Where is this heading?

I am worried about Ebola. It is rapidly spinning out of control.

Photo from internet

Photo from internet

I can’t imagine what it would be like to be a four-year old African child whose mother is dying of Ebola and I can not hug her or comfort her as she is dragged off by people looking like space travellers. I can not imagine what it is like to be a health care worker in a facility where there is no clean water supply, limited resources and few beds and knowing that just touching someone who is infected to provide care for them or make them more comfortable is risking my own life.

It annoys me somewhat when I see the panicked response of the U.S. or Spain when they get one case that is treated in health care systems that have funding many, many times that of the West African countries that are struggling to manage it. When the outbreak affects thousands in Liberia, far away, the response is muted. When one person in North America is treated with it, the response is a cascade of protective efforts, likely costing billions in the long run. I am not saying this is wrong, just imbalanced and so self-absorbed.

It frustrates me to know that the international community has dragged their feet in responding to this outbreak … until it becomes obvious that, with international travel, it is only a matter of time that the disease reaches us. It worries me that other African countries will soon be at risk and that their health care systems will do their best, but are woefully inadequate to cope with the anticipated exponential spread of this virus.   It troubles me to know that economies in many African countries, already struggling with poverty, will be decimated. Tourism is a major source of income. What traveller is going to pick an African vacation for their family with all this negative press and uncertainty?

When I graduated from medical school in 1974 there was no AIDS. Well, there were a few cases, scattered somewhere, but we didn’t know about it. Now millions have been infected and died of AIDS and although we have medications to manage it, we do not have a cure, nor effective immunization against it. Will Ebola be the next AIDS? Or worse?

What can we do about it? What can I do about it? So far the Canadian government has allocated about 5-6 million dollars to this crisis. They have also just approved an air bombing campaign in Iraq of undetermined cost but with estimates of 100 million dollars or more.   It costs close to $17,000 per hour to operate a CF-18 and each JDAM-equipped bomb that is dropped costs about $25,000. Can we get our priorities straight? Or at least balance them? How do we influence these decisions?

I have worked for the past five years to help to provide infrastructure improvements for schools, clinics and communities in East Africa through the CanAssist African Relief Trust. Will this be at all helpful if Ebola spreads eastward in Africa? I would like to think it will help. Education about spread of the disease and protection from it is essential to avoid infection and schools are a resource to help with that. CanAssist has supported clinics in several communities and has provided improved water and sanitation to communities and schools. Hopefully this will help if the need arises. Without adequate sanitation or access to clean water, how can anyone avoid contamination? CanAssist’s work involves only a few communities – we have limited resources despite a never-ending need. But hopefully, by preparing some communities a bit with infrastructure to help manage any possible outbreak (of Ebola or any other health threat) we can, in fact, save a few lives.

I plan to return to East Africa early in 2015. In addition to continuing to monitor and support new and existing projects through CanAssist (at no cost to our donors, by the way) I will be thinking about helping to provide some medical information about Ebola to the communities that I visit in preparation for what I fervently hope does not happen there. I have often felt that if Africa was educated about HIV/AIDS early on that this scourge would not have taken hold the way it did. Maybe with some warning and information, countries neighbouring those currently affected by Ebola can prepare to prevent it from engulfing in their communities. Not a panicked, emergency response but a practical preparation for a possible threat. It is worth a try.

“If I am only for myself, then what am I? And, if not now, when?” Rabbi Hillel, 50 BC

Slums in Africa house millions of people with little access to health facilities, clean water or sanitation. How would you contain it if an Ebola strikes here?

Slums in Africa house millions of people with little access to health facilities, clean water or sanitation. How would you contain it if  Ebola strikes here?

It’s about giving …

For several years I worked in Bosnia and spent a lot of early Decembers in Sarajevo, a multicultural city that was still predominantly Muslim, before returning home for Christmas.  The country was also in a post-war period and struggling to rebuild.  I was always struck by the contrast between their society as it prepared for the winter solstice and year-end and mark varied religious celebrations and the onslaught I got when I came home the week before Christmas where I was bombarded with the pre-Christmas hype and commercialism that we endure in North America.

In the past few years, retailers have developed special shopping days to encourage people to buy, buy, buy – Black Friday and Cyber Monday.  The aim seems to be to offer bargains for people buying Christmas gifts and help the retailer get everyone in the spending mode.

This year, for the first time, Canada will mark Giving Tuesday.  Instead of focusing on getting, on December 3 there will be a country-wide effort to think about giving back – either through donations or volunteering.

africaleaf 2The CanAssist African Relief Trust depends on donations from people across Canada to do the infrastructure support work in East Africa that we know helps communities to improve their well-being.  We fund school classrooms and desks, hospital equipment and beds, rainwater catchment equipment in schools, clinics and communities, latrines for vulnerable children and adults at schools and in villages where no facilities have existed.

Each year CanAssist attempts to fund about $100,000 work.  We rely on the generosity of donors to do this.

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This Giving Tuesday we hope you will consider the CanAssist African Relief Trust in your charitable activities. And a bonus is that a donor has agreed to match the first $3000 in donations to CanAssist on December 3.  So the value your donations (which already can buy about 4 times as much in East Africa as it would in Canada) will be doubled. Your donation will also be tax-deductible.

