Dear Family and Friends, It has been a while since my last installment. Here are some of the reasons: (1) Since May 9, I have had two sets of friends/visitors for a total of seven consecutive weeks. With each group we tried to program a year’s worth of activity into 3-4 weeks. (2) At the end of the first group’s visit I learned that the book that Curt Thompson and I have been working on has been accepted for publication. This meant 6 weeks of mad gathering of additional references (cajoling perfect strangers into ferreting books to me from the US), proofreading, and other late-night/early morning activity. The deadline for final submission was July 15. (3) When the second group of friends left I developed bronchitis for the second time this year. I usually develop it once a year, so this second round was quite a surprise. Then I realized that about 50% of the people get infections of some sort when they return from mobile, so I probably should be glad I didn’t get bronchitis 10 times this year rather than just twice. I think it is a combination of the dust from the drive, the close quarters in lab and exam rooms, and the other things that sometimes share the living quarters, like bats, roosters, hens, and mice. (4) Then we went to Tarangire to do staff physicals and Susan, Frank, and I worked out a transition plan to move from a lab with Joyce to one without (apparently they think it will involve more than getting rid of the empty chair). This past week was stage I of the transition implementation. I hope stage II fares better. Unlike Organic Chemistry, you don’t have to pass stage I to move right on to Stage II. So, although I have enough experiences to report to fill several more letters, this will probably be the final episode of Karatu Tales. I basically did the same things with both groups of volunteers, so will combine the events of the last couple of months in broad categories. 1. Jifundishe Judy, Phyllis, and Lindy arrived on May 9. Deb met them at the airport while I lolled around at the Ngurdoto Lodge. Past visitors have had some challenges getting through customs with their donated goods, and Deb is a master of cunning innocence that gets them through every time. This time was no exception. The group came at the end of the long rains and the forces conspired to show them exactly what that means. Loaded down with two large bins of donations (and their clothes) each, plus their carry-ons, they met Deb, navigated customs with her help and without paying any bribes, and emerged from the airport to confront the nightly deluge. There wasn’t enough room for me in the vehicle, so I waited at the Lodge, dry and nursing a pot of hot tea. I certainly know how to take care of myself if not my guests. Eight bins of donated items -- pretty impressive – and the bins have been invaluable on mobile clinic. During the first week we worked with a group of about 25 students who are preparing for their Form 4 exams to be taken in the fall. In Tanzania, there are two approaches to education, formal schooling and individual or independent education. Many cannot afford to attend school because of the numerous fees that are required as well as the cost of uniforms that all school children wear, whether public or private school. Those who do not attend school can still take the exams that certify their level of achievement. Those who do well enough on the Form 4 students with two of their teachers -- former Form 6 students who passed their exams and are Form 6 exam are eligible to attend university. Deb has headed to university in the fall. Bill, Ann and I developed a program at the Jifundishe Free Library in worked with the Form 6 students in December. which students preparing for Form 2, Form 4, and Form 6 exams study together. Copies of the government designated school texts are also available, as are four computers with free access to the internet for research purposes. Deb has engaged the services of a few dedicated teachers who come to the library periodically and answer questions students have about their subject matter or help them to work through difficult concepts. Recently Deb has equipped a ‘lab in a cabinet’ for the science teacher so he can work with the students in conducting experiments in physics, chemistry, and biology. As a testament to the success of her program, pass rates of the students at the library far exceeded the rates of students in area government schools. The Form 4 rate was 100% and the Form 6 rate was over 70% (national rate is below 50%). In elementary school, students study English as one of their subjects, but when they get to secondary school all instruction is in English. Imagine the challenge this presents for students who are basically teaching themselves in the informal or independent approach. Bill and Ann and I worked with the Form 6 students in December, and their English was quite impressive. Phyllis, Lindy, Judy and I worked with the Form 4 students. Their English was not quite as good, but was still impressive considering it is largely self-taught. We worked with the students in analyzing a play, a short novel, and two lengthy poems. For the exam, students will be expected to write essays on themes or characters in