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.

Monday, June 18, 2012

NOTE: This blog is posted on behalf of Sara Tabikh because I got to a place with internet before she did. ~Hannah :)

Hello everyone! Boy has this trip been an amazing experience; being that it is my first time being outside of the US I have truly been humbled by so much we have seen thus far. Last week we had the honor of doing rounds at the “Hospital Regional de Loreto”. The first thing I noticed upon arrival to this hospital was how huge it was; this place was a monster! It was much bigger than the clinic that we have been visiting quite often in Belen; this place had to be at least 25 times larger. The next thing I noticed were the people that inhabited the hospital, so many mothers breastfeeding their children in the waiting rooms; older patients that have been sitting in the waiting rooms for who knows how long, children running around in the hallways, and workers running from one room to the next. We received lots of stares from people because our group included myself, Derek, Hannah, Jenny, Dr. Craft, Dr. Tilley, and Dr. St.Claire (if I were alone I personally probably could have gotten away with the stares as long as I did not talk but having several men over six feet tall with light skin and light hair gives us away quite easily)!

Sara, Melita, Dr. Craft, and Jenny discussing cases at the hospital
We finally stopped in the infectious disease wards and Dr. Craft whispered to me that we were about to see things that we would never be able to see in the US. We were introduced to a Peruvian attending physician who was in the midst of explaining a patient to the ~10 students who were present. The Peruvian doctor continued to proceed with the rounds after our welcoming and we all circled around a hospital bed with a young female that looked like she was in mild discomfort. I felt so bad since the patients were already going through so much the last thing they probably wanted was a crowd of twenty people encircling them! It was an interesting new experience seeing what rounds were like, especially it being in Spanish. The doctor explained that she was 29 years old with multiple hepatic abscesses due to E. histolytica. It was interesting standing in this circle listening to the doctor who explained things in Spanish extremely well (the fact that I can somewhat understand him proves how slow and clear he was with his explanations)! Seeing the native students writing every possible detail in their little notebooks seems like a foreshadowing to what we will be doing next year! When we walked into the next room, I immediately noticed a young male in his 20’s with eyes I have never seen in my life- they were yellow and EXTREMELY bloodshot red. We quickly learned that he had leptospirosis. Dr. Craft told us that was something that he has never seen in person in his life and that there is only one picture of eyes like his that is classically used in the literature!

Cases of leptospirosis in Iquitos and the surrounding areas this year.
Other cases included a malaria case, pnemothorax due to a parasite, and several parasite infections. So what did I appreciate the most during our rounds? The kind patients that let us overwhelmingly encircle them I appreciated so much. The people in the hallways gave us all so much respect and warmth and they welcomed us with open arms. I can never look at a hospital bed in the US the same- these hospital beds were lucky to have sheets and a pillow for a patient, let alone being in an air-conditioned room with flat screen televisions as it is in so many hospitals in the US. These patients were lying in these beds (that had a mini chalkboard on top of each bed that identified each occupant) in a non-air conditioned room in sweltering heat. There was no television or radio in these rooms. How they would pass the time in a hot room all day living with their illness I have no idea. Overall, we all truly enjoyed our experience doing rounds; we will have more details of this incredible trip to come!
Sara, Jenny, Hannah, Derek, Dr. St.Claire, Melita, and Dr. Tilley outside the hospital. Dr. Craft is behind the camera.

Sunday, June 10, 2012

Hola todos!


It's a perfectly sunny Sunday in Iquitos, and our group is spending the day relaxing and catching up with some overdue Internet/email correspondence. 


One of our incredible PSCOM faculty members, Dr. David Craft, departed from Iquitos this morning after spending a highly productive week with us. Through Dr. Craft's contacts with the U.S. Navy, we were able to access the NAMRU-6 microbiology and parasitology labs in Punchana, and receive the training necessary for identifying parasites (in particular, various species of roundworms and amoebas) from human stool samples. Additionally, we were able to meet with CITI-certified translators, refine our household survey questions, purchase supplies for water-sample "coliform bacteria" analysis, and begin mapping out a schedule for our group research project that is set to commence tomorrow in Belen! We're all incredibly grateful to Dr. Craft and the NAMRU-6 crew for their unwavering support thus far. And naturally we will keep you all in the loop about the progression of our latest protocol during the coming weeks.


