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That task is nearly always reserved for women, who use kangas - colorful bolts of fabric - to tie children to their bodies. But the man walking the gritty path from the village of Mango is accompanied by no one except the diminutive, sickly child clinging to the curvature of his back. The boy, a year or two old, lifts his head as if it is filled with water, and, overcome by the heaviness of it, drops it once again against his father's back. The disease, a parasitic infection transmitted by mosquitoes, is so endemic that people generally don't seek treatment for it. The major difference: Malaria is a nuisance that can become a killer, and it never goes away. In the distance, a chugging generator, the only source of electricity, announces that an operation is under way in the surgical theater. In the hospital's administrative building, a wall of photographs chronicles the doctors who have run St. In one breath, the doctor, in his mid-50s, lambasts the daughters of an elderly patient for not feeding the man adequate sources of protein. Like some rural areas in the United States, poor towns and hospitals in Tanzania can't match the lucrative salaries doctors receive in big cities. European doctors help by serving two- or three-year stints, funded by church organizations.
But the hospital is adept at drawing out its resources, and its benefactors' purse strings. Each week the staff of the 100-bed hospital, which is filled to overflowing in the rainy season, delivers an average of 20 babies, does two or three C-sections and might do operations ranging from intestinal surgery to appendectomies. The film shows a bone sheared just above the elbow and a gaping slice across the long bones of the hand. The doctors decide to send the man by Land Rover ambulance to a hospital four hours to the south.
Making his early evening rounds in the men's ward, Ndimbo underscores an even more pernicious threat imported from big cities.
The lakeshore region of Liuli is even more at risk because of the vast numbers of visitors from Malawi, a country that has a whopping 13 percent of its population living with HIV infection, according to 1994 WHO estimates. Tracking exact numbers is unthinkable, Ndimbo said, because so many don't seek treatment for AIDS.
But word is spreading about the menacing disease, which locals call mdudu, or, ''the bug.'' Hospital figures show that each year since 1993, roughly 100 patients seeking treatment tested positive for HIV. But along the lakeshore another man strolls in the afternoon sun, looking to buy fish to feed his little charge back at the hospital. Ndimbo, who is nearing retirement age, said quitting his job is an option Liuli can't afford for him to take. A A A  That task is nearly always reserved for women, who use kangas - colorful bolts of fabric - to tie children to their bodies. A A A  But the man walking the gritty path from the village of Mango is accompanied by no one except the diminutive, sickly child clinging to the curvature of his back. A A A  The boy, a year or two old, lifts his head as if it is filled with water, and, overcome by the heaviness of it, drops it once again against his father's back. A A A  A Habitat for Humanity employee working in Liuli, Tanzania, stops the truck we are in. A A A  The disease, a parasitic infection transmitted by mosquitoes, is so endemic that people generally don't seek treatment for it.
A A A  The major difference: Malaria is a nuisance that can become a killer, and it never goes away.
A A A  In the distance, a chugging generator, the only source of electricity, announces that an operation is under way in the surgical theater.
A A A  ''My father and headmaster wanted me to become an Anglican priest,'' said Ndimbo, who was born and raised 5 miles from Liuli. A A A  In the hospital's administrative building, a wall of photographs chronicles the doctors who have run St. A A A  In one breath, the doctor, in his mid-50s, lambasts the daughters of an elderly patient for not feeding the man adequate sources of protein.
A A A  Like some rural areas in the United States, poor towns and hospitals in Tanzania can't match the lucrative salaries doctors receive in big cities. A A A  European doctors help by serving two- or three-year stints, funded by church organizations. A A A  But the hospital is adept at drawing out its resources, and its benefactors' purse strings. A A A  Each week the staff of the 100-bed hospital, which is filled to overflowing in the rainy season, delivers an average of 20 babies, does two or three C-sections and might do operations ranging from intestinal surgery to appendectomies. A A A  The film shows a bone sheared just above the elbow and a gaping slice across the long bones of the hand. A A A  The doctors decide to send the man by Land Rover ambulance to a hospital four hours to the south.
A A A  Making his early evening rounds in the men's ward, Ndimbo underscores an even more pernicious threat imported from big cities.
A A A  The lakeshore region of Liuli is even more at risk because of the vast numbers of visitors from Malawi, a country that has a whopping 13 percent of its population living with HIV infection, according to 1994 WHO estimates. A A A  Tracking exact numbers is unthinkable, Ndimbo said, because so many don't seek treatment for AIDS. A A A  But word is spreading about the menacing disease, which locals call mdudu, or, ''the bug.'' Hospital figures show that each year since 1993, roughly 100 patients seeking treatment tested positive for HIV. A A A  But along the lakeshore another man strolls in the afternoon sun, looking to buy fish to feed his little charge back at the hospital.