each of the genres. They have a reading list of works with which they must be familiar (to the point of actually quoting the works in support of their positions or assertions). We had 3.5 days of lively discussion. The students performed an abbreviated version of the play on the first day and that really set the tone for the week. It has been a rare experience for me over my 35+ years of teaching to find a group of students so engaged, so eager to learn, so appreciative of your time and effort, and so supportive of one another’s efforts. The students really seemed to realize the value of interacting with native English speakers and did all they could to capitalize on the experience. When Janet and Emily were here we managed to fit in a short visit to Jifundishe. We got to see Dick and Dolores Novak (they were the owners of Ngurdoto Lodge whom we got to know on our 2008 visit since we stayed in the lodge and they joined us every morning for coffee on the veranda with its view of Mt. Kilimanjaro and Mt. Meru). Dolores has recently returned from India where she had her pacemaker replaced. She was in fine form and Dick looked great, too. On our way to the library we bumped into Pete O’Neill (of Black Panther fame) who was planning a memorial service for Geronimo (also a Black Panther who was wrongfully imprisoned for many years) who had also moved to Imbeseni and who had recently died. At the library Janet and Emily got to play with a group of kids from the nearby orphanage who had come down to the library for their weekly enrichment visit. Meanwhile there was a small group of students from the ones we had worked with in May. They immediately invited me over and started asking me all sorts of questions about what they had been studying. We got into science, politics, economics, and even strategies for test taking – just about anything they could think of to keep me engaged and speaking English to them. It was just such a neat experience. During the week, we all ate lunch together. Lunch was prepared by Mama Mbayo, who is one of the first recipients of a no-interest microloan from UKUWAJI (acronym for a phrase meaning Jifundishe Women Developing Together) a program receiving its start-up funding from UP. Her microloan has been used to start up a little catering business, and judging from her lunches, this investment has been a wise one indeed. When Janet and Emily were at Jifundishe, we had the opportunity to talk with Ellie, a Jifundishe librarian and one of the women who worked out the logistics of the microloan project. To hear her talk was incredibly moving. She said there were over 300 women Mama Mbayo -- the food is as good who applied for the initial loans. The committee whittled that down to as it looks. We went to her home a smaller number and then the whole committee interviewed each of one day and the whole family sang the 25 finalists, assessing both her needs and her ability to pay, and for us in multipart harmony tailoring each loan to the individual case. All of the finalist women received a loan, and the first round of payments was due last month – every woman showed up and paid the assigned amount. One of the many insightful things that the committee did was to take advantage of the social structure that exists in Tanzania. Neighborhoods are organized into groups of ten families, with a leader/spokesperson chosen to represent that group. The small group discusses matters that are important to them and then their leader goes to meetings with other leaders to represent them. It’s sort of a more extensive town meeting where everyone has a voice. UKUWAJI is using this group of ten organization to provide support for the women, both moral and, if need be, financial. 2. Safaris Each group went on 2-3 safaris and visited Arusha National Park, Lake Manyara, and the Ngorongoro Crater. I’ve noticed that the more contact I have with wildlife the more I see them engaged in decidedly human behavior. Here are some examples. Wildebeest dance class Hippos sharing another corny joke Waterbuck target practice Giraffe yoga class Baboon figuring out how many angels fit on the head of a pin Warthog doing Sysiphus imitation Impala antler wrestling -- arm wrestling didn't work out Baboon reading the label on a plastic bottle 3. FAME Both groups worked in the new lab, entering medical records. Judy’s nursing background was particularly helpful; she was able to decipher a lot of the medical codes and matched up illnesses with appropriate treatments so non-medical people can enter data more easily in the future. The rest entered data, either from the lab results at Karatu or the medical records from mobile. When all had left, they had completed entering all of the mobile clinic files and they had started on the Karatu files. Janet and Emily spent more time at FAME than the other group, and they were able to keep all of the Karatu lab data updated. Emily was getting college credit, so we made sure she spent time in the lab learning a little lab technology. Janet had the enviable task of studying under Paulina so that Janet could keep the log book on mobile clinic and also do all of the prep for the lab work. Both groups got to go on mobile, something the December