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Traveller’s Diseases: Rabies

What is it: rabies is an acute, and occasionally fatal virus almost always transmitted by dogs, jackals, foxes, skunks, cats, bats, mongooses, and farm animals. Rabies is found on all continents, except Antarctica and Australasia. Doctors have estimated that 2% of dogs in Bangkok are rabid – no, the Beetle did not know that either.

How do I get it: the rabies virus is transmitted in the saliva of an infected animal by biting or licking an open wound. The virus is usually carried by Half of all people bitten by an infected animal will develop rabies.

What happens if I get it: it can take weeks, months and sometimes years to develop, although the usual incubation time is 2 to 8 weeks. Symptoms can include loss of appetite, muscle aches, sore throat, headache, paralysis, spasms of swallowing muscles, delirium, convulsion, and, in worse cases, coma and death. Sometimes, odd behaviours manifest themselves in the form of aggression, agitation or anxiety

Diagnose and treatment: samples of saliva and blood will determine rabies. A course of rabies vaccinations will cure you. A pre-exposure vaccine is available for travelers visiting high risk countries. Seek medical help as soon as you have been bitten. The earlier you can receive rabies injections, the better, even if you have received a pre-exposure course of injections.

How can I avoid contracting rabies: if you are visiting a high risk area, arrange to have rabies vaccinations. In any case, avoid contact with all animals, whether domestic or wild. If you are bitten, wash the bite with soap and water and then with alcohol or iodine to reduce the chances of becoming infected.

Meeting News from Texas Globetrotters meeting on January 10th 2004

The Texas Branch of the Globetrotters will hold its next meeting January 10th at the New Braunfels library, 600 Common St New Braunfels Texas.

Christina (with Wiggling Wanda – the club’s travelling mascot!) is out of the country on a “Santa Mission Trip” in Tokyo and Bangkok, and will have a lot to share about this heartfelt adventure.

If you like independent, adventuresome, fun, daring, exciting, “off the beaten path” travel, this club is for you. Our meeting begins at 2 P.M. Come early so you won't be late! Enjoy handouts, travel talk time, and door prizes!

For more information about the Texas Branch: please contact texas@globetrotters.co.uk or register for email updates at our website (click here) or call Christina at 830-620-5482

If anybody would like to enquire about meetings or help Christina, please contact her on: texas@globetrotters.co.uk

Mac’s Jottings: India

U. S. Soldiers Home, Washington: during a century of travel (well 78 years!) both in and out of service I have travelled to over 150 countries (I count both North and South Dakota as countries) and for some reason have jotted signs and happenings that I thought funny at the time (and now wonder why). So here is the perfect opportunity to share some of my anecdotes.

In the India train schedule they have all these comments on leprosy.

1. Deformity does not mean infectivity.

2. Leprosy affects all faiths (Me. Surely not Catholics)

3. Any doctor can treat leprosy

(I have three suitcases full of notes I have taken about travel, military, yes, three suitcases. I have to get rid of some of the notes. Guess where I am sending them? Ha!

One Sign in restaurant: do not spit

Do not make nuisance

(Indians use this word nuisance often in their signs. Always reminding you to not make a nuisance of yourself (bad form)

One sign reads Deshi chicken eggs 20 rupees

English eggs 12 rupees

I was told English eggs mean the chickens were imported from England. Perhaps the eggs are smaller than Indian chickens.

They have a neat way of presenting your bill in Indian restaurants (even budget ones.) It is put in a folder that looks like a leather stationary folder which you open to look at the bill and no one else can see the amount of your bill. You then put the money in the stationary folder and close it. If you are host no one sees the bill and also they don’t see how little you leave as a tip inside the folder. I, of course like the system.

Sign in store: Vacancy for peon.

The different color turbans the Sikhs wear have no religious significance or other meaning. They can wear whatever color they wish. The man telling me this said he was wearing a black one because he was wearing a black suit.

