Blog Archive

Followers

Friday, November 11, 2011

Global Health and Natural Disasters

Global Health and Disaster Response

Brought to you by the Global Health Practicum

 

Please join us for an in-depth talk on the role of global health care following a natural disaster.

 

Alex Cottin, former director of Merlin-USA (British global health non-profit organization), will describe his experience of working in Haiti during the 2010 earthquake in Port-au-Prince, Haiti and the primary issues regarding international healthcare. We will discuss the role of global health in acute, emergency situations in relation to longer-term development goals and the successes and failures of health care in developing countries. A brief and broad overview of global health will be given to provide a foundation on which to build.

 

 

Where:           THH 215

When:             Monday, November 14th, @ 6:30 PM



Sincerely,
Will Boyce

P.S. Apologies for multiple emails.

Wednesday, August 17, 2011

The Beauty of Existence – Part III

Will Boyce

The Beauty of Soleil

I have been describing one aspect of my experience of Haiti, a difficulty in seeing a holistic view of Haiti that included their joy, love, and hope. But what I haven't described is how deeply I love and have always loved being here. It has always been and will always be my favorite place on Earth for so many reasons: cultural aspects like it's music and art; its people – their indelible resilience and exuberance towards life; and the tropical, mountainous beauty of the countryside to name just a few.

What can be said about the lens through which I saw Soleil? Was I projecting my internal emotions onto the environment around me? That by unconsciously focusing on the hardship of Soleil, I perceived the Haitians to be more despondent, dejected, or afraid than they actually were? Why could I not see a balanced degree of their joy, effervescence, or hope? Most big distinctions for me are often a distinction of 'to what degree' rather than one of yes or no. I wasn't blind to their moments of happiness or to the times we all joked and laughed together which was often, but there was a degree of imbalance. Over the years, I have found that I can not under estimate my mind and my emotions power to unconsciously distort my perception, whether it is a penchant to see what I want to see or to color the world with my emotional experience like a monochromatic filter. It never fails to be a significant component during important and stressful times.

Yet my monochromatic viewpoint and exaggeration of the misery component of Soleil (not that it didn't describe a significant and valid perception) proved to be much more complex and it would be years before I had teased apart threads of what was projected and what was actually there. By far one of the most difficult and complex internal experiences is that of fear/anxiety. There are so many layers, so deeply rooted, that I believe that gaining skill and understanding in this internal realm will be one of my most difficult and important life skills. I also believe that it may be an underlining default emotion instinctually part of our evolutionary survival, but that's a bit off-topic. Those environmentally and culturally rooted differences that pertained to my early days in Haiti ranged from deep seeded, pervasive biases to others that had a small impact but still subtly skewed many of my interactions and perceptions. Some extremely small ones like the awkward slowness when buying something in a foreign currency or speaking like a two-year-old because of my limited Kreyol were intrinsic parts of the fear of the unfamiliar and the unknown. Or what about less subtle, terrifying, life threatening fears like being mugged or a victim to violence that can happen in any big city, even in environments semi-familiar to those of my own culture? Over the years, I have found that it has been my fear of the unfamiliar and the unknown that is projected outward and culminates in a detrimental force on my perception and relationships - in Haiti and at home.

Bridging the gap between worlds so radically different as my middle class white-American up-bringing and the working class Haitian admittedly borders on unattainable to a degree of intimacy that I have with close friends at home with in the time I have. So far, most of the work in bridging this gap, for me, has been uncovering the habits and perceptions instilled by the environment I grew up in. Multitudes of expectations on every aspect of life: from work, gender roles, parenting, 'appropriate behavior', etc. are uncovered in subtle layer after layer. As I said in my first blog, there's "Nothing like spending time on Mars to see the Earth that before had been too close and too consistent to reveal how profoundly it had shaped me…" My experience of Haiti, even after multiple trips, revealed an internal conceptual and emotional gridlock that proved to be very complex. Yet all the cultural, emotional, and ideological complexity would amalgamate and be presented at times as a subtle sense of anxiety and sadness towards Haiti. As I unfolded these impressionable threads of unfamiliar and unknown anxiety, an equally subtle, but for me tremendous accomplishment, was a certain genuineness to my interactions in Haiti. It was as I put it before, a holistic and balance mode of perception - and for me this is a huge step forward.

