Monday, July 06, 2009

The Rose Charities Sri Lanka microcrredit program supports over 700 small businesses. Each business provides livelihood for a family or cooperative group, and/or provides employment for local employees.

Friday, June 26, 2009

Monday, June 22, 2009


Denis Dronjics third blog entry from his epic journey..(click..)



Saturday, May 30, 2009

Our Voices 1st Workshop from Our Voices Project on Vimeo.


This is a quick look at the first Our Voices Project which took place the week of May 18th-24th, 2009. Photographer Hunter Barnes and artist Jason Rosenstock took cameras, printers, scanners and computers to the town of Lapwai, Idaho on the Nez Perce reservation and conducted a ten day workshop with teens there. Black and white 35mm photography, scanning, printing were taught as well as digital video shooting and editing. The students were asked to tell stories of their daily lives on the reservation through these mediums. All the equipment was left for the students to use and they have produced amazing work, which will be posted soon!

Wednesday, May 20, 2009



Dame Silvia Cartwright. Patron of Rose Charities New Zealand, visits the Rose Charities Cambodia Eye Clinic. Please click to read the article from Stratford Press

Left to right: Mike Webber IRose Charities NZ), Dr Hang Vra (Rose Charities Cambodia) Dame Silvia, Mrs Natalia Hang, Mr Bun (Rose Charities Cambodia)

Rose Charities NZ Trustee, Mike Webber, hosted a visit by Dame Silvia Cartwright to Rose Charities Eye Clinic in Cambodia.

The New Zealand judge and former Governor-General Dame Silvia is one of five trial judges for the Cambodia War Crimes Tribunal and has been based in Phnom Penh since last July. She is also a Patron of Rose Charities NZ along with Lady June Hillary.

Mike said that Dame Silvia spent 40 minutes at the clinic on Anzac Day aftershe had attended Anzac day events at the Australian Embassy.

“She was most impressed with what we are doing for the people of Cambodia. Dame Silvia is a charming and friendly person, who put all at ease very quickly, and was able to ask the staff all manner of questions regarding their work. As a non-medical person she was fascinated by the pre-op preparations for cataract surgery that took place whilst she was there. She was given a tour of the tour complex, with explanation of what was done in each area,” he said.

Mike spent seven days in Cambodia. In the past the trips have been up to two weeks long, but he said the visits are now shorter because they are fine tuning the operation at Rose Clinic and spending more time planning for the future.
Whilst there he took the opportunity to visit the school where the second intake
of refractionist nurses is in training. Cambodian National Refraction Training
Project has been established by the ICEE and Mike was one of the people instrumental in having this set-up.

“This group I saw in training was at Ang Doung Hospital in Phnom Penh. ICEE have had a huge input into this project, and have set up new offices in Phnom Penh where examinations and optometrical services will be carried out. There is input also from the Fred Hollows Foundation, and their person on the ground, Horm Piseth, is the Cambodian Overseer of selection and training for this course. Main input form ICEE Sydney comes from Gerd Schlenther,
Research and Programs Manager, Asia-Pacific, and Dr May Ho,
Project Manager, South East Asia who supervises the design and implementation of the training programme.

“There are seven nurses in the intake and they come from all over Cambodia. Once trained they return to their provinces and undertake the work they are trained for and refer people to the clinic when necessary.”

The 2007 Durban Declaration on Refractive Error and Service Development recognises that the greatest contribution to a severe worldwide shortage of refractive error services is the limited number of trained personnel, a need that is most pronounced in poor and marginalized communities in Cambodia.

The establishment of a National Refraction Training Centre in Phnom Penh and the delivery of refraction training by local personnel have been identified as the most effective means to address the shortage of refraction personnel in Cambodia.

The ophthalmic community in Cambodia is new and emerging. For example, in 2007, optometric services were provided by only 19 refractionists with no national refraction training available in the country.

RANZCO has also been successful in setting up a training course for Cambodian Ophthalmology, which requires four years of internship, and there are currently nine interns on this course. Visiting lecturers are supplied by RANZCO, and some other occasional lecturers brought in from Europe, Thailand, and the U.S.A per courtesy of PBL and the Health Ministry.

In December last year Rose Charities celebrated its 10th year in existence.

International Secretary for Rose Charities said the organization is about people helping people.

“10 years has seen a huge amount happening. Wonderfully it has happened in ways which really follow the Rose principals of ground level, person to person, 'human scale' initiatives. Everyone - organiser, donor, and recipient all benefit. Rose Charities is coming of age, but not, I am pleased to say, by adding layers of bureaucracy and rigid administration. Rose Charities remains what it always has been, and must always be; simply people helping people,” he said.

Mike said the eye clinic in Phnom Penh is well on its way to be self-sustaining but he’ll continue to visit from time to time to help fine-tune its activities. Over the past five years other kiwis have been involved in supporting this project. David Sabiston, now retired as a Trustee,
has made four visits. Christchurch optometrist and Rose Charities Trustee John
Veale has made three visits, and Ken and Penny Adams visited last year.


Tuesday, May 12, 2009

Walking to Santiago for Rose Charities...
www.justgiving.com/denis-dronjic
The never ending road! By: Denis Dronjic

I’m not speaking of the Road to Santiago I am so anxiously waiting to begin on May 13th, I am speaking of the road we choose for ourselves; the road that brings us to our destination, only to realize, once we arrive at our destination, that the destination has always been within us during the journey.

Here I am, once again, counting down the hours before the start to the new expedition. I must say, it’s a mighty coincidence that I am starting on my
Santiago expedition on the same day I set off on my ‘Pedal for the Medal’ expedition I did two years before, in ‘07. It was on May 13th, 2007 I set off from Nanaimo, British Columbia, to cycle my road bike 3,000 km to San Diego, California, to help raise money for Rose Charities. It was during this expedition when I was first introduced to my never ending road.

So here it goes…. On May 13th, 2009, I’ll be starting my walk on the Road to
Santiago. I had originally learned of this 860 km road through Northern Spain , from one of Paulo Coelho’s books. Paulo Coelho is a Brazilian author whom is recognized throughout the world for some of the most amazing mystical stories written. He completed this road himself and praised it a number of times in his books; that is how I came to learn of this Christian walk.

The 30+ days it took me to cycle the west coast is nowhere near the 45 - 60+ days I am predicting will take me to complete the walk to
Santiago . I know, I know! I should be able to walk more the 30 km per day and get this done in less than a month. If you are rushing to get things done, sure, a person could complete it faster, if that’s what they desire. But even if I wanted to rush - which I don’t - I can’t!! I am starting the walk on my one year anniversary from the day I almost lost my legs and my life.

On May 13th, 2008, I was crushed by a car! I was riding my motorcycle when I lost control of my rear tire – due to rain and inexperience-- and since I was not able to regain balance I had to dislodge my motorcycle, only to hit the pavement and slide underneath an approaching vehicle.

The collision with the vehicle was so severe that I was thought to be dead by all the bystanders since they literally had to lift the car off my body with their bare hands. After I was revived back to life, I was rushed to hospital in critical condition. A dislocated hip like I was dancing salsa on a deserted island hanging of the coast of Spain; broken right femur; broken right head of tibia, connecting into my right knee; broken right and left fibula; broken left tibia (open fracture with more the 3 cm of bone missing); broken left ankle; broken scapula; and last but not least, like all of this wasn’t enough-- internal bleeding and swelling in the frontal lobe of my brain. Besides the road rash, I think that is the complete list of the injuries I sustained in this horrific accident.

Now don’t be shocked, it sounds worse than it really is. If you were to see me today, you wouldn’t even know I went through this. Besides a few hidden scars and limping when I walk, I function like this was nothing more than a bad dream. I mean, physically I am not what I use to be, and I might never be again, but this hasn’t stopped me from chasing my dreams on this never ending road. And that’s what this walk is: a journey, a journey to the destination called
Santiago. A journey for all the children and families that don't have a chance to dream like you and I do. A journey for this world to wake up and take care of its people. A journey for all the wonderful work that ROSE CHARITIES has done and is continuing to do. A journey for you!!

Please donate, even if a dollar is all you can afford, trust me it will make a big difference. It is people like you that make the difference in this beutiful yet unfair world. I will be doing something that doctors DO NOT think is possible, and I hope you will do something I know is possible.

Thank you for taking the time to read my fundraising page. If you are interested in following my journey I am taking with my father, you may add me to facebook. Search for Denis Dronjic. I’ll be posting pictures and stories periodically when I arrive at a village that has internet. It is said that a person walking the Road to
Santiago has a spiritual awakening during his/her journey, so I am sure my blogs will be an interesting read :-)

Thank you and may God bless you
Denis
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Donating through Justgiving is quick, easy and totally secure. It’s also the most efficient way to sponsor me: Rose Rehabilitation Trust gets your money faster and, if you’re a
taxpayer, Justgiving makes sure 25% in Gift Aid, plus a 3% supplement, are added to your donation.

So please sponsor me now!

Saturday, May 09, 2009

CAMBODIA: The high price of jealous. Acid violence in Cambodia


Photo: William Grut/Rose Charities
Many children also suffer when some of the acid thrown towards an adult accidently drops on them
PHNOM PENH, 26 March 2009 (IRIN) - Sreygao is house-bound, her life destroyed after a jealous wife doused her face and neck with acid. It burned into her skin and blinded her.

“Everything has been taken from me because someone was very jealous,” she told IRIN.

Before the attack, Sreygao worked as a hostess at a karaoke parlor. Every night over beer, she flirted with and sometimes solicited sex to wealthy men, prompting an angry wife to take revenge on the 19-year-old.

“I have no face, no job, and I will suffer forever,” she said.

Deeper than scars

Acid throwing is a common form of retribution in Cambodia, usually perpetrated by jealous lovers, said William Grut, a physician at Rose Charities which provides free treatment.

“Whether male or female, jealousy is jealousy,” he told IRIN. “It's not a question so much for gender discussions but rather why it's so prevalent and how it can be reduced.”

Cambodia's pattern of gender blindness marks it out from Pakistan, India, and Malaysia, where it is usually the men who use acid on women for punishment or reasons of honour.

Between 1999 and 2002, the Cambodian League for the Promotion and Defense of Human Rights (LICADHO) documented 44 cases in local newspapers – the most thorough research to date, as no government body or NGO compiles data on acid attacks.

An attack occurs every 25 days, the group said in its report. But Jason Barber, a human rights consultant for LICADHO, told a radio station that the real number of attacks remained unknown since many went unreported.

Grut said the numbers available correlated with more populated areas, such as the capital, Phnom Penh, and smaller cities in Kandal and Kampong Cham.

Manifestation
''I have no face, no job, and I will suffer forever.''

The widespread availability of acid to replenish old batteries, weak law enforcement mechanisms, and what Grut calls “tertiary conflict injury”, have all popularised acid-throwing.

Tertiary conflict injury is a mindset in war-torn countries that problems can only be solved with violence, with beatings and acid attacks commonplace.

For decades, Cambodia has experienced coups, civil wars and a genocide in 1975-1979 that killed two million people.

“Cambodian history has regularly been very stressful for the [ordinary] person,” he told IRIN.

“This is not the same as PTSD [post-traumatic stress disorder], though arguably it may be a sort of long-term manifestation of it,” he said.

Repairing the damage

Corrective surgery is out of reach for most Cambodians, with 35 percent of the population living on less than US$1 a day, according to government statistics, so most sufferers must rely on emergency services from NGOs.

“Clearly in Cambodia, facilities are far more limited than in western countries, where one would have a long series of repetitive operations gradually working things back, reconstructing, and grafting,” Grut explained. “It would all be accompanied by very close counselling and peer assistance.”

But first, more attention needs to be paid to acid attacks as they are usually not a priority for local NGOs and government agencies, he added.

“There's not enough recognition at the NGO level, but at the street level there is,” he said. “People tend to know about acid attacks as the word goes around.”

Geoffrey Cain

Monday, April 06, 2009

Iron Woman of Rose Charities Australia to help Cambodian rehabilitation !

video

Friday, March 27, 2009


Canadian Model Noot Seear recently returned from a trip to Cambodia and Vietnam to visit some of the Rose Charities projects that she has been supporting for years. Noot is a model and actor and has used her celebrity contacts to help raise thousands of dollars for children and families in USA and worlwide. She is rumoured to have been cast as Heidi in the movie New Moon, which is a sequel to Twilight. This photo was taken at an orphanage in Vietnam, She also visited the Rose Charities Eye Clinic that treats over 10,000 poor cambodians for eye disease, and the FIRST Rose Clinic that conducts free surgery for children with cleft palate, burns and oter injurues. Noot is president of Rose Charities NY. for more info www.rosecharities.org

Wednesday, March 18, 2009

Thank you to Rose Charities Vietnam for a wonderful meeting
(click on letter below to enlarge)


Tuesday, March 17, 2009

OPERATION SMILE MAKES ME HAPPY

2009 March 17

tags:
by jaotte

We’ve got 6 OR tables running. Not 6 rooms, really, because some rooms have 2 tables. All the bleep bleep of anesthesia machines can make it confusing, but generally we’ve got it down.

Yesterday I assisted Prabir, a friendly plastics man from India. We did a really really huge bilateral cleft lip - not a lot of tissue to work with, a facial cleft (Type 7) and some skin tag removals, a unilateral repair with rhinoplasty, and something else which I am forgetting at present. It was a pretty good day once we got going - don’t know what the delay code is for “Luke left the key to the OR suites back at the hotel”, but that’s what happened!

Today was much smoother. Our scrub ‘techs’ were not around for the first case, so I served as the scrub nurse. I’m pretty bad at it - didn’t know all the names of the instruments, had a hard time hearing what the surgeon asked for, and even dropped a needle driver on the floor! But, we got through and our lovely Phillipino surgeon didn’t bat an eyelash. Then I found myself next door, thinking I was just observing, when I got pulled over to intubate. Easy peesy! But - the RAE tube was a bit too small [there was a little leak] so I had to extubate and by then we had some laryngospasm; it was tough to get the 2nd tube in, so the Anesthetist handled the finishing bit thankfully.

I had fun teaching a first year med student from Tulane how to scrub, and she did a great job. Didn’t contaminate anything or piss anyone off = fantastic for a first go! Waiting in the wings to scrub on the next case - a facial cleft - there was a heck of a time getting an IV in the kid. Dehydrated and cold (thanks to cranked A/C), 4 paeds anesthetists, a paeds intensivist, and a NICU nurse tried, but all they got was a pin cushion. So, the surgeon did a venous cutdown, which seemed the definitive solution but even then, a juicy vein could not be found. We were lucky that the little girl fed vigorously in PACU because that IV flow kepts ceasing. I took out the IV in post-op recovery, since she was sucking back the Tang with no problem (and the IV was just an object to be thrashed away).

Long day. About 11 hrs on the feet, with a lunch break and a bit of loitering in between being needed. I love the variety I’m getting but I’m hoping tomorrow to scrub with Dr. Sarom and see what he can do. Sounds like he is one of the best in Cambodia and I haven’t really gotten to work with him yet.

The amount of collaboration, teaching, and learning is incredible. Surgeons from each country visit their colleagues tables to see how they are doing this flap, where they are stitching this bit, whether they are using collagen here or not. Our crack dentist rigs up prosthetics for the palate and the nurses are turning heads and taking names by being superb at their jobs. We’re all learning from one another and making things go smoothly. It’s amazing what a very-well funded, well-staffed production can do in such a short time.

On Saturday, the crew will all be heading to Siem Reap. The poor among us, and those who want to see the countryside, will take the bus. The rich Yanks will take the plane. I’ll return and have another 4-5 days with Dr. Sarom. I may splurge on the return journey so that I can squeeze in an extra day in Phnom Penh. Gotta get my evaluation sorted and I’ll be off to Saigon for 2 weeks of ER in Cho Ray Hospital!

p.s. I’ve got so many rad photos, including many of the surgeries I’ve been on, up close shots of the venous cutdown, and videos from the back of the moto… but these will have to wait for my return as I’ve yet to find a cafe with a memory card reader here.

Thursday, March 05, 2009

Noot Seear of RoseCharities USA has he hair done in a Somaly Mam training center for hairdressers. Rose Charities USA is a stong supporter of the anti trafficking organization, 'Somaly Mam', as well as the local Cambodian Rose Charities medical and surgical rehabilitation projects. Rose Charities itself supports anti trafficking activities in Nepal.
RoseCharities USA also runs its own USA based media-education project with native American groups in Idaho.
Noot is currently (Feb-March 09) with fellow model Annie Henley, and digital artist Jason Rosenstock, visiting Vietnam and Cambodia, partly for the 2009 RoseCharities International and Regional Planning meeting.

