What is it: Giardiasis is a diarrhoea illness caused by a microscopic parasite (Giardia intestinalis) that lives in the intestines of people and animals. It can occur anywhere in the world, although it is most frequent where water is not clean.

How do I get it: transmission occurs from ingestion of contaminated food or water or from exposure to faecal contaminated surfaces and from person to person by the faecal-oral route including homosexual practices.

What happens if I get it: symptoms occur approximately 1 to 2 weeks after ingestion of the parasite and usually last for over five days. Symptoms include Diarrhoea, flatulence, nausea, abdominal cramps, bloating, weight loss,

Diagnosis and treatment: the infection can usually be identified through a stool sample. A 7-10 day course of antibiotics, usually metronidazole sorts things out.

How can I avoid contracting giardiasis: no vaccination is available, so it is best to avoid drinking or eating food from utensils that may have been washed in contaminated water. To be sure, boil water for at least one minute – longer if at high altitudes. Wash hands thoroughly with soap and water. Also wash your hands after using the toilet and before handling or eating food (especially for persons with diarrhoea). Avoid drinking untreated water or using ice. Wash and/or peel all raw vegetables and fruits before eating and use uncontaminated water to wash all food that is to be eaten raw. Avoid eating uncooked foods when travelling in countries with minimal water treatment and sanitation system.

Number one passenger airport of 2002 is: Atlanta Hartsfield!

Atlanta retained its title as the world's busiest passenger airport last year as passenger numbers rose to 76.9 million, an increase of 1.3 percent over 2001.

Chicago O'Hare was the second busiest with 66.6 million passengers and Los Angeles LAX was third busiest with 56.2 million passengers.

London’s Heathrow was the busiest outside North America with traffic of 63.3 million.

Figures released today by Airports Council International-North America showed that although more than 1.3 billion people boarded planes last year, passenger numbers were down by 2.6 percent.

Source: Airports Council International-North America

Save the Earth Network is a Ghana based organization, founded in 1998 and dedicated to promoting sustainable development, agro-forestry, environmental conservation, international solidarity through voluntary work and cultural immersion in Ghana.

We aim to positively contribute to help reduce poverty, hunger, malnutrition, disease, illiteracy, drug abuse, unemployment, and environmental degradation, which are increasingly becoming the order of the day in most parts of the developing world. We are a networking tool for environmental, social and economic development activists from Ghana and worldwide. We offer volunteer placements in Ghana in areas that includes renovation and construction of school buildings for poor rural communities. Teaching children English language, mathematics and Christian religion at schools for under-privileged communities. Caring for orphans, destitute and abandoned children in foster homes and orphanages and providing them education; HIV/AIDS education, reforestation (environmental conservation), agro forestry and rejuvenation of degraded farmlands through tree planting; organic farming, primary health care and other community development programs.

Volunteers can participate in most of the volunteer programs all year round. Volunteers mostly work alongside staff and volunteers from the local community. Special skills, professional qualifications or previous experience is not required of volunteers in most of the programs. What is required is motivation, charisma, initiative, drive and the compassion to assist the underprivileged overcome their challenges and their struggle for dignity. Volunteers work four days a week, (Mondays to Thursdays) and they will work a minimum of four hours a day – it depends on the volunteer. We arrange for the volunteers to stay with good host families. Piped water and electricity are mostly available. Meals, a private room and bed are provided to each volunteer. Volunteers can participate in most programs from a period of 4 weeks to 52 weeks or more.

If you are interested in participating in any of our programs or would like to contact past volunteers, please contact: Eben Mensah at Save the Earth Network, P.O. Box CT 3635, Cantonments, Accra, Ghana. Tel: 233-21-667791, Fax:233-21-667791 or e-mail: ebensten@yahoo.com

In Part 1 of Ingrid’s tale, she discovered that she had Dengue Fever. In Part 2, we hear about how she was treated and what happened next.

