Showing posts with label Canary Islands. Show all posts
Showing posts with label Canary Islands. Show all posts

Sunday, September 21, 2014

Africa Mercy - Madagascar, Here We Come! One Nurse's Journey


Finally up to date on Marilyn's emails. The Africa Mercy is Madagascar bound and likely in rough seas. Pray for the crew's safety and that Marilyn can handle the sea sickness! Sharon



(This is a running email post written by a volunteer nurse serving on the Africa Mercy, a hospital ship that travels the African coast).




15 September 2014--Monday
"Madagascar, Here We Come!"

We are at sea--literally, instead of figuratively, which is a
pleasant change. We left Las Palmas Saturday evening, headed for Cape Town. The sail should take about 18 days, more or less,
depending on sea conditions. So far, we've had excellent sailing.
We got out of the Canaries ahead of a storm, and we have both sea current and wind pushing us along faster than we could otherwise go. They say the calm waters should continue for at least another day...but they predict rough seas further south.

I, for one, am easily troubled with seasickness. I'm faithfully
taking medication, yet I was borderline queasy yesterday morning, on these almost glassy seas. Oh, boy. What have I gotten into?

I'm going around the notorious cape in a boat? Me? This ship used to be a railroad ferry, traveling in protected waters. It has a shallow keel, so it bobs and rolls more than a ship designed for
open seas... Well, it will be "interesting."

We still do not have a dry dock birth in Cape Town, and we need
one. It seems that every "motel" is booked already--no place for
us to stay. We are praying that something will open up by the time we get there. And, I assume, the leadership is working on yet another "Plan B" in case there are no cancellations. So, any and all plans for what we do in Cape Town are still very much in the "fluid" stage.

On the other hand, plans for the field service are beginning to
solidify. We're going to Madagascar. Madagascar is a big country: 250,000 square miles, larger than California, almost as large as Texas. It once was reasonably developed, but not any more. I hear that even the main "highways" are often dirt roads. The people are extremely poor; health care is as scanty as in West Africa. There are 18 tribes, with racial origins as diverse as Polynesian, Indonesian, Arabian, Moor, and sub-Saharan African, but Madagascar is no "melting pot." Tribal rivalries and prejudices make governing very difficult. As elsewhere in Africa, corruption is rampant, making economic development difficult. In other words, its "our kind of place," a place that needs a lot of assistance.

Toamasina, where we'll be, is a small port city on the eastern side of the island. Open to the Indian Ocean, it experiences cyclones with some regularity. The rainy season starts about the time we get there, and lasts until about the time we leave. Sigh. That always makes things complicated--dirt roads, travel difficulties, people not coming for appointments. The city itself is quite small, which means that most of our patients will probably be found in the surrounding rural areas. Travel is likely to be one of the major hurdles we face, both for ourselves and for our patients.

We have an advance team in country already, working to gather
information and to set as many things in place as possible before
we arrive. I hear that they are doing very well--lots of meetings
with all levels of government officials, and the meetings have been quite productive. Information that the eye team needs is on the list of things to be done when time allows, but we don't have much feedback yet.

Meanwhile, work in the dining room continues. We've switched to an every other day schedule during the sail, which I think I will like even better than the two on, two off, and work every other weekend schedule that is the normal one. Yesterday was a work day for me, and apart from some seasickness in the morning, it went smoothly.

I tend to sleep for an hour or two between meals; it is enough to restore my energy for working the next meal. Today, I'll probably spend the afternoon on the deck, just watching the ocean. It is such an odd sensation not to be able to see land anywhere. We are a very small cork, bobbing alone in a very large bathtub. Of course, in this day and age, we are still connected to the world electronically. What must it have been like to be a small ship with no engine, no maps to guide, no information about "country next," no connection to the known world, and no rescue possible? Now that was adventurous!

Marilyn Neville


[Click here to learn more about the nurses and doctors on board the Africa Mercy.]


Africa Mercy - Now What? One Nurse's Journey



August was a a month of unknowns for the Africa Mercy, when and where it would go. Read more about the ongoing Ebola crisis. Sharon



(This is a running email post written by a volunteer nurse serving on the Africa Mercy, a hospital ship that travels the African coast).



