Work onboard. The medical teams have defined roles: there are various teams. There are a few employed by the Vine Trust, including the lead doctor who has overall responsibility for the work on the ship. Some of the Peruvian volunteers work onboard so regularly there are almost fixtures, eg the pharmacist, one of the chefs, and one of the translators. There are those employed by the Peruvian Health Service. There is also the ship’s crew, the cooks, engineers, captain etc. These all help out with eg registration, on busy days. Add to this mix the translators (English / Spanish / local dialects, talented people!)
The Vine Trust, at first, was the only provider of primary health care in these remote tributaries of the Amazon, and gained the trust of local peoples, while being accountable to the Peruvian health authorities for the care given. The Peruvian Health authorities now have some better funding and are able to send newly qualified medical and dental professionals out on the VT ship to the area.
Add to this mix the volunteers! There are usually doctors, dentists and other medical professionals and then the occasional extra like myself. I was there as ‘pastor’ and general dogs-body. Each morning there was half an hour of devotions; there was singing in English and Spanish, a Bible reading and reflection, which was translated as required, and prayers. I was asked if I might preach in a village one day but that didn’t work out. I also did the laundry for the gringas. Gringas was the name given to the UK medical team on this trip.
This trip, as well as the last, I was taken aback when a Peruvian mentioned how good to was to see a pastor doing the practical work of helping and serving others!
I stayed on the boat today while the others visited the village school where the gringas (the UK team) learnt Spanish vowels and, in return, taught the children the song ‘Head shoulders, knees and toes’. In the afternoon there were clinics.
What’s the ship like, it’s facilities etc
There are two long consulting rooms; one housing two dental surgeries and the other, two medical surgeries. There is much more equipment on this ship than the previous one, 9more about the Amazon Hope II another day). As there were three UK doctors in total (one had already been on the boat when we joined), the third doctor consulted in the mess area. There were Peruvian medical staff too, including the lead doctor for the ship.) Quite often consultations were interrupted by crew going through the mess to the kitchen or others coming in to make teas and coffees and sit for a short break.
Routine - overnight the ship moors up at a village or point along the shore. It’s dangerous to keep moving at night as sandbanks can suddenly build where there previously were none, and huge logs float down and bash the ship. In the morning either the ship serves the village where it’s moored, or we motor up the river to the first port of call.
Once the ship arrives in a village, the Peruvian medical team go into the village and encourage locals to come to the onboard clinics or find out if there are any people who can’t get there and home visits are arranged.
There are morning and afternoon clinics. The ship may, or not, move over lunchtime, depending on demand and schedule. At the end of the working day, everyone on the ship is encouraged to go ashore (at least one or two stay onboard to ensure safety of the facilities etc) and join in sports sessions; these are routine at the end of the working day for villages and they are delighted when others join in football, netball or volleyball. Those who are not sporty may stroll in the village; it’s perfectly safe because of the good reputation of the VT and the hospitality of locals.
Dinner is after we return and sometimes followed by tutorial eg the one tonight was on the tests done onboard on urine samples and what can be deducted from various results. If the ship is to move after an afternoon session it does so during the remaining daylight of early evening and there are no sports sessions.
Registration area - national ID number, names, height, weight, bold pressure, worming and anti-parasite tablets and basic triage. A quiet day!
Waiting for the dentist or a doctor.
Consulting area for two doctors, one in the picture and one of the translators.
Lab tech in one half of the spacious lab!
Travelling is fine but five hours from home to Edinburgh, a flight to Amsterdam, another to Lima, then to Iquitos, two and a bit hours on a bus then another two and a bit squeezed onto a speed boat was enough. It was good to get to the boat yesterday; and to meet up with my doctor friend from here.
What was not good was that I wasn’t well overnight (something nasty I’d picked up somewhere on the journey and I’ll spare you the details) and stayed in the cabin recovering. The others had emergency drills and started work.
What is the The Vine Trust? ‘The Vine Trust grew out of a charity gift shop set up in the 1980s in Bo’ness Scotland in response to famine in Africa. Projects in Tanzania and Peru have now helped over 1.3 million people living in severe poverty.
Medical expeditions enable medical and dental volunteers to use clinical skills on the Peruvian Amazon, and on Lake Victoria Tanzania, to provide primary healthcare to isolated and remote communities living in extreme poverty.‘ (From the Vine Trust website).
What’s it like there? Iquitos, where the boat is based, is over 2,000 miles from the sea - and from there the boat goes further inland, up various tributaries of the Amazon to reach those in need.
