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July 31, 2008

Diabetes Projects Underway

Today was awesome! So we came to Tanzania with a goal of collecting patient data to determine the prevalence of diabetes in the Kagera Region. Before we left for Tanzania, we thought that the chance of us collecting proper data is probably rare. However, our hard work paid off today. We were granted access to the data by Chrystal, the diabetes nurse, and a doctor (a name that I can’t spell). Andy and I spent 3 hours today looking at patient records and documents. These are the records that we have been hoping to find to determine the demographics of diabetes in this region. Tomorrow, we are creating surveys for diabetes patients, nurses, and doctors to help us understand more about diabetes in this region. We are sooo excited! On Saturday we are interviewing a diabetes nurse and next Thursday we will be interviewing the dietician/nutritionist.

On a different note, the diabetes beads project to raise awareness back home is also going great. Our partnership with the Bukoba Disabled Assistance Project (BUDAP) is starting to become a reality. We met with them today to see how our two organizations can be incorporated. We have decided to help them create a market for a diabetes key chain that they will make. All proceeds will be returned to them. This project fulfills a few things 1) raise diabetes awareness in MSP/St. Paul region and 2) helps the BUDAP people create a form of income. The best thing, however, is that this project is sustainable!

We are soooo sorry for not uploading any pictures yet. The Internet is soooo slow (even though we have wireless)! We’ll try to update again soon.

Anh

African Life

The Daily Life in Africa!

I have always known that life in America is pretty easy, but I never knew just how easy we have it! Big grocery stores, laundry machines, and hot showers are very hard to come by here in Africa, therefore our group has been spending a lot of time boiling water. For instance, hot showers are generated from boiling water. We add a pot of boiling water to a bucket, add some cold water, take a pitcher and wash away. I don’t think that any of the females have completely rinsed out the shampoo and conditioner out of their hair since we have gotten here. On a positive note, at least we know we always smell good (although we probably are attracting more mosquitoes). It is amazing, however, how much less water we use by the bucket method, even though I think we will all go back to our showers once we get back home (I am unsure about Andy though…haha…just kidding).

Since we are college students, we are naturals at trying to save money and even though everything is much cheaper in Tanzania, we still find ways to cut the cost. Some of us acquired blankets through Ethiopian Airlines which we will return during our trip home. Thanks to Anh, who had to bring her pillow with everywhere, we stuffed a few in the pillow case and let me tell you, those blankets have been handy! We have used them everywhere including the 12 hour wait in the airport, camping out on our safari, and I personally use mine every night since I didn’t bring a blanket.

Our grocery shopping skills have also come into use. First of all, and anyone who saw us pack can second this, we brought a lot of food. Luna bars, ramen noodles, oatmeal, Ice’s Indian food, peanuts…we have had quite the variety of food just from our suitcases. We also decided that it would be smart to pack lunch everyday. Our lunch has consisted of bread with Nutella and, to go along with our diabetes theme, sugar-free fruit jam. It is quite the interesting combination and the bread reminds us of the crusty bread one feeds to the ducks at home. We have managed to make ourselves stand out even more in town by walking around eating our delicious sandwiches. For some reason, everyone sits down to eat. We are trying to get the courage to go into the market and bargain on some fresh produce, but we will have to write about that experience another day.

Tonight was an exciting night for us because it was the first time we’ve been able to wash clothes. Anh and Andy strung up the clothes line and we all took turns scrubbing up our dirty clothes. We all figure that our parents would be proud and we took plenty of pictures to prove how hard we are working here. All of us are going naturale, especially Andy, who uses a rock to clean his under garments.

Even though we are roughing it a little, we are all having a great time and this has been a great experience for all of us. But I don’t know if our new ways of living will come back to America with us…only time will tell.