We entered the hospital. I felt like I was walking into one of those bars in a western movie where every one stops and stares at you. My head felt dizzy and focusing was impossible. What was happening to me? Looking back, I must have looked really spaced out.

The nurse once again took my blood pressure. She shook her head, checked the equipment and took it again. Not convinced, she took it once more. She told me to remain seated and rushed off to the doctor’s room. I was called in and informed that my blood pressure was 96/80, so low that it was not pumping blood to my brain properly. I was immediately put onto a bed. Before I knew it, they were after my blood again – this time – I was too weak to care.

Noi waved a form in front of me. “What food you want?” she said. I realized then that this was not just a day visit. Thai or Chinese at 80baht or Western at 250baht. Which would you choose at those prices? I chose the Thai, signed the form and was taken to a room on the 7^th floor.

As they wheeled me into place, I looked down at the drip in the back of my hand. My eyes widened. I blinked and took a second look. Was I hallucinating? Like something out of a horror movie, I could see ants running up and down the drip and under the plaster. Was I the only one concerned about this? The nurse ignored them at first, then she carelessly slapped them away. Ow!

Two hours later, with the little energy I had, I was still removing ants from various parts of my body. I asked to be moved. Off they wheeled me to another room but, before we settled, I looked down at the bedside table and spotted an ant, so off we trouped again. Eventually an ant free room was found – it had a pet gecko instead.

During the next 24 hours, I had no idea what was happening. I was constantly nauseous, feverish, had a banging headache, backache and leg ache. I did not know if I was going to live or die. When I pressed the call button, three nurses would skip in and stand to attention at the end of my bed. After telling them what I needed, they would smile, nod their heads and disappear. Great service but no reward. After a while, I would have to call again. They had obviously misunderstood. Often, it would take lots of exhausting hand signals and facial expressions before they would realise what I needed.

Day two in Hospital. I was not feeling any better nor any the wiser as to my condition. Feeling extremely nauseous but starving, I was happy to see my first breakfast walk in on a tray. I lifted the lid and to my surprise… squid soup! Oh yuk! Not something I would eat if I felt 100%. I gave the brekkie a miss.

After the much improved lunch, I was watching a low budget Hollywood movie when there was a knock on my door, followed by the priest! Oh my God, this is it, I thought: this illness is terminal – my time has come. I was a little alarmed that he had come to give the last rights but so delirious I could not find the energy to be scared. He smiled and told me he was visiting because he wanted to practice his English.

Every day the doctor would visit at around 5pm. He would look at me, ask me if I had any bleeding or rash. I would reply no. He would nod, turn around and walk back out again … Er hello some sort of information would be nice Doc!

Over the next few days there was no improvement. It felt like groundhog day. The repeated rubbish movies on the only English speaking channel, the continual disruption of my snoozing as a piece of rubber was slapped round my arm, cutting off my circulation. A needle was jabbed into it extracting more blood, scaring the life out of me.

On the fourth night came the grand finale – the rashhh!!!! It was more than just any old rash. It lasted over twenty-four hours. My face swelled up like a car’s airbag on impact, my hands and feet swelled, went bright red, itched like crazy at first and then felt like they were on fire, aaagh damn that Dengue!

Anticlimax: on the sixth day the doctor came in, looked at me, turned around and walked out again. Ten minutes later the senior nurse entered and told me I could go home. Three days passed before I snapped out of it and got my energy back. Within a fortnight I was back on the island where I caught the disease. Crazy or not, I was determined not to let the Dengue fever put me off my trip. This was my horse and I am so glad I got back on it.

Later I discovered that the deadly Dengue Haemorrhagic Fever not only occurs in young children but also in people who have caught one strain of Dengue Fever and then catch another.

Hurry up with a vaccine. Please!

If you would like to contact Ingrid, who is currently in Chile, you can e-mail her on:gr.ing.a.rid2003@hotmail.com