Thursday, June 20, 2013

Visit to Neuroscience Institute & NAMRU-6

Tuesday, May 28, 2012

Events: Visit to Neuroscience Institute (Dr. Hugo Garcia’s NCC Clinic & Lab, Museum), NAMRU-6
The highlight of today was visiting the Neuroscience Institute and meeting Dr. Hugo Garcia. This happened completely by coincidence, set up by Dr. Tilley, but this experience was very personal for me because I had worked with neurocysticercosis (NCC) last year and we actually collaborated very closely with Dr. Garcia. Although I never met the man, my PIs were conferencing with him every week, visiting him multiple times a year, and working with his reagents and slides for all of our collaborations. Since only a handful of people study this disease, everyone knows each other and the associated work in this small circle. It was really cool stumbling upon and finally meeting “the mystery man” through my GHSP experience. After touring his lab, we visited the associated museum and were able to see many brain collections, neonates with chromosomal abnormalities, and various aspects of the nervous system. Our visit to the NAMRU-6 naval base thereafter was nice and warm as we were greeted and welcomed by the Lima staff.

It may just be me, but all the foreign countries I’ve been to like Honduras, India, and Sierra Leone seem very similar to Peru, embellished by their own cultural nuances. Do similar levels of poverty lead to similar conditions/looks? Perhaps. Based purely on observation, in my mind, there are categories of urban poverty and rural poverty that differ between well-developed and developing countries. Given the environmental conditions, these conditions can look very similar from culture to culture, and from country to country. The GDP of the country as a whole also influences the fate of the poor. For example, clean running water is rarely a problem in the United States. Families of low SES from the United States that may receive government assistance and have access to clean running water may have completely different circumstances when compared to a family from Peru that lives in a floating hut, constantly surrounded by fecal water and trash.

Situational knowledge and awareness is also a factor. Having grown up in these circumstances, families may not perceive such contaminated water and trash as a source of anxiety; in fact, kids bathe in it all the time and swim in it for transport. Many houses in Belen have flat screen televisions, but are still fighting starvation and fecal contamination. What should one do in these circumstances? How does an outsider enable people to recognize the harms of their environment that they (the natives) are so accustomed to?     

People in poverty make the most of their resources. They are creative with objects (using bottles as rolling pins) and conservative in their use (reusing and rewashing). Some lifestyle choices may not be the healthiest, but what is one to do when the healthier options are often more expensive and less available? 


Sunday, June 9, 2013

Arrival Monday, May 27

Lima is a bustling metropolis. By the time we left the airport, it was well after 11:30 p.m. Our chauffer, Senor Homberto Negron from Torismo Total, assured us the heavy traffic in the city was nothing out of the ordinary, despite the late hour. Under the shroud of darkness, Lima brandished its neon lights and high rises. As we drove towards Mira Flores, the buildings gradually shrank into neat rows of residences sheltered behind fences and locked gates. Mira Flores’ affluence was apparent. The use of glass in the buildings’ architecture provided an appealing contrast to the palm trees that lined the streets. This was a beautiful and obviously expensive part of town. NAMRU-6 personnel connected us to a reasonably priced hostel at $20 a person per night, La Hostal Eiffel, located in the heart of tourist district in Mira Flores. Despite the modest facilities at our abode, we were mere blocks from the Pacific Ocean, the Marriott, and numerous casinos. Understandably, Lima aims to attract tourists and investors by highlighting the city’s beauty and attractions. The inclination to present to foreigners the best that one’s country has to offer also stems from a sense of national pride. However, it may be more beneficial for visitors to see and experience an accurate rendition of the economic and social aspects of the country. It would allow foreigners to better appreciate the triumphs and struggles of the country, adding to a more enriching vacation. Coming to Peru as a global health scholar, I am in the state of mind to learn as much as I can about the way of life for Peruvians of various socioeconomic classes. However, I wonder how much of the culture can I truly understand and appreciate as an outsider who has limited proficiency in the local languages. How does one achieve substantial immersion in a short time frame?

2013 Introduction

Greetings on behalf of the 2013 GHSP Peru Team. We have already been in Peru for about 2 weeks. We arrived in Lima on Monday, May 27, and traveled to Iquitos on Thursday, May 30. Given that we have not posted any blogs until now, we will catch-up and update with some retroactive posts.