It is rumoured that Noot is currently auditioning for a role in the Twilight (New Moon) movie as Heidi. Good luck Noot !

Sunday, March 01, 2009

video

Sunday, February 01, 2009

Noot Seear (RoseCharities USA) assists Somaly Mam, by modeling at their annual charity fashion show 2008

Somaly Mam is a wonderful Cambodian NGO dedicated to ending exploitation and slavery. They report...

"Many people are shocked to hear that more people are enslaved today than at the height of the transatlantic slave trade. Modern day slavery is a thriving and growing business and has been able to stay out of the public eye until recently. Action comes from conversation and conversations about slavery cannot happen unless the public is educated.

The Somaly Mam Foundation is dedicated to raising global awareness through the news, media and entertainment, celebrity voices, speaking engagements, encouraging university and high school involvement, internet communities, and other forms of communication."

Rose Charities has been working in Cambodia since 1997 and is of its leading organizations medically helping victims of acid-violence, as well as providing cleft palate, and other surgical rehabilitation procedures for the poor in properly recognized Cambodian hospital environment. With a Cambodia wide network, the organzers of Rose Charities well know what wonderful work Somaly Mam carries out and lauds their achievements strongly. Noot Seear was one of the founder members of RoseCharities USA. It is a Rose Charities policy to coodinate efforts where it can with any honest organization which will bring benfefit to the needy.

Thursday, January 22, 2009

The impact of disasters on children. By Dr Yaya de Andrade
(clicking on article below will enlarge it)


Tuesday, January 20, 2009

A huge CONGRATULATIONS and our best wishes to President Barack Obama on his inauguration today 20th Janary 2009 from the whole RoseCharities USA and the whole Rose Charities Network.

Sunday, January 11, 2009

Note. 2008 Annual Report. Now up on www.RoseCharitiesReports.blogspot.com

Sunday, December 28, 2008

Christmas and New Years message from Mr Louis Lap Nguyen, Chairman of RoseCharities Vietnam 2008


I wish you and your families a very merry Christmas and a Happy New Year. I am especially thankful and honored to have met and worked with a talented and dedicated group of people. This year has marked the beginning of Rose Vietnam in many special ways and we had jointly made it happened. We had built a solid foundation under the mission and framework of the larger Rose International Charities Family for which I am grateful for the guidance, support and resourcefulness. Our momentum will continue into the the years to come. I believe that the hopes and dreams of whose lives we had touched on serve as the shinning light for our purpose, the motivation for our cause and the force that had brought us together.

At some point in life I had read a phrase that goes like this: \"The finest form of charity is to enable a poor man to support himself with honor and usefulness,\" and with the little difference that we make out there in incremental pieces, I also recall someone saying this: \"To make something-something real, visible, fruitful and productive-where once there was nothing is a fine expression of one of the deepest and healthiest human instincts.\" Since then, I carry this baggage with me and reflect on it from time and again. But now, I am immensely optimistic...because...I am not traveling alone...I have you by my side.


Louis Lap H. Nguyen RPh. MBA

Saturday, December 27, 2008


Christmas Message from Lawrence Cheah: Chairman Rose Charities Malaysia
www.MyRoseCharity.com

Today is Xmas day.Christmas is a time for gathering family and old friends together. Christmas never fails to bring to mind the divine words."Peace on Earth and Goodwill towards fellowmen ."So, on this Christmas Day, while we exchange good wishes and entertain visions of a better future for us and for everyone else, we solemnly dedicate ourselves to do whatever is in our power for the realisation of "Peace on earth and goodwill towards our fellowmen "

But just as it makes us feel loving and loved to open the door to familiar faces and new faces of Rose Charities International global village volunteers and welcome them in,it's also a time that reminds us of those who are no longer there.

So in the midst of all our drinking,eating and getting very merry, we shouldn't forget that Christmas is also a good time to stop the usual noise of our everyday life........to remember and then celebrate those we're loved and lost .

Former Indian prime minister Jawaharlal Nehru once said : " What we really are matters more than what other people think of us " .

To achieve our international global mission statement,we will build on the strength of our volunteers,our track record and professional reputation .

WE should forge ahead towards new levels of excellence in order to create sustainable growth and distinctive value for our members and the community at large .

Mother Teresa said : " Never worry about numbers ,help one person at a time and always start with the person nearest YOU ."

We should also empower our international pool of volunteers to serve their communities,meet humanitarian needs, encourage peace and promote international understanding and goodwill through Rose Charities Centers throughout the world .

We should have passion for everything that you do,then joy will come from that passion " .

Theodore Roosevelt once said : " DO WHAT YOU CAN,WITH WHAT YOU HAVE WHERE YOU ARE '

As volunteers , we must demonstrate to others......how much good can be achieved ( the numerous projects and activities carried out by Rose Charities CHAPTERS )by sincere efforts,unselfish spirit of service and excellent spirit of suport and co-operation in the community in which we live in .

IF you give somebody hope ,you give them dignity. Most important, you show them that somebody cares. That is how i found what i call purpose of life .. trying to lend a helping hand to someone and show them that somebody does CARE .

With another milepost in sight and another year bckoning us with hopes and opportunities for service to the commuity, we stop a moment to reflect upon our pleasant relations of the year about to close.

It is indeed,with gratitude that i look back upon the past year and thank you for your continued support and trust in electing me your Malaysian chapter president.

Your presence will be the barometer for our efforts.It will spur the adminsttration on to greater heights and achievements .It will be more than an indication of support,it will be an inspiration for even better and more projects and activities for the malaysian organisation .

May i extend to you,your family and volunteers from Rose Charities global village bst wishes for a very happy,healthy and properous NEW YEAR .

Warmest regards


Lawrence Cheah..

Thursday, December 11, 2008



If you are short of a Christmas present.. why not buy two in one. !! A Rose Charities Madagascar ($Canadian 15 each), not only gives a calendar but also an (almost) $15 donation to Madagascar Child Education. (the printing costs are donated). Contact Emma (Vancouver/Victoria. BC). Or the see http://www.rosemadagascar.com/

Monday, December 08, 2008

Making Momo's.. Rose Charities New Zealand learns from Rose Charities Nepal.. !
.. (Click on frames to enlarge)...








Friday, November 07, 2008

RoseCharities UK, Vietnam, Australia, New Zealand. Short report of visit and AGM's. Fall 08





Saturday, September 20, 2008

Letters from Sarah (2008 Cambodia)

Hi everyone,

Well week 1 is coming to an end and we have had the most amazing week. I am absolutely loving it here. We have been well looked after by our In-Country Manager Mr Hour and his two assistants, Roth and Souma.

I will try to be brief as I know how much you "love" the epics that I often write, but I can't guarantee anything!!

We are staying in Golden Street which is in the heart of BKK, the area where all the NGO's are - we are surrounded by UNDP, UNIFEM, Care, etc, etc, etc, and take interest each time a 4wd goes past with a new NGO symbol on it - I'm sure that will stop being exciting pretty quickly but at present it's still pretty cool!

We did an amazing boat trip on the Mekong the other day that Hour organised, complete with a pizza lunch and Asian hip hop blaring from a tv on board. We drove around for 4 hours just watching river/rural life go past and stopped at a village to watch the silk weavers, and visit a pagoda. Surrounded by children immediately - I don't know how word gets out, but it travels quick amongst the children when foreigners are in town!

Have been spoilt by beautiful food and cheap drinks! We ventured out to a couple of nightclubs the other night which was hilarious. The first one had a live Philippino band playing anything from REM to Van Morrison. The second club, aptly called 'The Heart of Darkness' was pretty crazy, a heavy dush dush style music, where you get padded down for firearms on the way in....hmmm, dodgy but fun, mixture of a gay bar/gangsta bar - not sure we'll be going there again but it was a funny experience! Apparently it's a place where the military/Prime Minister's sons go...

I met my new boss and the AYAD who's been doing my position Thursday night and they are both lovely, Rady has fantastic English and warmed up, telling me lots of funny stories, so I am sure that we will get along great and work well together.

We went to the Australian Embassy and met the AusAID staff who told us what a fantastic place Cambodia is to live. I think their stories were useful from an awareness point of view though, mostly problems of bag snatching and moto accidents, which with common sense can mostly be avoided!

Funnily enough though, for all those people who thought I was brave doing this, I will give you a taste of how we are living....yesterday I had a breakfast of bacon omelette and baguette, then went off for a short seminar on land mines (which are largely cleared now so not a problem for us), then a little nap (it had been a late night the night before), then I got up in time to head to the pool, which is called the Pavillion, amongst a tropical garden, with day beds spotted around complete with mattresses and cushions, a lovely place to read a book, had a swim, had a fruit juice and a green mango salad, played a game of scrabble, had a beer, had an hour long lounge in the pool, then headed home to get ready to go to a free concert. The concert was massive, held at Olympic Stadium - the biggest Phnom Penh has ever seen apparently. It was put on by a mobile phone network company as their launch. It was pretty hilarious but we were unfortunate enough to have to sit through an hour long set of Stacie Orricco's music, some American chick I had never heard of, who was full of self importance and seemed to like the sound of her own voice and wouldn't get off stage. The local acts were a bit more interesting...Cambodian pop, rap and hip hop - hee hee.

We've done so much more than that but if I do it day by day, it will be sooo long, we've done so much already...

So yeah you could say life is prettty cruisy at the moment - sorry must go, have to head off for my 1 hour massage for $10.

Hi everyone, well here we are, almost at the end of week 2.Busy, busy, busy but we have still had time for relaxing...we think it's the calm before the storm as we will all start working on Monday/Tuesday.

Week in brief:

Last sunday ventured to a Cambodian Beer Garden/Restaurant where we discovered"beer rockets", a plastic portable keg that you get for your tabel - a fantastoc invention - not that cold so we've discovered drinking beer with Ice - makes it a bit falt but it's better than warm beer. Had an entertaining communication brealdown as we tried to order off a Cambodian menu which we couldn't read - the boys were trying to act out various animals but it seemed to get a bit confused as cow got translated into frog - not sure how, but frogslegs were actually quite good - tastes like chicken. We were a bit perturbed when a plate of offal was delivered but it turned out it was the table next to us. The street sellers then came into the restaurant with friend snakes, crickets, worms, beetles. Tried the crcikets and they are actually quite good - still working up to the friend tarantulas though....

Started Khmer (Cambodian language) lessons on Tuesday, had 15 hours, very useful, we just need to keep practicing. We had a fantastic local teacher who has taught in Japan and Sweden as well. He escaped to Vietnam during the war so could continue his studies there. We have already had a few people tell us about their families' experiences during the Khmer Rouge, most people of the 40-50 year old bracket lost members of their families, especially their fathers - very sad. I'm reading the book 'Surviving The Killing Fields' too which is making it all pretty real - I just don't know how anyone survived and it's weird to think that anyone who is over 30 here is a survivor.

My name, pronounced se-raa here means alcohol - how fitting! Hilarious, I wil be the butt of many jokes!

We were taught soem more cultural do's and dont's too - learnt that as a woman that you do not take alcohol to a person's house if you are invited to dinner, that you should take fruit, but not pineapple or papaya as that is deemed a vegetable here...also learnt that Cambodian dogs will run away if they are chasing you and you sit down on the ground - don't really want to try that one out though!

I went to the Rose Charities Eye Clinic on Thursday to drop off some equipment I had bought from SA and some hats that Will had ordered in Phnom Penh. Dr Vra wa sthere, who I had met in Penang. He showed me around...it was really amazing just what they achieve with such modest facilities. The recovery room is really just a room with palette beds lined up, the patients are dependent on their families for food and water. We can't afford to provide them with any more care than that. This is an improvement though as they used to have beds outside on the verandha. They have two operating tables and can do up to 8 surgeries a day and can consult up to 100 patients in a day - unbelieveable - quite inspirational! I hope to visit the Rose Charities hospital in a couple of weeks when I am back in Phnom Penh.

I will be picked up by two of my colleagues that I haven't met yet tomorrow and will be taken back to Prey veng - pretty excited to be seeing where I will be based, a bit nervous too!! Looking forward to getting more settled - I have pretty much been in transit now for 3 weeks, since I left Sydney...and expect to be at the guesthouse in prey veng for at least a coupleo f weeks while I look for accomodation - apparently there's not much around at the moment.

We are feeling the effects of major inflation here as rent has become quite expensive - not so much int he provinces but the Phnom Penh volunteers are finding it hard to find a place. Tuk tuks and moto rides are getting more expensive to as the price of petrol soars, it's over a dollar a litre here too - crazy!

We went to a karaoke bar which was pretty dodgy, we think it was a brothel - we had a beer girl who kept coming in to pour our drinks...we gave the prostitutes a miss. The sng selection was pretty funny - early 90's was the most recent stuff we think! Unfortunately the sex tourism is very much in your face, we have found that pretty confronting.

Went to a bar that was floating on the river called pontoon, that was quite cool, again the music was stuck in the 90s though. Also went to FCC which wa sthe old war correspondent/colonial hang, beautiful building on the river. There was a latino/rock band playing which were great.

Well, I guess I'd better leave it there - I'm sure I've forgotten some crazy experiences, but you'll get sick of reading!

Hi everyone, well I've managed to survive my first week in Prey Veng!! It's so different from Phnom Penh but I am starting to learn my way around. It's not that big, probably about the same size as Yoshinaga, the town I lived in in Japan. This experience has reminded me so much of my time in Japan, I'm glad that was the dry run!

I was really looking forward to the drive from Phnom Penh to Prey Veng to see how quickly things changed from city to countryside, and is a pretty dramatic change. The road here was pretty hot and dusty as it's the dry season and there were some roadworks along the way (Japan has donated a new road surface for some of National Highway 1) but in all the trip was quite smooth - ie. it's paved the whole way (apart from where japanese earthmovers are working) - I thought it would be a lot bumpier and hairier but actually the traffic wasn't too bad - not half as bad as India! The ferry crossing was an experience, pulling up to wait your turn, your car is completely surrounded by roadside sellers, everything from CD's, crickets, mangoes and coconuts. I was a little bit scared to leave the car as they were pretty aggressive beggars - always the case at these weird kinds of travel stops...

Prey Veng has one main road, where there are markets and various other little shops. the markets are pretty crazy - lots of fruit and veg as well as meat and fish - plus tailors and shops that sell pretty much anything....it's a bit daunting to start with as you get a lot of stares but I'm sure I'll get used to it. I was glad to have Khim (my predecessor) with me for my first experience as she can speak Khmer which helps as no-one speaks English there.I have to learn the maguage pretty quickly - it's already testing what ilearnt in phnom Penh and I am so glad for that exposure, otherwise I'd be even more helpless than I am. I had that advantage in Japan and find not having tha language really frustrating - must study!! Will ring a guy to try and start lessons next week!!

Then there is a road along the riverfront/rice paddies, this is a big esplanade type road lined with huge trees which is a really nice place to hang out, there's a few open air restaurants along there too, so i'm sure they'll be my new hang, however they don't actually have menus so I need to learn some dishes in Khmer quick!! hav etried a few local delicacies, baked bananas on sticks which they sell on the side of the road - they were nice, baked banana wrapped in sticky rics and roasted in a banana leaf, also nice. Sugar cane drink and fruit smoothies all made from little carts on the side of the road....and I haven't got sick yet!

Khim helped my buy a bicycle so I have wheels which is really important to get around, got slightly lost the first day going to work by myself but managed to ring khim for directions...am better with directions now though and will do another orientation round today to get my bearings better. All the streets look the same though so it does take some time to get around by landmarks.

The kids are great, they had to get up one by one and introduce themselves in English (or Khmer for the youngets ones). I have a translator which I am so grateful for, there's not much English spoken - except for my boss and this guy so I really do need him. The kids are so energetic...there's 42 of them and they are all over you....they grabbed on to my hands immediately, checking out my skin (they love the white skin), checkig out my nails, touching my legs (lucky they were'nt to hairy), etc, etc. They call me "sister", or "sister sarah" which comes out with all different pronunciations! They can speak a smattering of English but not a huge amount, they are just starting to have Englsih lessons run by the orphanage in the evenings and I will be helping the teacher improve here skills due to my experience in Japan. They love to sing and dance and do all sorts of lessons throughout the day while they are not at school. Life skills, english, computing, sewing, the older kids teaching the younger kids, older kids working in the office, music therapy, art therapy, etc, etc....although they are children from a difficult background they are really becoming children of priviliege purely through there access to information in terms of health and hygiene, english, computers etc but there is still so much more that can be done.

