Pharmacy Students Ready to Travel

Now with less than 2 weeks to go until we leave for Africa, I’d like to introduce the four Wilkes Pharmacy students who will be embarking on this new “safari” with me.  {You may recall from an entry last June that the word “safari” means “journey”.}  I have asked them to send me a picture and write a short statement about themselves.  Today I’ll start with Melissa and introduce the others over the next few days.

Melissa

Hi my name is Melissa and I will be traveling to Uganda with the Wilkes University Global APPE. I chose to go on this trip of a lifetime because I have a passion for traveling, learning new cultures and serving/learning from others. I am excited to learn/work/serve along side the people of Uganda. After pharmacy school I will serve as a pharmacist and Captain in the United States Air Force. In pharmacy school I am involved with APhA (American Pharmacists Association), serving two years as the Heartburn Awareness Chair.  I am also a member of LKS (a professional sorority) and have served one term as secretary and one term as social chair. I was also involved with Alternative Spring Break and was an e-mentor/orientation leader (for Wilkes) for 3 years. In my spare time I like to golf, run, cheer on the Phillies (baseball team) and PSU (Penn State University) football, and travel. Internationally, I have been to the Dominican Republic, Honduras, and Belize.

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Ebola Outbreak Won’t Foil Trip

Although our trip is still 16 days away, it is unlikely that the recent Ebola Outbreak near Kibaale, Uganda will prevent us from going.  My students and I have been closely following this since the end of July when the World Health Organization (WHO) confirmed the first case of Ebola.  The first thing I did was figure out exactly where Kibaale was in relation to where we would be traveling.  I was immediately relieved to see that this area is about 100 miles south of Masindi, the rural district where we will spend the second half of our trip so unless it spread widely, it would not likely be a problem.  But then I read that one of the early patients was transported to Kampala for treatment at Mulago Hospital, where we will begin our trip.  So, it was imperative that we all learn more about this outbreak and watch its progress.

By the way, a faculty colleague from Wilkes was in Masindi at the time of this outbreak so I was able to follow this from the inside, as well as from international news.  I was really pleased to hear from him that the Uganda press was very open about the whole situation and he felt the country was well-informed.

Ebola is a virus that can cause a deadly hemorrhagic fever. The initial infection is contracted through contact with the blood or body fluids of an infected animal (bat, monkey, gorilla…).  Once a human gets the illness, the virus can be spread easily through human-to-human contact with infected blood and body fluids.  The disease starts out with flu-like symptoms, fever, muscle pain and weakness, but then can progress to liver and kidney failure and bleeding due to its effect on the blood clotting system.  Although the death rate is high and there are no effective antiviral medications to treat it, once the disease is recognized, basic infection control procedures and isolation of the infected individuals and/or communities can effectively halt the progression of the outbreak.

Thankfully, once the World Health Organization (WHO) first confirmed the diagnosis of Ebola, public healthcare agencies mobilized to contain the spread and treat the patients.  There haven’t been any more new cases in Uganda since August 4 so the outbreak seems to be under control, but unfortunately there were 16 deaths.

For more information, take a look at the WHO fact sheet on Ebola.

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Sharing My Africa Experiences With Friends in Florida

On Thursday I had the wonderful opportunity to share my slides and experiences from last summer’s trip to Tanzania & Uganda with women and men from my mother’s church in Florida, Good Shepard Lutheran Church. Many of them had made “Little Dresses for Africa” from pillowcases which I delivered to children in both countries. As you can see, they have more for me this year. In addition to these, my mother has already sent me a large box from the crafty women of the church. My talk was well received and I seemed to leave them wanting more since everyone is already urging me to come back after my trip this year!

I’m busy trying to get the rest of my trip details finalized. 47 days and counting! More to come soon on our plans, my recent presentation on the water research at the American Association of Colleges of Pharmacy meeting in Orlando, FL, and a new collaboration between other schools of pharmacy who want to help with my project in Uganda.