Next month, Mac discusses Kenya. If you would like to contact Mac, he can be e-mailed on: macsan400@yahoo.com

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To see your story in cyber print, e-mail the Beetle with your travel experiences, hints and tips or questions up to 750 words, together with a couple of sentences about yourself and a contact e-mail address to Beetle@globetrotters.co.uk

Travels In Papua New Guinea by Jon Hornbuckle, UK

The pilot’s safety briefing was interrupted by a loud squeal. “Was that a pig? If it makes a mess you’ll have to clear it up when we reach Hagen” he said indignantly to the woman with a large bulge under her coat. The pig squealed repeatedly as we took off but was quiet for the rest of the 45 minute flight – another small incident in travel around Papua New Guinea, the land of the unexpected. The previous flight to Tari had been over 4 hours late: “As the weather was unusually fine, we took the opportunity of using the aircraft to visit poorly-served airstrips before sending it back towards Hagen” the fat controller eventually explained. At Tari we watched the Spirit Dancers, Huli wigmen dressed up in all their finery with head-dresses of Birds-of-paradise feathers and cloaks of Cuscus skins, performing their dance to help overcome problems such as serious illness. Higher up, in the moss-covered forest, a King-of-Saxony Bird-of-paradise performed a similar dance, bouncing up and down on a thin branch, swaying his bizarre elongated head feathers and singing just as tunelessly as the Hulis.

The Central Highlands Highway was now open to regular traffic, thanks to recent patrolling by police vehicles. It had effectively been closed for years by the presence of “rascals” who stopped and robbed any who dared to use it. Now it was possible to drive from Tari to Hagen in 8 hours instead of at least 20 on the safe route. We took part of this when we travelled from Hagen to Lake Kutubu, mainly in the back of a lorry masquerading as a Public Motor Vehicle. The “5 hour” journey took 8 hours and included another pig on board, very well behaved this time. We climbed up and down mountains, mainly through a semi-cultivated landscape, dotted with patches of forest, before dropping down through hills covered with young forest. My backside felt thoroughly tenderised after bouncing up and down on the wooden plank cum seat as we hit numerous potholes. We got off at dusk and had to wait for a boat to take us to Tubo Lodge on an island in the picturesque lake. The jovial local headmaster explained the meaning of time: “I know that if you say you will meet me at 7.00, you will be there at 7.00, not 6.59 or 7.01, but if a Papuan says 7, he will arrive at 9.”

We took a birding trip to the mainland with bare-footed Robert as guide. We had a good time until it started raining in earnest, so we returned to where the canoe had been left. “The others have taken it to the village, we will walk there.” “How long will that take?” “It depends how fast we walk” – we had heard this before. It took an hour, without stopping, as we slithered along the muddy path which looked as though it had not been used for weeks – a wrong assumption as we met four children who were walking to a village some 10 km away where the school was. They would live there during the week and walk home for the weekend. I was happy to accept Robert’s helping hand, such as when we crossed streams on slippery rocks, but my companion stubbornly refused all offers. He fell into one stream, soaking both feet – no, I didn’t say that. In the village, the men played touch-rugby and the children touch-basket ball. The men all lived in a single longhouse, each with their own fire next to their bed, and the women and children in their own family houses.

After returning to the lodge, we proceeded to the other side of the lake to see the bleached skulls and bones of the locals’ ancestors, laid out on a ledge beside a chalk cliff. Their glory had been to be killed by the Japanese in World War II. Later, we ate delicious small crayfish, speared by boys standing precariously at the front of a small wooden canoe. One of the local women had a fever, probably malaria; we gave her some pills to help – the nearest pharmacy was at least 6 hours away. In the early hours I spent a long time in the rain trying to see a very rare bird, Wallace’s Owlet-Nightjar, which called only once or twice every 10 or 15 minutes. He won, I had to leave at 05.30, to go home. The first step was to get the guys out of bed to take me by canoe to the other end of the lake, an hour’s journey in the rain. There was no sign of the vehicle to the airport: “The man allotted to arrange this forgot to do it”, said Penny in a matter of fact way. We walked it in 45 minutes, in time for the 30 minute flight to Hagen, followed by an hour in a jet to Port Moresby, 6 hours to Singapore and 12 hours to Heathrow, where my bag failed to appear, one hour to St Pancras, 3 hours to Sheffield and bus home, only to find there was no-one in and my key was in my bag still in Singapore…

Thin Girl with a Headscarf by Richard Mowell

Richard Mowll is a civil engineer from Croydon, who travelled to Western Uzbekistan in January 2002 with MSF to rehabilitate a 600 patient TB dispensary. He then went on to prepare a 100 bed facility for multi-drug resistant (MDR-TB) patients, where he was Project Co-ordinator of the 16 Médecins Sans Frontières (MSF) staff programme.

“The dispensary building in Nukus was a mess – the result of the near collapse of the health service in this country over many years. Through my work there, one incident stands out. A minor incident but one which left a lasting impact…”

To know what new pipework to order, I inspected the Dispensary room by room to measure sizes and to identify the fittings. As I was in one open room with just a bath in it, a thin girl with a headscarf walked slowly past me and up to the bath. She held on to the side with both hands and with apparently all the strength she had, she coughed. Weak, pitiful, tiny coughs. She was clearly beyond just ‘ill’. A friend of hers came into the room and stood beside her holding her shoulders from the side, supporting her as she coughed.