And now an update about last year's protocol, through which our original team members (Kim, Katie, Chloe, and Derek) collected survey data and potable water samples from 50 homes located between Upper and Lower Belen. Two weeks ago, Derek and Dr. William Strosnider (of Saint Francis University) returned to Belen to discover that the neighborhood was (and still is!) flooded to a much greater extent this year than in previous years. They opted to revisit the original cohort of 50 homes. In order to expand upon the information collected via last year's endeavor, the duo enlisted two health workers, Anabela and Roger, from the 6 de Octubre Health Center to assist them in locating each home and to serve as translators when needed. 


While Derek and Dr. Strosnider were unable to revisit all 50 residences -- two had been evacuated during peak flood season and another two had seemingly vanished entirely -- they nevertheless collected useful data on home water use and contamination. In addition, they collected 46 water samples for fecal coliform/E. coli analysis and, thanks to Dr. Strosnider's expertise and equipment cache, conducted turbidity and chlorine tests on each sample. While it will take several weeks to receive the results of the coliform analysis tests from the local microbiology lab, Derek and Dr. Strosnider observed interesting trends in water turbidity and chlorine levels. For instance, it appears that homes located in more distal areas of Lower Belen (aka those experiencing the highest degree of flooding) have drinking water that is significantly MORE turbid and considerably LESS chlorinated than homes in Upper Belen or drier areas of Lower Belen. These preliminary findings suggest that residents of Lower Belen have a greater risk of consuming feces-contaminated water and therefore a greater risk of suffering acute bouts of diarrhea/gastroenteritis. We're greatly anticipating receiving out lab data in order to put the full story together.


Below, for your viewing pleasure, are some photos from Derek and Dr. Strosnider's adventures in Upper and Lower Belen. We hope you enjoy! As always, thanks for your support and hasta pronto!!


 Roger and Dr. Strosnider afloat in Lower Belen


Canoe-boat captain who facilitated the watery 
adventure through Lower Belen 


 Roger and Anabela, certified health workers 
from the Belen Health Center


 Beautiful Lower Belen, mid-morning


Perfect view from the canoe 


Anabela, Roger, and Dr. Strosnider, 
mapping the route through Lower Belen




Monday, June 4, 2012

Hey everyone!

Sorry it took us awhile to post, but we were still getting settled in and trying to figure out where to find the grocery store! Our first week in Iquitos just flew by. After a full week in the heat and humidity of Iquitos, we are gearing up for what will be a frenzied foray, visiting house after shanty in the still-flooded streets of Belen. Although we still do not have permission to do our projects (fingers crossed for June 10), our training begins this week with the arrival of Dr. Craft and visits by several of the U.S. Navy personnel who have been instrumental in assisting us with our projects. We are all very hopeful and anxious to begin the research portion of the trip, conducting surveys and collecting stool and water samples. Derek and Dr. Strosnider spent several consecutive (and exhausting!) days revisiting households in Belen as a continuation of last year’s project. He will post about their adventures in Belen soon. We anticipate perhaps even longer days for the next couple weeks to come. In the meantime, us chicas have been getting to know Iquitos and trying to find ways to make our projects go smoothly once we do start work.
Our very gracious hosts, Claudia and Ítalo (below) have made us very welcome in their home.
They have a lovely house with four floors and a patio to sit on when it gets warm out (all the time!). Here is the view of their street from the patio.
 Their neighborhood is nice and in a good part of town. It can be rather loud due to “motorcycle gangs” (they’re not actually motorcycle gangs, just groups of people driving by) like the one to the left, but that’s part of the fun! J

On Wednesday we visited the Centro de Salud clinic in Belen, and on Saturday we enjoyed some of the most delicious grilled pollo (chicken) at a barbeque fundraiser for the clinic. We also came prepared with our dancing flip flops, which was good because our Peruvian friends had a few moves to teach us. And these people can move! Latin America lives up to its reputation in more ways than one.