The Loreto region around Iquitos is roughly the size of Germany and it’s 56 districts are all categorises and ‘poor’ with38 districts being ‘extremely poor’ where people live on less that $2 per day - that’s roughly £1.50. Access to clean water is less that 10% and each person, unless a baby, coming onto the boat is given anti parasite and worm tablets. Anaemia is rife. Yet, the people are usually cheerful, resilient and very smiley.
It’s an awesome and humbling privilege to be pastor to any trip.
The photos -
5am pick up for 6am departure to Nauta. The only road out of Iquitos is to Nauta, 80km away. The only road out of Nauta is to Iquitos. The bus was full of people and goods; once you were in, there was no way out. We were so highly packed in that, had there been an accident, we wouldn’t have moved. Health & Safety, what???
At Nauta we transferred onto a speed boat. Like the bus, we were highly packed and whizzed up the river to meet the Amazon Forth Hope just on the left on a bend in the river a few miles short of Requena. After over 5 hours of constant travel, the Forth Hope was a very welcome sight!
At lunch we met those who were leaving the boat after their ten days of work (one the sister of a lady with strong Kilchoan links - small world!). Then we met the Peruvian teams and crew, and settled in as we motored to Requena. We had been due to stay the previous night in Requena but, having seen the town, I’m glad we didn’t.
A ‘rest’ day to recover from any travel tiredness and to be ready for early departure tomorrow.
The Vine Trust guild and translator, Ernesto, took our group on a walk through Iquitos, stopping at Parroquial Nuestra Senora de Fatima church to climb the tower and see the panoramic view, and on to Belen market. The market was fascinating, smelly, busy, bustling, and full of unusual sights!
After that we rode in tuk-tuks to the port area and took a water taxi to Pilpintuwasi Butterfly and Wildlife Reserve. The animals there are rescued pets that outgrew their owner’s expectations - although how anyone could think a jaguar would make a good house pet is a challenging thought!
We had lunch on a floating restaurant, which was delicious and inexpensive.
Lunch was shaken down by a bus ride through Iquitos. There is a manatee sanctuary at the other end of town and, when we got back to shore, the guide commandeered a local bus to go to the reserve. The buses are mostly wood which has replaced the metal as the metal rusts away in the damp atmosphere - and made the ride interesting …. The manatee sanctuary was closed.
Somehow, we also visited a museum on a river boat that was full of exhibits from the rubber boom era.
After all this excitement we were ready for a rest and got back to the hotel for a short. We headed out for a snack dinner before an early night.
Thursday - Lima to Iquitos
Met the other four going to the ship - two doctors, a dentist and a pharmacist. Flight to Iquitos where we were staying overnight.
There is a road that goes from Iquitos to Nauta, 80km away, but neither city / town has a road going anywhere else. Nauta is only accessible from this road or the river; Iquitos is only accessible by plane or river.
A Vine Trust guide met us and showed us round Iquitos.
Because of the developing rubber trade, in the early 1800s, the town grew from a small village to a substantial town. Seeds of rubber trees were taken to Malaysia and the trade transferred there leaving Iquitos, once again, a backwater on the Amazon. Now, it’s the main hub for those travelling on the river - supplies, small hospital, a small university and various other services.
So we would make the connections, we had two nights there.
The first photo is of the traffic in Lima near the airport, the second of the traffic near the airport in Iquitos, then the area round Iquitos and finally one of the houses that used to belong to a rubber baron and is now a cafe.
Wed - 6am fight to Amsterdam, few hours stop over then 12 hour flight to Lima. Arrived Lima, picked up by taxi and taken to hotel. Sleep, it was after 2am UK time!
Photos - Schipol Airport, Amsterdam, the Amazon River below, towering rain clouds over the rain forest, the Andes and then the Lima Wasi Hotel which is a bed and breakfast very close to Larcomar where there are plenty of places to eat, drink and shop.
It's been over a week since the last blog!
A funeral, chat to nursery, local school support AGM, Ecumenical meeting, chats to folks, Community Development Group, Community Council meetings, a conference day, Remembrance services and worship, a Kirk Session meeting, Godly Play in Primary School, two coffee mornings and a Messy Church preparation meeting.
Never dull or boring ...
On Monday there was Church Lunches at Acharacle in Shielbridge Hall. I got there at around 1pm and it was busy then. Lots of folk chatting and laughter around the tables. Caught up with some of the local news.
On Monday evening we went to the excellent fireworks at Salen. Each year there is a themed bonfire and this year's was a variation on the theme of Hogwarts with a 'Swine-pimples' castle! Burgers and a raffle at the Hotel and characters from the Harry Potter story were wandering around. The Weaslie twins looked suitably mischievous. Set in the bay at Salen it's an excellent backdrop for the fireworks. Money raised went to the school.
It's been a while since I posted. But not quiet!!