Mother has nagged us to write letters home to our classmates at Bethlehem High… We’re still wondering, where do you start? “This morning I got up…” I’d begin, but no, “This morning I pulled back the mosquito netting that’s tucked in tight around our beds because mosquitoes here give you malaria, a disease that eats your blood which nearly everyone has anyway, but they don’t go to the doctor for it because there are worse things like sleeping sickness or the kakakakak or that someone has put a kibaazu on them, and anyway, there’s really no doctor nor money to pay one, so people just hope for the good luck of getting old because then they’ll be treasured, and meanwhile they go on with their business because they have children they love and songs to sing while they work, and...”
And you wouldn’t even get as far as breakfast before running out of paper. You’d have to explain the words, and then the words for the words.
The Poisonwood Bible
I finished The Poisonwood Bible in three days. There are still some things I do well in 120 degree heat, such as sweating, reading, drinking, and daydreaming of the beach. I could also make a rehydration drink blindfolded if need be. Then there are the things I wish I could do better in the heat, such as sleeping, relaxing, thinking, feeling sane, chores, work, going to the market, and being patience. Yes, this inactivity frustrates me. But honestly, what can you do? Its so hot out, the noon greeting Ney Windiga, which literally means sun, has taken over the morning greeting Ney Bioogo, and pushed the afternoon greeting Ney Zaabre back to four or five o’clock. On particularly hot days, I might not even leave the house until Zaabre…Instead I lie under my thatched roof terrace, on a mat or the hammock (mom, you’re the best) and send my mind into fiction. And sweat. And I shake off the flies, who gravitate to our shady hideout. It’s so hot, the lizards which lazily sat on my courtyard walls now lift their bellies to scurry across the same pavement.
Nights are a bit of a toss up- when the sun goes down it’s cool enough to do dishes, laundry and clean. My activity level is definitely on par with a nocturnal animal. And don’t get me started with Olie- who crams his puppy energy and antics into a few frenzied hours each night. Though the sun is at bay, the heat still radiates from my cement enclosure and patio. The tin roof has likewise betrayed me in its affinity for heat. My house is an excellent sauna, but a sorry kitchen indeed.
For this reason, neither I nor Yoyo, my neighbor, cook dinner that often. Almost every night we go out to enjoy the finer things in life (cold drinks) Despite its exhaustive qualities, I do value the appreciation heat has instilled in me for the simple things in life… like a cold drink… a beautiful luxury. The contentment I feel drinking cold water surpasses the contentment any one action can give me in the states…at least that I can remember.
Anyway, Yoyo and I were heading out one night to rummage up street food and drinks when the night sky stopped me in my tracks. There were two distinct sections, symmetrical, divided by an impeccably straight line between the horizons. One half of the sky was a dark vortex marked with stars. The other, a cloud filled basin radiating light from the full moon within. The clouds pushed right up to the clear cut line, not a whisp breaching the invisible divide. The sky was perfectly divided between black and white, and it was weird. The oddity was punctuated by the full moon, who shown through the cloudy side of the divide with a brilliant red halo of filtered light.
Coming to a large field I again stop to gaze. Nature, you so cool. Like a little kid pointing to candy on a shelf I excitedly point the sky out to Yoyo. She responds by taking my hand and pulling us onward towards food. Rejected. More than a few times I’ve wished I had a miniature white person living in my pocket, so I could pull him out and share my version of culturally appropriate sentiments when need be. Like excitement when my puppy learned to sit and shake. Or surprise at the really really weird sounds goats are capable of making. Or disgust at the intolerable heat. I digress. Pulling me close and out of my trance Yoyo says,
Here, in Mooré ( in our culture) the sky right now isn’t good. Don’t look at it. It’s really bad.
Are you serious? But the depth of concern in her voice is surprising, and my immediate reaction was something along lines of: Ok. If it means that much to you, I won’t look.
When the moon is like that, it means someone great will die. And bad things will happen. Just wait a month, three months, and you will see.
I feel bad to admit, that I laughed a little when she said it. But to appreciate the story, I should clarify that on some levels I feel more connected to Yoyo than to most people…even in the states. There’s just something about the way we can sit and do nothing but do it together. Or maybe that’s the language barrier. At any rate, it seems foreign when our wildly different belief systems are made obvious within this circle of comfort. And, its just plain interesting.
Yoyo spends the next month elaborating on the significance of the moon halo. Blurps from these conversations include:
Do you know that everyone is still talking about that night?
When people from village come into town they ask what we’ve sacrificed to avoid bad fortune
All of the Chefs are trying to be the one to offer the biggest sacrifice, so they aren’t the one to die
The old say that they have never seen anything like it in Africa, ever.
This isn’t good, you see, this isn’t good.
I guess the moon halo is the equivalent of their stock market crashing.
After respectful listening and light inquiry, one hot night I decide to dive deep over dinner. It starts off in vein with a ill attempt explaining wavelengths to Yoyo in French, so I could ultimately explain the moon halo. It went a little something like this:
How many colors are there? Many.
