Showing posts with label Nigeria. Show all posts
Showing posts with label Nigeria. Show all posts

Sunday, September 21, 2014

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 - Delay, Decisions Pending: One Nurse's Journey


Another August post from Marilyn. I'm glad the Africa Mercy is taking precautions regarding the Ebola crisis. I love that Marilyn's humor is fully intact despite delays. Would love a picture of that red hair! 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 14, 2014
"Delay, decisions pending"

Dear friends,

Well, we were supposed to sail for Benin tomorrow. Last Monday, they announced a two week delay, and a possible change of plans, due to the Ebola outbreak in Nigeria. The management of Mercy Ships is watching the situation very carefully; they feel that it will become more clear within a couple of weeks, either for better or for worse. Meanwhile, they are looking into alternatives, whatever that means.

We are a mobile surgical unit, not a general hospital equipped to
handle infectious diseases. We cannot really help in the
management of this outbreak, but we sure could make it worse if we show up in the wrong place. Many Africans mistrust their own hospitals and medical system; our big white hospital ship would draw desperate people like a magnet, hoping against hope that we could help them, no matter how much publicity we put out to say otherwise. Lagos, the city in Nigeria where the Ebola outbreak is located, is only about 60 miles from Contonou, Benin, where we would be, and the border between the two countries is quite porous.

If we tried to screen for surgical candidates and a few Ebola
sufferers show up, mixing with the crowd, well,...not pretty.
Choosing an alternative destination is not so easy, either.
Normally, we have an advance team in country for a year prior to the ship's arrival. They work out the agreements with the
government and arrange for necessary goods and services. They do publicity to alert the population so that we have patients waiting for us. They find suitable facilities for the dental and eye
clinics, and for the Hope Center (our housing for post-op patients who need more rehabilitation) and get the buildings renovated, ready for use. They hire the day crew that we'll need and start their training. A lot happens behind the scenes before we ever arrive. This work has been done for Benin, but of course, not for "somewhere else."

As you can imagine, even a two week delay causes quite a lot of
disruption. Many volunteers planned to arrive in Benin shortly
after the ship arrived, in time to help with the big screening day.
Those plans no longer work, and those folks are left hanging, not
knowing where or when to come. Others planned to leave from Benin during our first two weeks, and obviously our ship will not have arrived in time for them to catch their flights. I can only
imagine the disruption to the advance team and to the day workers in Benin who are poised for our arrival.

For those of us already on the ship, this is a time of waiting for
the shoe to drop. There are tasks to be done, but we're eager to
be about the business we came for. The uncertainty about the
future isn't terrible, and we have great confidence in our
leadership as they face difficult decisions, but it is unsettling
to wonder what will become of us, what we will in fact be doing in the coming months.

To end on a funny note--my hair is turning orange. It seems that
they cleaned the water storage tanks this summer, and much rust is still coming through the pipes. Gee, I've never been a redhead
before...wish it were a bit more auburn, not so...rust-colored.

Marilyn Neville



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


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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.