Sunday, April 14, 2013

Let's Stomp Out Malaria




April 25th is World Malaria Day.  Most people around the world (including myself before I came to Zambia) are just not informed about malaria.   Malaria is the BIGGEST killer in the continent of Africa.  The World Health Organization reported in 2010, that 91% of deaths from Malaria around the world occurred in Africa.  Approximately 660,000 people died from malaria that year.  If you do the math, that is still almost 600,000 deaths in Africa due to the malaria parasite.  And most of those deaths, occurred in Sub-Saharan Africa.  Which hey, that is where I AM!  Zambia! Praise be praise be!

My catchment area of Siachitema, which consists of five villages, and one clinic, has 2,000 + people.  At my clinic, there is ALWAYS someone suffering from malaria.  Usually they do not come in until they are already in the later stages of the disease (which are pretty terrible).

 When I talk to villagers, most tell me they have had malaria AT LEAST one time in their life.  In fact most have had it SEVERAL times.  My host father Wesley has had it about 4 times, and my brother Eric has had it three times.  

Malaria is caused from a parasite transmitted by the female Anopheles mosquito. That’s right, only the female mosquito can transmit the malaria parasite.  Interesting right? Anyways, malaria is transmitted first from a human to an insect, then to a human again through a bite.   The malaria parasite is transmitted into your blood, and then is stored in your liver. Usually, the female mosquito carrying the parasite does not come out until around 11pm.  Once bitten, you do not experience the malaria symptoms for about two weeks.
The symptoms of malaria usually present themselves somewhat like the common cold or flu.  First you may feel tired, some achiness, or a headache.  Suddenly, you find yourself in more pain then you have ever had the misfortune to experience.  Patients with malaria feel cold then hot or visa versa, experience extreme shaking, an excruciating headache, muscle pains, or all of these things at the same time.  The most deadly form of malaria is called ‘cerebral malaria’ which is caused by the Plasmodium Falciparum Parasite.    I personally have never seen this form of malaria, but it is usually fatal and presents itself like malaria but with more neurological symptoms.  

A few weeks ago at my clinic, I gave a malaria blood test to a young woman who happens to be a neighbor of mine.  She was shaking uncontrollably, crying, and just in tremendous pain.  Obviously she had malaria, and the test came back positive a few minutes later.   She was immediately given the treatment  of  ‘quinine,’ which helps reverse the effects of malaria.  I was happy to see her on the bushpath on my bike ride home from teaching English a couple days later.

This scenario is not uncommon.   In the village, some people do not get treated for malaria and unfortunately pass away.  Children under 5 years old, HIV infected people, and the elderly are more susceptible to being killed by malaria.  Left untreated, malaria can be fatal.  

The main reason people get malaria in my village is lack of education.   The main way to prevent getting malaria is sleeping protected under a mosquito net.   Mosquito nets were given out to EVERY family in my village a year ago by an NGO.   Sadly, villagers use them in inappropriate ways.  Instead of hanging them over their beds, they are used as fishing nets...

Unfortunately, people simply are uneducated about the causes of malaria.  Some people even believe witchcraft is the cause, or HIV, or eating an unripe mango.  It is so important, that villagers are educated about the true cause of malaria, and that they use their mosquito nets EVERY night.  I was so surprised to find even educated people in my village, NOT using their mosquito nets.   When I asked a teacher why she fails to use a mosquito net, she simply said malaria is part of being in Africa.  This is absolutely untrue; Malaria is totally preventable by getting under a mosquito net before 11pm daily and using mosquito repellants like DEET.  It is horribly frustrating when people have mosquito nets and do not use them properly! 

One of my focuses at my school is teaching malaria prevention through English instruction.  I hope somehow, I can make a difference in the way pupils in my school view malaria.  And hopefully, they can help spread the word to friends and family deep in the village.  I also hope to work more with my clinic in my free time, and work on strategies to inform members of the Siachitema community about malaria prevention.  Just giving mosquito nets out is not going to stop the malaria epidemic.  Education is a vital component of prevention of any disease.  

In North America, malaria has been eradicated since 1951.  So the thought of malaria has been wiped out from the American consciousness. Sure, Americans experience mosquito bites.  But it ends there.  Mosquito bites in America are itchy and uncomfortable, but they do not hurt you, cause you to get sick, or impact your family in any real way.  It is not like that for thousands of people around the world.  Malaria is a deadly problem that causes REAL destruction in the lives of countless people.  I only hope that more people are educated about this killer parasitic disease and think about what THEY can do to help prevent it!   Let’s STOMP OUT MALARIA! 


Do you like Ed Helms?  Check this out :)
 https://www.youtube.com/watch?feature=player_embedded&v=WcCV0uGqMVI

DISCLAIMER:  The contents of this website are mine personally and do not reflect any position of the U.S. government or the Peace Corps.


