Tuesday, May 1, 2007

Gorillas






Most travelers visit Uganda for one reason – see gorillas. So, we figured we could not spend two months here without a visit to Bwindi Impenetrable National Park.

Bwindi Impenetrable Forest, is regarded to be one of the most biologically diverse forests in Africa. It is rainforest, the source of five major rivers, home to over 350 different bird species and home to over half the world’s mountain gorilla population. An estimated 320 mountain gorillas reside in the park.
A bit about gorillas… there are about 100,000 gorillas left in the world today, the majority in the Congo basin. These 100,000 consist of three species, the Western lowland gorilla in the Central Congo basin, the eastern lowland gorilla residing in lowland forests and the mountain gorillas, made famous by Diane Fossey and her famous writings, “Gorillas in the Mist”. Mountain gorillas are the most endangered and there are only about 500 left in the world. Like most gorillas, the mountain gorillas travel in groups with one dominant silverback as the leader with several “wives” and many babies. The hair turns silver when males go through puberty at about age 15. Shortly after, the boy will leave with a wife or two and start his own family.

Currently in Bwindi there are 4 gorilla groups available for tracking. Each gorilla group has between 10-25 members. There are other gorillas living in the park but have not yet been “habituated” to humans; it takes several years to habituate a gorilla group to humans. Initially they fear humans and will attack on instinct, so it takes several years of visiting daily at a distance and slowly getting closer to prepare them for tourism. Tracking is not cheap – permits cost $375 per person, and will soon increase to $500 per person as of June 1st. Eight people per group per day, so 32 visitors per day year round, and they almost always have tourists. We tried to inquire as to where the money goes in a country where thousands of children die daily from diarrhea – 20% to the local community, 20% to the politicians / government and the rest to the UWA (Uganda Wildlife Association) that pays guides, trackers, veterinarians, etc.

So, our day began at 8am, with registration and a briefing. No eating, no touching, etc. If you are sick you are not allowed to see gorillas and apparently the biggest health problem in these gorillas is scabies and measles, so nobody under age 15 is allowed to track!. We then divide up into our prospective groups (based on what your permit says) and start tracking. Early in the morning “gorilla trackers” start at where they were seen the day prior and follow their scents, tracks, etc. They do this daily and are very good. The trackers radio to our guides as to where to find them. The hike is not easy; and gorilla tracking is not for the weary. Sometimes you can find them after a 20-minute hike, other groups hiked for over 4 hours. (you can hire a porter to carry your things) There is no guarantee how long you will hike! We had about a 1 1/2 hour hike before meeting up with the trackers. Once we found the trackers we were instructed to leave our backpacks, food and walking sticks with them. We then walked three steps and saw the silverback. The whole pack was walking to find food. They were all around us, literally 5 feet from us. After about 20 minutes the group found a nice spot and all sat down to eat and play. The babies wrestled each other and the adults ate. It was incredible to be that close to them. They are so human like it is scary. Our group, Habanyero group, has 20 members including 2 silverbacks, one age 15, and then the leader. There were 4 babies including a 2 week old, which we saw nestled in mom’s breast. Tourists are allowed one hour with the gorillas and then we had to return.

It was truly an unbelievable experience, once-in-a-lifetime experience– well worth the cost. If you ever get to Uganda, Rwanda or Congo, go track gorillas and be sure to get permits well in advance.

Thursday, April 19, 2007

Cervical Cancer In Uganda - Stats and more - a glimpse into our project

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Working in the Communities

We have now finished our time on the wards. The remaining five weeks will be devoted to various community projects. The project I will be working on, surprise-surprise, is cervical cancer. The cervical cancer statistics in Africa make Nicaragua appear well-controlled! Some of the Einstein students here last fall noted the lack of cervical cancer screening services in Uganda and began working with Einstein GYN department to see what could be done. Through myself, PINCC was contacted and now PINCC will be adding Kisoro, Uganda to their itinerary next fall while in Africa. So, in the meantime, Katrina and I will be taking a survey of cervical cancer awareness, knowledge of pelvic exams and myths / fears surrounding women’s health issues. In addition, we hope to raise awareness of the need for women to be screened for cervical cancer, in hopes that when PINCC comes, they will have an easier time recruiting women.

This project has been quite challenging. In Rufumbira, the local language here in Kisoro, there is no word for cervix, and the word vagina is a shameful, dirty word, rarely uttered. Even doctors, MDs, refer to the vagina as “down there” and giggle as we discuss the female anatomy. We have compromised and now refer to the cervix as “the mouth of the uterus.” So trying to communicate about cervical cancer has had its extra difficulties…. women empowerment has not yet reached Uganda, so we have our work cut out for us.
(for more information on cervical cancer statistics in Uganda, see post entitled “cervical cancer in Uganda.”)

Beginning Monday we will trek out into the surrounding villages and go house to house interviewing women. In our survey, we plan to include lots of extra time for education, hoping that by educating a few women, the word will get out about the importance of cervical cancer screening.

My time on the wards had its highs and lows. I learned an unbelievable amount; in my physical exam skills, diagnostic capability and managing 15 patients at once. Internship should be a breeze after this. However we also suffered through terrible tragedies…. A 22-year old girl who died from cerebral malaria because the parents were awaiting transport for three days. But we also had great success stories and I think, overall, we made a small difference.

Saturday, April 14, 2007

Day Trips around Kisoro


trying the local beer, originally uploaded by circusgirl327.

Kisoro sits at the foot of Maghahinga National Park, famous for its family of mountain gorillas and beautiful volcanoes that make the border between Uganda, Rwanda and the Congo. Every morning on our walk to the hospital, we marvel at the three volcanic peaks that define the Kisoro skyline. On our first day off after two weeks in the hospital, we ventured into the national park. The family of gorillas had already crossed into Rwanda so the Uganda portion of the park was no longer offering gorilla trekking. We decided to defer climbing the tallest peak until we could adjust further to the altitude and tackled the smallest of the three. It was a great hike through bamboo forests and lush green forest with opportunities for bird watching and monkey spotting – neither of which were successful. But it was a great day overall.

Our next field trip was a trip to Lake Matonda, a beautiful lake about an hour walk from the hospital. We hired a local guide who took us through quaint villages to an exquisite lake. From there we boarded canoes to a little island in the middle, home to the most magnificent storks. These birds are indigenous to Uganda and are famous for their monogamous nature – Uganda uses them in their campaign for HIV prevention to encourage people to be faithful! We had a nice picnic on the lake and them headed home, first visiting a very local bar and trying the local brew – banana beer.

cooking fish


cooking fish, originally uploaded by circusgirl327.

Cooking fish from scratch for our passover seder.

Passover in Uganda - everyone participated


the boys in kippas, originally uploaded by circusgirl327.

Jews and goys in Kippas!

our lovely seder


our lovely seder, originally uploaded by circusgirl327.