Cite Soleil is arguably the poorest, most densely populated urban setting on the planet and this singularity in my mind offers the most 'sincere beauty' humanity can offer. In Soleil's contrasts are revealed the majestic complexity of humanity: our resilience, our matchless resourcefulness, and our untenable drive to live. The pastel dance of light and color in Monet's "Lillies"; the spiritual magnificence of Gaudi's "La Sagrada Familia"; Brindisi's ethereal "Bird in Flight"; or Michelangelo's "God Creating (apathetic) Man" in the Sistein Chapel, are good representatives of western beauty. Yet, they are by contrast, pale shadows, mere hints grasping at the profundity of living, the mystery of existence within and around us each day. In art's failure to articulate this depth and mystery they compensate by striving for aesthetic ingenuity and artistic perfection. True beauty lies in pulling back our habits of perception and revealing the ineffable and incomprehensible miracle of living. Spending time in Cite Soleil, a purely human, diametrically charged range of the human conditions is the truest beauty I can imagine. Soleil's ability to wrench back our protective layers of habit, to reveal the gross, raw inner organs of life in all it's visceral, frail, and complex mystery is an awesome and irreplaceable experience. When has a painting ever stripped us so, that we may behold our beating hearts, pulsating veins, firing synapse hanging beneath Damocles' sword and insisting by example that we face it head-on – with dignity, perseverance, and humility.



Wild Bill Boyce

Trip to orphanage

Today Kristen and I went with a girl that works for Father Rick's organization to one of their orphanages.  I was expecting to maybe see a couple dozen kids.  Turns out there were hundreds.  It started as an orphanage, but they wound up taking in several kids from the city to provide them with an education and food.  Today happened to be their end of summer party and two bands were going to play for the kids.  When we arrived, some of the smaller kids came up to greet us.  They were so cute and innocent.  The girls were definitely much more popular than me….apparently I'm much better with dogs than kids.  We took a short tour of the living facilities for the orphans.  The room we visited was made out of a large storage container.  There was about 6 or so beds.  Both Kristen and I were shocked at how neat and clean the room was.  All of their little dress shirts were hanging neatly in a makeshift closet and their t-shirts were folded and stacked perfectly in the corner of the room.  Clearly, these kids are taught discipline. 

            We noticed the instilled discipline even further as we sat back and watched the kids interact.  The teachers and workers kept a close eye on the kids barking orders at them when they got carried away just like you'd expect to see in a good American school.  We met one of the main people in charge of the orphanage after he got done giving a talk to the kids on stage over the microphone.  He went out of his way to come over to us, say hi, and let us know what was going on in perfect English.  It's hard to sum up a man's character in a few moments, but there was no misunderstanding what this man stood for.  He was a strict disciplinarian, but also a very respectful gentleman with a heart of gold.  I'd imagine he's a perfect role model for the kids.

            The short orphanage experience really got me thinking about Haiti's problems again.  I was so impressed with what this group had done with the orphanage/school that it gave me a sense of hope for the country.  I also had the thought that the work that was being done in the orphanage/school was probably more impactful than the healthcare work we are all interested in.  Educating the youth seems like a much more effective way to address Haiti's problems from a long-term perspective.  Don't get me wrong, the healthcare support is vital as well, but you never know when the donor funds may dry up.  On the other hand, an education is permanent.  So I decided to quit my pursuit of medicine and become an educator.  Just kidding.  I did think about it, but I realized that I just don't have that much interest in teaching.  I need more of an intellectual challenge.  It then hit me that my pursuit of medicine is not entirely about helping people, there's definitely some selfishness involved.  I felt a sense of guilt.  Then I got over it.

Scott and Dog in a staring contest

Tuesday, August 16, 2011

Kristen in the warehouse

Goats in search of grub

Workin' (or not) in the warehouse

Tuesday

Today Chris, Scott, and I stayed at the hospital warehouse and reorganized the suturing pallets and the glove pallets. It was somewhat laborious and uneventful, but because we were going crazy we spent the majority of the day mixing work with jokes.  Carla, Will, and his dad went to cite Soleil. They came across a woman with possible malaria and a man with possibly AIDS and TB. The hospital ambulance could not come get them, so they put the two people in the van to take them back to the hospital. We decided we quite possibly saved two lives by staying at the hospital. Chris and I fell between pallets a total of 3 times, though, so maybe we didn't choose the safer option. We weren't hurt, it just gave us another opportunity to laugh. 
We got back to the house around 3:30 and were invited to go watch the local boys' baseball practice. They were so funny. Maybe like 7-12 year olds, but they all were total hams. During their warm up running, which some were doing with no shoes, they would try to hide or fall on the grass hoping to get some sympathy.  One of the guys from the house, who is from the US, came to help them with their technique. One of the kids came up and asked if I was going to play and I said I didn't know how and his response was "I didn't know there was anyone from the US who didn't know how to play baseball." I had no response because he totally had a point. Practice had just gotten underway and we were bombarded with a lightning storm. So the boys were immediately sent home and we ran to this little cement shack to take cover until our driver came to get us.
On a bright note, the others are starting to catch up with my bite count (16). We are going to do a final tally to see if someone else took the lead away from me. This trip has actually turned into big scoreboards. We play games of dog/goat/chicken (they seem to look alike), cow/horse/donkey/mule, and European import car (I saw two Cayennes and one G wagon so I'm killing them).
Another highlight of the day was Scott and I coming back from the warehouse and asking our house guard if we could hold his shot gun and take a pic. He said yes and then went into his shack and got his other gun to pose with each of us. I have a huge smile on my face and Scott decided to sport the Zoolander look.  
Tomorrow some are returning to Soleil and some are visiting the orphanage, which I am particularly looking forward to. The boys today were so full of life and well spoken that I'm sure it will be a great experience. 