During our downtime we have taken advantage of a few of the local spots: swimming at the treehouse pool of La Casa Fitzcarraldo Jane and Tarzan style; enjoying the local fare of ceviche and other fresh fish, plantains, chicken, and cecina (except Sara—no jungle pork for her); and visiting Laguna Quistacocha, a nearby lake, zoo, and fish hatchery with excellent eats. We snapped some good photos of animals and food while we were there, and wanted to share a few with you.



The animals above are a marmoset and an "anta." A marmoset is essentially a cross between a tiny monkey and a gerbil, or maybe just a ball of fluff. They love fruit and are very difficult to photograph because they move their heads around so much—they’re very skittish. An "anta" looks like cross between a pig and an anteater with a miniature trunk (like an elephant’s trunk) that is very flexible for sniffing after food. They were super friendly and loved to try and lick our hands and faces.

Meal Blurbs:

Hannah—For lunch, I had “chaufa con pollo,” which is Chinese fried rice with chicken. It was very tasty, but my favorite part was the “madura,” which are the fried plantains around the edge of the plate. They are just a little sweet, so they were like dessert after lunch.





Jenny—I cannot get over how good the ceviche was at this place. It’s impossible to explain in broken Spanish to the servers that I don’t like fishy fish, so I just ordered the paiche ceviche and hoped for the best. I was NOT disappointed. Holy yum. Fresh. Not at all super fishy. Almost melts in your mouth. Behind the ceviche are these fried plantain medallions (can’t remember the name for sure). Will be returning to Quistacocha for the food!


Sara—I absolutely love the food here, especially the fish! I have had whole grilled fish twice now and I am loving it- it is very VERY delicate, moist, and I don’t mind having to work to get the fish meat off the bones. I don’t know what exactly it is that makes the fish here so incredible- working at a seafood restaurant has made me appreciate the finer taste of fish, and boy would this make the cut! I look forward to eating more and more fish the rest of my trip despite my fellow team lacking the desire to have to deal with the bones of these little guys! Love love love it!
P.S. Apologies everyone, for the quality of the photos. We are uploading this blog post from an internet cafe and things are going very slowly, so we couldn't upload full-sized images and cutting and pasting into paint messed up the area around the photos. We just really wanted you to see them!




Friday, May 25, 2012

T - 9 hours...

Greetings!

Well, we officially start driving to JFK Airport tonight at 11pm. Craziness! We're flying to Lima on Saturday morning, then going out to dinner with Jenny's friends before spending the night in the Lima airport. We leave for Iquitos early on Sunday and will be in the Amazon by 10am (they're an hour behind the Eastern Standard Time, I think) that same day. Kim's friend, Claudia--who has graciously opened her home to us vagabonds--will meet us at the airport.

We did not reach our fundraising goal with Indiegogo but, thanks to our very generous donors, we raised $995 to help cover the costs of supplies for our projects.

Big thanks to:

Mr./Ms. Anonymous
Jeanne Cusimano
Deb Gresh
Roger Barkoff
Kerry Soso
Bill Yates

Muchas gracias! You all are awesome!

~Hannah :)


Wednesday, May 16, 2012

Iquitos, Year (and Group) #2

Hola amigos!

First of all, thank you so much to everyone who has so generously donated to our cause!

Namely, thank you to:

Kimberly Faldetta
Haris Hussein
Deborah Reighard
Dane Reighard
Paul Hsu
Judith Plank
Claude Willis
Chloe Wang
Kathleen Suits

We still have 9 days of campaigning and a long way to go. If you can, please help us by going to: http://www.indiegogo.com/RiversideRelief?a=524846 and donating what you can. Or, please send this message on to your family and friends in case they would like to donate.

On May 26th, Derek, Sara, Jenny, and I will head to Iquitos for four weeks of working with the impoverished community of Belen. We'll be conducting household surveys, establishing new partnerships, performing "charlas" (health fairs), and testing samples to determine water quality and parasite prevalence.

Currently we are coordinating our resources and doing our pre-trip homework, but we'll soon be ready for our Amazonian adventure! Please stay tuned!

~Hannah :)

Tuesday, July 26, 2011

Bien viaje, chicas!!

After four wonderful weeks in Iquitos, tomorrow our foursome will say goodbye (until school starts) and we will go our separate ways.

