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30.05.2015, admin
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. A callus generally refers to a more diffuse thickening of the skin (common on the ball of the foot) whereas a corn is a deeper and more focal formation of hard skin (more common on the toes).
Pain from calluses is generally a mild discomfort, while a corn can give severe pain while weight bearing. 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. They occur as a result of pressure on the skin.Your body responds to the pressure by building more skin, for protection. To treat corns and calluses the Podiatrist will debride the hard skin, which is painless and gives immediate relief.  BUT until the cause (pressure) is addressed, the corn or callus is likely to return! 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. However if the pressure on the skin continues then the skin thickens further and can become painful.
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.



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