Kayla
(Andy comments by Anh)

July 30, 2008

Finding our place

After meeting with the medical staff at the Kagera Regional Hospital and the volunteer coordinators of BUDAP (Bukoba Disabled Assistance Project) and IZAAS Medical Project, we finalized our schedule. Here it goes:

On Monday through Friday from 7:45-12:00, we volunteer/shadow/conduct research at the hospital. Andy and Anh will observe the diagnosis and check up of HTN/DM (hypertension/diabetes) patients and interview doctors, nurses, and patients with DM. Jenna and Kiran are volunteering/shadowing in the HIV center while Icey and Kayla will spend most of their time in pediatrics and surgery.

On Mondays and Wednesdays between 2-6 pm, we are working with BUDAP to plan and create the logistics and organization of the beads project, a project that focuses on raising awareness in the US while creating an income for the disabled men and women of BUDAP.

On Tuesdays and Thursdays between 2 and 6 pm and all day Saturday, we are working with IZAAS Medical Project and a fundi to build a small house for a girl and her mother whose house collapsed after the rain this past summer.

On Friday afternoon and all day Sunday, we are working with the local Lion’s Club and COSAD (Compassionate Solutions for Africa’s Development) to begin the planning of a diabetes on wheels mobile clinic.

As you can see, our schedule is packed, which is a good thing. We hope to get as much of this accomplished as we can in the next 2.5 weeks.

On a side note, coming back to Bukoba has been unreal. I never imagined myself traveling back here again. It finally hit me when I entered the hospital and certain areas of Bukoba that reminded me of our trip from last summer. In any case, I am glad to be back and I am excited to finally be able to begin collecting data for the diabetes project! Yesterday, Andy and I sat in on the HTN/DN and observed how diabetes is diagnosed. Today, we will be looking through medical records of nurse Chystal for any trends in DM.

Anh

July 29, 2008

Update!!

We’re sorry it’s been so long- the internet has been a little rare so far. To catch everyone up, we’ve been all over East Africa in the past week! I’m going to break this into several entries so it isn’t so overwhelming!

By the way, this is our story but Jenna is writing all of these blogs so the little commentaries are mine!

Uganda and Bukoba

When we returned to our hotel we used the internet and found out that our flight to Entebbe, Uganda was delayed from 9 AM to 8 PM. This posed for a little inconvenience since our driver was coming at 7 AM to bring us to the airport, but it ended up being O.K. At the airport we found that the check-in for Air Uganda was at 5 PM so we had about a nine hour wait in the Nairobi airport lobby, but it was still fun! We did a lot of people-watching because people from all over the world were flying out of Nairobi to various places and it was just really interesting.

Eventually we boarded our flight and Air Uganda (along with Ethiopian Air which brought us from Washington D.C. to Nairobi) had such a nice flight crew! I feel like overall everyone is so nice here! Anh tells me I’m too trusting, which could potentially get me in trouble, but everyone keeps me in check. I just feel so bad some times and want to help them out by buying something or whatever, but I’m beginning to realize that some people just can’t be trusted!

We love Uganda! It’s a little bit more developed than Kenya and it’s b-e-a-utiful! Their airport was brand new and the bathrooms were so clean! (a slight change from our previous living arrangements, haha) Again, the hospitality was awesome. The security people knew we were coming and called Smart, the founder of COSAD, our partner, and our Tanzanian/American friend, to pick us up. Smart and our driver, Mattson, brought us to our hotel in Kampala, the “economic capital� of Uganda, and we spent the night. Kampala was crazy! We didn’t venture downtown or anything because it was late, but Smart says that it’s very, very crowded. Maybe on our way home we can drive through and see the city.

On Sunday we finally reached Bukoba, Tanzania, our final destination. Bukoba is a gorgeous city! The city itself is set in a valley along Lake Victoria, which is the world’s second largest freshwater lake behind Superior. Our house is way up in the hills and the walk to downtown is about 45 minutes but the view is so pretty and we pass many children on our way down that it makes it go by pretty fast. The city is pretty big and there seems to be a lot going on in the streets. I feel really safe and everyone is pretty friendly overall and they’re so relaxed. In Africa it seems that time doesn’t exist; there is no such thing as being busy like Americans are. It probably is a healthier, less stressful lifestyle, but now that we’re in Bukoba, our projects will keep us very busy!