Unfortunately the minimal budget with whcih they've got to work does mean that facilities are pretty rudimentary, they have 1 4wd which takes all 42 kids to school - 2 trips,they just pile in on top of each other. The office has plenty of laptops which were all donated but has a pretty poor printer, ink seems to run out and they have to wait til the next month - they just keep shaking it and hoping for the best but you can't really read what's being printed out this week...it's important culturally for people to have business cards here but they can't afford them for our Director...yeah so it's going to be a big challenge but so rewarding. Adjusting to not working with email is really weird...I'm looking into how much it will cost and are thinking about funding it myself if we can get it set up - for my own sanity as well as the opportunities that it opens up for office efficiency and ease of research...we'll see....

Sorry, so much....AGAIN, there's just so much to experience every day. Don't know how I'm going to fill the weekend but we'll see how I go - I thinka ride around town, braving a restaurant y myself, house hunting, language study and reading, as well as watching Grey's anatomy (got the latest season in Phnom Penh) will keep me busy for most of it. I have been invited to the cook's mother's funeral tomorrow too - not sure what that involves but should be a cultural experience....

Hey everyone, well what have I been up to for the past week?? Mainly just work, I've met a couple more foreigners in Prey veng too which is nice, everyone moves around a fair bit so it's not always easy to catch up but its nice to know there's some English speakers around. Good news is that I move into my new house today - I'm in Phnom Penh now but am about to get on the bus back to Prey veng for the big move - so I guess I'll be busy cleaning and getting setup over the next week. Then I have a week off for Khmer New Year and will be heading up to the NE of Cambodia, to a place called Kratie where one of the other AYADs is working, she is a vet nurse looking after the Irawaddy dolphins which seem to be dying out at the moment - she will be running tests to try and work out why. So all of us (9 others in Intake 21) are heading north! All good.

I've spent the weekend in Phnom Penh (PP for short) which has been nice. Good to catch up with friends and have a bit more luxurious food than Prey Veng has to offer, but I am actually looking forward to getting back to the quiet life - the big city is a bit crazy for me now! We went to the Australian Embassy for drinks on Fri night, they run drinks on the first friday of every month. The best bit is they do a sausage sizzle - yum! Then we headed off to have some dinner and then went to the "Elsewhere" party which was packed. This is the biggest party that goes on in PP, and is held at a big old house with a tropical garden and swimming pool. It was pretty mad, passionfruit cocktails, people jumping in to the pool fully clothed, etc, etc. It was a good night. then saturday we decided to go to the water park - which was very dodgy with a few waterslides and pools, we think the water is not chlorinated so are a bit worried we might get sick - uhoh...we'll see, I'm waiting with bated breath. An experience all the same.

So I'm going to have to buy some bits and pieces for the house to make it my home, hopefully my coleeagues or someone will help me as there really isn't any english spoken at the market and they will comletely try to ripme off being a newbie and all. I have started Khmer lessons in teh hope of learning the language as quick as possible - it's a must in Prey Veng!

This Thursday we have a Khmer New Yera party at the Orphanage which will be interesting, it starts at 5:30am with 7 monks visiting to bless the premises and the kids. Then there's games and special food, should be fun!! A lot of the other foreigners in town are coming so it will be nice to see the kids going crazy over them and giving me a break!!

Not much more to report I'm afraid...should be more next week, when I head off on the Kratie adventure!

Talk soon,

Hey everyone, I know I only wrote on Sunday but I thought I’d fill you in on my house adventure – that is my first time renting a Cambodian house – there’s been a lot to get used to but I’m feeling a bit better settled, at least better than I did on my first night in my new home….

I rushed back from Phnom Penh when I got word from the guys from work, who double as my translators, my estate agents and my lifeline when things go a little awry, that although I wasn’t meeting the landlord until this Thursday that he is happy for me to move in before we sign the contract on that day. After much confusion about bus times I caught the 10:30am bus whose bus driver actually rang my colleagues who booked for me, an hour early at 9:30am saying they were full and wanted to leave…luckily I was on my way to the bus stop in a tuk tuk so they waited for me. The bus was packed so it was lucky I had booked a seat….I think it could have comfortably sat say about 20 people but probably had more than 40 packed in, complete with plastic stools down the aisle just to make it more comfortable – no-one was standing they all managed to find somewhere to place their bums…the trip took just over two hours on the way down but on the way back it took over 3 hours as it seems extra people means that there’s more chance that people want to get off enroute rather than at the final destination so there’s a lot more stops. It seemed that it must have been consensus to stop at a bakery on the side of the road too and buy everyone’s bread quota for the week, I must have missed out on the memo! The ferry terminal was the next pitstop where everyone went crazy buying corn, crickets, pork & rice, coconut parcels which I think have red bean paste mixed in, green mangoes, and pretty much any other snack you might desire. No-one need leave the bus, it all gets carried to the windows on the sellers heads, it’s quite a mission to get your goods served, to pay and get your change sorted before the bus drives off though…

[Ok I am in my new bedroom and there’s a noise coming out of my wall that sounds half bird, half bull frog, I’m not sure what it is but it’s very loud and a bit disconcerting – maybe it’s a very loud gecko….hmmmm….it’s stopped now…back to the story….]

So after a very, very hot long trip I stupidly walked to FDCC (my office) and turned up a red, hot, sweaty mess. Should have got them to pick me up, but no-one ever walks and I think they’re just being lazy but it’s actually because you are dripping before you get to your destination! Sorithy (FDCC Administrator) & Tharoth (FDCC Translator) commandeered the FDCC 4WD and we took all my stuff to my new home. I had a quick stocktake and the boys took me took me to buy essentials. I still need people to accompany me to the markets or they will completely rip me off, especially because I’m still learning my numbers, getting much better though, in PP you can get away without khmer numbers cos they do all prices in English in American dollars, but in Prey Veng it’s all in riel and told to you in Khmer, which means I have to know how to say 100’s & 1000’s which makes things more complicated!!

Boys dropped me back at the house to settle in….hooked up my mozzie net, had a look around and discovered just how filthy everything was….Sorithy offered me the FDCC cleaner for Monday so I held back on cleaning but decided I would cook – seeing I’d bought supplies from PP. Then I realised that I didn’t have a fridge – well there was one there, but it didn’t work and seemed to be being used for storage rather than chilling….so I had to be careful what I opened…so pasta, moo cow cheese & tuna was all I could muster up…wasn’t too bad…but before I could work out how to use the gas bottle and gas burners I had an ant invasion and a leak in the kitchen so things were a bit fraught. There was heavy rain…a small leak started…nothing much to worry about…I had a bucket but then after I’d been in my bedroom for awhile I went out to the kitchen to discover a mass ant colony…basically they had been forced in by the rain and the more I sprayed them, more came in….they were everywhere, coming from 4 different openings and spraying their homes just made more flee into mine. In the end when I had a pile on the floor of big black ants I thought I’d better let the guys see for themselves so we could get the landlord to do something and at least they might be able to stop them. Tharoth came over, he must have thought I was a crazy woman…but still…it was a little traumatic being invaded on my first night in a new place. He just took one look and said, “it’s because of the rain”, I said “I gathered that” but wondered what would happen in the rainy season when it rains everyday…he said there are no ants in the rainy season because they all die when there homes are flooded…let’s hope this is the case. After he left I had an ingenious thought and used the vacuum cleaner, the landlord had kindly left me, to suck up all the dead ones and any live ones that headed my way. I must have sat there with the vacuum zapping them for a bout 30mins…they haven’t been back since…

Panic over, thought I’d have a nice cooling shower to calm down but that wasn’t to be, although I’d checked the shower on one of our inspections and it worked, it had decided not to work on my first night when I desperately needed a wash. So it was bucket shower time, reminiscent of India – cool but refreshing, for the morning session I was smart enough to put a little bit of boiled water in to take the edge off.

Now on my third night here, despite the weird sound coming out of my wall and the dogs howling all around me and the roosters cockle-doodle-dooing in the middle of the night – yes I thought it was just dawn that they did that but it’s 2am and 3am and 4am that they pipe up too, I am feeling much better. The shwer’s fixed and I’ve been using the older girls and the cleaner from the orphanage as slave labour to help me clean….I promise they wanted to, mainly to snoop amongst my stuff and get out of the gates of the orphanage…and I’ve unpacked a bit more, and it’s starting to feel a bit more like home….well except that this morning after I thought all the padlocks were changed and that only I had they key…the caretaker walked in the front door…I had met him before so knew who he was, but wasn’t expecting him to visit, let alone let himself in….luckily I was dressed as I’d not long got out of the shower. Anyway I rang the trusty Tharoth again and he explained to him that I had to go to work and it wasn’t appropriate for him to be there when I wasn’t, seeing all my stuff was there and all…so he left and I changed all the padlocks around again and we are now secure!!

We’ll see what happens when I meet the landlord on Thursday, lucky I’ve had a little time to discover all the things I need him to fix before I sign on the dotted line….

And yes, I am now becoming a morning person…it’s hard to sleep in past 6am when the roosters crow and I can hear my neighbours up and adam….gives me time to go to the market and get my roast bananas on a stick, or my baguette which I spread with vegemite and moo cow cheese, plus my take away iced coffee, just like farmers union – black coffee mixed with condensed milk, served on crushed ice in a plastic bag with a straw hanging out, or my fruit smoothie served the same way….I’m getting by!!

So where do I start, so much has happened since I last wrote – I had a week off for Khmer New Year which was quite an adventure – lots of travel, lots of partying, lots of relaxing!

It all started last Thursday when we had our Khmer New Year party at FDCC – the kids were so excited and had been building up to it all week, having been off school. The party was doubling up as Khim’s leaving party which made it a little emotional nearing the end of the night but mostly all good fun. At 8:00am we began with a blessing from the monks, 7 orange robed, shaved headed deities came to bless our office and the staff which was all new to me. It involved a lot of chanting, a lot of repeat after me, which started getting quite funny when the kids couldn’t quite remember the whole sentence they were supposed to say and petered off near the end – even caused the monks to giggle! Also involved a wet t-shirt competition – not what most people associate with monks but basically, everyone had to wear white tops and black pants/dark sarong and we had to sit, kneeling to the side style (my legs were completely dead!)….

I swear everytime I write in my bedroom – this is only the second time – my loud bullfrog friend visits – funnily enough I’ve worked out what it is – it’s not a bullfrog but actually a giant gecko – I knew the noise the small ones made but I only saw the big ones for the first time on my travels – they are about 20-30cm long – huge and make a noise that people say sounds like “geck….o, geck…o” – as I said when it’s in the wall of your bedroom it can be quite disconcerting – but at least I know what it is now! I’m learning!!

….I diverge….with hands in “sompeah”, prayer style in front of your nose while the monks had a great time splashing us with holy water – it wasn’t just a small splash – they really let loose – hence you had to use your prayer hands to cover your white top or things could get a bit embarrassing. Classic photo to come of one monk reading “Pocahontas” off our bookshelf which he was sitting next to during a lull in proceedings! Apparently last year Rady (my boss) didn’t get the monks to come and one of the bedrooms became haunted by ghosts and he had to get them to come and bless the room to scare the ghosts away as the children couldn’t sleep – the Khmer people are very conscious of spirits and do many traditions to appease them.

We continued the festivities with games and dancing – games very similar to fairs at home, ie. sack race, a duck, duck goose type game which was altered to include a towel to whip the backs of the players rather than tapping them on the head, tying balloons round the ankle and trying to stamp on the others, getting a mouthful of water, running to the other end and spitting it in a plastic bottle until it is full (gross), a pinyada type thing where you get blind folded and try to hit a terracotta pot hung from a tree with a bamboo stick – I had a go at that one and smashed it one – it’s full of talcum powder which everyone chases each other with and smear it on each other’s face. The older girls did a traditional dance performance which was amazing, they practice most days and have sewed their own costumes themselves, they were made up with lots of make up and their hair all done up with frangipani decorations – it was great – again I have good photos which will make it up on facebook eventually…

Lots of Khmer dancing to finish up, they can dance for hours and the traditional dance really just involves different iterations of twirling your hands around and stepping from side to side while moving in a circle…they bust out the western dancing too which s pretty hilarious! Then there’s karaoke – which incidentally we have a karaoke parlous across from work which means I get to listen to bad, bad Khmer singing all day long – torture! All of this around a feast of Gulang Phnom, thin sliced meat and vegies on a hot plate in the middle of the table…

I gave the kids and staff my little presents from Oz at the party to which seemed to go down quite well – sometimes hard to tell, but the girls were all wearing their hairbands the next day and the guys their hats. Khim gave the kids two rabbits as pets as a leaving present which they were all pretty excited about – they love rabbits for some reason…we made sure the cook knew they were pets and not for fattening up for dinner!

The next day the kids were all being picked up by their guardians – usually an aunt, uncle or grandparent and would be spending the week in their home villages which they were also very excited about. I went in to work to see what the process was for this – it is so well documented, with contracts for both the guardian and the child to make sure they will be protected and will return to FDCC on the right day, etc. The children were also involved in Child Right’s sessions which Rady taught – I was watching these sessions and although I couldn’t understand exactly what they were talking about, was really impressed by Rady’s facilitation and the children’s participation – they were really engaged and Rady said that they remembered a lot from last time, mainly around how to identify a “bad” person and their right to say no to something they don’t want to do. There’s obviously an element of risk in letting the kids go home but it’s an important that they feel like they still have some family. Apparently there is a worry that relatives may see a strong, healthy girl and think that they can make them some money and send them off to the garment factory (or worse)…but everything possible is put in place to ensure this does not happen.

God I was going to write the whole Khmer New Year week in one email but I think it’s best to split it up a bit….otherwise there will be information overload…

Friday afternoon, I was supposed to meet my ever elusive landlord but he cancelled…yet again so I headed to Phnom Penh to catch up with the others to start our journey to Kratie – NE of PP the following day. Of course the one night we had in PP ended up being a huge one and we were all late and hungover getting in our taxi the next day – we hired a minivan with a driver seeing there was 8 of us travelling. It was not a pleasant trip up with the state of us…inevitable to go out drinking til 4am before catching a 7am bus – nice…Kratie was a 7 hour drive…

When we finally got there, we settled in to our bungalows – two wooden houses overlooking the Mekong – beautiful scenery with amazing sunsets over the river. It was paradise really – swum in the Mekong – unfortunately when we wanted refreshing cold water we instead got water hotter than a bath…hmmmm, not great in 40 degree weather, but at least we got wet. Next day we headed to see the Irrawaddy dolphins which is what Kratie is famous for – apparently there used to be around 200 or so, now there is about 60 left – one of the AYADs is researching why they are dying. We saw quite a few, pretty close to the boat – only about 10 metres off shore – they are a bit weird looking – they are snub-nosed (not as pretty as our dolphins I’m afraid, they just look like they’re missing something…a nose perhaps!)…Then off upstream where there are rapids, basically there are wooden shacks/platform built over the water and you sit in the rapids – which are very strong so you have to hold on the bamboo platforms – and let the water rush over you – slightly colder than the day before too.

New Year’s Day so parties kicked off that night – being foreigners we managed to crash a local party – welcomed with open arms and warm beer – great. You are immediately passed a long neck of warm Angkor beer and must cheers it and bottoms up – not pleasant really, then there’s the dancing, which alternates between khmer traditional, same old, same old and trance type mad techno music – interesting. They are very forceful when it comes to drinking and dancing, you really can’t say no, so we had to leave after about an hour or so or we would have been on the floor! An interesting experience to say the least…Next night we changed to a different hotel as the bungalows were booked out, we ended up having a massive roof top balcony so spent the day relaxing with a couple of beers and travel monopoly, finished off with another Mekong Swim and an impromptu toga party that night at a local restaurant – I don’t think the other diners quite knew what to make of us…

After a day in Phnom Penh where I had a million things to do and everything was shut, Celeste (another AYAD), Kate Barry (who some of you Adelaide people will know and who was in Cambodge on holiday) and I, headed off to Kampot Province – south by the sea. We had a quiet day in Kampot town, things were still pretty dead with a lot of places still closed because of New Year but we managed to amuse ourselves with a nice rooftop balcony, naps, books and beer. We didn’t realise what the time was and suddenly decided at 10:30pm that we wanted dinner, luckily our guesthouse was run by a Liverpudlian/Australian who was still up and managed to whip up a cheese, tomato, olive tasting plate with homemade toasted bread – sheer luxury at $2 a piece – some might not appreciate how rare and good this is when you’ve eaten rice for every meal for 6 weeks…

The next day we hired a car, driver and guide to take us up to the Bokor National Park, has a lot of rare animals there but hard to spot them when they are constructing a new road and have been blasting the rocks, the animals are smart enough to hide. We were really there to see the old hill station which had been developed at the top of the mountain – the area has a really interesting history – was developed by French Colonials to escape the heat (like hill stations I visited in India built by the British) but the weird thing is it was abandoned in 1972 with the invasion of the Khmer Rouge – so it is now completely abandoned and is just stone shells of housing….quite creepy really, especially when the cloud rolled in and we were completely surrounded with mist and the houses are supposed to be haunted – got some eerie photos. There was an old hotel where the Vietnam soldiers were holed up with the old Catholic Church in sight where the Khmer Rouge where holed up – you can see the bullet holes in the walls and I guess the weird part is, it wasn’t that long ago – compared to all the history in Europe. We were a little shaken when our guide pointed out the Cambodian soldiers who were camped out in one of the old buildings, they were there because a land mine had been found and they had to “re” de-mine the area – yes it had been cleared but they obviously weren’t that thorough – we stayed extremely close to the Guide after that – especially when we walked past a display of what they had recently found – we could have touched it if we wanted and it was all still live – the only thing notifying us was that it was roped off and surrounded by the telltale red skull and cross bones sign….hmmm….stay on the paths!!

