Vaccination Week

For the month of July we’ve spend most of our time visiting communities to give goat health training and perform house visits and vaccination days. Last week we visited 6 communities. At each community meeting we discussed some steps of good goat husbandry. These steps include providing clean water, a variety of good quality food, a sturdy raised goat pen, proper hygiene, vaccination yearly, deworming every 3 months and spraying weekly for ticks. These trainings are designed to help the beneficiaries and other community members understand what they can do to improve the health and production of their goat herds. 

Joseph speaking at a community meeting in Nyamuyangi.

We’ve also started visiting individual houses with the paravets. House visits allow us to talk with the beneficiaries one on one about their struggles with goat health, income generation and their families. We offer to help the paravet vaccinate, deworm and give other treatments to their goats at that time for a discounted price. This is a great opportunity for the beneficiaries to vaccinate their goats which would otherwise not occur because the paravets are often unable to store vaccines due to limited access to refrigeration. It is also an opportunity for the paravets to gain respect in the community, demonstrate their knowledge and practice their skills. With our assistance we were able to ensure they received payment for the services which has been a frequent problem in the past. Receiving this payment is critical because it allows the paravets to be able to purchase new medication to restock their kits and provide further services for other community members.

 Janet examining a goat with a previous eye infection.

 Getting ready to vaccinate.

 Elad teaching a new potential paravet how to give a subcutaneous injection.

Saturday afternoon, Dr. Claire Card arrived! We are very much looking forward to working with her for the rest of the summer. We hope to gain more insight from all her knowledge and past experiences on the project. We were also joined by fellow WCVM student Adam Bentley this weekend. He will be spending the next week working with us. Adam is a 2^nd year vet student who has been in Uganda for the last 2 months working with the student for development project - a leadership and community placement "One Health" project.

Yesterday we celebrated Shafiq’s 21^st birthday. Shafiq is a FAOC summer intern who works very closely with us in the field. He is studying Women’s Studies at Mbarara University and he is a wonderful translator and great asset to the project. Shafiq’s friends Brenda and Tom (also a FAOC volunteer) joined us as well and we celebrated with a strawberry birthday cake and cookies courtesy of Claire. 

Shafiq's birthday (receiving blessings)

We are preparing for another goat pass out day which will take place this Friday, July 19^th. During our house visits we have been able to identify the women who will become our new beneficiaries. We are very proud of all the hard work the women have put in to preparing to receive their goats and are very excited about this next goat pass out.

 The group at the Rweiziringiro community meeting.

Birthday celebrations with the whole group!

A wonderful week

Today is my last day in Uganda and I have made a full circle and am sitting right where I began 7 weeks ago at Green Valley in Entebbe, waiting for my red eye to depart. Today I walked through the market, drank a Stoney, ate a rolex and had my last conversations with Boda drivers – all things about this beautiful country that I will miss very much. I am on my way back to Canada to stand up with my best friend on her wedding, but I am leaving a place and a project that has become very dear to me, so currently my feelings are a mixture of excitement and sadness. This is also the first time I have been without at least one of my travel companions, and I sort of feel like I am doing everything with my left hand – I sure will miss our little family! But before I get too sentimental, I would like to recap some very good days we had last week on the Project.

The day after our goat pass out we made our way back to the FAOC demonstration farm and conducted paravet refresher training. We had 14 of our current paravets attend the training and we discussed some of the issues they are facing such as dealing with not getting paid and not being respected in their communities.

 After our initial discussions we made sure everyone was on the same page regarding payment and then revised the price list

 

The most exciting part of the meeting was when we gave out bags of colostrum donated by Saskatoon Colostrum (www.saskatooncolostrum.com), a company founded by Dr. Debbie Hanes who is also a professor at WCVM. The women were very interested in the product and we spent about an hour answering their questions and explaining how, why and when to use it. We would like to say a big thank you to the staff at Saskatoon Colostrum for their generous donation and to Katie Nicol for carting it all the way from Saskatoon!

 When the colostrum bags came out, many women put on glasses and took out notebooks. We were encouraged to see their eagerness to learn and impressed by all the questions they asked.

