the local group about more effective and kind handling of their animals. The vet part of the mission has been an interesting group to study. They often work in the most rural regions of each stop and have close interactions with the local population. In many of these countries agriculture is an economic driver, supporting the majority of the rural community. From a public health perspective there are some interesting links. Health-wise, animal to human transmission can be a significant issue for the spread of disease, from handling of live animals to meat for market. The healthier the animals, the better the meat, better price, and subsequent economic opportunities for farmers. Additional income also has links to people's access to care. Although our medical mission is to support the public health system, the reality in these parts is that of the private sector health system, especially in rural areas. So healthy animals = healthy owners = enhanced access to the market = potential for increased access to healthcare. Of course the expatriates are not lost on the benefits of cheap labor + land and own large parts of the sector as well so that a few own a large percentage of the wealth. For our vet team, this has presented a challenge when the MoA-identified farms are not necessarily those most in need. Another challenge for our vets is a complete lack of supplies or contacts needed to complete more sustainable and useful serviceable. This theme to be explores further in my report but needless to say it was an eye-opening experience. As you can see from the pics it was a hot, muddy, and sometimes dangerous day. But in the end we all learned more about local practices, checked our own expectations, and did the best work possible. I very much enjoyed the opportunity to get off the ship and look forward to my next fieldtrip with the vets, a great and often overlooked part of the mission.


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Monday, July 11, 2011

Happy Canada Day, eh

A little late, but worth the wait. USNS Comfort does Canada Day...
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Sunday, June 19, 2011

Surf Caburf

So today I'm shadowing the Cargo Mate, which meant spending the morning surfing las olas de Nicaragua. This afternoon we'll be flying supple back to the ship in helicopters...
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Thursday, June 9, 2011

Chocquib Town In Tumaco

Chocquib Town getting on the helo to sing to patients on the ship. Spending the day with Carolina who is the MOE guru from the embassy. We spent yesterday on the ship talking shop and today is all about the afternoon performance... And all the challenges associated with escorting a young band with a fresh Grammy. Despite singing about their hometown, a humble village up the coast, at the airport they couldn't't be bothered with gathered fans and ecstatic tweens. Not even a wave. This afternoon they'll fly back to the coast, accompanied by the Navy band. We'll see how today goes!
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Wednesday, June 8, 2011

Liberty leave cont'd...

Hard to believe we were here a week ago. Some highlights from Manta including delicious treats, the Ecuador national military show dogs, and a sweet mountain biking trek - 20 miles of jungle cows and a hidden beach with Mike and Jeff. Next up, fieldwork in the Colombian jungle..
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Tuesday, June 7, 2011

rub-a-dub-dub...

Grab your sponge and scrub... Your helo.
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