That afternoon we ventured to the next town on the coast, Kep which is famous for its seafood. We had a great little bungalow with hammocks out the front – another paradise. Aimee came up from PP to meet us and we had an interesting night drinking with some Japanese tourists – they’d brought their own shochu (sake) and were quite drunk by the time they decided to join our party – great chance to practice my Japanese, surprised at how much I remembered – just proved how much Khmer I don’t know!!! Funny night…

Kate left us the next day to head back to PP and on to Siem Reap and the rest of us headed to a nearby island – Rabbit Island, which was great, pretty primitive, kind of like how Koh Samui used to be in the good old days – mid 90s! Proper beach with hammocks tied between the trees and wooden benches to sleep on, the seafood…yum, I had crab for breakfast and prawns for lunch – luxury! – pity about the ants…while monkeys were the bane of my existence in India, Ants are the winners here…I seem to be allergic to their bites…..and there’s 5 different species and counting, small red ones which keep biting my left foot (not my right one for some reason) and bring out extremely itchy, red, splotchy, swollen reactions – very uncomfortable and then the large red ants that I think my latest bite is from on my arm which has caused a severe allergic reaction where my arm has become achy, with a big welt looking bite where I can feel the poison stretching down my arm causing a growing red splotch as it goes. I was a little worried so showed it to a Korean nurse friend in Prey Veng, she thinks I’ll live!! Keep taking the Claratyne and ice it which I’ve done and it’s gone down a lot today….and I thought it would be the mosquitos I’d have trouble with but it seems like it’s the ants, what a bugger, they are absolutely everywhere as you know with my house ant infestation stories!

It was great to see Kate – my first Aussie visitor – who brought me Rid, Aussie Hats for my colleagues and camembert cheese – what a champ!! Great to share some of our experiences with friends from home – hope she’s the first of many visitors – book your holidays kids, hint, hint!!! Jetstar fly to Phnom Penh now I hear!!

Oh by the way, if you want to see my “profile”, ie. me talking myself up with pretty picture attached, you can go to the AYAD website, I think you click on “Meet the AYADs” and “Intake 21” and you get to meet all the wonderful people I’m over here with – don’t believe a word of it, they’re not all as fantastic as they sound on paper – don’t tell them I said that! In fact they are actually pretty amazing, interesting people with fantastic experience, an inspiration really!

Til next time….

Hey, more on day to day life here this week as I’ve had my feet back on the ground in Prey Veng after my travels and have also spent the weekend here playing house and getting myself organised.

So now that my house is a bit better set up after we had to hire two cyclo drivers to be our removalists and move all the unwanted furniture to a downstairs storage room, I’m feeling like it’s more my own. I got rid of all the fake flowers, which were very aesthetically unpleasing, and have got rid of the hotch potch of furniture and it’s feeling a bit more to my taste. The house is beautiful in terms of being a traditional wooden house, but I’m starting to get the idea that rich Cambodians are more difficult to deal with than poor Cambodians. That may sound a bit harsh but I thought that seeing my landlord is obviously a rich man, has an abundance of unrequired possessions that he is rich enough to leave in one house while he starts up a new home elsewhere, that he would be happy to do a few alterations for the foreigner to feel comfortable enough to keep paying the rent – seeing it was sat empty otherwise, but alas we had to quibble over every thing – and I really wasn’t asking too much compared to what other people have gotten away with.

Anyway in the end I signed the contract after my mosquito screens were installed – which he really didn’t want to do – but I’m still waiting on the bathroom curtains, towels are doing the trick at the moment to ensure my neighbours don’t see more than they bargained for! You would think that being rich would mean you could keep a clean, tidy home as you would have a cleaner, etc, but it doesn’t seem to be the case in Cambodia!! The place was just filthy and it has taken some good cleaning stints with the help of the cleaner and some of the children from work (I know don’t accuse me of slave labour, they wanted to come – mainly so they could look through my stuff!) to get it into shape. But now I have my cabinet with “ant bowls” under the legs – a brilliant invention, where plastic bowls that can be filled with water are placed under each leg so the ants can’t invade – they can’t swim you see! Brilliant! Which means that I can open some of the packets of food I brought up from Phnom Penh….not all of it yet unfortunately…not until I get my fridge next week in PP. YAY!!

Then Leena and Sam (the married couple who are Peace Corp volunteers in Prey Veng) helped me go shopping yesterday for all the housie things I needed, essential things like buckets, sponges, paper towel, table cloths, mouse traps, hooks for mosquito net, handtowels, foot mats, etc, etc. They have been here a year so know where to get these things from at a good price – I would have got completely ripped off if I went alone! We even managed to get an extension cord for my TV ariel so I can move the TV to a position where I can see it from bed – unfortunately the shopkeepers attempt at souldering the right ends on to the cord left a little to be desired and it’s not working at present – but I think it’s just a matter of a few repairs – will get the handyman at work onto it!

So that brings me to Sunday, where I’m writing this in my hammock with portable fan blaring on me, on my balcony, there is just about to be a storm, as there was last night, which will be good for my garden, the mango trees and orchids need a good water. Woah, I’m glad I’m under cover, it’s pissing it down!! It’s just halted the workers across the road, which I’m quite happy about as they were ruining the relaxing atmosphere with their welding – they have been building a fence for the house across the road for weeks, complete with gold buddhas and all, I think a big fence must be a status symbol – the fences are often more impressive than the houses they guard!! Ahhh the rain brings cool winds, what a relief! Uhoh there’s guys on motos riding past absolutely sodden…

This week at work, a new child came….it was quite sad and moving all at the same time. She is 11 years old and is from Prey Veng town, which meant she arrived at the gates, rather than us going to pick her up. I wasn’t aware a new girl was starting so was kind of wondering what was going on. She arrived with her grandma, in quite dirty clothes with a plastic bag that contained all her belongings….apparently her mother had recently died in childbirth giving birth to a son, who later died. So her father took off with her older brother and has apparently sold him – the family doesn’t know where either of them are and this girl had been in the care of her grandmother but apparently her grandmother is very sick and can not look after her. So she comes to us. She looked so terrified while she was waiting to be processed, I can’t believe how scary it must be to think you are being left at this place that you don’t know, to be looked after by people you don’t know and to live with 42 other children you don’t know….she was given her trunk, which everyone is issued, some new clothes and some toiletries, assigned a bed and then, that’s it…she’s part of the gang. The other kids are pretty good, they are pretty welcoming but it must be pretty terrible. I saw her in the afternoon though, attending music class with a big smile on her face and running out of the car when she was dropped off after school, smiling again..so I think she’ll be alright. I guess as terrifying as it is, being fed three meals a day, having clothes and somewhere to sleep is much better than a lot of these kids are used to before they come to Mekhala House.

The next day was sadder again, a mother arrived at the gate with her daughter, who looked very young. She knew the security guard at FDCC and had travelled from her village to talk to the staff. The girl was too young to be accepted and we actually already have our capacity – as two more children will be picked up in the next month or so – 45 kids is the limit on the present grounds. The woman couldn’t travel back to her village that night so they stayed at FDCC and were heading off the next day….the cost of the trip to Prey Veng from her village would have cost about $5 which is a huge amount to this family, but we just couldn’t accept her….they said she was going to try and get a job in Phnom Penh and would now have to take the girl with her, the father had disappeared and the mother could not look after the child without an income, but she couldn’t look after the child if she had a job either as she would be at work….catch 22…very sad.

Uhoh…my front yard is flooding…the drain is blocked….I should probably do something about that……it’s too wet, will deal with it when it stops……………………………………………………………………ahh it’s Ok, it’s unblocked itself…great, or I might have had to get very wet!

Well I finished the week off with a trip to the doctor, yes I was dreading this happening but on the other hand if there’s anything wrong you really can’t delay, so I bit the bullet and went. My translator Tharoth came as well as Sinath (the FDCC house mother) and Ching (the youngest boy at FDCC who has a skin infection), so it was like a family visit! Luckily Tharoth wasn’t needed as the doctor actually studied at the Uni of NSW for his Masters for 2 years so his English was good. The insect bite on my arm was not really improving and was still quite painful so I thought I’d better get it checked out, he cut it open but nothing really came out even though it is looking like a boil, or a ginormous pimple. He squeezed and prodded but no, it was pretty sore but Sinath held my arm straight for him and I tried to be a good patient. It is a bit nerve-racking though when you’re wondering about the cleanliness of tools but, they came wrapped in a blue sheet so I’m sure they were sterilised….hmmmmm. No really it was fine, he betadined it up, put a dressing on it and gave me antibiotics, I just have to keep it covered, wash it each day and take the tablets and I should be good as new. I’m going to PP next weekend anyway so if there is no improvement by then I will go to the Australian Embassy Dr. The good part is that we have a Dr amongst the AYADs in our intake, so I rang Patrick for a second opinion and he said that the antibiotics were the right ones and the treatment sounded fine – glad to get a second opinion. When we were waiting for the drugs, the doctor came out after examining another patient and regaled us with his problems, kidney stone, he seemed to like talking about this poor man’s urethra – love that patient confidentiality protocol!!

Ok now a guy is walking his cows past my place in the rain, all he has on is a krama (kind of like a sarong)…ahh the things you see…

Hi, well some of you have heard but I thought I’d write about my further experience with the medical system here in Cambodia. As I wrote in the last email I have had a bite on my arm which I consulted the Prey Veng Dr about. Well, after 3 days of antibiotics it actually got worse, very infected – we’re not sure if it was provoked by the needle that Dr used or if it was already infected and it just got worse….anyhow by Sunday night I was getting a bit frantic as it was a gaping, pussie hole in my arm…ewwwwww!! So Monday morning I alerted my colleagues showing one of them and they said that I should go straight to Phnom Penh, their worry panicked me a little as they are usually pretty blazae about medical complaints but seeing I’m a foreigner they know I read differently to stuff…

I couldn’t get an appointment with an international Dr until Tuesday but we decided that I should go straight away just in case I could get in earlier. So after thinking I would have a busy day at work I instead ended up being driven to Neak Leuong, an hour away and put in a share taxi to PP. I thought I’d better call in to the AYAD Office when I arrived to let them know what was going on – Poor Mr Hour was shocked when I walked in – he already had 2 other provincial AYADs there with sickness and drama so he wasn’t expecting me to walk in the door – I immediately assured him my shift to PP was temporary!

I showed them and they we’re suitably sympathetic and I’m sure secretly a bit nauseus, it really was pretty foul. It was completely oozing, I had to clean it 4 times, Mr Hour was right in there squeezing out the gunk, ewwwww. Anyway I filled in the time with retail therapy at the Russian Market, buying some more housie stuff and some material to get some more shorts made. That night I revealed the wound for Aimee and Celeste to view, they were my nurses helping me clean it – and then suggested I call AHI, which are our insurance providers who offer a 24hour nurse service so we can talk about our symptoms and get advice – they suggested I go straight to the emergency clinic. So then at 10pm I end up with Aimee and Celeste in the Naga Clinic, I wasn’t too keen to see a Cambodian Dr after my first experience but that was all that was available. He seemed nice, thorough, worked for Medecins Sans Frontieres during the day. I was happy that he cleaned it properly once again, was relieved no more cutting was required and was put on stronger antibiotics than before. He then consulted a medical dictionary and announced that he was sure that it was a reaction to a scorpion bite – hmmmm, interesting – I think that’s a pretty cool story, especially being a scorpion star sign!! He gave me some more drugs which I misunderstood and thought were antihistamines but were actually pain killers…

The girls convinced me to still attend my original appointment with an American Dr so Mel accompanied me to the SOS clinic…..and I am glad I did. Apparently the dosage that the last Dr had given me was double what he recommended – he said I would have got a severe stomach upset if I continued taking 2 tablets, 3 times a day, and reduced it by half. He also told me that the ones I thought were antihistamines were in fact narcotic based painkillers. I had been told to take 2, 3 times a day – again completely overdosing – I didn’t even require painkillers really….anyway he reckons it’s a spider bite, although the Cambodians have told me there are no poisonous spiders in Cambodia – my initial reaction convinced him I was bitten by something venomous….I am sticking with the Scorpion – we think I was bitten while sleeping at Rabbit Island and the reaction just didn’t kick in until the Monday…

Who knows, but after having to stay in PP for 3 days, I decided to cvome back to Prey Veng today to get some work done for the next two days before heading back to PP on Saturday for another check-up with the American Dr.

So it’s been a dramatic couple of days, it has now improved quite a bit so I hope that if I keep bathing it and dressing it, it will clear up by the end of the weekend….ahhhh, lesson learnt, head straight down to PP at any sign of medical need…

Thankyou for all the well wishes!! Not sure about the sickos who asked for photos of the puss!! Ewwww. I actually tried to take a photo of the venomous reaction, but my white arm reflected off the flash and then my camera ran out of batteries so I have no record of the experience – not one I’d like to remember really anyhow! Good news is that I was given the all clear by the Dr on Saturday and I will not loose my arm, don’t think I’ll even have a scar!!

Not sure how up to date everyone is on the history of Cambodia but I am sure that you know that the Khmer Rouge committed atrocious genocide during the 70’s. The effects of this are felt everywhere in society and it is pretty rare to find a family that did not loose members during this time. A few people we have met have shared their stories with us which are usually pretty heartbreaking and hard to believe that it happened in my lifetime – still so raw. At the moment the Khmer Rouge Tribunals are going on, I haven’t heard too much about it but there is some controversy, seeing many people have been allowed to move on in new positions – ie. the Prime Minister Hun Sen is ex-Khmer Rouge just to name one. Those that are being tried are mostly in there 70’s or 80’s and really the feeling is that it is a complete waste of money – costing millions – and that nothing can reverse what happened and the people would rather forget and move forward rather than bring up the past once again.

Anyway all this is going somewhere…to a bar of course…Aimee and I decided to go to a bar that we had visited briefly once before on the “other” side of the river. It’s called Snowy’s and an AYAD from the last intake introduced it to us. We were only going for one drink as we were supposed to be going to the circus – yeah weird, but there was a circus in town, it was sold out though so 6 hours later we were still there at the bar. What had kept us interested so long was Snowy, the guy who owned the bar. We got chatting and he was relaying his story to us – you sure do meet some characters. He arrived in the 90’s, during the UNTAC time – this was when Cambodia was inundated with foreigners who came to run the UN-sponsored elections in 1993 – the supposed end to Khmer Rouge. Anyway, Snowy, an Australian who used to drive trucks at mines, came over here with a contracting firm and ended up in the north of he country moving a huge convoy of UN 4WD down to Phnom Penh – this was an extremely dangerous area during this time as Khmer Rouge still had strongholds throughout this area. Snowy was responsible for getting these cars safely down the highway – they were paying something like $100 a car to the Khmer Rouge in exchange for safe passage. Snowy was driving these cars down, with a Khmer Rouge soldier as his passenger – he showed us photos as he’d kept a photo diary of his experiences, it was amazing. The Khmer Rouge soldier looked like a great guy, smiley, gentle face – not at all what you would expect! He had photos of UN tanks rolling down Phnom Penh’s main street and talked about how much it was a frontier town back then with gunfights a pretty regular occurrence. I can assure you it couldn’t be much more different to that today!

Snowy started his bar about 5 years ago, he has an 8 year daughter (half Khmer, not sure where the mother is) and bides his time by doing Cambodian inspired, Aborginal style dot paintings which are displayed in the bar – pretty talented! He had such a lovely nature and was really interested in what we were doing here – we had a great night. Pretty crazy stories. I have read so many books about this time in Cambodia that it was so interesting for me to hear first hand info, much of which verified what I’d read, pretty cool! O Although working with the Khmer Rouge is pretty much one of the most dangerous things you can do, his actual near death experience was medical. He contracted TB and was given some medication that he was supposed to take for 6 months, after 3 days, his body had almost shut down, having been poisoned by a “bad” batch of tablets. He had to be driven to Bangkok – nightmare roads…and almost died in hospital, it’s taken him 2 years to completely recover. Crazy….