Safari, the Maasai, and African Culture

The safari was AMAZING and we want to do another one! It took us about 5-6 hours to get to Maasai Mara, which was pretty much straight south of Nairobi and about 45 minutes from Mount Kilimanjaro (we found this out after). Like Addis, Kenya had many mountains and valleys so the drive was just gorgeous! We were driving down this mountain and I’m pretty sure my life flashed before my eyes about five times. On our left was this cliff about 14,000 feet down and the shoulder was 3 feet wide without a guardrail. This, with the crazy Kenyan driving, was a little nerve-racking, but still so fun and all part of the adventure. Eventually, the roads became dirt and it was really bumpy but the scenery was awesome. We passed so many small villages, each having a one-room hotel, curio shop, and bar and butchery (a weird but common combination). It was so cool because there were so many people just standing on the side of the road and everyone waved to our van and we would yell “Jambo!� out the window (“hello� in Swahili). They must be putting in a fence along the road because there were men for miles digging a trench. I had so much respect for those men and their hard work because in America that would have been done in a couple days with a machine. The differences between here and America are countless and it’s almost hard to believe, but it’s real.

It was like being on the safari already because we saw so many animals. Also, the Maasai people were bringing their cows, goats, and sheep to pastures so animals were just freely crossing the roads and we had to stop often so we didn’t hit them. Their cows are so skinny we could see their ribs! It was easy to spot a Maasai because they wear bright red cloths and contrast greatly with the sandy terrain. It was amazing to see miles and miles of land, untouched by man. We were asking ourselves, where in American can you find something so beautiful, yet wild?

Our safari was two days and consisted of two game drives, one in the evening and one in the morning. We also tented-out which I absolutely loved! I hadn’t slept in a tent in so long and it was awesome being in the African wilderness with all of its sounds. A lot of other people who were on safaris stayed in tents by us and there were people from all over the world there! I’m beginning to get used to the bathroom situations over here and actually kind of like it; squatting is way better than sitting. However, I did drop my $10 bracelet (we also are learning how to barter, haha…not) that said Kenya on it in the toilet, a very sad event. Well, I actually shouldn’t call it a toilet because it technically is a flushable hole, but we like them. So two necessities that must be brought to Africa are toilet paper and hand sanitizer… and lots of them.

Both game drives were awesome and we saw so many wild animals! All of the animals were migrating from Tanzania to Kenya and it was like seeing zebras for miles. We also saw elephants, wildebeests, warthogs, hippos, giraffes, oxen, colorful birds, hyenas, lions, gazelle, elands, and impalas. During our first drive, we saw two lions mate…twice. It was so interesting and almost funny how much they acted like humans; like an old married couple that you see on TV. I’ll leave the rest to your imaginations, haha. The morning game drive was the best though- I could wake up like that every morning! The sun just peeking through the clouds and the rolling hills with the mountains in the background were breathtaking. I can’t even begin to explain how beautiful Africa is! The consensus was that all of us were going to return to Africa at some point in our lives and bring our families.

We’ve all fallen in love with African food, too! Our cook on safari, Camillo, was an amazing cook and we were all well fed and got to try some new foods. My personal new favorite is cabbage. I’m going to find a recipe online and probably make it all the time in the US! Other new foods that we like are chapati (not new for Indians, but it’s a flatbread made of wheat that’s a little sweet), ugalli (rice, flour, and water that are mixed into a cake-like formation), and matoke (plantains that are mashed like potatoes). Beef is also huge here. For those of you who know me well know that I rarely eat beef but I’ve come to like it! It’s not nearly as fatty and almost tastes like venison. Ice, our vegetarian, is also having some luck with the vegetables. Every meal has some sort of cabbage, potatoes, or vegetable medley in it whether in a stew or just cooked (they’re usually picked up with chapati or ugalli). I think we’re all a little dehydrated though because you have to buy bottled water and we seem to underestimate how much we use for drinking and brushing our teeth. This will change hopefully in Bukoba when we can boil and filter our own water.