25 August 2014
"Now what?"

In the normal course of things, we spend a couple of months in Gran Canaria for shipyard maintenance, and then we sail to Tenerife (another Canary island about six hours away) to restock supplies before sailing to our next field service.  This summer, the ship did in fact get its scheduled maintenance and then sailed to Tenerife.  (That's where I rejoined the ship.).  Plans changed when Ebola hit Nigeria; we delayed our scheduled departure for Benin for a couple of weeks to watch the developments.

Meanwhile, on the sail between islands, we discovered a problem with one of our propellers.  As a result, the ship had trouble going forward and trouble stopping--probably something that should be attended to, right?

It turned out to be quite a puzzle.  For two weeks, the engineers hunted for the problem. Finally, digging deep into the guts of the thing, they discovered that a couple of O rings were defective.  Replacing O rings sounds easy--but we're talking about massive equipment buried in the bowels of a ship.  To repair it, we had to sail back to the shipyard, and they say it will take two weeks of work to dismantle and repair the propeller.  And so, now it will be at least another week of delay. Tentatively, they hope to sail to Africa around September 5th, if all goes well.

If you've been following the Ebola crisis, you know that the problem has been escalating dramatically.  Previous outbreaks have been located in small rural villages, where they were quarantined, stayed local, and petered out. This outbreak is in major cities, in populations that are mobile, and it just keeps growing.  Guinea seems to be leveling off, finally, but Liberia's problem has gone exponential  I can scarcely imagine the horrors going on there. It reminds me of the Black Death that ravaged Europe in the Middle Ages.  (Well, it's certainly not THAT bad yet...)

Lagos just reported two more cases, and they are second tier, one step removed from Patrick Sawyer's caregivers.  I was very much hoping that Nigeria had reacted quickly enough to contain the outbreak to include only those who were initially exposed to Patrick.  Now that it's gone to another level, will they be able to contain it at this point?  It seems very touch and go to me.

Both Uganda and Democratic Republic of Congo have now reported cases of Ebola, but apparently they are independent outbreaks of different strains, not a spread of the West African strain.  Possibly it is "business as usual" for these countries, where outbreaks occur most years in rural areas and are contained with quarantine.  Perhaps it is only our awareness of the problem that is different.

So, when and where are we going?  How will we conduct business once we are "there"?  Will we do mass screenings, or find patients some other way?  Etc., etc.  So many questions...and no answers yet.  And so, we wait and pray.
--

Marilyn Neville


[Click here to learn more about the nurses and doctors on board the Africa Mercy.]

Africa Mercy - Return to Ship, Ebola Status: One Nurse's Journey

Hi! Some of you have been reading about my friend Marilyn's journey on the Africa Mercy. After a three-month vacation back home, she returned to the ship in August, only to face complications from the Ebola outbreak. As I am behind in my blogging schedule (still moving into my new home), I will post these back to back (as they came to me). Sharon

(This is a running email post written by a volunteer nurse serving on the Africa Mercy, a hospital ship that travels the African coast).


August 07, 2014

Hello again,

After three months of wonderful visits to family and a few friends, I returned to the Africa Mercy yesterday. We are currently docked in Tenerife, one of the Canary Islands. The ship undergoes maintenance and repairs between each field service, and shipyard was in the Canaries this year. After one last repair and some loading of supplies, we plan to sail to Benin around the middle of August. For those of you who are as ignorant of African geography as I am, Benin is a little country located right next to Nigeria, on the underside of the big bulge that constitutes West Africa. Of interest, it is also located about 500 miles away from Liberia, Sierra Leone and Guinea, the epicenters of Ebola.

I'm sure many of you are following the Ebola outbreak with some interest and concern. It certainly looks scary! That it was spreading didn't surprise me--those countries are so crowded, with poor sanitation, less awareness of infection control measures, and inadequate protective equipment available to health care workers.That a couple of American health workers were infected really caught my attention because I KNOW that they took proper precautions. If they caught it, then...