This is Margaret, a paravet and chairperson for the Akatete group. She is also my self-proclaimed mother-in-law since she has decided I should marry her son.

So once the paravets had left with their colostrum we were free for the evening, which was lucky since we had to celebrate the birthday of my a special Ms. Dedden. We went out to a local hotel for supper and afterwards, while watching the Confederation Cup semi final soccer match between Uruguay and Brazil (yes, I just had to Google the tournament name); we met 2 veterinarians from Brazil who had been working with dairy cattle. The evening flew by since the Brazilians were in a very good mood at the end of the game and everyone was happy to “talk shop” for a while.

  Awkward family photo number 2

The next morning we prepared for community training and headed out to Kabelebele, the main village in the district we work in, to spend the night with our good friend and translator Shafiq. He and his mother have a lovely house and they were excellent hosts, with our only complaint being that we could not even come close to eating as much as Shafiq’s mom expected.

 Here is the kitchen where our many large meals were prepared, one of which was a beef stew made with the typical stewing beef, plus rumen and intestine – it was a first taste for everyone and, as usual, Elad did the best at cleaning his plate.

We DID manage to finish one meal, but only because we strongly suggested that we did not need to have any matooke to go with our rice and beans.

On Friday afternoon we held a training session where we invited the communities within walking distance of the FAOC demonstration farm to come learn more about goat production. We also encouraged the paravets to attend the training and called on them to give their perspective on each of our main points while we presented “the seven steps of raising a healthy goat”. 

 About 60 beneficiaries and 6 paravets attended the training. We hope to hold another training day for the more distant communities later in the summer.

 

We hope that having the paravets teach will help build respect in their communities and give them confidence to continue this type of training with individual beneficiaries after we leave.

 

The night ended at the FAOC office rather ironically with a goat barbeque. To quote Elad, “we treat ‘em, then we eat ‘em”. We celebrated the successful Day of the African child, Ilse’s birthday and the end of my time in Mbarara with food and some dancing. The FAOC staff sang and used water bottles as drums and showed us some “dancing strokes”, and, naturally, we got Cadillac Ranch playing on Youtube and showed them how to line dance.

I had planned to leave Mbarara early on Saturday morning to start the long trek home, but typical of African “planning”, we ended up on another adventure. One of the paravet’s baby girls was sick, and needed our help to get a referral letter so she could go to a hospital in Mbarara. We travelled to the farthest community in the Isingiro district to find a very understaffed health center. Being Muzungus, we were immediately allowed to see the doctor who quickly wrote the letter we required, but it was a hard moment to walk by a line of a many women and children waiting, in order to get better care for just one. However, we were very happy to see the little girl and her parents to a hospital where she was admitted right away and started to receive the care she needs.

My last Ugandan activity was to travel north to Mukono to find the Kibooba Village Memorial Orphanage Care Center where students from Global Vets spent a week last summer. My mission was to deliver their gift of a digital camera and see how the orphanage was fairing. I met with the headmaster and it seems the school has many funding challenges and cannot afford scholastic materials or teacher’s salaries. Their goal is to provide education for the many orphans in the area, but it is difficult to obtain school fees from such children who often have very little financial support from their caregivers.

These teachers at Kibooba teach about 93 students

 

Last year, the Global Vets students helped construct a building for chickens and provided them with chicks, but unfortunately all the birds died before they could start generating income. The orphanage would like to start raising chickens again, but lacks the capital for the initial investment.

I did, however, find one very cute resident in the chicken barn. 

 The orphanage also owns 2 cows and 3 pigs and gets some income from them, so I suggested they could use some funds to begin buying some laying hens. 

I hope that next year, students from global vets can return to the orphanage to support these people since they have great potential for success, but face many challenges.

So overall it was a busy week but I think it was the most rewarding time I spent in Uganda since we were able to spend a lot of time in the communities and accomplished many of our summer goals. I thought I would leave with a picture of the 5 of us in the back of a car. It is a bit blurry, but just so typical of our experience here- not always the most comfortable, but look how big our smiles are!