A A A  Ndimbo, who is nearing retirement age, said quitting his job is an option Liuli can't afford for him to take. Initial x-ray and photograph of an infected femoral nonunion resulting from an open femur fracture more than 32 years earlier. The left x-ray shows the placement of an antibiotic cement spacer that remained implanted for three months to treat the long-standing infection. The final treatment to reconstruct the femur consisted of a large bone graft stabilized with a custom rod, as seen in the right x-ray.
This photograph of the patient 7 months after surgery shows that he can bear his full body weight.
Having malaria is roughly the African equivalent of, say, contracting the flu: Everyone gets it, people miss work because of it, and the elderly and the young are more at risk.


Beat-up metal-frame beds fitted with yellow foam mattresses line the walls of each of the facility's three wards.
Samwel Ndimbo, wearing a white lab coat and a Rolex knockoff, walks the breezeway connecting the children's and women's wards.
He's a modern icon in a world that operates pretty much as it did 500 years ago, except when it comes to medicine. Bubble wrap, probably salvaged from supply shipments from London donors, is used to cushion babies in the preemie unit. On a sticky day in February, Ndimbo and Gaffga, the German doctor, confer over X-rays in Ndimbo's modest brick office.
It was a hand caught in a crime tolerated by no one here, least of all by those whom the hand had stolen from. Perhaps the doctors there can set the bones; but it's unlikely the patient will again steal beer. He points to a man in his 20s reclining on a grayish sheet, cradling his legs to his chest. The World Health Organization estimates there are 840,000 people infected with the virus in the country, which has roughly three times the population of Ohio. However, the number of healthy blood donors who tested positive for the virus doubled in 1995. The midday sun threatens to liquefy the sand underfoot, making each step a painful reminder that Tanzania nuzzles the equator.
Anne's, a hospital operated by the Anglican Church in Liuli, would have been another three hours on foot. Cholera and Ebola, diseases that receive a lot of attention in the United States media but account for relatively few deaths in Africa, are absent.
During the rainy season, when malaria-ridden mosquitoes are rife, children are laying two and three across in the beds.
It speaks volumes that the hospital that now has ultrasound equipment also washes and reuses latex gloves.
He is followed by a retinue of medical assistants in training and nurses wearing old-fashioned caps. He, more than the others, understands the mindset of the impoverished subsistence farmer, who often seeks treatment from traditional healers before coming to the hospital. A kitchen was built so that patients' families can cook meals for sick relatives, at a terrific savings to the hospital.
Thievery of any kind is dealt with sharply in this village - this time by a machete; but Ndimbo, shaking his head in concern, said this is the first violent street justice he's seen. The patient's gaunt features are punctuated by immense eyes that turn to Ndimbo as he examines the man's chest X-ray. He motions a make-believe injection into his arm and points in the direction of the hospital. People are having fewer children - six instead of 10 or 12 - because parents no longer fear that all of their offspring will die from disease.
Brinker was in elementary school!) This 51-year-old man had undergone more than 20 prior attempts at surgical reconstruction at many outside facilities by other physicians and was still having pain and difficulty walking as his fracture never healed and was infected. Mothers shuffle about the concrete floors in rubber thongs or bare feet, kicking about the dust that a woman with a broom struggles to contain. The University of Dar-es-Salaam, in Tanzania's capital, graduates plenty of medical students each year; Ndimbo received his medical degree there in 1975. Everyone treated is required to pay some kind of fee, even if it's in the form of a chicken or a goat. Unless coupled with pneumonia, anemia or other disease, malaria usually won't kill a child. For illustration, he uses the protuberant belly of a woman who looked ready to give birth yesterday. Practicing medicine in a village that is at times accessible only by ferry requires patience and resolve, she said. He ambles off in the direction of fishing boats bringing in their catch, smiling as he goes. The following Wednesday February 13, 2013 I returned to the hospital to see if the a€?Wound Doctora€? Dr. What I witness next made me sick to my stomach.A  The bandages removed by the nurse were filthy. President I never dreamed in 2010 I would go from working with at-risk youth to fighting for at-risk seniors like my brother.A  We fought our way out of a single parent household in a NE housing project and pulled ourselves up by our boots with no straps.A  We did this without the baggage of drug addiction, police records and academic inferiority to be all that we could be! President, has integrity, honesty and fair play become a lost art among politicians in America.