A study in the U.S. last year showed that the majority of people would prefer to have money donated to a charity than receive a gift that they could not use or did not really want. In this Holiday Season, please put CanAssist on your Giving list.  Donations can be made with a credit card on the Canada Helps link below or by searching for CanAssist on the Giving Tuesday website.  Or you can mail a check to 582 Sycamore Street, Kingston, Canada K7M7L8.

In the next few days, I will post some videos that highlight some of the work that CanAssist has already done in Kenya, Uganda and Tanzania.  We plan to continue to do similar work next year with your support.

Listen to members of various CanAssist partner communities as they express their appreciation for the generosity of Canadians that is making a difference for them and their families.

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Giving Tuesday 2013 50

A tragic death in Tanzania

I never met Susan Wells. The news that this 41 year old Canadian aid worker had been killed in late November shortly after arriving in Tanzania to do charitable work struck home, however.

I imagined her arriving at the Kilimanjaro airport, tired from the long flight from Canada but invigourated and very excited to be back where she felt she belonged in some way. She would have been eager once more to meet loving children who would swarm her and welcome her in a heartwarming way that is hard to describe.

But she never made it. Her body was found in a field near Arusha. What exactly happened is still not certain but the bottom line is that her mission to East Africa ended in tragedy.

The message conveyed to others by this horrendous assault might be that East Africans are cruel and heartless. It is actually quite the opposite. I’m sure that the people living in the community where Susan Wells worked are grieving with a deep despair. I know that she would have had loving associations with many. Why else would she continue to return?

There are bad people everywhere. We don’t want all Canadians judged by the likes of Luka Magnotta, Russell Williams or Paul Bernardo. All of America can not be measured by the actions of the young man who murdered children at a Connecticut school this week. Tanzania has the same population as all of Canada. A tourism sector report in 2010 reported close to 1,000,000 tourist visits per year. Foreign visits  – both by tourists and by community aid workers – are  an important contributor to the local economy. Violence of this nature towards foreigners is rare.

Travel anywhere has its risks. Visitors to East Africa are aware that crime rates there are much higher than at home. Foreigners are perceived (and rightly so) as having more money than the locals. It must be tempting if you see a visitor using an iPhone that costs as much as you live on for a year, to want to relieve them of it. Pickpocketing and theft is rampant. Even the locals are cognizant of security risks and the potential for them to be victims of crime. Caution is always required. I’m sure that Susan Wells knew that and in all likelihood she thought she was being safe. Most of the people you meet are friendly and helpful. It is hard to imagine that you may be the victim of of such a violent crime – whether at home or abroad.

It is very sad that a young woman who had dedicated herself to sharing with people less fortunate in Africa has been brutally murdered. I suspect, however, that she would not want this crime to taint the reputation of the East Africans who had provided many other loving moments that she must have experienced while living and working there.

Visitors to East Africa are much more likely to be greeted with welcoming affection than negativity.

Visitors to East Africa are much more likely to be greeted with welcoming affection than negativity.

A dilemma

A recent article that I wrote for the Kingston Whig Standard about little Jerry O, a 4 year old Kenyan orphan that I encountered earlier in 2012, brought several responses that included questions about adoption. Here is a response that I sent to one couple who inquired about adopting this child.

“There are many, many children in Africa who are vulnerable in so many ways. Your offer to help is kind and generous.

By “adopt” I am not sure if you are meaning a true adoption – bringing a child to Canada – or a distance adoption which amounts to sponsorship and support from here.

The true adoption process is long and complex and I really know very little about it. African countries tend to be pretty strict on the process of adoption to another country, requiring that the adoptive parents actually live in the African country for a period of time prior to any adoption happening. Private adoption would also likely entail similar restrictions. But I am not familiar with all the laws and rules. You may have explored them already.

Sponsoring a child is often the support from a distance that an individual child needs for schooling, food, security. Some individuals decide to do this through an organization or on a one-to-one basis. It certainly provides good support for children in need and is much less expensive and also keeps the child in their own cultural environment. (This piece entitled “A Small Act” was on CBC radio a few months ago can illustrate the value of this kind of support. http://www.cbc.ca/thecurrent/episode/2011/09/26/a-small-act-chris-mburu/ )

Individuals who support a child through organizations like World Vision can be sure that money that they donate is being used in the community where the child lives. Your “adopted” child benefits through the supprt that is given to the community for sanitation, education and health.

At the CanAssist African Relief Trust, we realize that it is impossible to help any one child specifically without overlooking someone else who may be as deserving. Our preference has been to provide help within a community or school that will, in some way, benefit all. CanAssist does not facilitate individual supportive programs for school fees, etc, but rather works to help within the community, using community leaders, teachers and health care workers to guide our work there.

You may have heard this talk that I did at a Chalmers United Church service in Kingston, Ontario a couple of years ago. My talk addresses this dilemma. A Youtube link to it is here:

I commend your interest in helping these vulnerable children.

There are, no doubt, families in Canada who would gladly “adopt” a struggling orphan child from a developing country. But it is not simple. Not only is the adoption process encumbered with discouraging red-tape, but rescuing one child leaves many others behind who are equally needy and deserving of support.

Through CanAssist we try to do what we can to help a community to improved water access, sanitation, health or education. Hopefully there will be many children who will benefit in some way from this process rather than by plucking just one for exceptional attention.”