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Countdown to Pharmacy Trip to Uganda 2012

134 Days until I depart with 4 Pharmacy Students to Kampala and Masindi, Uganda!  Wow, that actually doesn’t sound like much time at all, and I still have so much planning to do.  I just purchased my airline tickets yesterday and the plan is to leave the USA on Sept 7 and stay in Uganda until Oct 7, 2012.  Approximately 1/2 of that time we will be in Kampala working and learning with Pharmacy students and faculty of Makerere University College of Health Sciences.  The other 2 weeks will be spent in Masindi doing volunteer work in health clinics.  Besides making lodging reservations, I still haven’t analyzed or written up my research findings from last year and I need to do that very soon so I can request an extension of my research authorization.

More on Kony 2012: A colleague from another University recently sent me the link to a New York Times article that talks about the controversy surrounding the Kony 2012 video and gave a link to Uganda’s video response by their Prime Minister Amama Mbabazi.  It was really good to hear his thoughts in the video and the efforts they have put forward to try to capture Kony. (By the way, Kony has been gone from Uganda since 2006 but he unfortunately is still in the some of the surrounding countries.) At the end of the video, he encouraged people to come and visit his beautiful Uganda.  I can wholeheartedly echo that- Uganda is a wonderful country and I can’t wait to go back and share the experience with 4 pharmacy students!  I also found it interesting that only 36, 523 people have viewed Uganda’s own video as compared to the millions who have watched the Kony 2012.  So, if you want to hear firsthand from a Ugandan regarding the whole Kony 2012 campaign, please watch below.

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Kony 2012 Revisited

When I heard about the Kony 2012 video “gone viral” on national news a few weeks ago, I searched for it and then viewed it. I found the video compelling and it touched me, especially since I knew a little about the LRA and it’s terrible atrocities in Northern Uganda. Ever since I started working on my Uganda Project  with professors at Makerere University in Kampala and Busoga Trust America in Masindi, I’ve had my eyes and ears open for all stories of this country. That has ramped up even more since I’ve actually visited there now and have met the people and experienced this wonderful country first-hand.  Anyway, when I viewed this video and saw it had a link that I could embed into this blog, I jumped on the bandwagon and did so. I saw this as an easy way to get people to become aware of and then hopefully care about people of Africa.  Most of my life has been quite sheltered living within the safety of the USA and the great freedoms we enjoy, which I think is probably like most Americans. Although we hear via the news media about the difficulties of other nations and people, whether it is poverty, disease, lack of water, constant war, etc., it is easy to forget about it once the images and publicity fades.  So posting this video was a way to share this information.  

BUT, thanks to one of my pharmacy students, I’ve now realized that some controversy exists about the methods of Invisible Children (the group that created the video).  Coincidentally, just as I was preparing my original post with the Kony 2012 video, my student was in the process of emailing me to talk to me to get my opinion of the situation.  She was in the process of reaching the issue more fully so she could make an educated opinion about whether or not to financially support this project.  Kudos to her!  This link discusses some of the issues:  http://tumblr.thedailywh.at/post/19202303178/more-on-kony-2012-if-this-past-week-has-taught-us.  Please also see the website for Invisible Children if you desire much more information about their work, finances, and their responses to many of the concerns.  

My bottom line:  Making the world aware of Kony’s atrocities is a good thing. All of us should become more attuned to the tragic situations of this world and we should figure out how we can make a positive impact.  Personally, I always favor diplomacy over violence, but if and when that fails, we should do what needs to be done to protect people.  Although charity is often helpful, it is not sustainable. The people of the affected countries need to be involved in any process to improve this situation or any living situation in general.  