A It got worst a second 18 year old student from the same school was shot and killed on Tuesday evening making him the 6th student and on Wednesday his friend and former Suitland student died of his wounds.A  His death marked the 7th student to be murdered inA the Prince Georges County School system this year.
A A third victim in less than 24 hours was shot and killed in a attemped robbery at a nearby gas station in the same community.A Mr. He made three executive orders that eventually became a structure for future civil rights legislation.A The first Executive Order 9981 came in 1948, is generally understood to be the act that desegregated the armed services.
After several years of planning, recommendations and revisions between Truman, the Committee on Equality of Treatment and Opportunity and the various branches of the military, Army units became racially integrated.
This process was also helped by the pressure of manpower shortages during the Korean War as replacements to previously segregated units could now be of any race.A The second order, also in 1948, made it illegal to discriminate against persons applying for civil service positions based on race.
The third executive order, in 1951, established Committee on Government Contract Compliance (CGCC).
This committee ensured that defense contractors to the armed forces could not discriminate against a person because of their race.A In retirement however, Truman was less progressive on the issue of race. He described the 1965 Selma to Montgomery marches as silly, stating that the marches would not "accomplish a darn thing."A President Franklin D. RooseveltThe New Deal was a series of economic programs implemented in the United States between 1933 and 1936. The programs were responses to the Great Depression, and focused on what historians call the "3 Rs": Relief, Recovery, and Reform. A During Franklin's terms as President, despite his need to placate southern sentiment, she was vocal in her support of the African-American civil rights movement.A Mrs. Roosevelt was outspoken in her support of Marian Anderson in 1939 when the black singer was denied the use of Washington's Constitution Hall and was instrumental in the subsequent concert held on the steps of the Lincoln Memorial. KennedyThe turbulent end of state-sanctioned racial discrimination was one of the most pressing domestic issues of the 1960s.


Robert Kennedy, speaking for the president, urged the Freedom Riders to "get off the buses and leave the matter to a peaceful settlement in the courts.A A In September 1962, James Meredith enrolled at the University of Mississippi, but was prevented from entering.
Marshall while President Kennedy reluctantly federalized and sent 3,000 troops after the situation on campus turned violent.A Campus Riots left two dead and dozens injured, but Meredith did finally enroll in his first class. A A His brother Robert and Ted Sorenson pressed Kennedy to take more initiative on the legislative front. A On June 11, 1963, President Kennedy intervened when Alabama Governor George Wallace blocked the doorway to the University of Alabama to stop two African American students, Vivian Malone and James Hood, from attending. Wallace moved aside only after being confronted by Deputy Attorney General Nicholas Katzenbach and the Alabama National Guard, which had just been federalized by order of the President, and which had hours earlier been under Wallace's command.A That evening Kennedy gave his famous civil rights address on national television and radio, launching his initiative for civil rights legislation - to provide equal access to public schools and other facilities, and greater protection of voting rights.
As the president had predicted, the day after his TV speech, and in reaction to it, House Majority leader Carl Albert called to advise him that his two year signature effort in Congress to combat poverty in Appalachia (Area Redevelopment Administration) had been defeated, primarily by the votes of Southern Democrats and Republicans.A Kennedy signed the executive order creating the Presidential Commission on the status of Women on December 14, 1961. The Commission statistics revealed that women were also experiencing discrimination; their final report documenting legal and cultural barriers was issued in October 1963. A Earlier, on June 10, 1963, Kennedy signed the Equal Pay Act of 1963, a federal law amending the Fair Labor Standards Act, aimed at abolishing wage disparity based on sex.A Over a hundred thousand, predominantly African Americans gathered in Washington for the civil rights March on Washington for jobs and freedom on August 28, 1963. Kennedy feared the March would have a negative effect on the prospects for the civil rights bills in Congress, and declined an invitation to speak.
The March was considered a "triumph of managed protest", and not one arrest relating to the demonstration occurred.A Afterwards, the March leaders accepted an invitation to the White House to meet with Kennedy and photos were taken. A Kennedy felt the March was a victory for him as well and bolstered the chances for his civil rights bill.A Nevertheless, the struggle was far from over. Three weeks later, a bomb exploded on a Sunday at the 16th Street Baptist Church in Birmingham; at the end of the day six children had died in the explosion and aftermath.