This weekend, twenty medical students from around the world came to Iquitos to work with Amazon Promise, an NGO founded and operated by my friend, Patty Webster.  Amazon Promise is an organization that sends groups of medical professionals and students to remote areas in the jungle to give much needed medical care.  On Sunday, we went to the Amazon Promise house, an apartment in one of the old colonial mansions on the malecon, so everyone could meet Patty and enjoy a typical Peruvian lunch. We chatted with the med students and then gave a brief presentation to the group about our work in Belen and the other municipalities around Iquitos.  The Amazon Promise med students will be working this week at a free clinic in Belen, so hopefully our presentation gave them some good background information about living conditions in the area.

Today, we visited the Centros de Salud that we have been working with to drop off a summary of our findings in all the municipalities. At each site, we picked up some data from the health posts about local rates of diarrhea and GI parasites that we will compare to the data that we collected.  Derek visited the local lab and checked on the status of our water samples--they should be done tomorrow!

After we wrapped up all our loose ends from our project, we headed out on the Rio Nanay to the Mariposario (Butterfly Farm) about 30 minutes by peca-peca (a typical small Peruvian boat).  Upon arrival, we were greeted by several macaws and a lagoon teeming with wildlife.  We then took a guided tour around the compound, which included a large netted-in sanctuary that houses over 40 species of butterflies.  The Butterfly Farm breeds butterflies in its hatchery, releasing 70% of the adult butterflies into the wild and keeping 30% of them to continue to reproduce in the sanctuary.

Although it began only as a farm for butterflies, the compound quickly grew into a refuge for battered and illegally poached animals that are confiscated in and around Iquitos.  Unfortunately, due to the diversity of animals in the jungle, Iquitos is a hotbed for illegal trafficking of animals.  These animals are captured from the jungle, brought to the city, and then sold as pets or for their furs.  When authorities in Iquitos encounter these illegally trafficked animals, they confiscate the animal, but often have no good place to send the animal for rehabilitation.  About 8 years ago, the first such animal (a jaguar named Pedro) was dropped off at the gates of the Butterfly Farm.  Since then, many illegally poached animals have made their homes at the Butterfly Farm, where they are cared for humanely.

Now it is time for the Last Supper for Katie and Chloe: pollo con chaufa at Kikiriki.  Chloe has been awaiting this meal as a culmination of her two favorite Peruvian foods: roasted chicken and fried rice.

Buenas noches!!!
Kim

Saturday, July 23, 2011

Out and About in Iquitos: Our Travels to the Amazon

After completing our surveying in Belen on Monday (!!!), we had some time while we waited for the lab results to return which will make our data set complete. We had a few days to catch up on much needed rest and relaxation, which were fairly uneventful. Here are a few highlights:

On Tuesday, we celebrated the success of our data collection and the Peruvian soccer team by taking a boat to Al Frio y Al Fuego, a floating restaurant out on the Nanay tributary. The two-story thatched building is quite picturesque, even at night. From there we had a delicious dinner while watching Peru play Uruguay in the Copa America semi-finals. Unfortunately, the Peruvian team did not advance but we were still excited by how far they were able to go in the tournament.

Wednesday included a trip to Caza y Pesca, a local swimming spot near the Puerta Nanay (Nanay Port). With a restaurant up above on the second story of the stilted building, there is also a dock area down below for lounging and dipping in the river water. Lots of fun to be had here by all.

Thursday morning we set off for our excursion to the Amazon jungle! We met at the local tour company office at 9AM where we were taken by car (our first car ride in weeks!) to the marina area. From there we boarded a boat and set out on the Nanay in the direction of the mighty Amazon river. On the way out of Iquitos we were able to see the hustle and bustle of the local port activity. Iquitos, a city inaccessible by road, relies on the river for its import and export of goods. There is always a lot of movement on the river, as boats carrying all types of products move in and out of the city. We also saw several large ferries with four or five stories filled with hammocks. These boats transport people up and down the river to other countries like Brasil and Colombia. Some of these boat trips take several days, but are a very common option for local travel. One of the most striking images of that morning was the crossing over onto the Amazon river. The Nanay, a tributary of the Amazon, differs drastically in color, composition, and water movement from the Amazon itself. This difference manifests itself as a dramatic line between the two rivers, as you move from the more clear, calm, blue Nanay to the brown, turbid, choppier Amazon. Once on the Amazon, we braved the incoming ominous clouds for an hour journey to the Cumaceba Lodge. Arriving thoroughly soaked, we hopped onto the muddy banks and hurried to the elevated walkway that led us through the jungle to our final destination.