The Goat Pass Out Ceremony

The goat pass out ceremony is certainly the highlight of our project. It's the Super Bowl for vet students working on goats in Uganda. Held at the FAOC demonstration farm, it is a day-long event that is meant to both celebrate the women's hard work in preparing to receive a goat and educate them on basic goat husbandry and the pass-on system. From our perspective it's a day full of promise and hope - hope that the women receiving the goats can use this opportunity to raise a small goat herd and generate some much needed income for the many children and grandchildren in their care.

A lot of preparation leading up to the pass-out ceremony has taken place in the last couple weeks. We've been visiting households in the communities to identify vulnerable women who could qualify as beneficiaries. Working with FAOC, we identified 21 women and 1 man who are the caretakers and providers for vulnerable and orphaned children. Almost all of them were widowed, often due to
HIV/AIDS, and most were subsistence farmers who work tirelessly to provide for the many children in their care. In addition, to qualify they must have built a suitable goat pen and demonstrated the desire and capacity to provide for their goats. We can't thank the dedicated staff at the Foundation for AIDS Orphaned Children (FAOC) enough for their hard work and long days in the community with us. And while our Runyankole is improving, their translation probably helped a bit, too.

Katie and Tara visiting the Kishuro group

Last week we began the process of selecting goats to purchase for the pass-out ceremony. Our main criteria were healthy Brucella-free young female goats. This would give our beneficiaries the best chances of getting their goats bred as soon as possible so they can pass-on and then start their own herd. We went to four different farms and took blood samples to test for Brucella - a leading cause of abortion for livestock in Uganda. We then arranged to purchase the Brucella negative goats - and also let the farmers know which goats are Brucella-positive so they can be culled from their herds. Dr. Joseph Ruhinda, a veterinarian working with NARO (the National Agricultural Research Organization in Uganda) was kind enough to take us through the steps of testing for Brucella and also provided the contacts for the many goat farmers we visited. We owe a huge debt of gratitude to Dr. Joseph (doctors are affectionately referred to by their first names in Uganda).

Devon drawing blood

Brucella-testing

On Monday we arranged to rent a truck and pick up our goats. Another interesting tidbit is that renting a truck in Uganda also means renting a driver for the day. This made things a little tighter for space than we hoped, but we long ago learned to just roll with the punches for these sorts of things. "Oh, we have another person to take with us all day. Sounds good". It could have been worse - we thought we'd need multiple trips to transport 35 goats in a relatively small pick-up. We were wrong again.

After taking taxis for the last five weeks in Uganda, we know exactly how they feel

We were also able to purchase some goats from the FAOC social business. The social business was started last year by FAOC and Dr. Steve Kruzeniski, a WCVM grad and Vets Without Borders alumnus. The social business arranges to purchase goats from our vulnerable beneficiaries to ensure they get a fair price for their goats since they often are forced into taking prices well below market value. We were very proud to be able to purchase goats from former beneficiaries!

Once we had all of our goats we brought then to the FAOC demonstation farm where we dewormed, vaccinated, hoof trimmed and spray for ticks. The goats then got to settle down for the night before the pass-out ceremony the next day.

 Hoof trimming

 Vaccinating

Stylishly vaccinating

When goats who don't know each other are mixed, there's often a lot of head-butting as they jockey to establish a new dominance hierarchy. While this is normal, sometimes it can lead to the small goats getting bullied just a little too often. That's when we step in to police them a bit. 

You have to speak their language

The goat pass-out ceremony began with a 90 minute husbandry training session. We covered the main issues that we want to beneficiaries to focus on - deworming their goats every 3 months, vaccinating yearly, spraying for ticks and providing enough feed and water. Whenever possible, we encouraged the members to teach each other good tips and husbandry practices. We also stressed the importance of using the paravet regularly to ensure their goats remain healthy. Preventative medicine is not ingrained in Uganda as it is for North American producers so we repeated over and over again how important it is to keep up with vaccination and deworming before the goats get "sick".

One of the paravets explaining how to use the dewormer

Joseph, one of the FAOC extension workers, speaking to the beneficiaries

We also explained how the goats we are giving out are not "gifts" and that it is the responsibility of the beneficiaries to pass-on to keep the project going. Once the beneficiaries have given one kid to another group member and sold one to provide money to their group's revolving fund they can keep all future kids and increase their herd size. The community's revolving fund is basically a small-scale micro-finance fund that provides the women access to small loans to cover everything from school fees to loans for goat care or other business opportunities. Many communities have very successfully build up their revolving fund from selling goats from the pass-on.