Yes, and when all colors are put together they make white. OK? Mmmm-hmm…
Ok. So, what happens when it rains and you have sun, and then you see many colors in the sky, what’s that called. A rainbow
Right. And do you know why you see many colors? Because the rain breaks up the sun’s white light into its many colors. Its like, if you broke benga into rice and beans. Mmm.hmmm.
What color do you see at sunset? All colors
Ok but mostly it’s red… right? OK.
(Note: I am being ridiculous. Yoyo is a fifty year old widow who didn’t finish high school. She almost died from measles as a kid. She wears nail polish, but not on the hand she eats with because it could kill her).
Ok, the sunset is mostly red because colors come in different sizes. All of the colors of white light- red, blue, green, violet, orange- they are all different sizes, even though they make white when you put them together. The sun is the furthest away from the earth at sunset, and only the red light can still reach us because it’s the biggest of all the colors. Orange is the next biggest, that’s why we see some orange at sunset too :: no comment:
*(I’m still noting how ridiculous I’m sounding).
The clouds broke up the white light of the moon the other night, like the rain breaks up the sun’s light and forms a rainbow. But like the sunset, we only saw red light around the moon because red light is the only one big enough to reach us. The moon is very far away.::no comment::
Yoyo, that’s why we saw the red circle around the moon. Because of the clouds breaking up the light. :: patiently correcting me:: The circle means that someone great is going to die. Just wait a couple months and I’ll say, remember the moon and what I was telling you about someone dying? You’ll see, something will happen.
Yoyo, what if I spilt water on the ground, and then told you that something bad was going to happen because of it. If we waited long enough something bad will happen, because that’s life (and we’re in Africa). Would you think it’s because the water spilled, because I told you so. I don’t know what the water means, but I know when there’s a circle around the moon, it means that something big will happen, someone great will die.
Culture says: Yoyo understands a phenomena through the event’s significance, while I’m most comfortable with theories of science- a culture which understands the world by deductive reasoning and isolation until we have atoms and string theories- rather than focusing on connections, causal relationships, and perhaps a bit of superstition ( Yay African History Major!). Though my western system fundamentally operates on science, the power of measurable proof and replicity does not suggest the system exclusively correct... even though it’s our measure of truth. Here matters of well-being are tied to many factors including superstition, a dualistic etiology that allows biomedicine to be accepted in Africa at all. Despite its exclusive nature, you’ll find it in the medicine cabinet right next to sacrifice, voodoo, witchcraft and traditional medicine. An open system doesn’t pick favorites…
Africa has a way of getting under your skin, into your blood and challenging you. Your need for information, reasonable explanations, logical actions, your preference for efficiency (particularly cost and time efficiency), and not to mention the desire to be taken seriously as a woman… all these things are uncomfortably in question. They drive you nuts. If the taxi isn’t leaving for another two or three hours, don’t tell me its leaving in 15 minutes. Just don’t. If you tell me you’re dropping something off in the afternoon, tell me what time. You’ll find the time noted on your cell phone, which is conveniently located in your pocket. Don’t be upset if I leave after waiting three hours. If you are going to be late, you could send me a text message, so I know when the appropriate time to wait will be. And for the love of God, we aren’t getting married. Its been four months now. Stop trying to convince me your wife doesn’t exist, and that your love has nothing to do with money or the prospect of going to the US. Your insulting my intelligence.
And then there are times when Africa demands humility in the face of the things you don’t believe in. Like the red moon halo. In Koupéla, the Chef des Femmes (Chief of Women) ended up dying. More personally, my Grandmother’s boyfriend died. He went down hill fairly quickly. And my 3 year old measles patient Abduli died. It was my first experience loosing a child patient. These things happen not even two weeks after the moon halo.
Scoreboard says: Africa 1, Sara 0.
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Abduli was the second child with measles I saw at our CSPS. But this was more than a month ago. Since then I’ve opened our Youth Center as an overflow ward for measles isolation. Funny how I used to think Measles was a glorified chicken pox. Correction! It will put a full grown man on his back for a week. It kills kids… though anything greater than a cold virus will pretty much kill a malnourished kid. I’ve noticed some things since I’ve been here.
Three year old Abduli came in while I was shadowing the head nurse, the Major. I smelled him before I saw him. Major took a quick glance and turned to me. Sa-ra, do you know what this is?
Conjunctavitis? Check. Fever? Check. Swollen Gums? Check. General look of death? Check check. Though the rash had yet to appear, I was confident in my diagnosis.
Major, it’s measles.
And at the same time, Abduli was more than measles. He was a pungent smell of suffering, the emaciated look of malnutrition. I’ve seen bad but this was b-a-d. His spine could poke my eye out. Holding him as Major began running IVs and meds, I felt an intense feeling come over me that was madly fierce… perfectly calm, not sad, scared or worried. Just meant business…
Death, I dare you to touch this kid. I will annihilate you. Ps- watch your back.
Yes, I was threatening a force exceedingly greater than myself. Just like the mother hens in my courtyard who charge at hungry dogs.