What could I do? I’m an engineer who formerly specialised in road maintenance and concrete construction – she didn’t seem to need either of those specialities just then. I couldn’t do anything, but feel out of place. I left the room. This was a private moment for them, and I wasn’t helping by being there.

There were and continue to be so many like her – six hundred in the Dispensary itself (although in varying states of illness) and literally thousands of others throughout Uzbekistan. All of these TB patients were the victims of not only the infection, but also of the health system that was not just in a state of decline, but near total collapse, where doctors earn as little as ten pounds per month (how could that feed, clothe and warm a family of four?). How could a health system so under funded help the population overcome the spread of this disease?

What could I do for the girl? Nothing, by myself. But the medical staff and the MSF project that I was working on was trying to improve the system of healthcare for TB patients by using the World Health Organisation’s Directly Observed Treatment – Short-Course (DOTS) TB treatment methodology. This was where it struck me how MSF’s work was truly a team effort. I know nothing (or at least very, very little) about treating TB patients. The medical staff knew very little about rehabilitating a TB Dispensary building. But this rehabilitation was one link in the chain, which was improving conditions for the patients and helping lower the incidence of TB. The medical staff were more links in that chain.

I never saw the girl again – perhaps she got better and left, although I kind of doubt that that could happen. This incident made me realise two things. Firstly the total need for someone to help this girl and others like her – MSF are one of the few organisations doing anything here – and secondly the way that MSF missions are based so strongly on teamwork. I guess I also realised a third thing – that I was proud that I was working for an organisation that was trying to make a difference.

Today, Richard is back in Uzbekistan working with another organisation. The TB dispensary is part of a network of State TB facilities supported by MSF. It will be handed over to Uzbek Ministry of Health control by the end of 2003. The MDR-TB programme will start treating patients in the coming months.

If you would like to contact Médecins Sans Frontières, you can e-mail them on: office-ldn@london.msf.org or visit their website:

www.uk.msf.org

Post Script:

Kidnapped: our MSF colleague Arjan Erkel was abducted more than six months ago in Daghestan, Russian Federation. We still do not know what has happened to him. Please sign MSF’s petition to President Putin asking for urgent help to get Arjan released. Click here and pass it on to your friends:

Largest countries in the world

Rank Country Area (square kilometers)

  1. Russia (17,075,400)
  2. Canada (9,976,140)
  3. United States (9,629,091)
  4. China (9,596,960)
  5. Brazil (8,511,965)
  6. Australia (7,686,850)
  7. India (3,287,590)
  8. Argentina (2,776,890)
  9. Kazakhstan (2,717,306)
  10. Sudan (2,505,810)

An Introduction to Sulawesi by Alam

Dear Reader

Please let me introduce my country, Indonesia to you. I am a native born Indonesian and have lived here all my life. My life is very simple: I live in the suburbs, in a small village, Makassar, in South Sulawesi. I am working in tourism. My parents work as subsistence farmers. I would like to relate a little information about the area in which I live. This gives me the opportunity not only to practice my English, but also to become more self reliant and learn from others.

First, I would like to change the views of anyone who thinks that Indonesia is dangerous to visit. Be assured that the real problems that exist here are internal and are related to the way our government works. The people of Indonesia are peaceful and are as shocked by the recent Bali bombing as the rest of the world, and want no part of this global terrorism.

Secondly, I want to make one thing very clear, that Indonesia is a very beautiful country and is an interesting place to visit and far different to the media’s view of terrorism and danger. On behalf of all of my people, I would like to stress: INDONESIA IS PEACE LOVING AND FROWNS ON ALL VIOLENCE.

Most people coming to Indonesia know only Bali, which is a great shame as Indonesia is an archipelago consisting of 17,000 islands in 27 Provinces, and one of them is SULAWESI. Sulawesi, formerly known as CELEBES has a total land area of about 227,000 square Kilometers and is divided in to four areas or provinces : south, central, northeast and the north, with a total population of over 10 million people.

Sulawesi is home to an amazing variety of people. The majority are fisherman, catching flying fish, shark, tuna, mackerel, squid, as well as other fish. We have farmers who grow wet and dry rice, maize, tapioca, sago, vegetable, coffee, cacoa and cloves. There are numerous small groups of upland people who practice slash and burn agriculture in the interior of Sulawesi. Unemployment is a big problem in my country.

