Three years ago I went to the Amazon Rainforest with a
medical aid team, providing immediate relief for physical needs of the people,
but saw a much larger problem: short term solutions aren’t sustainable fixes
for largely long term problems. Anti-parasitic
medications are given out to children with bellies swollen full of worms, but I
knew in a few short months of drinking river water after the medication ran
out, the parasite infestation would be back.
What really needs to happen is sustainable healthcare
development that liberates the Amazonian people from dependence on outside
support and breaks the cycles of disease.
In this case, instead of giving anti-parasitics as a short term
solution, it is essential to teach the concept of germs, contagion
transmission, and the importance of boiling or filtering water.
Because of this burden on my heart, the next year I co-led a
trip with a nursing friend of mine focusing on teaching. We created a curriculum that incorporated
easy to understand material, props, microscopes, and hands on examples. Doing it this way made it more fun for
children and also not too complex for adults, most of which don’t even have an
elementary school education. We did
teach a couple complex things such as how to make soap using palm branches and
animal fat, and disease transmission.
For those of you that are interested in making soap, I will
briefly describe the steps. This type of
soap is essentially lye soap, or sodium hydroxide laced soap. Sodium hydroxide is a strong chemical base
which is why washing the hands with it kills bacteria (all bacteria, even the
good). By burning palm branches (the
most accessible source of ashes in the area) and running water through the
ashes, a lye solution is made. When the
lye solution is mixed with melted and filtered animal fat, it creates a
soap. Depending on the type of fat uses,
the soap is either liquid or harder.
Chicken fat produces a liquid soap, pork and cow fat create a harder
soap. The process is a little more
complex than described, but it is a very easy and accessible source of soap for
better hygiene.
This was difficult because their baseline understanding was
very minimal, but we are hopeful that we made a long-term difference. Changing one’s perceptions and beliefs are
difficult and take a long time to implement.
It is going to require more than a single teaching session. It is going to require a long term
educational process that should originate on a governmental level.
I have been interested in parasites because of the children
that I kept seeing coming into the clinics, unable to live normally because of
the parasite side effects. All I want is
for those children to be happy and healthy.
Nothing pains me more than seeing them hurt, sick, or dealing with
something that they shouldn’t have to.
Of course increasing sanitation and hygiene that is usually associated
with industrialization directly affects that, but in a rural area of a
developing nation, survival is really the only thing on their minds.
I am returning to Peru with a medical volunteer team this
summer and decided that would be an ideal time to incorporate a parasite
research project. Because I have seen
parasites as an issue, I wanted to investigate further by determining the
extent of the problem numerically and statistically. In order to do this I am taking a two pronged
approach. The fist approach involves a
medication inventory of anti-parasitic medications prior to the trip and
afterward, in order to determine how much was given out to the patients. The second approach is to utilize a
demographic, medical history, treatment and risk factor assessment survey
during the triage station of the clinics.
This will allow me to get a better understanding of the depth of the
issue, as well as allow for the possible future development of more focused,
sustainable interventions.
In the future I would love to incorporate medical aid with
medical teaching in order to improve sanitation and personal hygiene
habits. Hopefully, the results that I
obtain from this year’s research project will encourage more focused
intervention techniques.
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