More on the day to day, I have to clean up gecko poo everyday and had to clean up a dead rat carcass this morning in my yard that was really starting to stink. It is impossible to stay in front of the dust and ants and rotting mangoes – I think I might get a cleaner….and a gardener! The problem is that our idea of clean and Cambodian’s ideas of clean seem to be two quite different things, I do have a new appreciation though for how hard it is to keep things clean – spider webs, ants nests just appear overnight! When I got home from PP last night, the giant gecko – which my friend Will has informed me are called Toika lizards and can bite…was inside my loungeroom, usually they hide inside my walls so this is the first time I’ve seen him….due to my problems with things biting me though, I kept my distance…

My fridge was brought up to Prey Veng from Phnom Penh in the back of a mini van, and I mean tied on to the back with the boot tied down so we fit us much as possible inside – the rest of the van was full of motos. This driver is my new regular pick-up – he leaves Prey Veng everyday at 7:30am and returns at 1:00pm from PP. I have no idea how he manages to do this every day – he speaks no English but my Khmer is improving and we are managing to have some kind of communications – sometimes with my colleagues help on the phone! He wants me to call him “Bong Mom” – Mr Mom – not sure if he’s seen the movie!

I have become addicted to shopping at the Russian Market, which everyone who has come to Cambodia knows, it’s becoming my favourite place in PP and I keep coming home laden with purchases! My newfound Khmer is helping me bargain – I can now say, “I live here, I know how much things cost!” – sometimes it works, sometimes it doesn’t! I have gone a bit crazy decorating the house – the silk scarves are just beautiful (make good table cloths) and there are so many amazing cushion covers, etc. I could buy so much more but am trying to be sensible about buying mostly things I can take home – not sure the fridge will make it though but it’s just so nice to drink cold water…..

So, this one is written from Hanoi, as I sit in my hotel room, complete with 24 hour internet access - pretty good for a room that's $10 each a night - three of us sharing. I am hotel bound though as I have had another medical problem, well it's linked to the first one - I have just got back from the Hanoi SOS International Clinic where I managed to see an Australian doctor as I have had another infection - this time in my nostril - nice ehh, couldn't be more painful or inaccessible! We had to rush back from Halong Bay today to make the appointment as the infection had been growing since I arrived in Vietnam - the diagnosis is "staph" - oh dear, this is a secondary infection after my arm - good news is that I am now on more antibiotics which should kill off the infection throughout my body and hopefully no more lesions will occur - I have no more cuts on my body but this one started through a pimple in my nose so I have to be on high alert. Nice hey...so I fly back to Phnom Penh tomorrow and it looks like I will not be able to go back to Prey Veng again until the infections have improved. At least it's diagnosed now, I will spare you the details of the doctor's visit - my experience there was the most painful that I have ever been through - as you can imagine it's a sensitive part of the body!

right so now that I've brought you up to date with my health, I will get on to the more interesting part, my trip in Vietnam. Some of which was following the same path I took with my travelling partners, Krissy, Catherine, Sarah, Ellie, Adam and Cane in 2001. Brought back lots of great memories but the change in Hanoi in terms of infrastructure etc, is quite unbelievable, especially when compared to Phnom Penh! The nice part is that parts of the Old Quarter in Hanoi still have the french colonial feel and the lake is still beautiful, there are still ladies in conical hats which sell fruit and still a million motos. The problem is there are hundreds more tour companies and hotels, the bars are more established and western (however there are still some Beer Hoi - draught beer served at blue plastic chairs on the side of the road), the ladies now try and put their shoulder board with the baskets hanging off each end on unsuspecting tourists and then demand money when you take a photo, and the motos have road rage, twice our cab has been banged on angrily as it stops to let us out!!

We did manage to do some sightseeing, the old turtle temple in the middle of the lake that I'd been to last time - the embalmed turtle is still there! And then headed to the Temple of Literature which I hadn't been to before which was the first university in Vietnam, and then to the Museum of Women, which was fascinating - all about the role of women during the wars - they are formidable people, the Vietnamese women - and we have experienced that on the road here too! We did a bit of shopping and came across a fantastic gallery which sold screen prints on canvas of old propaganda posters, they were so interesting, I had to buy a couple to be framed in Oz one day. We then headed off to Sapa on the overnight train - this is about 10 hours north-west of Hanoi, right on the Chinese border and is an area of hilltribes such as the H'mong and the Red Dzao. It was quite cold, an old hill station high up in the mountains, not the kind of scenery you are used to in tropical Vietnam, but so beautiful. Bright green terraced rice fields, cut high in to the mountains, reminiscent of areas of the Himalayas in India or Nepal. The town of Sapa is like an alpine town in Austria or somewhere, wooden type houses - very quaint.

We were surrounded by the women and children dressed in traditional clothes when we first arrived, it is amazing how they have picked up English - "buy from me", "What is your name", "How old Are you", "Remember Me", "You buy from me", over and over got a bit overwhelming. Tourism has struck this area in such a way that although it is preserving their traditions in some ways, it is so dependent on tourism that I fear for its sustainability. We walked down to the first hill tribe village and it was almost like the whole village had become a tourist display, you could walk between the houses etc which was quite interesting but it just felt that everything they did was for the tourists, was not just living their every day life - there were some elements of this but it was all a bit strange...next we went by moto to another village which was where the Red Dzao's live (the first village was black Hmong). We were accosted when we first arrived but had an interesting walk up to someone's house with some of the women, we had 10 in tow. They had amazing english, all learnt for the tourist trade and were all dressed up with their wares in the baskets on their backs. It was a lovely experience but then all turned a bit nasty - once we had walked around a little it was time to buy - I had been talking to 3 women in particular so felt obliged to buy from them, I bought some bags I didn't really want but had to but something - however Celeste and Aaron had a harder ask being surrounded by more people - they couldn't have bought from everyone - it more to the point the prices were such a rip off. Anyway the whole way back down they were hassled, "You didn't buy from me", etc etc which really did ruin the experience a little...

After Sapa we headed back down to Hanoi again on the overnight train and then went straight on to Halong bay - to stay one night on a boat and one night on Cat Ba Island - I had done Cat ba before with the gang but we didn't have the opportunity to stay on the baot last time which I was really looking forward to. The boat was good, the highlight being a sunset kayak amongst the huge limestone cliffs - stunning. We did hit frustrations though in the way the tour was handled - I think we can say the Vietnamese are completely over tourism - you are herded on and off, and there's no personality to it - the tour guides don't introduce themselves, don't fill you in on any historical facts, etc and are incredibly disorganised - so disappointing really...Cat Ba hadn't changed much - we visited the same beach as last time, which was undeveloped and relatively private, now has rattan shelters that you have to apy to use, etc etc. The boardwalk is shut for repair too which was a shame, but there is now a road direct to it!

So I guess mixed feelings about Vietname - I don't think I will come back again, although am still keen to visit friends in Ho Chi Minh City - but was glad to have seen Ha Long Bay again - it really is a wonder and now heritage listed - and Sapa was an interesting experience, being a place I hadn't been the first time...so yeah interesting...pity about teh horrendous infection that makes me look like a leper but hey, you win some, you loose some - at least its diagnosed now...

So finally I can write an email that does not focus on insect bites or infections – I am illness free! Shouldn’t jinx myself should I….

Finally got back home on Tuesday night and have had a busy half week at work. The highlight of which was being able to accompany my colleagues to go pick up a new child for the orphanage. A pretty sobering experience but one that has really put everything in perspective in terms of what we are doing and what amazing opportunities FDCC is offering these children. They really arrive with nothing. We drove about 40 minutes NE of Prey Veng town, close to the border with the next province, Kompong Cham, to a small village which really just consisted of wooden stilt houses/shacks lining the main road. This area is ricefield country with huge palms dotted across the horizon. I always thought these palms were coconut palms but actually they have a different kind of fruit which I found out later as the villagers collected them for us.

My colleagues, Sorithy and Tharoth decided that we needed to stop for breakfast, Leena (the American Peace Corp volunteer who helps out at the Orphange) and I had already eaten, we didn’t know that this would be part of the road trip! But we managed an iced coffee, (black coffee, on ice with condensed milk mixed in). I was kind of glad we’d already eaten as the boys had noodle soup, which normally I like but this had weird meat creations floating in it, was definitely some liver in there…

We arrived at the house where the child was living, yet it wasn’t really her house, the wooden stilt house was that of her cousins, she had been living with her mother in the makeshift shack next to the house on her cousin’s property. She was a stunning little girl, smiling ear to ear, confidently sompeahing (hands in prayer near your nose) us one by one. I did not expect her to be so warm towards us and definitely did not think she’d be smiling, but I think she has been waiting for some time for this moment. Having been promised a real bed, 3 meals a day and school is a pretty enticing thing for these kids but they are still so brave to leave their families. I guess I need to explain that in Cambodia, you are considered an ‘orphan’ even if you still have one parent alive, I guess this is mainly because it is next to impossible to be a single parent, there is no childcare, and surviving through subsistence farming is really a full-time job so if a parent is looking after a child, they really are not able to work, which includes not being able to grow enough food to survive. This girl’s mother was there, her father had died from HIV/AIDs 4 years earlier, her brother had been given to her husband’s family and the mother was unable to look after her daughter any more. She also had HIV/AIDs. We believe that HIV/AIDs is mainly brought to Prey Veng by the men who go to Phnom Penh to find work and visit the prostitutes there. Although I do think prostitution is still something that is prevalent in the provinces as well, but perhaps not as accessible as it is for men alone in the big smoke.

We attracted quite a crowd, mostly relatives we think but some villagers standing watching from afar as well. We sat outside on the wooden slat beds which are always kept under stilt houses for gathering upon. Sorithy explained the paperwork, which basically signs over official guardianship from the mother to FDCC. Sorithy explained to the family about FDCC, our values, objectives, etc but the mother did have some doubts. Apparently there was another child that was a cousin that we were also due to pick up that day but she had pulled out as her relatives got cold feet, rumours had been going round that the children would not be treated well at the orphanage. It is such a big decision for the Khmer families, they have such a strong family bond, but this decision may save their child’s life or at least give them the opportunity to change their futures. They asked me to explain how FDCC works and how we are funded to ease her concern, which I did through a translator – a pretty hard task when put on the spot and are not exactly sure what her fears are. She asked me whether the children would be adopted out to Australians, I assured her no, that we do not allow the children to be adopted and that we work on the premise of preparing the children to live within Khmer culture, to live a sustainable, independent life. We give them skills such as life skills, computer skills, English skills, an education which we hope will bring them a good job. But how do you explain that to a mother who is about to give up her child and be left completely alone and knows she is seriously ill.

Sorithy suggested that the mother come back to the orphanage with us so she could see for herself how the orphanage is run and how happy the children are. She decided to do this which I think was an important step. It must be so much harder when you can’t even picture where your child is. The other children were immediately warm to our newcomer and the older children showed great maturity in approaching the mother and speaking to her about their lives at FDCC.

We had to wait for some time in the village while the mother took the paperwork to the village chief for signature and were told that there were two more children in another village further down the road who also required help. Sorithy decided that we would go visit these children as well and find out their story. One was actually the sister of two of our other girls and one was their cousin. The problem was that we only have room for one more child, another problem was they didn’t know the age of the child and she looked quite young. We do not take children under the age of 4. The cousin was being looked after by her grandmother because her mother had died and her father had disappeared, he was a drinker. This grandmother seemed to look after many of the children in the area, there were no men around, they had all gone to Phnom Penh to find work and the mothers had to work in the fields all day. The grandmother was delightful, she took a liking to me and kept slapping my arm, cracking up laughing. I took her photo and showed her, she thought that was hilarious. She had obviously survived the Khmer Rouge, being 74 years old. She had a goiter in her neck, a sign of malnutrition, I think it’s a lack of iron, or is it iodine – can’t remember from my nutrition course. The other children also had signs of malnutrition, such as skin diseases and bloated tummies. My colleagues looked to me to make the decision on whether we could take these children, they knew that we couldn’t but needed me to instruct them so it looked like the decision came form me, not them as a way of saving face - a difficult thing to do, but I asked them to explain that it is not our decision to make, that each case is assessed by our executive director, that we only have the facilities to house one more child and that we only take children that are over 4, that we would take these cases back to our bosses. I am not sure quite whether they said all this or not. Apparently they did say that they would need the signature of the father to release the girls into our care, we could not take a child and then the father returns and is not happy with the decision – that is too much risk for the other children, in case they came to the orphanage in a rage.

We stopped at another home, which was one of our child’s guardian’s, with Sorithy’s cousin living next door (he knows absolutely everyone in the whole of Prey Veng province I think!). They took us out the fields to watch them pick the fruit from the palms, they looked kind of like small coconuts and are apparently native to Cambodia. You slice off the top (with a machete of course) and there are three jelly like compartments inside, you scoop these out with your finger (or a natural spoon, which they made for us out of bamboo) and slurp it up – a little like a lychee but more juicy. Quite nice…they picked enough so we could take them all back to the orphanage, one for each child…44…

Just a normal day at work….

Hi everyone, sorry haven’t written for awhile but work has been flat out and looks like it’s set to be like that for my whole assignment! I am about to be inundated with visitors from the Australian Board so that will make us fly in to a frenzy.

Work is great and I feel like I’m achieving a lot, feel like I’m finally working in an area that suits me and that I actually now have skills that I can offer – it’s right down my alley, starting with documenting all their policies and procedures, getting everything in order so that we can start applying for grants to enable our funding to be a bit more stable than just depending on ad hoc fundraising. Important seeing we have 44, almost 45 kids relying on us for their basic needs of food and shelter. It’s also got an element of training which I quite like, legacy of teaching in Japan so I get to run workshops and share my vast knowledge!!

So I’m focusing a lot on trying to build relationships with other organisations which can partner with us in areas where we lack skills – being such a small organisation we can’t be experts in everything and need to stop trying to “invent the wheel” but instead learn from others. Really my job could be the work of 10 but I just need to try and focus on what I can get done in 9 months – pretty short timeframe! Mainly looking at getting support in health, getting first aid training for the staff, partnering with organisations that offer vocational training so the kids have that option when they graduate from high school, with universities so we can try and get scholarships for them, giving the children the “life skills” needed for life after Mekhala House, writing a proposal to get funding to set up a community library, etc, etc, etc – ahhhhh so much to do!!!

We had some sad news last week when I took 5 kids to the Doctor – 4 of them had a similar skin disease so I was scared that they were contagious and it was going to go through the whole lot of them. I was also worried that it might be staph, after my little experience. It was the same doctor I first went to and I don’t have huge confidence in his qualifications but he thought that 4 out of the 5 kids had tuberculosis – oh dear, a bit of a shock! Anyway, we took the kids to the TB specialist this morning and the good news is only two of them have it. It is not pulmonary TB which is good, it means it is not contagious, they are not coughing so no-one else can catch it from them. The two kids are brother and sister and they may have had it for some time – poor little things, they are just tiny – Ching, a little boy is 5 years old and 14kg, Siumey, his sister is 7 and 17kg. The TB prevents them putting on weight. Both of their parents had HIV – their father died and the mother is dying, they probably caught it from her – many HIV patients get TB because their immune system is so weak. They have to have medicine for 6 months but that should make them feel a lot better than they have been feeling and hopefully they will start getting stronger and putting on a bit of weight. So there’s always something – just glad it’s not me this time. It really is sad though, they are just so young and already have enough to worry about without health problems as well. Just glad we got the diagnosis when we did, even if it was a slightly misguided trip to the doctor by me!

So anyway, I had a great weekend, my friend Celeste in PP decided last minute to come down to Prey Veng so I had a visitor for the weekend. I had planned dinner out and drinks at mine on Sat night for the few expats in town so it was the first time we christened the gazebo I have in my yard – it’s a great party house – gazebo complete with fairy lights and fan!! We explored Prey Veng a little, with Scott, a Canadian guy who’s been her for a year, as our guide. You only have to go one street over from mine to be really out on the outskirts of town which is very village like, very poor – my street is the edge of the paved road area. It’s fascinating, just so different to life in Oz and then some things are similar….the noises and smells are sometimes so familiar and then sometimes so totally different!