Before leaving Maasai Mara, we were given a tour of a Maasai village. I would consider this to be the coolest and most humbling experience I’ve ever had. The village was a group of huts made with cow dung, branches, and grasses enclosed in a homemade fence. Our tour guide, a Maasai who was fluent in English, started us outside and introduced a warrior. He was like the other Maasai we had seen- skinny, tall, and was wearing red. He also had stretched out ear lobes. He and about 10 other young warriors then did the welcome dance for us where they jump around and make this weird humming sound from deep in their throats. One then grabbed me from the group, gave me his stick, and kept telling me to jump, and so I did. Eventually all six of us were immersed in the group of warriors and were doing the welcome dance.

We then entered the village and a bunch of kids ran towards us. They were so cute but I felt so bad because there were so many flies inside the village and they all needed Kleenexes- we all wanted to wash their faces with our wet wipes! The women then gathered together and sang us a song that is usually used to welcome a new baby. We gave the women and children gum and the children were all excited.

The village consisted of about 25 huts all in a circle. The ground was dirt but was dotted with large piles of cow dung. This is because at night they bring all their cows, sheep and goats into the village for protection and the dung is then used to re-smear their huts. The tour guide took us inside a hut and it was bigger inside than we thought! Each hut was exactly the same and had a kitchen/bedroom and two other rooms for baby goats and calves. There was a fire inside and it was amazing how well the dung keeps the heat inside- we were all sweating! The Maasai are also a polygamist tribe and the number of wives a male could have depended upon how many cattle they had. Each family had it’s own hut, so a male has more than one hut, and the particular hut we went into slept seven people. Our guide told us that during pregnancy and infancy, blood is drawn from a cow’s jugular vein and mixed with milk and sugar for nutrients like iron.

They then showed us how to make fire using two different types of wood (hard and soft) and some dry grass. It was amazing how fast they could do it! They gave the tools for Andy and Ice to try it but they couldn’t get it started. It was pretty funny! Then they tried to sell the tools to us, and we found out that this tour was essentially done to try to get us to buy something from them. Although they did make very nice jewelry and we would have liked to buy something, it was just a little overwhelming and we all just wanted to get back in the van!

Our time with the Maasai made us all realize how little you need to live and the main focus is just surviving. I mean, all they really have is probably a few changes of clothes, a couple pots, and the land to survive off of. When I think back to coming on this trip, I was worried about making sure I had a camera and my iPod was charged! This entire trip has just been a realization experience, and maybe the beginning of a transformation, for all of us. We are seeing now that life isn’t all about what you have, it’s what you do with it.

...Continued...

Ethiopia and Nairobi

Our lay-over in Addis Ababa, Ethiopia was pretty interesting. Addis Ababa is way up in the mountains and it’s a gorgeous area, but it’s a relatively crowded city. Our hotel was quite a distance from the airport so we got to see a little more of the city and it was like something I had never seen before. It was raining and cold, but there were so many people just walking around or standing over fires under overpasses. Their homes and businesses were huts put together with scrap metal and grasses or built into the mountain and all of it made me feel so guilty. Here were the six of us, with so many bags that we couldn’t carry them and the people we passed could fit all of their belongings into a 4’x4’ hut. I know it’s cliché, but it is unreal how much we need to be happy and how happy people here are with the very little they have.

Our hotel, the Ararat, was nicer than we had expected and the staff was so eager to help us and everyone was really nice. Each room had a bed, its own bathroom/shower, and a TV! I was laughing so hard because we only had a few channels, but one of them was MTV!! It’s funny how some things here have an American twist to them. Another example would be how our hotel buffet was all this Ethiopian food and then at the end was spaghetti and French fries, or “chips,� as they are called here. Coca-Cola is also huge here; their billboards are everywhere!