group did not get to do, unfortunately. In May, we had a skeleton crew everywhere except in the lab. Lindy and Judy did lab intake and set up materials that would be needed for each patient. In June, Janet was given this task. Phyllis and Emily must have drawn the short straws because they ended up doing urine dipsticks and urine pregnancy tests all week in May and June respectively. Of course I got the shortest stick of all, which was unfortunate because I needed something else for all the stool samples I ran. Emily did get to shadow two American doctors a couple of mornings, which was a great experience for her. These weeks were actually the easiest mobiles yet Lindy entertaining the Hadzabe. for me because of all of the help. Lindy had brought balloons and entertained the Hadzabe kids by blowing them up (balloons, not kids), making them squeak (balloons and kids), and releasing the inflated balloons so that they would fly away. I had explained to everyone that I always stay in the house with the Tanzanian staff and the rest stay in the other house which has fewer rooms. Phyllis quipped, “I’m sure the Tanzanians don’t mind having you there; they probably use you as a nightlight.” As always on mobile there were light moments and there were deeply moving moments. In June there was a young child (about 5 yrs old) from whom we had to take blood in order to do tests. His slightly older sister tried to console him and looked very worried. She was to be next in lab, but we only needed to get a little blood from her fingertip to check for malaria. When we told her she was next, she took off like a shot. We got to see the innate talent of East African runners first hand. It took the extended family 45 minutes to track her down. These are Patient waiting to see a doctor. hunter-gatherers, but they could collect enough for a 7-course meal in less time than it took to recapture the young girl. She got through the procedure in one piece. The picture enclosed here is one of the more moving moments of May’s mobile. A woman, exhausted by her trek to the clinic and by her illness, just rolled herself up in her outer wrap and slept under a tree until it was time to see the doctor. At first glance, it didn’t even look like a person; it just looked like a bag of some sort was placed on the ground. To witness the extremes to which people will go to seek help and to witness their unqualified trust in your ability to make them better is both humbling and inspiring. . 4. Enkipata. The most exceptional part of both visits, I believe, was the opportunity to witness aspects of Enkipata. This is the Maasai celebration surrounding the circumcision of their young warriors. It only occurs once every 7-10 years and involves thousands of young men gathering in the Ngorongoro area to learn from their elders how to be warrriors and to dance and celebrate their rite of passage. The actual circumcisions occur in each boma (group of huts). One of our receptionists, Jacob, and one of the askaris, Babu, arranged for us to participate in two of the aspects of the celebration. Phyllis, Judy, Lindy and I attended the gathering of the warriors. Here the young men gather at one boma and then move on to a second, and finally Young warriors approaching the gather outside a third where a feast of nyama choma (roasted meat) boma; elders are in the middle. has been prepared. At each of the bomas, the warriors gather in the center, dance and chant, working themselves into a fairly excited state. By the time everyone has arrived, there are several thousand young men. We witnessed several groups of young warriors arriving and got to try the nyama choma. They even offered Lindy some of the fresh blood from the cow, but he called their bluff and they decided it might not be safe for him to indulge. The preparation of the meat is done by the men. This is something that even Maasai women can’t participate in, but we were assured that since we were not Maasai, the taboos did not extend to us. That was fortunate since, if a Maasai woman even looks at the meat, the men are not allowed to eat it. After my first big chunk of meat I asked Babu’s brother if that meant nobody else could eat. He assured me I hadn’t ruined it for everyone. What was striking was the warmth and grace with which we were welcomed into the bomas and into the festivities. Babu and others kept repeating that we are all family and it was clear that they very much wanted to share their tradition with us. In a book, “The World of a Maasai Warrior” by Tepilit Ole Saitoti, the author Young warrior leader with speaks of what it means to be a warrior and what circumcision means. He is head bowed; leaders are recounting his father’s words to him: elected by their peers. The pain you will feel is symbolic. There is a deeper meaning in all this. Circumcision means a break between childhood and adulthood. For the first time in your life, you are regarded as a grown-up, a complete man or woman. You will be expected to give and not just to receive. To protect the family always, not just to be protected yourself. And your wise judgment will for the first time be taken into consideration. .. Coming into manhood is not just a matter of growth and