   Tara explaining the pass-on 

We arranged for one of the paravets to cook lunch for everyone in attendance and after a much larger than expected plate of matooke, beans, sweet potato, and posho (maize meal) we were ready to pass out the goats!

Finally handing over the goats to the women was an unforgettable experience. I couldn't be happier to have shared the experience with such a hard-working team as Devon, Ilse, Katie, Tara, and our dedicated FAOC staff workers Vivian, Joseph and Shafiq who we worked so closely with in the field over the past five weeks. And to see these hard-working and always cheerful women finally receive their goats was truly something special.

We would like to sincerely thank all of you who donated money to purchase goats - and a big thank you to Barbara Souther for coordinating all of our fundraising. This project is something special and we are very grateful to have the support of friends and family back home. Many women in the communities around Kaberebere, Uganda have all been given a real opportunity to provide for their grandchildren thanks to you.

In addition to Devon’s blog entry, here is a little recap of our last day with Dr. Siefert:

June 13^th, 2013

Today we have officially been in Uganda for one month. The time seems to be passing very quickly while at the same time it feels like we've been here for much longer. We were able to join Dr. Seifert tracking lions today and the mission was to find a lioness named Bridget to treat her for a potential eye infection. With help from James, Dr. Siefert’s field assistant, we were able to find her without too much trouble lounging in the shade of an ant hill. Bridget is one of the radio collared lionesses in the pride that Dr. Seifert monitors regularly.

It was interesting to learn about the technique that is used to dart gun lions. Dr. Seifert showed us the combination of Telazol and Medetomidine, calculated according to an estimation of Bridget's weight (120kg). After preparing the dart gun and equipment Dr. Seifert darted and anesthetized Bridget smoothly. She was quite startled at first, jumping up and looking for the source of the " bite"' but then calmly walked away a distance before lying down. It was explained to us that this is a normal reaction and many lions think they’ve just been bitten by a large tsetse fly!

We had about an hour to work without risk of her waking up. Since she had gone down in a very sunny spot, we rolled her onto a blanket and 6 of us carried her to a shady spot to work. Dr. Seifert applied local Oxytetracycline antibiotic to her eye and gave an intramuscular injection of long acting Oxytetracycline. We were all eager to help with monitoring, physical exam, and TPR (temperature, pulse and respiration). We also removed a number of ticks and Ilse drew blood to bring back to the lab. Blood, tick and saliva swab samples will be assessed for a number of diseases including but not limited to Rabies, Filariasis and Babesiosis.

Once we were finished working, cold water was poured over Bridget to cool her down and she received an injection of Atipamezole to reverse the sedation. We retreated in the land rover to a safe distance and watched to ensure she safely woke up. After about 10 minutes she sat up with the towel that had been placed over her eyes in her mouth. It was very cute! Convinced that she was now awake enough to defend herself against any other wildlife we left her in the shade of the trees and began our drive back to the main road. All in all a very interesting and exciting day!

Day of the African Child, June 14^th, 2013

The next day we caught a taxi (matatu) back to Mbarara where we helped with Day of the African child in the afternoon. Day of the African Child, http://dayoftheafricanchild.org/, is an annual event throughout Africa. It occurs during the month of June and NGOs and partners celebrate children and raise awareness for child related issues in Africa. The message this year was “Eliminating Harmful Social and Cultural Practices Affecting Children: Our Collective Responsibility”.

There were a number of activities and games for the children such as face painting, story time and a very brief soccer game. We discovered it is very difficult to organise a soccer game with hundreds of children and the ball popped within 10 minutes, but they had fun while it lasted! The children loved our cameras and were very eager to have their pictures taken with everyone. There were songs and skits by the children to demonstrate some of the issues they face, and an awards ceremony to acknowledge all the partners involved. We all really enjoyed being part of this special day, thanks to FAOC and partners for organising such a successful event! 

Hello again!