Our airport shuttle picked us up in the morning and we were off to Nairobi. We’ve been so lucky because even with all of our connections and changing of planes, our luggage was still intact! While we were driving to our hotel, I quickly found out there are no such things as traffic laws in East Africa. People drive as fast as they can, pass when they can, and honk their horns like mad. It’s actually kind of fun and exciting, but sometimes I found myself pushing my foot to the floor like I was hitting an imaginary brake or something. Another hazard are the vendors that walk between the two lanes of traffic selling anything from car air fresheners, Bibles, and Hello Kitty water rafts. Round-abouts are huge here too! I had never seen one until going to Kiran’s the day before we left and now I see them all the time. Again, drivers just go whenever they’d like and everyone seems to get to where they need to go safely. Apparently, they have less traffic accidents than we do, so maybe it’s efficient?

We were able to explore Nairobi a little before our safari and I’m not too sure if I liked it. Not that I was scared there, I felt relatively safe, but there were just so many people everywhere. We went to the Nairobi Java House, thinking we could maybe get some authentic Kenyan food, but 95% of it was American and it was pretty expensive! I can’t believe we had quesadillas, quiche, and burritos in Africa, haha. But again, we were blessed with a pretty nice hotel, although it was right in the middle of downtown and was a little noisy, but it’s all part of the experience. Loud music played until 2 or 3 AM, after which the car alarms started around 4 or 5, and then the Mosque down the street started praying/singing so needless to say, the first night in Nairobi was a little rough, but we were all really excited about our safari in the morning so it didn’t matter.

Continued in the next entry...

July 23, 2008

Update from Nairobi!

Jambo, everyone

We safely reached Nairobi this morning around noon. Our trip is going amazingly well! The people here are incredibly nice. We set out for our safari tomorrow morning, bright and early! We won't be able to keep in touch for a couple of days, but we promise to update you as soon as possible (and upload pictures asap as well!) We'll be staying with the Maasai tribe in Kenya for our safari and we'll return to our hotel in Nairobi on Friday. We'll then set out for Bukoba on Saturday where we'll start our volunteer and diabetes research projects.

We miss you all lots but are having tons of fun here! Take care and update you soon,

BWB Tanzania 08

Update from Nairobi!

Jambo, everyone

We safely reached Nairobi this morning around noon. Our trip is going amazingly well! The people here are incredibly nice. We set out for our safari tomorrow morning, bright and early! We won't be able to keep in touch for a couple of days, but we promise to update you as soon as possible (and upload pictures asap as well!) We'll be staying with the Maasai tribe in Kenya for our safari and we'll return to our hotel in Nairobi on Friday. We'll then set out for Bukoba on Saturday where we'll start our volunteer and diabetes research projects.

We miss you all lots but are having tons of fun here! Take care and update you soon,

BWB Tanzania 08

July 19, 2008

Team Roster

Picture 082d.jpg

Left to Right: Iaswarya (Ice) Ganapathiraju, Jenna Racine, Aniruddha (Andy) Paranjpe, Anh Tran, and Kiran Kanth

Missing: Kayla Klimek

Diabetes Education

So, Anh just told you guys that we recently recieved a crash course in diabetes at Dr. Moran's office. I just thought we'd let you know a little bit about that because it was pretty cool. We got a basic overview about the complications about diabetes, how to test for it, how to treat it, etc. It was pretty scary 'cuz we had to get first-hand experience w/ injecting insulin (or simple salt water for us :D) and taking our own blood test.

Good news ('cuz I know you're all incredibly anxious for us!): none of us have diabetes! We are sure excited to be able to teach what we learned to others though!

Two more days left!

Ice

July 18, 2008

Jambo!

(Jambo means Hello in Swahili, the language of east Africa.)

I guess it is my turn to introduce myself. My name is Anh and I am a senior majoring in neuroscience and psychology. Unlike Jenna, Ice, and the rest of the crew, I am traveling to Bukoba, Tanzania for the second time. I am returning this summer because I wanted to do something different; I wanted to help lay the groundwork for a sustainable project that can impact both the local community (Minneapolis) and global community (Bukoba). Through interaction with our advisers, Drs. Antoinette Moran and Jessica Baitani, we put together two projects that revolve around the health issue, diabetes. As Jenna explained, we will be determining the prevalence of diabetes in the Kagera Region. In addition, we will be working to develop a diabetes mobile clinic (which II refer as Diabetes on Wheels) to screen villagers for diabetes.