Sulawesi is full of rich and varied cultures and traditions, languages and religious beliefs practiced by several ethnic groups such as: Makassar, Bugis, Mandar, Pamona, Tolaki, Manadoi and the Hulontalo. There are many religions, including Islam, Christianity, Budhism, Hinduism, Confucianism and Animism. The Animism beliefs until now can mainly be found in Torajaland or Tana toraja, an upland area of southern Sulawesi. Here the religion’s belief has a special name in the local language called “Aluk Todolo.” Aluk mean :rules or belief and Todolo means: Ancestor. According to this teaching, human beings in the world have only two problems that are opposites, for example: ” lose or benefit”, and “happiness or sadness”. This philosophy has been manifested into their ceremonies and they have two kinds of ceremony: Thanks Giving Ceremony and Funeral ceremony. The Funeral Ceremony is very sacred because according to the Animists, Death is the end of life.

If you come and visit tana toraja in Sulawesi, you can see many houses in the village, and the owners put the body of their loved ones in a coffin in a room and consider them as sick person before they died, until a funeral is held although this maybe as many as 10 or 20 years have passed from the date of actual death.

After the funeral is held, the family take the coffin to a cave in a mountain for burial. The cave can also function as a house. Their philosophy is that ” Death is an event that changes from the real world to the unreal world”.

I hope from this small article you can get a feel for how remarkable Sulawesi is. Although it is my home, I believe it is quite special. If you are planning a trip to Indonesia, do please come and visit Sulawesi, and do not hesitate to contact me for information about tours and personal itineraries. I would be very happy to share my knowledge with you and help to show you around.

For more information, please visit my simple website: http//www.alamnusantaratour.ch

Please be assured that our traditions of warmth, trustworthiness and memorable hospitality make an enduring memory for our guests.

Syamsu Alam (Alam)

Tel/Fax. (062)411-553927

E-mail alamnusantara@hotmail.com

Website: www.alamnusantaratour.ch

Volunteer Corner

Puerto Maldonado, Peru: The Piedras Biodiversity Center (affiliated with Tambopata Expeditions) is looking for for 2 volunteers to help out with an amphibian survey scheduled for November/December of this year. The project will last about 6 weeks, and the work will be “quite adventurous,” involving the night-time collection of various frogs and toads in swamps and streams. Previous experience is helpful but not necessary, and all volunteers will be trained. This is a great way to get into the jungle while helping a worthwhile project. It is also easy on the pocketbook! If this sounds like the project for you, please email Tambopata Expeditions at info@tambopataexpeditions.com and visit their website at www.tambopataexpeditions.com

Did you miss out on a Gap Year when you were 18 and are considering making up for it now? Have you always wanted to be a TV star ? The BBC have asked us to help find a number of mature (30 +) people who are wanting to volunteer abroad and star in a documentary. The programme will show how the various volunteers cope with the planning and the assignment itself. It will focus on how they are affected by the experience.

So if you have always wanted to volunteer abroad and be a TV star, get in touch with us, Muir’s Tours now. We provide a wide range of support to various communities in Asia, Africa and the Americas. If you want to be one of the 8 BBC stars you need to be free to travel abroad during the period December to March. The ideal candidates will be:

  • over 30
  • self-financing, or at least have a healthy budget
  • planning to travel alone
  • planning to leave in late 2003 / early 2004.

Get some ideas from our list of placements and then we put you in touch with the Beeb. See http://www.nkf-mt.org.uk/volunteer.html

Sun Block Study

A recent UK scientific study on the efficacy of sun creams says that although they help prevent sunburn, lotions fail to block out the harmful ultraviolet rays which can cause the skin cancer. Sun block could give sun worshippers a false sense of security.

Burns specialist Professor Roy Sanders said that the only way to really protect the skin is to stay in the shade at the hottest times of the day or cover up with hats and T-shirts.

According to Professor Sanders, one in 68 of the present UK adult population will be diagnosed with malignant melanoma – the most dangerous form of skin cancer – at some point in their life. By 2010, however, that figure will have risen to one in 50.

Skin cancer can be caused by two types of ultraviolet light, the short, energetic wavelengths of light in the sun’s rays. UVA penetrates the skin most deeply and can suppress the immune system and damage cells. UVB also damages skin cells. The ‘factor’ rating on a bottle of sun block refers to the level of protection against UVB, historically considered the greater danger. A little-known one to four star system – normally printed on the back of bottles – indicates the level of protection against UVA.