So I’m really loving the rural living, I have a beautiful ride to work each morning, I start at 8am, so it’s cooler then and I try to vary the route to witness all the different lives that surround me. So much to learn each day….. I get to follow the monks each lunchtime when I ride back to work as they walk with their matching umbrellas to their afternoon classes – it’s a vision every day. I get a two hour lunch break, so manage to get home most days for some timeout – the Cambodians usually have lunch with their families during this time and then have a nap and a shower – I do my Khmer homework, or read in my hammock. It’s quite a good recharge although riding in the heat of the day leaves me dripping! On my way home, just before dark at about 6:30pm, I get to ride past the square and watch the people meeting with friends and feeling the relief of the slight drop in temperature as the sun goes down. It’s late 30’s every day and drops to 30 at night – well it’s probably cooler outside – but 30 degrees in my bedroom according to my alarm clock’s thermometer!! My neighbours have a stall down by the riverside near my house where they sell baguettes with pate (sort of luncheon meat) with cucumber and pickled salad, eaten with marinated meat on a skewer – delicious! They start with a trip to the market, then all the women contribute to prepare the food, then the brother uses his cyclo to transport all the tables and chairs down to the same spot each day, they set up every evening and pack up at about 8 every night – a lot of work, it’s very communal though and they are a lovely family – I wave every time I pass and get a big smile and wave – I am dying for my khmer to get better to be able to talk to them more – I’ve managed a few broken conversations but it’s not great!!

Not too sure about the mouse/rat problems which come with rural living though, was traumatised the other day to come home to find a rat dead in my trap with it’s head ripped off – nice! Managed to dispose of that – well kind of, chucked it on the rubbish pile with the view of getting some petrol and burning it but the remains were gone when I came back! I soon learnt why when the next afternoon I came home to have the cats that hang around my house running through the roof – they were chasing a mouse or rat – all very good, but quite disconcerting – they did sound like they were about to fall through my ceiling. The next morning I walked into my kitchen to find a baby kitten in there, sniffing around the trap – so glad I saw it and managed to set off the trap before she did….so no more traps for me – too scared of getting the kitten – she’s tiny. So she hid under the cabinet in my kitchen all day, couldn’t entice her out – then I saw her parents, and decided if I left the back door open, they would come and retrieve her. By this time though I had decided to keep her as a pet but then eventually they enticed her out and I haven’t seen her since. So I have three cats living in my roof now – not sure if I should start feeding them, don’t want the kitten to die….but I guess I have to keep them hungry enough to hunt my vermin!!!

So, what’s been happening? Here, it’s been a busy week, Friday night last week I headed up to Phnom Penh for a party weekend, it was Aaron’s birthday, one of the AYADs, so we helped him celebrate!! Friday night we went to the “Elsewhere” party which is a party that happens the first Friday of every month, is really just a big ex-pat fest, but fun to go to every now and again. Always ends up being a big one, 4am later, I was wrecked the next day and we had to get ready for the real party, which was a BBQ at “Casa Cambodge”, as Celeste, Aimee and Patrick’s pad is now christened – my “Home Away from Home” as it’s where I crash when I’m in PP! So we spent a hungover day shopping at “Lucky” supermarket – the ex-pat supermarket which has such joys as bread, nuts, baked beans, butter and yoghurt, things I can’t get in PV. We sourced a BBQ, unfortunately a coal one which from my experience in London is next to impossible to stop flame grilling (burning), sourced sausages, vegies, an esky, party lights, a monkey magic, and we were ready to go!

Sunday, and I had to set off on an airport pick-up, FDCC’s founders son, Ben, who has been to Cambodia quite a few times and has had a lot to do with getting FDCC off the ground. At the ripe old age of 23, he has been exposed to the whole development industry for some time, especially when his mum is now the HR Director for ChildFund in America, looking after South America & Africa.

Monday I headed off with Ben and my colleagues, Sorithy & Tharoth to the villages once again to pick up our last child. This child was a little more solemn than Lekanaa, the last one we picked up. She was leaving her grandma and her sister behind, so that’s understandably difficult. We visited the same village we went to last time and went to get more of the fruit that we got last time, T’naut, which we take back for the kids to eat. It was pretty sad though this time, as we met a boy which we’d seen running around last time who had since had an accident on the back of his bicycle. He had slipped and sliced his ankle open, right down to the bone. It had happened 20 days ago and was not looking at all good, it was infected and swollen, we thought he might have actually broken his leg. They were looking at me for answers, I asked if they had given him any medication or consulted any health worker, they brought out a packet of pills – they were paracetamol. He was feverish, and I’d been told by the doctors when I had my infection, that that is when it gets serious. I think the infection had entered his bloodstream and maybe even his bones, and that he might loose the leg, or even worse. The only thing I could do is take some photos and tell them I would take them to the Dr and see if I could get the right antibiotics for him, but when I went to the Dr, his wife said he would not be there til the following week. I fear I might be too late. The problem is that these people do have access to health centres which are supposed to give care for free, but they all think they will be asked to pay for something (which may well happen with corruption) or maybe the transport to the health centre is more than they can afford, especially when petrol is at 5600riel ($USD1.30). So they just don’t go, instead they consult traditional healers which provide traditional medicine, which for some ailments can help but for something like this, it is useless.

Wednesday night, and Ben and I, along with some of my colleagues, Leena & Sam, the American Peace Corp volunteers included, were invited round to our bosses, Rady’s for dinner. My first Cambodian meal at someone’s house, it was great – good food, beer flowing and everyone joking around – I feel like, now after 3 months, I’ve had a bit of break through with my colleagues and they are now are all used to me, and the teasing and senses of humour have come out – it’s great fun!

Thursday was an exciting day, we had been invited by an organisation called Healthcare Centre for Children (HCC) to the World Day Against Child Labour event that they were organising in another district of Prey Veng. We only had short notice and unfortunately couldn’t come up with any other transport options but our trusty 4WD, so only managed to take the 10 oldest children & 5 adults – yes we all fit in a Pajero – it’s the Cambodian way to fit as many people as possible in one car! So we travelled the 1.5 hours that it took, to Preah Sdach District and the middle of nowhere! We gathered with other children that had been invited from the HCC shelter and the HCC Youth Clubs and started a march through the village which was to create awareness of the issue of Child Labour and promoting “Education: The Right Response to Child Labour”. After this we gathered for the mandatory speeches, no event can be held in Cambodia without the speeches from the govt officials, governor and whoever else! Of course these officials took an hour to rock up so the kids waited patiently while the ex-pat adults shuffled their feet and got impatient – we will never rival the Cambodians in their ability to wait!! The kids sat attentively through the speeches, even took some notes, and then actively participated in all the games and dancing to follow. They were great and they had a ball, I was so proud of the way they behaved. They really don’t get out much so I was expecting them to be quite shy but not at all, they asked questions in English to the Laine (the AYAD at HCC, who had invited us) and even performed an impromptu song for her. They first up to play the games and first up on the dancefloor! They sang all the way home – a sign of a fun day! Unfortunately, just as we turned into the FDCC gates after a very long day, one of the girls just couldn’t quite make it before throwing up –she got two girls on the way through – oops, lucky it was in the other direction from where I was! The poor little thing had obviously held it in the whole way but couldn’t quite get to the end, could have been a lot worse though, it it had happened half way through we would have had a barf-a-rama on our hands. The kids aren’t used to being in the car for such long distances, they really only get the 5 mins, each way to school!

Saturday, it was back to the airport, we left at 5am from Prey Veng, I was pushing for later but again the Cambodians seemed to think waiting for 2 hours at the airport was better than a sleep in! Unfortunately my stomach had been a bit upset the night before and I got next to no sleep so was feeling a bit worse for wear, but still managed to pick up melani, one of the Aust. Board members and whiz around PP for the day doing shopping for FDCC and then back to PV last night, another long day and I fell into bed at about 8:30am last night!

So much happening…..

Hi everyone, well I’m afraid there’s not much to report but I’ve been told that people are waiting for my words of wisdom but I don’t know what to write.

I’ve been pretty busy with two visitors to the orphanage, we have been discussing our strategy a lot. It was nice for the staff in Cambodia to be involved in strategy planning as they have not in the past been that involved in decision-making, more just operational. It was great to see that the Cambodian staff and the Australian Board are on the same page. So what does this mean for me – well basically I’ll be working on all kinds of proposals – we really need to start up a “community” project so that we can get our tax deductibility status which would help with our funding. So I’ll be researching all kinds of things, some ideas are a computer learning centre, English school, community library and then we are looking at some business ideas, something that can provide the older kids with a career option when they leave school and something that can generate funds for the orphanage – we’re looking into handicrafts, a bakery, a conference centre, sugar cane processing plant, etc, etc….

And other than that, I’m still trying to build up relationships with other NGO’s, trying for meetings with UNICEF in Prey Veng this week. We’ll see what they’ve got to say for themselves. So busy, busy…..

So what have I learnt this week then…well I’ve learnt that stomach bugs are still rife especially with newcomers, my houseguest Ben, has been suffering quite badly…One night of the runs and then a week later he had a night of hugging the toilet bowl for the other end….hmmm not nice…poor thing was chucking his guts up all night…needless to say I didn’t get much sleep, but I didn’t feel quite as and in the morning as he did….he only just managed to get back to my place, I heard a little feeble “sarah” as he threw p on my front gate…nice! But all is good now, I was contemplating taking him to PP but he’s improved now so medical emergency over….and thank god, I didn’t catch it!

So Wednesday was another public holiday, we have so many…Melani threw a party at the orphanage, the kids loved it, a presentation, balloons (which sent them in to frenzy – not sure why as it wasn’t the first time they’d seen them but I think the Australian quality compared to the Cambodian quality means that you can belt each other with them without popping them which seemed to be the thing to do!), dinner (“meat on the mountain”, which is sort of like Japanese sukiyaki, vegetables and thin sliced meat on a hot stone), then the obligatory dancing. I’m still not an expert with the khmer dancing, there’s not too much too it, but me trying to coordinate the feet and hands doing different things at the same time is a bit beyond me! They have an interesting mix of western style music, nothing you’d really recognise, they’ve kind of been asianised – I think there’s the Macarena in there, and the horrible “beautiful girl, suicidal, suicidal” song is everywhere – it’s great what makes it over and what doesn’t, some Pete Murray and Powderfinger wouldn’t go astray! The Cambodian music is pretty painful, especially when sung karaoke, I don’t think I’ll ever get to like it but there is a couple of songs I at least know now and can kind of hum along too.

Friday I held a bit of a party myself, more of a western style one….poor Ben was out of action so it was just me, Melani (Aust. Board member), Scott (a Canadian guy who also works in Prey Veng) and Leena & Sam (the American Peace Corp couple who also volunteer at FDCC). They’re a nice bunch and finally I have some drinking friends and some people to use my gazebo and outdoor areas with, it’s a perfect party house… Scott works out in the villages in Prey Veng province and comes back with all kinds of rocket fuel…some kind of rice wine mixed with chinese herbs, hmmm interesting…but the best news is that you can get a case of Asahi cans for $11.20 – nice! They’re cheaper than the local brands…weird.

Yesterday afternoon, after a very lazy morning and an “Entourage” marathon, a tv show that I had always been recommended but never watched cos it was on cable only in Oz (I got through the whole first season in one day – only cost me $4 – now I need to get Season 2-3), Scott, Ben and I went for a bike ride. It’s amazing how quickly you get out to the ricefields, small villages on the outskirts of the town, it’s a different world from the centre of the town and amazing that we can ride for 10 minutes and be out amongst the fields, the dirt roads were a bit perilous though, you had to watch where you rode, a whole bike could have been lost down the potholes, glad I wasn’t riding out there in the dark, people might never come back from that road at night. One weird thing we came across in our ride was while cutting through the high school, we noticed a mine sign on the outskirts of the grounds – that’s not something you want to see at a school. Apparently there’s no mines around here but unexploded ordnance is a problem, I’m thinking of tracking down the CMAC guys (Cambodian Mine Clearance) and asking them what the deal is and if we can fund it being cleared as that’s pretty crazy…at a school….unfortunately because Prey Veng is near the border it was a very heavily bombed area during the war.

My language teacher opened up to me a little the other day, he asked me when I was born and when I said 1978, he said that in that year he was a “slave” to the Pol Pot regime. He was in an area not far from Prey Veng town, he was 24 years old, and his wife was chosen for him by the Khmer Rouge (which was another way they controlled the people). He said he was lucky because the girl was actually from his original village so at least he knew her, but that might explain why he has worked as a private teacher in Prey Veng for 15 years while his family is about 1.5 hours away and only goes back on the weekends to tend the fields. I didn’t want to ask too many questions, if people bring up their story I just let them talk, but I’m dying to ask more questions, the questions are not easy to ask. My translator borrowed the movie “The Killing Fields” from me the other day, I warned him but he wanted to borrow it, he didn’t know anything about the movie. I warned him not to show anyone older than him, especially not his mother, I felt like I was selling contraband but I think it’s important for the younger generation to understand more about what happened as they aren’t taught too much as understandably people don’t like to talk about it.

See, not much to report but I manage still to write two pages….

Hi everyone, so another week passes, man they are flying past, I’ve now been here four months – crazy! So we are gearing up for election which are now in one month’s time. This means Monday at work I had to listen to the Cambodian People’s Party (CPP) which is the ruling party, sprout propaganda from all day. They’d strung up a loud speaker in the house next door to the orphanage which I feared would be there for the next month – but luckily it was gone today – taken away to bother another corner of the neighbourhood!!

The other day it was exactly a month til the elections so the parties were out in force, CPP, which will win no matter what – corruption and intimidation the order of the day like to win votes by giving caps and t-shirts to the masses – this is all that’s needed really, especially as they aim it at the uneducated peasants. So I was at the internet café the other day and a foreigner I didn’t know turned up – unheard of – so I got chatting, as you do – it usually starts off….”what brings you to Prey Veng” (as it’s not somewhere many foreigners come!)….anyway turns out he’s from Slovakia of all places and him and another lady are here as European Union Election Monitors for 5 weeks. He was looking for translators and people to interview to suss out the situation locally so I hooked him up with some of my friends. Samang, my Khmer teacher was interested in doing some translating, especially seeing he has the perfect experience – he translated during the UNTAC elections in 1993.

I think I mentioned Samang, my Khmer teacher, he’s been telling me stories about his Khmer Rouge experience – fascinating….he was 24 when the Khmer Rouge attacked Phnom Penh, where he was an army man and learning English. Luckily he had got his cyclo drivers licence to fund his English Lessons – this is what saved his life. When he had to join the exodus out of Phnom Penh he went to his families homelands – Bat Phnom, which is near to Prey Veng. He could prove to the village Khmer Rouge leaders that he was not an “educated” man because he told them he was a cyclo driver and because he had his ID pass for this, they believed him. He holds it to this day as without it he would have surely been killed. He was charged with being the fisherman during his time at the Khmer Rouge camps – this was the second thing that saved his life. He was given this task alone so if he was sneaky enough he could steal some for himself to eat and some to give to his family and friends – in doing this he risked being killed, but if he didn’t do this he more than likely would have died of malnutrition. He used to catch the fish wherever he could – sometimes they were in puddles and he would scoop all the water out and catch the fish with his hands. The survival instincts that kicked in during this time where amazing….

So I had a wonderful weekend with my good friend Liz, who came for a fleeting visit on her way to Malaysia. It was so nice to show her where I live and to take her to the orphanage – we had a ball – if only for a short time – she was with me for two nights and one night in PP. She absolutely spoilt me too with all sorts of presents, even Mint Slice biscuits, as well as clothes, knickers, jewellery, Haighs chocolates, not one but two cooler bags – wow, how lucky am I!! We had a house full – with 3 visitors in the house – Ben, who’s been with me for the past 3 weeks, Liz and Margie – who is a volunteer who’s come to work at FDCC doing staff training for the next 2 months. So 3 months of housemates – hmmmm, starting to think that might have not been my wisest move – decided on that when I was first here and thinking I might need some company but now I’m settled I am finding it a little claustrophobic – seeing there’s 2 this week, Ben and Margie – but as of next week, just two so I should be able to handle that!!! All those years of share houses and after 3 months on my own it looks like I like the single living….

So that’s it for me this week…..have to go eat a Mint Slice….

Hi everyone,

Well after such a crazy week last week, I ended up having a pretty quiet week this week. I think I needed it, was exhausted after all the excitement!! So I still have a burnt out shell of a gazebo in my garden, the landlord came down on the weekend as he was in town for the election. First time I’ve met him, only managed to meet the crazy wife last time. The one who decorated their bedroom with yellow fake flowers stapled to the walls and polystyrene toadstools – it made for a pretty trippy awakening!! Have replaced it with photos now…..

Anyway, they managed to say over and over that they’d pay for everything, which I am of course pleased about but also felt that it was weird that he had to keep making that point….then they decided that I would make a good match for their son, who happens to be living in Sydney, Cabramatta of course, where all Cambodians in Sydney live. So they decided to call him in Australia and put me on the phone…great, at the same time the mother thrust photos of him in my hand. They’re not shy….