Rain

It just started pouring completely out of the blue.

Monday, August 15, 2011

A view of the beach we visited... I still feel guilty for taking a short "vacation." Since it was a national holiday in Haiti, Operation Blessing told us we should take a quick trip as the Hospitals would be empty...

Lightning Storm over the Haitian Ocean

I find thunder and lightning storms to be one of nature's most beautiful phenomena. We were luck to catch this light show over the ocean on Sunday evening.

Yin and Yang

It seems that for everything lovely in this world there is something dark and dangerous; For everything dark, there is a beauty to even it out. After spending a few days in Cite Soleil, we took a short day and a half off to go to the beach North of Port au Prince. Although it was only 30 miles outside of the city, it took us nearly an hour to arrive due to the disrepair of the roads. As we departed the crowded city and began our journey through the countryside, the massive overpopulation ebbed slightly. Although, the countryside was still dotted with tents, small houses under construction, and some houses that were still crumbling from the earthquake. The ocean breeze whipped into the van we were in and kept us fairly cool despite the blistering heat and lack of air conditioning. I really didn't even notice the heat until we slowed to a crawl to wade our way through the villages. We travelled rapidly on the "highway" and barely at all through the village towns. One of our Haitian friends, Wilson, told us the name of each town as we passed through. I wish I had thought to write them down, because they're all escaping me now.
We passed plantations filled with banana trees and mango trees, but the sparse housing remained. In the towns, masses of people lined the roads selling everything from pencils to clothing to plantains.
We turned into the hotel area we were staying at and the image changed drastically. Immediately, we were surrounded by lush grass and trees. We walked into the hotel and were greeted with complete chaos at the front desk. It had the air of a tropical hotel with absolutely no order. After about 3o minutes, we were checked in and made our way to the beach. It seemed as though I had stepped into a different world. The hotel was clearly a place where wealthy locals and UN members came for the day or weekend. The beaches were pure white sand that met up with a crystal clear turquoise ocean. It was incredible to think that just outside the walls we had left a world of poverty and need. I felt a bit guilty laying on the beach and enjoying the ocean, but I feel like it also was a good quick break from the endless stretches of people, cars, and pollution in Port au Prince. Returning tonight, I'm ready for my next venture in the St. Damien hospital network!

Us Before We Left Today

The drive

It was right along the coast

During the day

This is the hotel during the day. It is called Club Indigo.

A little rest

We got out of Port Au Prince for the night last night and stayed in a hotel out on the countryside. This was the view at dusk from our hotel room.

The Beauty of Existence – Part II



A Circus of the Senses

Flanked by mountains and the leeward side of Hispanola, Port-au-Prince streches up receeding hills, ascending in social class with each degree of elevation, with Cite Soleil pressed at its bottom against the ocean and resolutely bordered by a refinery and a river on either side. Haiti's open sewer system makes the flattened low-lands the least desireable. Even the marginal slope, from the top of Cite Soleil until it reaches the marshy bay, helps to define the complex class hierarchy amongst the poorest of the poor. The higher above sea level your house is the less often swelling sewers will flood inside your home. Cite Soleil is one of the most densely populated area's in the world, 200,000 to 300,000 people in 2 square miles. As you descend toward the ocean, the quality of homes detereorates from contrete blocks to corrugated tin to wooden poles with cardboard walls, an area known as Cite Carton. This unimaginable density and poverty intensifies the individual's drive to exaggerate class differences based on miniscule things, perpetuating classist disdain for the ultra-poor in the community. It's density also presumes throngs of kids - playing, yelling, chasing me at times in spurts of curious revelry followed by a shy embarrasement when I turn to greet them. They're like children everywhere, except instead of feeling like one distant cousin you're meeting for the first time, its ten to fifteen every few blocks.  