The moment we stepped into the jungle, we became aware of all the life that exists within it. We had barely been there 5 minutes before seeing a giant, brown, furry tarantula creeping above our heads along with a tiny bright green snake wrapped around one of the poles of the walkway. We hoped this was an indication of all the different creatures we were about to see over the next two days! After walking a few minutes we finally arrived at the lodge, a web of covered elevated walkways leading from bungalow to bungalow with a large dining room in the center and two round open-air hammock rooms on its sides. Everything is a few feet above ground because during the wet months (January to March especially), the river rises so much that the lodge becomes surrounded by water. The best part about the lodge was being surrounded by the jungle and all its noises. There are no walls or windows on the rooms. Where glass or wood would be, there is only thick mosquito netting so you can always listen to the soundtrack of the jungle throughout the day and night. This was one of the best parts for me.

Our jungle home for 2 days.

After eating a delicious lunch of fish, rice, beans, plantains and watermelon, we headed off on our first adventure to Isla de Los Monos (Monkey Island)! We grabbed some bananas to take with us at the suggestion of our guide Freddy and boarded another boat. As we pulled up to our destination, you could see the monkeys swinging from trees on the banks and making their way down to the dock. As soon as we got there, we were bombarded with monkeys of all shapes and sizes. They were not shy, scaling you like a tree in search of the bananas they knew you would bring. It takes a second to get used to having a monkey climb you, especially the sensation of them using their strong tail as essentially another limb. It is also mind-blowing how human like they are, especially their hands, ears, and distinct facial expressions. We spent some time visiting with each of the different types of monkeys until the bananas were gone and they indubitably lost interest. There were more than just monkeys on this Monkey Island. We also were able to hold a vibrant toucan, observe a roaming pack of anteaters, check out a prehistoric tortoise, sit next to a large anaconda, and take pictures of a baby Cayman alligator. We sampled a local drink called Siete Raices (Seven Roots, referencing its origin) and were told about some of the local jungle products like anaconda oil and how they are medicinally used. On our way back to the boat, we ran into Ramona the Sloth and were able to hold this unique jungle creature. Sloths have the slowest metabolism of all animals, which is very evident when you see up close how sloooooowly they move. They spend most of their time camouflaged in a tree, only coming down once a week. It was a treat to be able to catch a sight of this rarely seen animal. After departing the island, we turned up the river to try to see Los Bufeos Colorados (pink river dolphins), another rare sight. One man we met on our trip was working on completing his life goal of visiting every single country, with Peru being #38. He told us he specifically came to the Amazon to see these pink river dolphins because of how unique and rare they are. Lucky for us, we saw several at dusk, surfacing in small packs on the horizon. Next, we pulled up to a bank for a quick dip in the Amazon water. Kim and Derek braved the murky waters and took advantage of the rich river mud by slathering it all over in an impromptu spa treatment. Traveling back to the lodge, we got to witness the beautiful sunset over the river. It was a perfect day, but not over yet...






After dinner of grilled chicken, rice, beans, plantains, and papaya, we donned our rubber boots and trekked down to the lake on the back side of the Cumaceba Lodge. We boarded two wooden canoes and set off in complete silence in search of Caymans. Seeing the jungle at night gave us a whole different perspective. A myriad of stars lit up the sky and glowworms living on the lechuga de agua ("water lettuce"/water lilies) illuminated the water surface. Scanning the water's edge with a flashlight, we could see the red reflections of the sets of alligator eyes peering over the top of the water. We were able to sneak up on one, which Freddy somehow grabbed in a flash from underneath the surface. It was only a baby, about 3-6 months old, but was fascinating to see up close. We also saw a bright yellow parrot in a tree on the banks, and heard the loud echoing croaks of the Smoky Amazon Frog, the largest frog in the jungle. It makes quite an impressive noise, which lulled us to sleep that night in our bungalows.