maturity. It is a heavy load on your shoulders and especially a burden on the mind. P 66-67 Every group engaged in these exhibitions of vertical leaping Each small group elects a leader who wears a black drape decorated with white beads. This distinguishes him from the rest. We noticed several older men wearing them. Once you are elected as a leader, you serve in that capacity among your age-group for the rest of your life. Emily and Janet and I had the opportunity to return a couple of weeks later. This time it was on the day of circumcision for a couple of boys in two different bomas. The circumcision occurs around 4am and is performed by one of the elders of the village. The young man is not supposed to show any sign of pain because that would disgrace him and his whole family. After the circumcision the boy is returned to his hut for recuperation (2-3 weeks). The rest of the village engages in another celebration. They place a branch of a tree outside the hut where the young warrior is. People come from great distances bringing gifts to the boma. Cows are killed and nyama choma is served. Babu’s father, who is a senior member of the village cut off a piece of his meat to give me. I was really surprised. There is a ritual in which some of the meat is skewered on a stick and the men and women act like they are fighting over it. First one group conducts a raid to get the stick and the others defend it. They escape with the meat and the scene is reenacted with the roles reversed. The most important part of the day is the blessing of the father and mother and paternal grandmother of the young warrior. One of the slaughtered cows is laid out on its side. The three people sit down on the side of the dead cow and each is given a branch of a tree. The cow of course is the most valued possession of a Maasai and the tree represents life and strength. Everyone gathers around and one of the elders chants and everyone responds with a deep sound and this continues for a while like a litany. People were pushing me to the front row so that I could take pictures. Having a son become a warrior is very important, particularly for the father who at that point becomes an elder of the village. After the ceremony everyone dances back to the Blessing of the parents and boma and the rest of the day is spent dancing and feasting grandmother. (except for the young warrior who is not having quite as much fun). Closing Remarks As my year here comes to an end, East Africa is experiencing its worst drought in 60 years. Some crops have failed, the world is dry, fields are yellow or brown. Power outages are frequent – often for several days at a time. Everyone is gearing up for a hard time. Frank and Susan are providing their staff members with basic food supplements – beans, maize, cooking oil – as food prices have escalated. Obviously droughts don’t contribute to good health, so FAME has greater challenges ahead, trying to meet the needs of the population. As I think back on my year here, I know that some things have changed. Samweli has gone from clueless cook to chef extraordinaire. After waiting for almost a year and trying every imaginable approach to mouse control, a kitten showed up at the volunteer bungalows two days ago. It was just there in the morning when the volunteers woke up. We think it got in through the open window. Yesterday it killed a large grasshopper/locust. This morning it killed a mouse. For dinner it killed a bird. I wouldn’t be surprised if it takes down an elephant tonight. The lab has been finished and is equipped with some fairly sophisticated machinery. The techs have made a lot of progress. In my last weeks here we are trying to systematize everything and assign specific responsibilities, so that things will continue to run smoothly. We have computerized the inventory, and thanks to UP volunteers have computerized the lab data for the past year, and the mobile clinic data for the past three years. We have established a system for monitoring inventory and ordering reasonable quantities at regular intervals. There are lots of things not yet done, but it has been a productive year. I am also aware of the fact that there are many things that I will miss when I return to the states. I will certainly miss the people – Frank and Susan who set the tone for joyful caring for one another, my lab guys who love to banter with me and have a good time but who do good work a good part of the time, the other volunteers who have all been interesting and each of whom has been unique, and all of the staff members who are so competent and who also find joy in one another and in their work. I will miss the work itself. I will miss the immediacy, the ever present awareness that what you are doing is important and you need to do it right. I will miss the challenge of trying to get the most out of what you have, both in terms of equipment and personnel. I will miss the opportunity to realistically envision what is possible under severe constraints and to see the vision develop into reality. There is much I will miss here, but much to look forward to upon my return to the states. Love, "Home is where the heart is." Fortunately we carry our hearts with us wherever we go.