Some of you may wonder why we're not responding to the crisis by sailing to the epicenter to help in the fight against Ebola. The fact is, we are a surgery unit, not a general hospital, and we are not designed, equipped, or staffed to deal with infectious diseases, or any other health problem, except certain types of surgery.

Some of you have expressed concern for the mission and people of Mercy Ships in the face of Ebola. Mercy Ships recently issued a public announcement saying, in effect,"we're aware, we're watching, everything's cool." Of course, they spent more words than that, but you get the gist. (see attachment if you're interested) Department managers get more of the inside story, and in conversation with one of them today, I learned a few details of what "we're watching" means. It sounds like Mercy Ships has developed detailed plans, with specific trigger points identified and response actions prepared. Of course, I don't know what the trigger points are, but I do know that those in charge are proceeding with all due diligence.

It is a comfort to me to realize that Mercy Ships is an old hand at dealing with in-country crises of various sorts. When we were in Guinea, there was a lot of unrest, and even violence, in the city where we were located. Mercy Ships had detailed plans then, too, of what our response would be if this, or if that, or if the other. What if we had to leave and we had patients on board who couldn't be discharged? Mercy Ships had a plan and had already made all the necessary arrangements, so they could have responded almost instantly if they had needed to. I'm sure that that kind of planning is taking place in the current situation, too.

Mercy Ships has a crew of volunteers from many nations, including quite a few from Guinea, Sierra Leone, and Liberia. These folks are obviously much more directly impacted by the Ebola crisis than those of us from "safe" countries. They have family and friends who are in harm's way. Some of them may need to go home, but if they do, they can't return to the ship until they've been in quarantine on shore and free of fever for 21 days. (In general, Mercy Ships has a ban on anyone who has traveled through those countries any time recently.) It must be very hard for our African crew to watch this plague envelope their countries and be unable to help.

For the moment, anyway, we are proceeding on schedule to Benin. The plan is still to have the major screening day on September 9. Between now and then, there is a lot of preparation work to be done. Cleaning the hospital after shipyard repairs is underway now, but most restocking and moving stuff will need to wait until we land in Benin. You never know when you'll hit rough seas while sailing, and everything needs to be tied down tight until we arrive.

For now, I am working in the dining room (no eye surgeries happening, of course, so hospital personnel get reassigned to a temporary job for the duration). Each day brings more volunteers back to the ship--our population is growing from a skeleton staff of about 100 during shipyard to probably 300 before sail, and another increase to about 400-450 between the time we land in Benin and the time of the big screening day. Lots of hellos and goodbyes in this time of transition.

So, goodbye for now. I'll keep you updated if there are significant changes in plans, or if something interesting happens.

Marilyn


(Attached Notice: Africa Mercy Public Announcement)

05 August 2014 UPDATE

As its hospital ship, the Africa Mercy, prepares to leave for its ten-month mission to perform life-changing surgeries and train local healthcare professionals in Benin, West Africa, Mercy Ships continues to be acutely aware of the Ebola situation in the region. The organization is taking appropriate steps to protect its volunteers and staff. In April, Mercy Ships redirected its upcoming mission from Guinea to Benin out of caution for the safety of its crew. Benin has no reported cases of Ebola.

The Africa Mercy is the world's largest civilian hospital ship, designed to operate as a surgical specialty hospital. It is not configured to provide the type of treatment required by Ebola patients. In addition to having changed its itinerary, Mercy Ships has also implemented strict travel restrictions to the affected areas and will continue to monitor the situation closely, making programmatic adjustments as needed.

Founder Don Stephens commented, “The well-being of our patients and dedicated crew is our greatest priority. It is fundamental to our continued service to the forgotten poor in Africa. Our prayers go out for the countries impacted by Ebola. These are places and people we know well because we have served them in multiple visits over more than two decades.”


[Click here to learn more about the nurses and doctors on board the Africa Mercy.]





Sharon M. Himsl

Writer/Author. Blogging since 2011. 
Published with Evernight Teen: 
~~The Shells of Mersing

About Me

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You could call me an eternal optimist, but I'm really just a dreamer. l believe in dream fulfillment, because 'sometimes' dreams come true. This is a blog about my journey as a writer and things that inspire and motivate me.