The next morning there was a 5:30AM wake-up to see the sunrise on the river and to spot some Amazonian birds, each with a variety of bright colors and elaborate plumage. There was also the chance to see the giant Amazon lily pads,which are several feet in diameter and anchored to the bottom with spiny roots the size of garden hoses. Their flowers look like floating coconuts during the day, but at night open up to reveal a leafy white blossom. Breakfast included eggs, traditional bread with butter and jam, and papaya, and was followed by some relaxation time rocking in the hammock room. We have decided, after many trials and test runs, that hammock rooms should be included more often in America. They certainly are a great addition to any house, restaurant, bar, or hotel. Later, the rubber boots went back on for a really muddy walk through the jungle to a local Yagua tribe. On the way there, we saw different types of plants and trees, while Freddy told us about the unique uses that each of these have in traditional medicine. We also made a stop to see the largest type of tree in the Amazon, complete with swinging vines a la George of the Jungle. Having arrived at the Yagua tribe, we were treated to a traditional native song and dance as well as the opportunity to browse their handmade goods and try out our skills on the blow dart gun. We quickly found out that this does not come naturally.

We returned by boat to the lodge for our last lunch, another delicious type of fish with (you guessed it!) rice, beans, and plantains. Then we hopped back on the boat and sadly said goodbye to the Cumaceba Lodge and Amazon jungle. Our ride back was a great opportunity to see the last of the jungle scenery. We arrived at the apartment exhausted and mosquito-bitten, but happy at having been able to see a bit of all that the Amazon jungle has to offer. We all agreed it was one of the highs of our trip thus far!

The gang says hello from the Amazon!

Wednesday, July 20, 2011

Eat, Drink, and Be Merry Part Dos

As previously promised, here's the follow up food post! I hope you all salivate over the photos as I continue to discuss the delicious Peruvian cuisine we encounter here on the daily.

Special Peruvian Dishes
Cuy - guinea pig. That's right, guinea pig. A popular dish and tourist attraction, especially in Cusco. Katie and I had the pleasure of tasting this delicacy during our travels before coming to Iquitos. My thoughts on the matter? A bit salty, reminded me of bacon, but with tiny pieces of bones to pick at. Definitely try it if you get the chance. Besides, now I can say I've had guinea pig!


Lomo de alpaca - Alpaca steak. SO GOOD. Again, Katie and I tried this in Cusco. The texture was similar to a good steak, medium of course. The taste reminded me of lamb to some degree. Overall, highly recommended. (Please note the papas in the photo, they are EVERYwhere.)


Ceviche - no Latin American experience is complete without some ceviche. Ceviche is essentially raw fish marinated in citrus juices such as lemon or lime, spiced with chilli peppers. It's usually accompanied by side dishes that will compliment its flavor, such as sweet potatoes, corn, yucca, or avocado. Prepared fresh upon request (as it is raw fish), ceviche makes for an excellent lunch option on a hot summer day.


Cecina con tacacho - Cecina is a pork dish where the meat is cured/dried and then grilled. Do not be alarmed by its orange color, one bite and you will be sold. Tacacho is what usually comes with a cecina dish. These dough-like balls are made from sliced plantains, which are fried, then mashed in with chicharrones (fried pork fat!) Que deliciosas!



Drinks/Desserts
Inca Kola - for those of you that know me well, I hardly ever drink soda. But since arriving in Peru, I have consumed more Inca Kola than previously thought possible. Some have described it to have "an acquired taste." Some also liken it to "liquid bubblegum." I'm not sure if I agree with either. I just know that it is delicious and refreshing. Its intense yellow color will not drive me away.

Cusqueña - THE beer of Peru. Brewed in Cusco with water from the Andes, full of Incan history, the beer is light and crisp. And this, I quote directly from the website -- "The flavor and subtly complex, malted barley aroma of freshly baked bread balance harmoniously with a pleasantly delicate, herbal and spicy complexity that only can come from utilizing three different hops."



Pisco Sour - a cocktail consisted of pisco, lemon/lime juice, syrup, and egg whites. Its origin is hotly debated. Both Chile and Peru lay claim to the drink (I'm going to be on Peru's side for this one.) Peru even has a National Pisco Sour day, celebrated annually on the first weekend in February. Take that, Chile.


