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Association of Tamils of Sri Lanka in the USA

Kaiser Permanente in Batti

Received Thursday Jan 27, 2005 early AM San Diego from Sarah Beekly, MD, Kaiser Permanente, N. California from the NorthEast of Sri Lanka; What a great lady! :

It is with reverence for the people of Sri Lanka that we write to you today, the one month anniversary of the Tsunami. Today is a national day or mourning, and yet for those in the relief effort, the work continues. Hernando, Vaji and Svasti have traveled to Colombo, and Mahir and Paul have arrived. At this point our preparation for the transition is our main priority, but
we continue to both visit the camps, and to further develop potential options for Kaiser Permanente’s long term projects.

 Click For Small photoResting in a refugee camp, Cheddi Palayan

 



Wednesday began with a 2 ½ hour drive to a new camp, Kirumichodai, which holds 375 people. This camp is one of the most isolated, and we were told that it had not been visited since Jan 9th.

On the drive there we passed one of the few aboriginal villages. Being a people of little technological sophistication, that is very in tune with their natural surroundings, and made note
of the many odd behaviors of the animals in the weeks prior to the disaster. There are stories of cobras moving in a mass exodus to the mountains, and so when these people saw the animals running inland even prior to the first wave, they followed. From a village of 45, only one life was lost.

Their neighbors had not fared so well, and the remaining families are in the camp we were about to visit. Kirumichai was one of the very first camps established, and is expected to become
one of the semi permanent sites. It is a full 1 ½ hour from any significant settlements or services, and accessible only after a 20 drive down a muddy road that is most likely impassable in wetter weather.

It is also 1 km from the closest natural water source, and so the population there is completely dependant on aid for all their most basis needs. Upon arrival we were delighted to find that within the last week a volunteer physician had taken up residence at the camp. He, like so many others here with similar stories, had heard of the tragedy, booked a flight and presented his
services at the Sri Lankan Red Cross office. He had not yet been able to inform BDHearT of his presence there and was more than grateful for the visit. He asked only for the loan of an ophthalmoscope and otoscope, and that we relay to the responsible parties that the food
delivery was 2 days late, and the population was at there very end of their rations.

The women of the camp quickly surrounded us and asked for "family planning" assistance, and so we set up a clinic with the few supplies we had, making a note to both bring more, and to
speak to the women privately at future camps. For those women who we could not provide with medication, Christine conducted a very light hearted and interactive talk on non-medical approaches to family planning. The laughter that she was able to elicit was therapeutic to us all. On a more serious note, with these families unable to get adequate medical supplies, that
there will be many unplanned and even unwanted pregnancies in the months to come.

Our second visit was actually a follow up at Vattuvan, a camp of 441 people that we had first visited 4 days prior. Of two patients with pneumonia one was better and one was worse. The second was given a shot of Rocephin from our private stock, and instructed to travel to the local clinic for further care. Whether the etiology of her deterioration was non-compliance with
her medications; progression of bacterial disease, or TB, there was no way to distinguish without the diagnostic tests that were only available 2 ½ hours drive away. On a more positive note, we had come equipped at last with malaria rapid detection tests, and could test and well as treat the (as yet) occasional case we saw. The goal of our team, and part of BDHearT's mission, is to integrate our care with that of the local medical system as quickly and seamlessly as possible, and so these diagnostic test, our daily epidemiologic surveys, and daily phone calls to the District Medical Officer both before and after our visits were imperative.

A perfect ‘moment’ of such integration presented itself half way through our clinic, when a hysterical crowd rushed in with a bloodied 6 year old. The wooden school desk became an exams table with the sweep of an arm, wound dressings and pressure applied to her profusely bleeding scalp laceration, and the paramedic who had joined us for the day assessed her vital signs. Our
Sri Lanka nurse elicited the history from the sobbing family, and it quickly became evident that she needed a transport to the local hospital. Just as we were about to shut down the clinic and serve as her ambulance, an OXFAM jeep drove up, and offered to drive her.

This provided the opportunity for Christine to counsel her family, and they were clearly in a panic. With quiet kindness and respect Christine listened to the mother’s story of having both her 33 day old and 3 year old children torn from her arms by the first wave of the Tsunami. Supporting, validating, and guiding the mother toward resources, Christine touched upon one of
Sri Lanka’s greatest challenges for the future, the psycho-social recovery of the people.

For ourselves, we were blessed by being able to visit the child today in the Batticoloa General Hospital, and be assured of her recovery. The work here is hard, and the tragedy enormous. Yet, we have been given the privilege of being able to provide truly essential medical care, and
there is no greater reward.

Christine and I would like to make one last note of gratitude for all the support that we have received from Kaiser Permanente and our families. We are especially grateful for the expertise, leadership, and genuine kindness of Dr Hernando Garzon, and would like to acknowledge the solid foundation that he established for our program here in Batticoloa.


POSTED JANUARY 30, 2005 The views and opinions expressed are not necessarily those of Ilankai Tamil Sangam, USA, Inc., its members, or its affiliates.
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