 

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Kony 2012

Welcome back to my Africa blog!! For anyone who is new to this project and wants to follow the whole story, please visit my old posts starting back in March 2011. The brief synopsis is below the video link but the focus of this post is to make readers aware of the Kony 2012 initiative by Invisible Children, an organization that has been working to make the world aware of the atrocities against African children by Joseph Kony. They seek to garner worldwide awareness and support so that the US government will continue to assist the Ugandan army in its search and capture of this mass murderer. I first learned about Kony when I was researching Uganda a year ago and borrowed a video from the library called War Dance (see post dated 3/7/11). He is the leader of a militant group called the Lord’s Resistance Army and he captured young children in northern Uganda and has turned thousands of boys into warriors forcing them to kill their own parents and turned the girls into sex slaves. Please take 30 min of your time and watch the video below. It is extremely well done and if you feel so moved, please spread the link by posting on Facebook, your own blog, or just send people to this blog. Thanks!! (go to http://www.kony2012.com/ for more info)

KONY 2012 from INVISIBLE CHILDREN on Vimeo.

    About the Project

About 3 1/2 years ago, a couple of faculty colleagues asked if I wanted to go to Africa to work with them to research the impact of access to clean water on the lives of rural villagers in Masindi, Uganda. They had developed a relationship with Busoga Trust America, a non-profit organization working in that region to improve the lives and health of people there by providing wells and health and sanitation education. Over the next few years the project for me became a mission not only to do research but to also develop a learning and serving global practice experience for pharmacy students. I have also been able to meet and start a relationship with 2 faculty members in the School of Health Sciences at Makerere University. Last summer I took my first trip to Uganda with a pharmacy student to start the research project as well as explore future opportunities for study abroad. Everything went wonderfully well and I am now in the planning process for my trip back there this fall with 4 senior pharmacy students. Stay tuned for future blog posts to chronicle this process.

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Inundated with Photos & Good Research News

This will just be a really quick post to let you know that I haven’t forgotten about this blog. My Africa experience is always with me now but I have still been busy trying to get a handle on my other work. I finally decided to go ahead and just print all of my photos so that I could have them in my hands to sort and re-sort into groups for further display and voice threads and they finally arrived at my house- all 1330 of them. But, to my dismay, they were printed in no specific order. I have pictures of Tanzania following ones of Uganda and visa-versa. The events are in no way related so I now have the enormous task of grouping them into piles first by country and then by activity and relative date order. Although this will take time, it is a really enjoyable task as all my memories flow back to the forefront of my brain.

Also, I wanted to let you know that I received my FINAL Research approval through the Ugandan President’s office this week. Now I am free to submit it for publication, of course I first have to review and analyze the data and write the paper, which I have not yet begun. But soon…..I hope…

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Back in the USA with Mangos on my Mind

While in Africa I had the most delicious mangos!  My first full day in Masindi we went to the villages where we were going to be doing the interviews to discuss the project and procedure with the Village Leader.  It took about 45 minutes over very bumpy dirt roads to get to the first village and then another 15-20 minutes further to get to the second village.  All of these talks went great, but by the end it was well after lunchtime and I was kind of hungry.  Just then, though, the leader had a tray of mangos brought to us fresh from the tree.  I have had mango before cut up in a fruit salad and I enjoy the flavor as part of a fruit drink or frozen ice, but I have never peeled and eaten a whole mango.  Well, I not only ate one but probably ate about 3 mangos that afternoon.  I made a sticky, juicy mess and got it all over my skirt and face but it sure was delicious.  The picture here shows the tray of mangos along with some of the Busoga Trust staff.

Steven, Irene, and Ned with the yummy mangos in Iranda (Busoga Trust staff from left to right)

The beautiful lush green area is under the mango tree is where we sat and talked.  One of my colleagues has a picture of me with mango all over my face and if it turned out, I will post it at a later time.  Ever since I left Africa, though, I’ve been craving mango and a few days ago I found some at my local grocery store. The picture below is what is left of the mango I ate this morning and I have to say I was a little neater since I had both a plate, a sharp knife, and a napkin.  It was also delicious and brought back those fond memories.