Sunday, January 27, 2013

2013: Bring it On!


One year. 
  
It has been one hell of a roller-coaster ride since I stepped on that airplane at SEATAC to my unknown future in Zambia.  Oh how my life has changed since that day...

Since January 26th, 2012 I have learned one Bantu language, moved to a village into a thatched roof hut with no electricity, running water, or any modern conveniences that we are all so accustomed to.  

I taught 8th grade English for the first time in my life, and assembled a library with hundreds of books. I have learned how to cultivate fields using cattle and a plow, and plant maize. I have learned how to make food with nothing but charcoal and a brazier.  I am an expert on drawing water from a well and carrying said water (btw which has resulted in super buff arms).   


Leaving before dawn to Lake Kariba.
I have been riding a bike 6 kilometers every day to school.   I went on a massive bike ride with my Peace Corps buddies for 78 kilometers!  I thought I might pass out midway through that one.  

Throughout this year I have lost 50 pounds, killed 2 cobras and one green mamba, eaten caterpillars, termites, giant rats (R.O.U.S's), and many other things (not in this particular order).




I have seen children who have nothing wear the biggest smiles on their faces.  You see,  in my village, kids have to walk up to 15 kilometers (one way) to get to school in the morning.  That means, they have to wake up around 4am and begin jogging to school (sometimes barefoot) through small streams and mud.   They get to school around 6:45, clean the school grounds, go to class, clean, run home, work in their family’s fields, cook dinner, boil water for bathing, take a bath, and do it all over again the next day.
The road to school.  It is rainy season now, so I am definitely loving the green! 
Most of these kids in the lower grades do not have food to eat during lunch breaks.  Backpacks, pens, pencils, and even books to learn with are absolute luxuries.  They go home to huts without modern lighting to do homework at night.  And honestly, can you blame them for not doing homework?  I would be exhausted. 

But STILL, these kids come to school despite all of these obstacles and limitations.  And most TRY to better themselves. Zambian students in the village have such different lives from American kids.  Zambia is just so different.  I wish I could find a way to articulate the ways. 
 
All I can say for certain is, I am forever changed.

One thing that I have learned from this experience is that you really don’t need that much to be happy.  After this, no matter what, I will be fine.  You know that saying “The things you own end up owning you?”  Well, that applied to me so much before coming here.  I was constantly obsessed with getting the newest, fastest, and best technology, spending hours online, watching the newest hit TV shows and movies, and basically doing so many things that had no real meaning to me.  Sure, those things are great fun, but really, I was taking part in those things way too much.   I had succumbed to the worst aspects of the American lifestyle.   Here, my lifestyle has completely altered from what it once was.
Ah...Sunrise over a tobacco field. 

I have learned to sit in silence.  Not only by myself, but with other people as well.  During a funeral amongst the Tonga tribe, it is customary to sit with the closest family member to the deceased.  You don’t have to say anything, you just with them.  I will never forget going to a neighbor’s funeral, and sitting with the deceased’s sister.  I walked into this hut, and literally sat on the floor with this woman for an hour in silence.  And you know what? It was okay!  You don’t have to constantly fill the silence…

Instead of watching TV, I will read a book, jam out on the guitar, go fetch water, lay in my hammock, or work on my garden.  Sometimes, I will just go for a walk to the damn nearby and just watch the breathtaking sunsets.  I have learned to find peace and freedom in the silence, to just breathe.
Gotta love kids...

I taught term 3 by myself last year for grade eight. 
Now I have been given two completely new classes.  My new responsibility is one grade 6 English class, and one grade 8 English class.  I am starting with them from the very beginning, which is going to be amazing!  My grade 6 students have such a great attitude, and honestly seem to be learning so fast!  I am foreseeing some problems, because there are about 13 books for a class of 45.  It is going to get really tricky…  And grade 8 will be a little bit easier this time around, since I have already taught that grade before.  

I am introducing a new club to the school.  GLOW (Girls Leading Our World) camp was a huge success.  Thank you all for your donations to our grant!  The
7th grade girl I brought to the camp (Catherine) is going to be an excellent role model for the girls in my GLOW club.  Unfortunately, the other girl I brought (Mildred) moved to a new village.  But I have high hopes for Catherine.  She is a bit more shy, but I am sure she will grow a lot over the course of this year, and her time with me.  She is in my grade 8A English class, and has been one of the only ones raising her hand so far.  So I see great potential with her.  I can’t wait to get started this week with GLOW club!!!!
My girls, counterpart, and myself at Camp GLOW learning about Zambia's Wildlife at the Lion Encounter

I hope to write soon! I have been very bad about writing blogs and writing in my journal.  My new year’s resolution is to write more down and to take more pictures!  
Until next time!  As we say in Zambia, BE FREE!  
Love,

Amanda






My baamama and I on the canter ride back from town to my village.