It finally hit me today that I am going to Africa again! As I sat in Dr. Moran's office this morning getting educated about diabetes and learning how to teach nurses to check for diabetes, I realized that I am traveling to Africa in 3 days!

map_tanzania.GIF

July 11, 2008

Hello #2!

Hey, guys,

Here's an introduction of another person going on the Tanzania trip in TEN DAYS!

My name is Iaswarya Ganapathiraju (commonly known as "Ice") and I am super psyched to be going on this trip! I woke up this morning and it just randomly hit me--something I've been waiting for since we paid the money for our tickets! I am originially from India--I lived there for seven-ish years and moved directly to Northfield, MN, where I've been living ever since! I recently celebrated my 18th birthday which was fabulous because my parents successfully became naturalized citizens right before my birthday, meaning I won't have to go through the whole process myself!

I am going to be entering my second year at the University of Minnesota and I am very excited for it because I'll be starting courses in my major (Physiology) this semester. Along with that, I'll be chilling with my amazing BWB pals, board members, and members and those of the Indian Student Association as well. I also got a job as a TA for the lab-section of the Zoology class at the U of M which is something I'm definitely looking forward to! If any of you are taking the Thursday afternoon lab, let me know! =D

But before all that, I'll be going to Tanzania! As Jenna already told you, we have so many cool projects planned, but I'm most looking forward to interacting with orphans and rebuilding orphanages in Bukoba. That and talking to doctors about diabetes in the Kagera Regional Hospital. We had such an amazing group planning this trip this year and all of our hard work past the bumps and blocks is soon going to be paid off!

Again, TEN MORE DAYS TO TZ!

Ice

July 7, 2008

Hello!

Hi! We figured we should introduce ourselves before we leave for Tanzania so here goes!

I'm Jenna Racine, a soon-to-be junior majoring in Genetics, Cell Biology, and Development. After completing my undergraduate degree, I am planning on going to medical school to specialize in cardiology. I currently am employed at the U of M Medical Center in the Neuropsychology Department as a secretary/transcriptionist. It's the best job ever and I'm not just saying that because I gave all my coworkers the link to this! ;)

While I'm not studying or working, I really enjoy running, driving, doing crossword puzzles, and watching old M*A*S*H re-runs. (At this point in my life, my only claim to fame is the fact that I've seen all but one episode!) After I retire I hope to continue practicing medicine in a MASH-like setting or third world country. I know it's just television, but I think the show is just amazing!

I'm so happy I decided to go travel to Tanzania with Biology Without Borders and our departure can't come soon enough! It is going to be such an amazing experience, an experience I think all people planning on venturing into the medical profession should pursue. I'm also very excited for all of our projects- we're going to be so busy! To give a brief overview of what we plan on doing, we have two major projects, both related to diabetes awareness/prevention. The first is what we call "The Beads Project." We hope to begin a sustainable project for the Bukoba Disabled Assistance Project (BUDAP) where we will teach the 20-30 people who live there to make these beaded keychains and bracelets using hemp and blue beads that are meant to signify the international diabetes symbol (a blue circle). We will then attach a piece of cardstock with five ways to prevent diabetes in both English and Swahili (their native language), bring them back to the US, and sell them at local businesses with all of the profits going back to BUDAP. The second, larger project involves collecting the demographic information of diabetic patients from hospitals in the Bukoba area and bringing it back to the US to analyze. Surprisingly, as far as we know, there aren't any projects of this sort currently running in Tanzania so we're pretty excited about it! We hope to continue both of these projects for many years and return to Bukoba every summer. Along with the two projects, we are volunteering/shadowing at the Kagera Regional Hospital and helping to rebuild orphanages in the area.

Well, that's all for now! Talk to you in TZ!! :)