There is not much left of the mango I ate this morning. The purse in the background was made in Karagwe, Tanzania

Hello all!  Sorry it has taken me so long to get back to the blog.  My time in London with my husband was great and full of site-seeing.  We arrived back in the US last week but I had to jump right back into work and have been busy trying to get caught up with work and my sleep.  (Not actually doing that great with either, though.)  One of the things that I really benefitted from in Africa was getting more sleep.  Since it is near the equator, there was basically only about 12 hours of daylight.  It would get light around 6:30 am and start to get dark around 6 pm or so and become night by 7:30 pm.  Since I usually got tired out during the day and didn’t have TV or the Internet to grab my attention, I did a great job of keeping up with my journal and then getting to sleep at a decent hour.  Now that I’m back in the US I seem to be falling back into some bad habits like working on my computer in front of the TV until late and still getting up early to go to the hospital- my clinical practice site- to be with my pharmacy students.  This, I have got to change.  My time spent in Africa was more focused on the tasks at hand (doing the research, meeting with people about my project, etc) rather than going through all of my email or trying to work on many projects at once.  Now that I’m back, I feel like my attention is even more scattered than before.  There are things that I really want to work on and take care of related to the Africa trip (go thru the research data, organize photos, share more information on my blog, get back in contact with the people I met so I can keep the conversations going, talk to my friends and colleagues about the trip…) but I’m back in my world of work, and email, and regular life and trying to juggle it all is difficult.  So, I will just have to be patient with myself and take care of one task at a time and hope that others can be understanding as well.

Speaking of patience, I think I did learn a little bit about this from my African experiences and put it to use this morning as I waited for my breakfast order at Sheetz.  (This is a little food shop at a gas station where you place your order via a computer touch screen and then it is prepared quickly while you wait and you can take it on the road to eat as you drive.)  Anyway, as I walked into Sheetz I noticed right away that it seemed pretty busy but I just placed my order because I was hungry.  As I waited I simply stood there thinking- mostly thinking about Africa and Mangos- but not being bothered at all by the time passing.  Soon I heard someone else’s order number called but then overheard the server apologize for the long wait.  In my head I thought that the person must have placed an unusual order or something and had waited quite awhile. Then next my number was called and I received the same apology.  I smiled and said it wasn’t a problem but as I walked away I was thinking that I didn’t really wait that long at all- it had probably only been no more than 7 or 8 min- maybe not that long.  This made me think about how many times I saw people in Tanzania or Uganda waiting very long times for much more important things than fast-food.  They would walk a mile to the clinic just to wait for a few hours to be seen by the nurse and then sometimes to find out that the medication was out of stock.  The only choice at that point is to find money to pay for it at a local pharmacy or walk to a free clinic the next day that was farther away in hope that they would have it in stock. Since the first option was not really an option for many of the poor villagers, trying other clinics was usually done.  This obviously delays treatment and certainly impacts their ability to do their daily work, but I wonder how often an illness gets worse or a child suffers even more due to lack of medication??

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Last Day in Africa :(

The last of the Little Dresses for Africa were donated to the Reverend Mother for the orphans and vulnerable children she cares for at the Masindi Diocese of the Church of Uganda. She was so happy to receive them and it was a joy to talk with her about their very important work! The other woman in the picture is Irene. She work for Busoga Trust and we have become friends. She was incredibly helpful during the research by translating and also for facilitating my visits to health facilities and showing around Masindi for shopping.

Sunday, July 3, 2011

We (my student and I) just arrived at the Entebbe Airport Guest House where we will stay tonight before our 9am flight to London in the morning.  This guest house is really cute and has free wireless Internet- yea!!  I can’t believe my time in Africa has come to an end.  It has been the most wonderful trip and I have learned soooo much!  There are many experiences I still want to share with you so this won’t be the end of my posts.  I will be taking a small hiatus during my holiday in London with husband for the next week.  Then, I will be back and plan to create and post some of the VoiceThread slide shows that I had hoped to do during the trip.  Both the lack of Internet access and my extremely busy schedule interfered with that plan.  But before I close, I do want to share a few things with you.