Refrescos/Jugos - "refreshers" or fruit juices. Every meal here is accompanied with a refresco of some kind. Located in the Amazonian jungle, Iquitos has a variety of tropical fruits that are readily available to be made into beverages. Refrescos are a bit lighter, mixed in with water and ice, what we probably relate to as lemonade and such. Common refresco flavors include chica morada (purple corn drink with a hint of cinnamon), maracuya (passion fruit), and camu camu (a small pink tropical fruit full of vitamin C!) Jugos are thicker in consistency, and are more similar to milkshakes or smoothies. Our favorite here is the jugo surtido, which is a generous amount of strawberries, papayas, and plantains, mixed in with milk and honey. Perfecto.




Churros - last but not least, our favorite street vendor dessert -- churros. Any day that we encounter "the churro man" with his cart on the street, is a great day. Don't be fooled, these are not the kind of churros you buy from Cinnabon at the mall. These are made fresh upon order, dipped and fried in hot oil, filled with manjar (carmel filling) as soon as they cool down, and sprinkled with sugar. It's hard to limit oneself to enjoying just one, but more than 3 will inevitably lead to stomach issues (ask Kim for more details if you so wish.)



I hope you all have enjoyed taking this culinary journey with us. Do not hesitate to let us know which was your favorite, for we will consume it here on your behalf. Off to the jungle tomorrow, ciao!

Xoxo,
Chlo

Monday, July 18, 2011

Completion of Belen Surveys/ Weekend Replay

Hola todos!

We have some good news to share: Today we completed our surveys and water sampling in Belen!

Our initial goal here was to visit/survey 40 private residences in Belen's upper and lower zones and collect potable water samples in each location. Due to slight complications involving 5 homes not having readily available potable-water reserves during the time of our visit, we upped our survey number to 50 homes and finished up with a total of 45 water samples. According to the microbiology lab we're working with, the water sample results should be ready in a week or so -- We'll provide updates as soon as we've received and reviewed this data.

Here's a quick rundown of Friday's and today's (Monday's) adventures in Belen:

On Friday morning we met with our trusted guides, Roger and Pablo, and spent the morning surveying 15 homes in Belen's Zona Alta or "Upper Zone." The Zona Alta is a fairly picturesque portion of the municipality that boasts, from certain vantage points, an excellent view of Rio Itaya. The majority of houses here are cement-and-brick constructs, standing in sharp contrast to the casas balsas (floating wooden houses) and casas elevadas ("elevated houses" atop wooden stilts) seen in Lower Belen. A significant number of houses here seem to prefer paying for home-delivered, bottled water over consuming water from the tap.

Fast forward to today: Monday, July 18. This morning we again met with Roger and Pablo and began Day No. 4 of our Belen surveys. We opted to visit both Lower and Upper Belen, completing 5 surveys within each zone, bringing today's total to 10 and our overall Belen total to 50. We're currently working on compiling our survey/questionnaire results and will begin integrating the lab's water analysis data as soon as we receive it.

As far as leisure activities are concerned, we're doing quite well on that front, too. Friday afternoon saw us lounging at Casa Fitzcarraldo, a local hostel featuring copious comfy hammocks, perfect blue pool waters and a phenomenal/phenomenally high treehouse that rivals anything depicted in "Swiss Family Robinson."

Such great heights: A dizzyingly high treehouse overlooks
the swimming area at Casa Fitzcarraldo.


Saturday can effectively be summarized in one sentence: PERU GANA (PERU WINS)!!!! In case you haven't heard, Peru's men's soccer team enjoyed a strong 2-0 victory over Colombia in the quarter-final round of Copa America 2011. And hey, we're pretty excited about it!

On Sunday we enjoyed a relaxing excursion to Santo Tomás, a village located on the Rio Nanay, a tributary of the Amazon. After a relaxing lunch at our new friend Pepe's house, we took a boat ride to a nearby floating bar/fishing platform on an exceptionally calm stretch of the Nanay. While slightly hesitant at first, we eventually all dove into the murky -- but incredibly refreshing -- river water for a quick swimming session.


At Santo Tomas: A small passenger boat begins a trip up the Rio Nanay.

And that about sums up the last several days. We'll provide you with more updates from our trip in the very near future.


Cheers!
Derek