So Saturday morning we were all set to go sightseeing, Margie and I had forked out for a car for the day and had tried to organise a day trip. We asked Sorithy & Tharoth at work where we should go, they pretty much said there was no where to go within a 3 hour driving radius….I found that hard to believe, suggested a Wat, suggested a market, no, no, no….then Tharoth had a bright idea about going to see a waterfall – it was all set, Sorithy wanted to come, and Tharoth, and then we wanted one of the girls to come from work, so I conceded to 4 in the back – Cambodians usually try for at least 6 in the back…

Then unfortunately just as we were to be picked up – 10am (we were very clear that they were not to come before that – the Cambodians like an early lift off!) and Rady my boss, who had been sick all week, had heard our plans and put a stop to it….apparently it was too dangerous….the road could get muddy. So that put a stop to that, there’s no arguing with the boss. We asked if there was somewhere else we could go, and that was a ‘no’, so all plans were off, which left the day free to lounge in my hammock and read a book. Not a bad day, just not what we had in mind…

So Sunday was the big day, the National Election…there’d been lots of rallies leading up to it but everything peaceful as far as I could see. There were some reports of intimidation and gift-giving but no violence, although things aren’t that free in the press here so who knows. Anyway, I went out of my gates….venturing out with two mates, Scott & Carol – my bodyguards…we were told by some people that there was nothing to worry about and then by others not to go out at all. So we decided to go half way, in a pack and just cruise around and see what we came across…OK well we thought that we’d cruise the polling station – but it was totally dead. The foreign community of Prey Veng which usually sits at around 12 had bulged to about 30 – Election Monitors…they were everywhere. So we stopped by the school first, there were reporters from the Cambodia Daily – the English paper here and then a car full of monitors arrived. Word on the street was that it was all quiet on the western front. We cruised around to a couple more stations but it was eerily quiet…the thing was that there wasn’t as many people voting as the last election – it’s not compulsory here and quite frankly they all knew the result before they’d even voted. It was good to see the black inky fingers of my colleagues on Monday, most of them voted – which means you have to dip your finger in black ink to ensure that you don’t vote at all of the stations which apparently was something that happened in the UNTAC elections.

Anyway so that’s where we are at – the exciting thing is that I’ve been invited to a World Bank Info Sharing Day – hmmm, for us NGO types, that’s exciting – see I’m getting sucked in…

And this weekend, it’s off to Sihanoukville (the beach) with the AYADs….all good!

Hi everyone,

Well I’m at home for the first weekend in 5 weeks or so, and am really enjoying having some time to relax and enjoy the quiet life in this sweet little town. I am watching my neighbours transport everything down the road for their restaurant, the makeshift stall which they set up every afternoon like clockwork – it’s a joint effort and amazing that they can set up a whole restaurant each night and pack it away as if it never happened, using only cyclos for transport.

I’m sitting in the notorious gazebo, which is now re-thatched – tiles cost too much….and has been re-electrified with fan and lights – I figure it can’t happen twice! The orchids that were singed are coming back to life, one’s even flowering so I think they’ll be OK and the Mango tree has all new leaves so it’s almost as if nothing ever happened, except for the melted black plastic on the balustrades and the pile of part-burnt thatch which is in a pile in the back yard waiting for me to burn. The cats are even back, well, two kittens and the father I think, although the father and mother are identical so they might both be here. I’ve been feeding the father hoping that the others will come back. I got some whiskas which they seem to like, I tried Cambodian cat food – rice and leftovers but they turned their nose up and preferred the rats. I was trying not to feed them too much as they still need to be hungry enough to help me with the mice and rats but after the whiskas got breached in the ant cupboard and was absolutely crawling with the little bastards, I chucked it outside and the cats seem to have got into it last night…the packet was sprawled out on the ground this morning and there was three cats sprawled out dead to the world with very full tummies by the looks of things…I guess the ants don’t bite them like they bite me – probably coz they are Cambodian, the ants are racist here….

There are cows walking down my street, there are lots around at the moment seeing rainy season has brought green grass everywhere – it’s much more beautiful countryside than the dry season where red dust swirls and colours all the trees, houses, people are coloured a reddish-brown. I have to be careful to avoid the cows in the street each day when I ride too and from work, they seem to get brought to a green patch, get left there and then get picked up at the end of the day – they’re too interested in the food to run away.

I just went down to the Prey Veng market, the place to be in Prey Veng – well the only place to go really….I rode along the riverside which is beautiful at the moment, the water is really high. The problem with that is that the squatters have been forced up onto the street, this in itself isn’t a big deal but I now have to ride past the delicacies they have each day…..fried snakes on a stick, fried sparrows and fried frogs. Rainy season has brought out the frog catchers…who you see on the sides of the road with head torch on catching frogs. So I went to the market to get some vegies for a satay stir fry for dinner – I bought a carrot, onion, capsicum, fresh mint (well I think it’s mint, the herbs look different here so it’s a bit of pot luck), already shredded ginger (how thoughtful is that, I hate cutting it up!), and some bean shoots, all for a grand total of 50c. Can you understand why I don’t barter with the food sellers! My colleagues tell me off, but really what’s there to argue about! I walk through the market, greeted by the food sellers, some say hello in English, most say Susadei – hello in Khmer. Then I am followed by these murmurs of sa-at nah, sa-at nah – beautiful – yes it does a lot for my ego but it’s kind of sad, it’s just the white skin, I’m not looking particularly beautiful, never wear any make-up, are wearing baggy shorts and a t-shirt (form-fitting tops and shorty shorts sends them into a spin, so I always make sure I change from house clothes – which usually consist of a singlet and my pyjama shorts to something more culturally appropriate when out in public), and especially since I have a massive scab on my knee,– yes another injury!

Thursday was an interesting day, I was having an “I love Cambodia” day, happily riding my bike back to work after my two hour lunch break in which I’d knocked off another couple of Seinfeld episodes….the sun was shining, I’d passed the monks in their orange robes on their way to school which always makes me smile, and then must have got a bit cocky on the old bicycle because I turned the corner, off the bitumen into the road to the orphanage which is sandy dirt, and started to slide out….slow motion as these things tend to be…I tried to straighten up as I’d taken the corner too quick and was on the wrong side of the road with another cyclist coming in the other direction, I slid, I snaked the wheel and then I was tumbling…sliding…oh dear. I was sprawled on the ground, lucky there was only the one guy coming in the other direction and it wasn’t peak hour. He stopped to help me – god I was so embarrassed, he was speaking to me in Khmer and I couldn’t understand…I collected the contents of my handbag which were strewn across the road, the man was brushing off the dirt from my back, my knee and hands were bleeding – lucky I was just down the road from work! I hobbled back on my bike and made it to work. I stumbled in and said I’d been in an accident – I was laughing, I felt like an idiot…I acted out the accident as they all rushed to the first aid kit, I kept on saying “jih kong, jih kong” – bicycle, bicycle. The House Mother patched me up…we only had alcohol swabs rather than betadine so there was a bit of pain as we scraped the gravel from my knee graze – it was a good one but I think I’ll live. Six bandaids later and I was good as new! I felt like a 10 year old…I was never really that accident prone in Australia, I guess there’s just more scope for injury here!

That night, Rady my boss was having a party for his son’s 5th birthday – he said it wasn’t very big but I now know not to believe that when the Khmers are talking about celebrations, especially when the older children were taken round to his house to help with preparations. So I was at the internet café after my accident and was waiting for someone to pick me up seeing I’d been driven as I wasn’t quite in a state to get back on the bike. I soon got phonecalls from Sorithy at the office to say there had been a car accident, the FDCC driver had hit a moto driver in the 4wd – luckily no children were in the car when it happened….everyone was OK however the moto driver was pretty badly injured he ran into the side of the vehicle so got quite a knock across his chest when he hit the car – he must have been going pretty fast…So I waited and waited to be picked up at the internet café to get taken to the party…I was just considering walking when Sorithy came past on his moto and ferried me back to FDCC to try to organise how to get Margie to the party – she’s not really a moto person and without the FDCC car she was a little stranded – we ended up getting Rady’s brother in law who has a taxi to pick us up. So all the children from the orphanage were invited to the party – so that’s 45 to start with, plus all the staff, so that’s another 12, then Rady’s colleagues at the university, probably another 10 or so, then his relatives…which I think ended up making about 90….sit down dinner…and this is not a big deal in Cambodia at all – everyone pitches in, tables, chairs etc are hired and a party is born. The kids had a ball, lots of dancing which is customary here, I can actually do a couple of the local dances now, well kind of!

However just to add to the two accidents that had already happened that day, Borin – the oldest boy got a moto burn when he was sent off to get more supplies for the party and then a girl collapsed….it looked like she was having an allergic reaction, she was itchy and sort of convulsing – she was raced off to the clinic….it turned out she was allergic to prawns which had been served for dinner and were most likely something the kids had never eaten before….oh dear!!! So that was 4 incidents in one day….my colleagues decided they hadn’t been praying hard enough and this had brought badluck to FDCC. The next day all the kids made offerings at the spirit house in the FDCC grounds and the shrine in our office had a big bunch of bananas in front of it – I’m hoping this is going to cover me for the next little while as well….I think I might do some offerings at the spirit houses and 3 shrines I have inside my house…..maybe that’s why the fire started……

Another lazy weekend at home but I managed to go and see the only ‘sight’ in Prey Veng today when I accompanied the children on a school holiday trip. They have had 3 consecutive trips, the first one to Kompong Thom with the kids aged in the middle range – a day trip. The second was an overnight trip to Kratie for the oldest group, and today was a day trip with the littlies. It was fun, we went to Baphnom, which is still in Prey Veng province but about 1 ½ hours from Prey Veng town where I live. Baphnom is famous as it has a mountain which is the only raised land in Prey Veng province – it is the flattest province. To commemorate the mountain a pagoda has been built on the top, it has fantastic 360 degree views. We all climbed up, about 300 steps stopping to pray at the shrines along the way, kneeling down and offering incense, then making the sompeah sign, (hands together in prayer near your forehead) and touching the ground 3 times. The Khmers are very superstitious when it comes to offerings to the gods…as was evident in the offering frenzy that happened after our bad luck last Thursday!

We reached the top laden with lunch, which was a picnic Khmer style – rice, salad – cucumber, carrot, lettuce and roast chicken. The chicken was delicious, apparently it was fried whole as they don’t have ovens here but it looked and tasted like rotisserie chickens except for the fact that the head and feet were still attached. The Khmers love chicken bt I think mainly because they hardly ever eat it, chicken is the most expensive meat for some reason….we were laughing because the foreigners – me and the two peace corp volunteers were sent to sit by ourselves away from the other staff…we always get special treatment when it comes to meals, and nearly always get segregated…not sure why? When I eat my meals at the orphanage I have to sit by myself at my own table as I get different food to the kids and it would be seen as favouritism if I sat with one table of kids and not the others! Anyway we pulled apart our chicken and ate the white meat, recognisable parts of the bird, such as head and feet were put aside, then the staff came over to take our bones to their table so they could suck off the meat…apparently they think all parts of the chicken is delicious and don’t want to waste a bit so suck the bones dry, not really my taste!!

We came back early as the rain clouds were looming so I’ve come back to a ‘Die Hard’ movie marathon, god I forgot how old the first ones in the series where – a pity that my cables jumping, but I pretty much know the movies by heart, I’ve seen them so many times. Gosh you’d think that $5 a month would get you better service than jumpy cable!!! And to think I was thinking I might not have TV at all when I was wondering where I’d be living….and now I have cable with Star Movies, HBO, National Geographic and CNN, plus box sets of any TV series you’ve ever seen. We found 21 Jump Street the other day and Summer Heights High! So I’ve come back to a yard full of coconuts, my colleagues hired a little man to shimmy up my coconut trees this morning and cut them down…I offered to pay him but they paid him in coconuts! I now have 45 coconutc to take to the orphanage, just enough for one each. I’ve got pomegranites too, just waiting for them to ripen and then mangoes in the dry season so it’s quite a fruitful garden. I now just need to get the cows into my yard to chew down the metre high grass in my backyard which grows too quickly for me to cut down, especially when the only cutting implements are hand-held shears…

…to be continued….

Tuesday, August 05, 2008

13 years ago in Paris, Project IRIS was founded. I had been working in Cambodia since 1992. It was then a land devastated by conflict, brutality, genocide and pain. I arrived shortly after the United Nations troops had started to come in which followed on from the Paris Peace accord where the conflicting parties had agreed to put down arms and let in the UN as a transition government to organize elections. I went to Cambodia to work on an AMDA Japan project to assist setting up health services for repatriated refugees from the border camps. Working out of a shaky field clinic in fringe Khmer Rouges country (the Khmer Rouge had reneged on the Paris accord and not put down their weapons), we saw, among the vast array of sickness at Phnom Srouch many treatable eye conditions and that was my personal call to try sometime to do something about them. Cataract blindness is so relatively easy to treat, yet there was almost nowhere in the Cambodia at that time where the poor could get the operations they needed.

Michele Claudel, a generous Swiss philanthopist a friend of a medical colleague of mine, Dr Francois Lette who had also come to Cambodia with AMDA had visited Cambodia during this time and sponsored several Cambodian students to go to France for advanced training in Tropical Medicine. This wonderful educational initiative of hers was something hugely needed by the country. We had become friends and we decided that we should initiate an eye project. She arranged the meeting in Paris and introduced me at the time to the third of we three IRIS founders, John Stewart.

There was then a period of yo-yo'ing back and forward to Cambodia both for Michele and I, setting up infrastructure etc. The key to it all happening though was through my informal AMDA connections with AMDA Nepal, a wonderful and very organized medical organization and part of the AMDA world network. The level of expertise in Nepal developing country eye surgery was wonderful, yet there had been virtually no contacts between the Nepal and Cambodian systems. My good friend there Dr Bal Kumar Katri Chetri ('Dr KC') introduced me to Dr Basant Raj Sharma (now one of Rose Charities most experienced consultants and advisors),of Lumbini Eye hospital, the run by SEVA, who advised on our purchase of equipment and logisitcs. We decided that the 'eye camp' approach would be the most fruitful, to try to get out to the almost medieval conditions in the countryside and take the operations to where they were most needed. Without the Nepal input, and specifically that of Dr Basant, who supervised and operated at the first (and many others later) IRIS eye camp, IRIS simply would not have happened. In that sense, Dr Basant can be considered is the true founder of both both IRIS and Rose (which evolved from IRIS)

John Stewart, one of we three IRIS directors, also a talented writer and documentary maker generously made and donated this film (part shown here..for more see www.RoseCharities.org ) for IRIS promotion. John was initially a board member of Rose Charities Canada after Rose Division of IRIS became its own organization. Both John and Michele can be considered two amongst the most important founders of Rose Charities as, without their agreement, the Rose division would not have been separated from IRIS. IRIS continues to this day, expanded and carrying out wonderful work in its almost exclusive focus of ophthalmology. In 2004 the Rose Charities Eye clinic, then fully re-equipped after a terrible looting some 2years earlier by a crooked expatriate , was offered to IRIS Cambodia to be run by them or as in a joint collaboration. The offer was graciously declined. Will Grut


video

Saturday, June 28, 2008

RoseCharities Surgery

Rose Charities Rehabilitation Surgery - the '2TS' Principle
Since 1997, Rose Charities has been promoting rehabiliation surgery in Cambodia and as a model for developing countries in general. This is a brief synopsis of the founding principles put into the Rose Charities Cambodian projects at that time by Will Grut. The Kien Khleang Center was identified at that time as being a suitable location for the project and Grut successfully obtained permission from the Ministry of Social action to open the Rose Charities Rehab Surgery center there. In 2002 after a horrendous robbery, looting and vandalization, the non ophthalmolgical part of the project was tranferred to Chea Chumneas Hospital and Operation FIRST established with Dr Nous Sarom to run it. This change has been most appropriate as the Kien Khleang Center, not being a proper hospital does not have proper facilities for responsible surgical procedures other than eye surgery (local anaesthetic, no risk of transfusion being necessary) and is not run by the Cambodian Ministry of Health. The following was written in 1997, but applies as much today as it did then in many countries in the developing world as well as to Cambodia

Rose Charities work with victims of land-mine and conflict injury, acid burns, cleft lip and palate, and other surgically treatable conditions ( meningoencephalocel , club foot, slow tumors , congenital malformations and many others ) is now well known all over Cambodia. Dr Nous Sarom , Operation FIRST with RoseCharities have been pivotal in this work and continue today increasing operation spectrum in areas such as micro-surgery , orthopedics, ear surgey etc, as well as training new surgeons, nursing and physical therapy staff . FIRST-Rose has an open door policy, welcoming bona fide students, residents, and other groups, local and international who genuinely and honestly wish to help the people and health system in Cambodia.