It is impossible to explain the intensity of the poverty. We often conceptualize poverty into a generic form: paucity of things, derelict buildings, encompassed by a over-all feeling of despondency. Yet the on-slaught, the dense and mulitplistic sensorial experience of poverty in Soleil can not be accurately described or imagined. Soleil's sewage filled canals, black with industrial sout, petrol coated mounds of plastic bottles floating motionless in stagnent rows 2-3 feet deep and 1 foot wide, like a grid, slicing between homes that are only 7-12 inches apart in places. The smell compounds disparate elements of the entire city into each inhale, thick and heavy in the tropical sun: coal-fire ash; diesel smog; frying oil; composting waste; smells of livestock like pigs, goats, and chickens; and sweaty human beings. Electrical wires reach out from roof to roof supporting hanging clothes above street vendors selling their wares with often pristine pyramidal mounds of fresh fruit  lining the road. The combined sounds of Cite Soleil is really lound 23 hours a day, in part because Haitains are the most verbal and physically expressive people I've ever met, similar to my experiences in southern Italy but even more so. Laughter, singing, joking, arguments that erupt in yells and then fizzle in seconds; hoards of children playing and yelling - competing with their infant siblings muted within the homes; cars honking in morris code; vendors advertising their goods; singing and music coming from multiple directions (one of the most important aspects of Haitian social and religious life). There is a brief respit, as the rising sun breaches the mountains behind Port-au-Prince, slicing through Soleil towards the ocean. During this mystical hour the silence in Soleil is gently distrupted by just the sweeping of brooms, the quiet singing of mothers, and Catholic alms from the daily ceremonies. Haitians are emphatically clean in their clothes and homes, their white blouses and pressed shirts seem to defy the entropy you'd expect. Soleil is the dirties, dustiest place I've ever been and their pride and the sense of dignity is ever apparent in their spotless attire. I would return after a days work looking like I had just stepped out of the mines. I don't know how they do it. Soleil is a circus of the senses – music, sewage, laughing children, malnutrition, and abominable living conditions; and yet, and this is one of the most important personal insights that I've gained over the years, is how strong there is an inclination for me as foreigners to myopically perceive the most severe of, the worst aspects of, a complex environment like Soleil. When I first began living in Soleil in my early twenties, I would walk out my door and I unconsciously saw and heard only what re-inforced my perception of the Haitian's condition of misery and hopelessness.

I remember when this began to shift, and it wasn't just the broadened perspective that comes with prolonged experience. In the next segment, I'll go into the internal process that facilitated a change in perspective. During my later trips, from 1996 to 2000, I would live and work at a hospital run by Mother Theresa's Missionaries of Charity brother's in Cite Soleil. Although the brothers were from all around the world, the compound was mostly Haitian staff and patients. I enjoyed the immersion of livinging amongst Haitian's, working on my Kreyol and creating relationships. I also appreciated the brother's monastic lifestyle as many of you know I spent some time as a Buddhist monk.

I awoke one morning in the usual cacophony of sounds, except this time my consciousness singled out the gentle singing of our neighbor as she hung the morning's laundry. Every morning hence, I awoke to her singing. A new layer of perspective slowly began to take root, to spread into my moment by moment experience of Soleil. Day by day I'd notice things like teen age couples flirting on the front stoop, people singing together, parents gooey with joy over a new born child. Soleil in all it's glaring poverty and suffering came to have an evenly balanced spectrum of the same human experience that we all share, yet until then I hadn't quite seen it. Not that I was oblivious to this side, but that it that my perception focused on the difficult. The average life span in Soleil is shorter, there's more sickness and hunger. But also, like everyone, they fall in love, they laugh and joke with friends, infants beam at the sight of their parents, soccer games form amongst friends, they dream of better lives and hope the same for their children. It's the same human condition - the routine of work, the responsibilities of parenting, the emotional symphony of daily life…and bit by bit it occupied a balanced portion of my experience in conjunction with the difficulties.

 


We just got back from our vacation from our vacation. We headed an hour and a half away to Club Indigo for two days and one night of beach. The ocean was amazingly beautiful and we all just lounged on the beach and floated in the water. The majority of the group are now various shades of lobster, but it was worth it. It's funny though because we all discovered that we missed Relax a little and are happy to be "home." Tomorrow we go back to work, some to City Soleil, some at the local hospital. We are all safe, happy, and eating a little too much

Sunday, August 14, 2011

Tap-Taps

Public transportation. At night they're like rolling Haitian parties, not really but they have great music and flashing disco lights!