A A As a result of this resurgent violence, the civil rights legislation underwent some drastic amendments that critically endangered any prospects for passage of the bill, to the outrage of the President. JohnsonIn conjunction with the civil rights movement, Johnson overcame southern resistance and convinced Congress to pass the Civil Rights Act of 1964, which outlawed most forms of racial segregation. A A He called the congressional leaders to the White House in late October 1963 to line up the necessary votes in the House for passage. A After Kennedy's death, it was Johnson who picked up the torch and pushed the bill through the Senate. A Legend has it that, as he put down his pen, Johnson told an aide, "We have lost the South for a generation", anticipating a coming backlash from Southern whites against Johnson's Democratic Party.A In 1965, he achieved passage of a second civil rights bill, the Voting Rights Act, which outlawed discrimination in voting, thus allowing millions of southern blacks to vote for the first time. In accordance with the act, several states, "seven of the eleven southern states of the former confederacy" - Alabama, South Carolina, North Carolina, Georgia, Louisiana, Mississippi, VirginiaA a€” were subjected to the procedure of pre-clearance in 1965, while Texas, home to the majority of the African American population at the time, followed in 1975.A After the murder of civil rights worker Viola Liuzzo, Johnson went on television to announce the arrest of four Ku Klux Klansmen implicated in her death.
He angrily denounced the Klan as a "hooded society of bigots," and warned them to "return to a decent society before it's too late." Johnson was the first President to arrest and prosecute members of the Klan since Ulysses S. NixonThe Nixon years witnessed the first large-scale integration of public schools in the South. Nixon sought a middle way between the segregationist Wallace and liberal Democrats, whose support of integration was alienating some Southern whites.A  Hopeful of doing well in the South in 1972, he sought to dispose of desegregation as a political issue before then.
Soon after his inauguration, he appointed Vice President Agnew to lead a task force, which worked with local leadersa€”both white and blacka€”to determine how to integrate local schools.A Vice-President Spiro Agnew had little interest in the work, and most of it was done by Labor Secretary George Shultz. Federal aid was available, and a meeting with President Nixon was a possible reward for compliant committees. A By September 1970, fewer than ten percent of black children were attending segregated schools. A But by 1971, however, tensions over desegregation surfaced in Northern cities, with angry protests over the busing of children to schools outside their neighborhood to achieve racial balance. During the week white parents were seen in and out of the facility and on the weekend they would pick-up their children and take them home. My time was spend one block over on 13th and V Street working out of Harrison Playground and Harrison Elementary. I was of no help, I knew little or nothing about Hillcrest and how it served the community. I was more concerned about the knuckleheads I would encounter hanging out in the U Street corridor.
We discussed what remedies we could use to combat these acts of truancy.A My thoughts, why not try to use athletics as a motivational tool? The athletic team concept helped me to improve my school attendance and discipline, why not use the same vehicle for these knuckleheads (I know a knucklehead when I see one, because I was one). A I would notice after school the young men who should have been attending Harrison during school hours would migrate to the playground. Cousins and Roving Leader Director, Stanley Anderson, I held tryouts for the Harrison touch football team on Harrison Playground in the evenings after school. You name the sport, football, basketball, baseball, track and field, most could run like the wind.
I wished that I could have been that talented at their young age.Getting them to tryout for the team was easy, but getting them to improve their attendance and their grades was not going to be an easy chore. The rules of participation were; regular school attendance, maintain a C average, respectful behavior (no profanity) and be on time for school and practice.
Several I had to dismiss from the team or I benched them in favor of a not so talented teammate, but as we started to win without them, they changed their rebel ways.A I convinced other elementary schools in walking distance of Harrison to participate, Garrison and Grimke principals liked the concept and came aboard. The idea went over so well other elementary schools wanted to participate and the program went city-wide.
With my coaching genius, Harrison Elementary won the first City Wide Elementary Touch Football League Championship.
It took several practices before Andrew Johnson my high school teammate and police officer could convince his colleagues to take off their guns during practice.A The league was the brainchild of the late Mayor for Life, Marion Barry.
The league was designed to help improve police community relations and it did for a minute.A In 1968 all hell broke loose after the gun related death of our Prince of Peace in Memphis, Tn, Dr. I remember NFL Hall of Fame and Green Bay Packer player Willie Wood and I standing on the corner of 9th and U Streets after having lunch at the in-crowd hangout of the Che Maurice restaurant. It was a beautiful bright sun shiny April 4th day when someone rode by in a car and yelled "Harold Bell they just shot and killed Dr.



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