Conflict injury

Based in 1992 in Phnom Srouch, a heavily landmined and conflict infected area of Cambodia, Dr.William Grut observed that conflict health problems fell into one or more of three categories

Primary conflict injury / disability : Injury resulting directly from the conflict. Amputees, other land mine injuries, bullet wounds etc.

Secondary conflict injury / disability: Injury, as a result of the disruption of infrastructure of the county. Thus, elimination or serious reduction in health services, and / or access to those services or clinics. Lack of education. Lack of vaccination programs. Lack of health surveillance. Dangerous transport methods over destroyed roads, bridges etc. Polio, post meningitis, cerebral malaria handicaps, effects of measles, shistosomiasis etc.

Tertiary conflict injury / disability. Injury / disability caused by the 'physical conflict mindset' which sees the solution to any problem as being the use of physical violence. Thus, deliberately inflicted acid burns, beatings and other physical cruelty. Forceful control, rape etc. Tertiary conflict problems can be very much accentuated by secondary conflict effects such as the lack of a fair and functioning judicial system and / or corruption in the law enforcement services.


The Rose Charities '2TS' rehabilitation surgery concept

The focus of the Rose rehab surgery model is aimed entirely at two aspects . .. 1) an improvement in quality of life for the sufferer of the disability.... and..... 2) the ability of the country or region to sustain facilities which will lead to such improvements for future suffers.

This is achieved by the paradigm called by Rose '2TS' which stands for ... 'Treatment sustainability & Training Support' ..... and in its most basic form it is this which was defined as the basis of the Rose model based on the following observations, practical experience, and summation, below...


Treatment sustainablity

To be sustainable, health services in any country must be at a cost consistent with what a country can afford and give maximum benefit for the money spent. Since the 1970s the formula to achieve this has focused more on 'Primary Health Care (PHC), elements of vaccinations, mother and child health, sanitation, clean water, education and basic treatment of the most prevalent diseases in the community. PHC continues to give enormous benefits to the health of populations when administered properly. It thus must always be in the front line of the health improvement processes in developing countries.

Due perhaps to the success of PHC however there has sometimes been a tendency to see it as the only health process which can be sustainably implemented at acceptable cost. Surgery, on the other hand is seen as expensive, non cost effective, far to complex and sophisticated and needing inappropriately large resources to sustain a trained level of human resources.

The 'Rose model' however shows both theoretically and (by the work of Rose Charities , www.RoseCharities.org ) and in practice, that surgery too can be cheap, effective in the improvement of quality of life, sustainable, safe and highly desirable.

The Rose model is based on the observations..

Rehab surgical procedures, carried out properly in developing countries by locally trained surgeons can have costs per procedure well equivalent or less than the cost of many of the longer term drug treatments (i.e. for TB, Leprosy etc. etc). Thus a cataract operation which will restore sight to a blind person can cost as little as USD 17 (Rose Charities Cambodia figures for 2005), or a cleft lip or palate, land mine amputation etc, USD 30 - 50)

Rehab surgical procedures often have an enormous benefit, not only for the sufferer of the disability but also for her / his family, village, community. A child who has had a cleft lip or palate repaired is no longer considered 'an idiot'; he/she can go to school, get married, be employed etc. Rehab surgery thus can significantly increase the D.A.L.Y. (Disability adjusted life years ) of an individual, community or even, with nation programs, the whole country.

Populations WANT rehab. surgery. People, wherever they are, want to be cured of or at least helped with their disabilities. If you ask a group of villagers in almost any community whether they would like a clean well, instead of the old muddy stream that they and their animals may be drinking from OR sigh restored to their parents, or their children's cleft lips repaired, or their men to get proper surgical assistance to get a an artificial limb, they will invariably choose the latter. This is not an incitement on PHC, simply a statement of the fact that it is the quality of life perceived by the community itself which should be taken into primary consideration and not just the perceptions of the planners. (who, far more often than not, are not those who live in the villages where the assistance is being made.


Training support.

Support for training - the implementation of cost effective training programs is the crucial element in ensuring treatment sustainablity above. Dr. Grut realized that appropriate training programs....

Need not be expensive. They can be implmentable with the assistance of relatively small international funding agencies and/or national resources. Resources for training can be left within the country in the form of upgrades to existing facilities and or equipment donations

Already have the the basic human resources in place i.e. already qualified physicians, anaesthetic nurses, even nurse-practitioners in outlying areas already in place and interacting with the population in need.

Can be implemented by volunteers from the industrialized or other countries by multiple short term voluntary visits. This has the multiple effects of giving the international trainer a fascinating and enormously appreciated new facet to her / his vocation, making new friendships, linking the trainees into an international network, as well as the main goal of improving health care in the developing country.

Can be linked into a region or nation wide network

Have a multiplying effect, in that once trained, the recipients of training can go out and train others...

Can be linked and integrated with PHC individual or team training to provide the most comprehensive health care 'package' for the country.
NEW ROSECHARITIES NEWS BLOG. RoseCharities News blog is shifting to ...
www.RoseCharitiesNews.blogspot.com .
This blog-site will remain though for general comment, words, thoughts, ideas, non-urgent updates etc, ie. here, on www.RoseCharities.blogspot.com

Sunday, June 22, 2008

Acid Violence in Cambodia


"Acid violence defies any bounds of comprehension. It is a violation born and nurtured in hell itself, pitiless, hideous evil. It takes away both skin and flesh and the very soul of the victim. And it does so with a finality that is very often absolute.

I saw my first acid violence injury around 10 years ago. I had set up Rose Charities as an extension of my previous organization, Project Iris. Iris dealt with eye injury and sight restoration but so many injuries extended beyond the eye to the face and torso. Rose went beyond the eye to facial and other injuries. Word had gone around that there were ‘foreign doctors’ helping the injured and we had set up a simple operative and treatment clinic on the outskirts of Phnom Penh. I came in in the morning and she was there in the waiting area, led brought in by a friend.

It is hard even now, even as a physician who has seen many physical horrors in a lifetime horrors to think back on that face and body. It was as though the world had brought out a being so alien, so mutated that no other thing would ever recognize it. She just sat there on the hard wooden bench as I took her hand. She could not cry, she had no tear ducts the skin fused tightly over where here eyes may or may not lie underneath. She just sat gazing forward the mottled leather membrane, the shrink-wrapped skin of her face no longer with any elasticity or innervation to display any expression.

She had been beautiful, it was the only possession of value she owned. She had got low paid job in a restaurant. She had a boyfriend. One day it seems she refused the advances of a much older man, a government official of some importance. That evening two men were waiting. They held her down and slowly poured on the acid. And they continued to hold her while it did its work.

That’s the thing. . Simply throwing acid in someone’s face gives the person time to rush to water and prevent much of the damage. Acid will continue working and if the victim is held then it can be poured onto specific areas; the eyes, the genitals, the breasts. There are of course cases where acid is simply flung at the victim, often in a large quantity, like most of a bucket full. If the victim can then get to a source of water very quickly she can limit the amount of damage – though it may still be severe and have irreversibly damaged the eyes.

Now, some 10 years later I have seen victims of acid burn attacks at our Rose Charities Surgical Rehabilitation or Eye Centers. Although statistics are scanty and subject to the inaccuracies of translation (Khmer is a notoriously difficult language to translate into English with the same exact retention of meaning) it would seem that around 50% of attack causes are the consequences of real or perceived extramarital affairs and/or other aspects of life leading to the seeking of revenge, hate, or jealousy. A further 15% are ‘accidental’ in the sense that someone, most usually a child, has gotten in the way of thrown acid. The rest result from disputes such as over land. Cambodia’s history of conflict and successive imposed governments has ensured an enormous uncertainly in land ownership resulting in claims and counter claims.

Cambodia’s conflicts of the last 50 years have been extreme and brutal. Despite attempts to keep neutral, the country became heavily involved in the Vietnam war, its people first being hit by both sides, and before eventually succumbing to one of the most genocidal regimes of human history, that of the Khmer Rouges. In this period, some 2million persons were slaughtered, tortured, starved or worked to death. Women were forcibly married to strangers, forced to watch as their children were taken away or their babies bayoneted in front of them.

The injury and illness of conflict and post conflict zones lies in three broad categories. There is ‘primary’ conflict injury, that which is mostly associated with wars; bullet wounds, blast injuries etc. Then there is ‘secondary’ which is the disease or untreated trauma caused by the conflict induced breakdown of infrastructure and then there is perhaps the most pernicious, the most long term, the ‘tertiary’ injury of the mind where the control of others is linked with violence fear, terror. While sadly the control and abuse of women is not only restricted to post conflict scenarios it may well be one reason why it remains rife in Cambodia.

The throwing of acid is particularly linked with the third and second categories above. A very weak and corrupt legal and law enforcement system (category 2) means that the control by physical abuse (category 3) is rarely punished, or prevented. The direct injuries (category 1) can be inflicted with almost no fear of being apprehended by the legal authorities, and in the event that this does occur, it is easy to buy immunity with an appropriate payment to the right person.

Rose Charities, a partner organization of ‘One in Three Women’ has been dealing with the results of violence against women in Cambodia since 1998. Over this time the range of acid injury has been very wide indeed, ranging from a few superficial covering one or two isolated areas to 60% or more body coverage with deep penetration down to (and even affecting) bone. Scalp eyes, ears and nose may be partially or entirely burned away.

Acid burns create a spectrum of disabilities for the survivor ranging far beyond the terrible disfigurement and physical disability. Livelihoods are ruined; there is social stigmatization, breakup of families, marriages and relationships. Full time care is often needed and this, in a country such as Cambodia is not provided in any way by the state. If the victim has no family or friends to look after them then they will be utterly outcast. So often the attack takes from the victim the only real asset owned in a quagmire of poverty, physical beauty, which in many societies is the only way for a woman to advance. So the damage is also both psychological and social.

Medically and surgically help may be limited. Rose Charities has two operative surgical / medical facilities in the Phnom Penh area to try to assist the victims. One deals specifically in eye care and the other with general rehabilitative surgery. Both facilities are directed by experienced Cambodian surgeons. One of these, Dr Nous Sarom is probably Cambodia’s most experienced maxillofacial surgeon and has trained extensively both with Rose Charities and previously with other organizations including Doctors without Borders. Acid contact with the skin can have an effect akin to ‘melting’. Thus adjacent areas, such as a limb with the trunk, the space between fingers can end up being fused together. There is also a shrinking effect so that the joints can be pulled into horrific distortions. Simple surgery can usually manage to release these adhesions and contractures. but more complex injuries to areas such as ears, eyes, nose or lips ideally need specialized reconstructive surgery, usually beyond the scope of the facilities available in Cambodia. Eyelids are a particular problem. Even if the eyeball itself is spared, a functioning lid is necessary to keep the surface of the eye lubricated: otherwise it will dry out, ulcerate and eye will be destroyed. Often, in the absence of the sophisticated facitlies needed, the most appropriate action is simply to suture up the remaining lids themselves, thus protecting the eye below for some unspecified time in the future when it may be exposed again.

Physiotherapy, preferably with specialized burns therapists are hugely important, but again such personnel are limited and the specialized training is lacking in Cambodia. What is then needed are the facilities for the lengthy rehabilitation process, vocational training, reintegration etc.

Over the years, Rose Charities has done what it can on its budget to improve the situation through training of surgeons, the encouraging of specialized teams to visit Cambodia and occasionally managing to send a particularly bad case for overseas treatment. Such operations however are fund limited, but the work continues.

Cambodia is a small country with a population of warm, artistic people who have a long cultural heritage leading back to roots in the great empires of South Asia. Cambodian lives are full of tradition, ceremony and colour. People smile a lot. I think back to those smiles and my heart goes out again to those who cannot smile. The world can be harsh and cruel, but surely little surpasses the cruelty of the acid attack.

William Grut MD
www.RoseCharities.org


Rose Charities was one of the first organizations to identify and target acid violence in Cambodia. Its treatment center has now been operating since 1998. It has been assisted by several specialist overseas groups who generously provide expertise and resources to help Rose Charities Surgeons deal with the problem

One such wonderful initiative has been that of the Virtue Foundation of New York

"..Led by Dr. Ebby Elahi, an oculoplastic and reconstructive surgeon, Virtue Foundation deployed a team of physicians to Phnom Penh, Cambodia in November 2004 to teach and perform plastic and reconstructive surgery at the Rose Charities Clinic, where many of the patients bear the gut-wrenching scars of callous acid attacks.
Deeply moved by the plight of a young Cambodian mother by the name of Yem and her infant daughter Sophan, who were both burned and disfigured by an acid attack that occurred while the baby was breastfeeding, Dr. Elahi arranged through the Virtue Foundation for mother and baby to travel to the United States in an attempt to prevent their blindness and to alleviate their deformities at the Mount Sinai Medical Center.
The entire cost of the patients’ treatment was donated by the Mount Sinai Medical Center and a team of highly specialized volunteer surgeons, including Dr. Ebby Elahi, Dr. Lester Silver, Dr. Penny Asbell, Dr. Michael Shohet, and Dr. Steven Rosenberg. Multiple surgical procedures on mother and child were followed by three months of intensive rehabilitation and follow-up care.
In January 2006, Dr. Elahi returned to Cambodia with a small team for another round of treatment to acid attack victims and patients in need of critical surgical care. During his visit, Dr. Elahi was heartened to once again see and provide follow-up care to both Yem and Sophan, whose surgeries in the U.S. last year had turned out to be highly successful, with the baby's vision now fully restored. Virtue Foundation hopes to deploy additional teams of physicians to Cambodia to continue the vital tasks of raising awareness of acid violence and training local physicians in surgical and reconstructive procedures."

Donations for any of these works are very gratefully accepted

www.RoseCharities.org


Friday, June 27, 2008


27 June 2008.

Happy Birthday Nelson Mandela from all at RoseCharities. You are an inspiration to us all, and to the whole world !

With appreciation and best wishes
The Rose Charities Volunteers

Thursday, June 19, 2008

Pipe Line to Burma. A Musical Fundraiser for the Victims of the Myanmar / Burma Cyclone. Proceeds go to local organizations assisting in the relief work including RoseCharities Organized by Len Walker and 'Tsunami Haven' . Saturday 21st June. Nanaimo. See www.RoseCharities.ca for link to more information. Pipeline to Burma. Donations via www.TsunamiHaven.org or www.CanadaHelps.org (and look under Rose Charities)

Saturday, May 31, 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)

Sunday, May 25, 2008





Images from AMDA Emergency Relief Clinics Myanmar



Friday, May 23, 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.

Tuesday, May 20, 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.

Friday, May 16, 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

Thursday, May 15, 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.

Wednesday, May 14, 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.

Tuesday, May 13, 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.

Friday, May 09, 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.

Wednesday, May 07, 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

Thursday, March 20, 2008

Tuesday, March 04, 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

Monday, August 06, 2007

Saturday, August 04, 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

Friday, July 20, 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

Thursday, February 08, 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.

Friday, September 01, 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

Thursday, June 08, 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

Tuesday, June 06, 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.

Friday, June 02, 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

Sunday, April 30, 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.

Saturday, April 29, 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
www.RoseCharities.org The Name....

The RoseCharities emblem is a stylized rose with five petals. Rosa rugosa, one of the oldest species
of rose had five petals and pentagonal symmetry

The Rose has ties to the fivepointed guiding star of Venus as well as the
Compass Rose. Since ancient times it has thus represented both the qualities of femininity

caring, nuturing, creative motherhood and that of guidance of direction. It was the early
Christian symbol of the Virgin Mary.

The rose's close link to the concept of 'true direction' and navigation is indicated in the 'compass rose'
as well as the 'rose lines' , the longitudinal lines on maps.

For the reasons above , the Rose was a symbol
that spoke of the Grail — womanhood, and
guidance—the feminine chalice and guiding star that led to secret
truth."


Despite these symbolic images, which link very closely into the ideals of RoseCharities, they were not the reason for the direct origin of the name of RoseCharities. This came from in fact from two springs with one or two additional factors...

The first was that it followed on from the floral theme of the organization from which it 'budded' (initially as a subunit.. IRIS (International Resources for the Improvment of Sight), the ophthalmic organization founded by Mme Michele Claudel, Dr William Grut, and Mr John Stewart in 1995 to provide free eye surgery for sight restoration for the poor of Cambodia and secondly because it could be fitted into Will Gruts (rather contrived) acronysm 'Rehabilitation Oriented Surgical Enablement .. ROSE. Despite the wording convolutions though they did represent the main goal of Rose in the only area in which they were operating at the time, namely the provision of (and training for) low cost, simple, sustainable, safe surgical procedures which were oriented solely at the improvement of quality of life by rehabilitation.