Sunday, October 19, 2008

Thanks, Haiti



It's Sunday, the last of a 3-day holiday weekend. It was nice to have a few days without running around. Sander's comment on "Haitian time" is right on. You do get used to it. It becomes an issue only when you deal with other nationalities. When meeting a Frenchman, for example, you will meet the person perhaps 10 minutes after the decided time. When meeting a German you better be 5 min. early. Funny how we don't blend in.

Explain Kwasiorkor, Sander asked.
It's known in short as "Kwash" and is basically a child with malnutrtion. The child has started to loose hair, with the mohawk on top left, and the hair is often (not always) orange. Not all kids with orange hair have kwash, however. Severe malnutrition shows very fat, healthy kids. in fact: the fatter the more ill. This isn't fat but oedema, when the body retains too many fluids. When you punch the child's legs and feet, the dent may be 1 cm (about 1/2 inch) deep and stays. With other symptoms this is a +3 (highest) level kwash. When the dent is deep but goes away, it's a lvel +2. The children are treated with high protein etc levels of fluids (IV if needed) until the oedema goes away. It is the same with the "healty" babies with big bellies. When the eodema is gone, you have a very skinny, ill-looking child left. Some are close to comatose.
With the Medika Mamba or PlumpyNut, these +3 children can leave the hospital in 5 days or less. A miracle. The +2 children receive, instead, high protein etc milk, called MP3, which has the same effect. The +1 children are treated on an out-patient basis in their mountain villages.
So these two meds I have fought for and we're getting it FOR FREE, which saves many children and so much faster, while saving the hospital thousands and thousands of $ annually, to be used for other causes. One of those is the Ti Foyer, or "little hearth" in each village, where mothers are taught nutrition that is within reaach and within their means. Such as a food co-op.

Now I am on another project: a school for the hosp children ages 5-15 and for their running around siblings, run by volunteer spouses and students as available.
The proposal has been written, as is the list of items to be used (self-directed, Montesori style for all ages) and where it should take place. I am meeting with Dr. Maibach, hosp. med director, and Ian Mello of the Mellon Grant Foundation this week and I intend to get what I want. The fact that the Medika Mamba (med. peanutbutter) came through should help!
I am going to send some photos if I can. I'll do so separately, since I screwed up the last blog I wrote. Or maybe you'll get two. Should keep you off the street.
Thanks for your comments, Sander. Much appreciated. I don't always knowwhat people know or what should be explained.
Love to all. Another 10 days and I'll be home. I hope they'll be productive.
Love, Mom/Marianne

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