The adorable dolls my friend, Janel, made were donated to the Childcare Supervisor at TASO (The Aids Support Organization). They have many children in treatment and she will make sure that they are given to children in special need of comfort. By the way, her name is Peace- what a beautiful name and it is perfect for someone in her position!

Saturday, July 2, 2011

First of all, on Saturday I met with the Makerere Professor for 3 hours in the morning and we had such a great conversation about how this trip went, the research, and our plans for future collaboration.  We both seem to be on the same page and he is as excited as I am to continue forward.  We will both be keeping our eyes out for grant opportunities to help fund the next trip to Uganda which I am planning for Fall 2012.  That time I will bring more pharmacy students and hope to be able to secure enough funds to train a couple of Makerere Pharmacy students to continue the research in Masindi when I’m not in the country.  Short term trips to Uganda will be helpful and a great way to provide memorable learning and serving experiences for pharmacy students, but my true goal for the research is to find a way to monitor & improve health outcomes over time and develop a process that can be continued by the health clinics themselves. In this way they can gather their own data and make improvements so they can better care for their patients. The afternoon was spent with the faculty member that I met my first day at Makerere.  She took us to the big mall in Kampala and then to a really cute craft bazaar where there were lots of beautiful handmade gifts.   The mall was amazingly like an American Mall.  It even had a food court.  As we walked into the food court, Pamela suggested we find a table and I figured that we would sit down and one of us would save the table, as in the US, and the others go get in line for food.  But as soon as we sat, 5 different servers swarmed the table and handed us menus.  We were actually able to order from menus right at our table and have the food brought to us.  She said that this was done so there is fair competition and I really think it is a neat idea.  This way, you can peruse all of the offerings at the different places and then make a decision instead of being influenced by the long line at one place or another.  Also, you can easily order from 2 or more menus to mix & match your meals and everything is delivered hot with no long waiting lines.  Also, the food was great.  I had Indian garlic butter naan (naan is flat bread) and a chinese spring roll and steamed dumplings.

Friday, July 1, 2011

This morning we left Masindi for Kampala.  The road was clear of traffic and our driver made extremely good time- only 2 hours to the outskirts of Kampala. But then, the traffic got really bad and it took another 1.5 hours to get to my friend’s house.  After dropping off our luggage, the driver took us to Bwaise, a section of Kampala, to meet my friend from Selinsgrove, PA who is doing mission work at the Bwaise Pentecostal Church. Her home church, a methodist church in Selinsgrove, has been working with this church in Kampala for about 10 or so years, I think.  Their website is Unite For Ugandaand one of their projects is arranging child sponsorship.  I believe there are still 200 some children in need of sponsorship so please see their website if you feel a calling to this service. Since Lori was going to be in Uganda during my trip, I really wanted to get to Bwaise to see her and the church.  I was able to meet a lot of the children and talk with the staff.  Joe and I were even invited to a traditional Ugandan meal at the one of the leader’s homes.  It was delicious.  One of the experiences that seems to be universal everywhere I’ve been in Africa is the warm welcome to visitors.  In Tanzania wherever you go they say “Caribou” (means “welcome” in Swahili) to invite you into their home or to their store, and in Uganda, they simply say “welcome” and they really mean it.  At Bwaise Church, the children really wanted to have their pictures taken and they really loved Joe.  This also seems universal- both the pictures and liking my student, Joe.  After you take their pictures they want to see the camera and just laugh and laugh at their pictures as they point to each other in the photo. It really makes me wish I had a polaroid and could print the picture immediately for them to keep.

Joe surrounded by happy children from Lifecare Primary School at Bwaise Church

Lori and me in front of Bwaise Church, Kampala, Uganda

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Lions & Hippos & Buffalos, Oh My- 2!

I’m having trouble getting my images to show.  Hopefully I can post the “title ones” here below.

We didn't even have to leave the hotel to see this large beetle!

There are about 2000 hippos in the park and on a given day you can count 500!

The buffalo just love the mud- they say that when it drys and falls off it removes the ticks, too.

These cute lion cubs don't look fierce, do they?

 

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