I wrote this blog post in a few stages, but the main purpose is to summarize part of our week spent with Dr Ludwig Seifert, an excellent wildlife vet who has worked in Uganda for more than 30 years. To give a little background, we are staying in little student rooms on the Mweya Peninsula in Queen Elizabeth National Park, which is home to many species of wildlife. One memorable night this week we saw a leopard walking into the trees, watched elephants strolling a few meters from our door and opened the curtains to see a hippo munching some grass behind our rooms.

The first few days we spent time helping out with a human disease screening project, and I wrote some of the following paragraphs while I was waiting to enter patient data:

I am sitting in a warm room in the back corner of a run-down medical clinic in Muhokya, where we have been since 8:00 this morning. There are scuffed yellow walls with HIV posters hung up with band aids or masking tape, and a lineup of patient people waiting to receive an ultrasound. Tara is standing behind Dr. Eberhard Zehyle as he runs the ultrasound probe over a woman’s abdomen, Elad is taking notes while watching the ultrasound screen, Katie is drinking water to stay hydrated in this stuffy place, and Ilse and I are recording patient information. We switch back and forth doing different things and I am on the job of initial patient identification, which leaves a bit of time to write as there is a current back up at the “long survey” station Ilse is running.

Here is the typical scene - everyone with a job to do

This guy was my buddy when I was taking a water break, but when he came to get tested, he was terrified! Our translator said he was screaming "I'm dying!!!" while getting his ultrasound

Our 2 translators and Dr. Zehyle at the end of a long day, walking back from the medical center

The purpose of today is to screen for Hydatid disease, which is caused by a very interesting parasite called Echinococcus. I have copied a picture from our parasitology notes, courtesy of Dr. Polley at the University of Saskatchewan, to better explain why this is such a cool parasite to study, especially in this part of the world. The main route of human infection is through contact with eggs found in dog feces. Once the eggs are ingested, the larvae move through the blood stream and can cause cysts to form in various organs, but most commonly the liver.  Humans act as an "incidental host" which means they do not transmit the disease back to dogs like the moose (or Hartebeast of Water Buffalo), but they are still susceptible to cyst formation. If the disease is caught early it can be successfully treated with drugs, but later in its course, it requires surgery. Due to the presence of lions, leopards, and other carnivores in African countries like Uganda, some scientists speculate that these species could also transmit this parasite to humans. In addition, there are also many different herbivores including goats, buffalo, and countless types of antelope which could take on the role of the “intermediate host”. Such zoonotic diseases highlight the important relationship between human and animal health, often referred to as “One Health”.

Here is Dr. Polley's life cycle- I added a few pictures to the original

In working with a few villages in Queen, I have learned a lot about One Health. We are lucky that Dr. Seifert is so passionate about teaching students, not just about wildlife medicine, but also about some of the complex social issues which have a huge impact on wildlife conservation. I find myself very inspired by the people like Dr. Seifert who continue to work here to promote wildlife conservation and community development.

The people Katie and I collected initial information from while they patiently waited for their scan

We had a lot of fun - the women were very patient with our broken Ryankole (their local language)

 

It was a long day for these women, and we also made a new little friend

So after 3 days helping out with the ultrasound clinic, we saw about 400 patients and around 10 positives for Hydatid Disease. The doctors carrying out the study hope to organize treatment for these patients, and hopefully we were able to educate some people about how to break the disease cycle. Overall, it was a worthwhile experience and I definitely learned a lot about the human-animal health connection in the people living in Queen. Our last day spent with Dr. Seifert was very exciting, but I think I will let Tara tell you about our experience with “the lion man”.

Cheers!

Devon

Ps. (This is a VERY critical paragraph for all our readers) I am starting to get concerned about Elad. Whenever I leave my computer open he writes flattering blog articles about himself. Although, he definitely did impress me today. He’s basically my mentor. I’m not sure what I would do without him. I’d be completely lost! Yep, he sure is the best.

  

Here we all are with Dr. Zehyle at the end of our 3 days of work

Lastly, I could not help putting up this picture I snapped while driving out to our work - we had a sort of a stand off with this guy. He did NOT want to leave the road, so he shook his ears at us and we had to back up the land rover for a km or so until he became more interested in the Acacia trees.