Abduli was hospitalized in the contagious disease ward, a fancy word for a small cement room crumbling in on itself 500 feet from the CSPS. Major gave me his big white doctor’s coat to wear when I visited Abduli… which made me feel terribly important while I was otherwise helpless. No mother wishes to see her child suffer. But when you see a kid as bad off as Abduli, its nearly impossible to wrap your head around anything other than negligence… though I know it can’t be it. I understand poverty. I understand the lack of choice. But why did the mother wait so long to bring him in? And why did she refuse the free measles vaccine in the first place? Often people either outright reject biomedicine or try many therapies before turning to it. And at that point, as in Abduli’s case, its too late to do much of anything anyway. I’m told its ignorance… which would certainly explain the innocence of a mother in the death of her child. But there is so much I have to learn; the complex answers are still out of focus- abstract- like the moon halo.
Over the next three days I embarked on various “you’re not going to die” types of projects with Abduli in the hot dirty cell whose smell I won’t soon forget. The first was a series of talks with the Mother translated by Yoyo into Mooré, to explain basic nutrition, the importance of vaccines, and how to make a rehydration drink. Yoyo stood in the doorway the whole time because she couldn’t stand the smell. Ever since then I call her Nasarra, white person- or snob in other words (note: calling Burkinabé Nasarra is a newfound joke that apparently never gets old ). On Abduli’s third day of refusing food I took a more hands on approach. I would spend hours on my knees trying various porridges and methods of administration to get him to swallow, much as I did with baby birds during my childhood. I guess I never really expected the result to be much different, but you still have to try.
Yoyo hurried home one night to tell me Major had transferred Abduli to the regional hospital, which is conveniently located in Koupéla. In about 24 hours I would learn the treatment for measles at the CSPS and hospital levels are the same. Major referred him to the hospital not for better treatment but because it was the natural progression of an impossible situation.
I hopped off my bike at the hospital’s emergency room, ran up the stairs and greeted three women nurses in Mooré. After quickly explaining who I was, I asked where I could find Abduli. In the morgue. It took me a second to catch on... but yes, this was their way of telling the wide eyed white girl the kid was dead. Nicely done.
What I felt for Abduli’s mom is not an emotion which can neatly fit in words. I was plagued with guilt for ever entertaining the thought of negligence, extraordinary though his condition was. She was sitting stone faced against a wall as if looking past the mirage of a world around her. She had placed her hands on her very pregnant belly. It was my first attempt to comfort someone here and anything I wanted to say in Mooré I couldn’t. So I sat beside her and began rubbing her back, sensing the emotions she willfully banished to the abyss of her soul. Showing emotion in Burkina is a serious taboo.
Be that as it may, I happen to be talented emotionally (sounds better than “am an emotional person”). And like clockwork the bitterness of death had me choking on tears by the time I reached my Major back at the CSPS. Major opens coke bottles for me, texts me when I travel to make sure I’ve arrived safely, and frets over the smallest bumps and battle wounds I incur. He teaches me medicine, and says “bye bye” to Olie. He is my father figure. But when it comes to me crying, he’s not a big fan. I learned this during the bush taxi hitting me incident. So there I was, again, in a cultural check-mate with my inappropriate sentiments. Digging through my pockets- nope, no mini American to share in emotions. But I do have a cell. So I sent an SOS text to have my Dad call. He raised three American daughters and knows what to do. On the walk home I saw the emaciated neighborhood puppy I’d been trying to ignore, whom I picked up now to have something to save. This is how so Skeletar entered my life, for both of our rehabilitation.
But to give Major credit, he knew and cared that I was fairly affected. So the next day when I brought the disease vector up as a public health concern, he suggested he drop everything so we could take a trip to do some monitoring en brousse and check up on the Abduli’s family the following morning. YES PLEASE. The thought of doing proactive work and getting out of the city boosted my spirits.
It took us two hours of bush adventure to find Abduli’s family compound. It was remote by village standards, but I was giddy to be with Major as we bushwhacked our way through the bush in pursuit of a needle in a haystack. Out of the twenty four children in Abduli’s courtyard, two had completed their childhood vaccinations and four were showing early signs of measles. What I found more disturbing was that the “Chef de Famille” had a nicer Moto than Major, and kept his cell phone in a leather pouch around his neck. He also had around fifty head of cattle, so money for treating Abduli was clearly not the limiting factor. Neither was location. Turns out the CSPS is only a 20 minute ride when you know the way. It could be ignorance. I have to believe the detection of suffering is instinctual. Is going to the CSPS such a far fetched response? The questions are much bigger than the answers.
And this is my life as a health volunteer. I live in 120 degree heat as close to village level as reasonably possible to gain a particular advantage over other development agencies by way of perspective. Though I cherish this, I’m struggling just to find the right approach. How can I explain to mothers the things we don’t see inside called proteins and how they help your baby get big, without sounding as ridiculous as telling Yoyo white light is made up of many colors. Who’s to say a spell or God’s will is any less instrumental than peanuts and beans when it comes to healthy kids. Lord knows it’s cheaper. Hopefully two years is enough time to live into these answers. But of one thing I’m sure- I’ve been in Africa for seven full moons. When you don’t have electricity, the moon is a pretty big deal- its phases go noticed. And if the moon could tell us anything, its secrets would be hidden within the minds and hearts of people who live their lives by the cycles of the night.