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Activity Report 2010 - Sovereign Military Order of Malta in the United ...

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Congo<br />

Build<strong>in</strong>g a different future<br />

TOTAL AREA:<br />

2,345,410 sq km<br />

POPULATION:<br />

68,692,542<br />

GDP<br />

PER CAPITA:<br />

$300<br />

LIFE EXPECTANCY<br />

AT BIRTH:<br />

54.36 years<br />

A fly<strong>in</strong>g visit to Democratic<br />

Republic <strong>of</strong> Congo leaves<br />

a last<strong>in</strong>g impression: <strong>the</strong>re is<br />

much work to be done to help<br />

victims <strong>of</strong> disease and<br />

<strong>of</strong> violence.<br />

Dis<strong>in</strong>fect<strong>in</strong>g a village house<br />

from <strong>the</strong> plague<br />

Malteser International has<br />

been active <strong>in</strong> <strong>the</strong> breathtak<strong>in</strong>gly<br />

beautiful region<br />

<strong>of</strong> Ituri and Haut Uélé,<br />

near <strong>the</strong> Nor<strong>the</strong>rn border<br />

with Uganda, s<strong>in</strong>ce 1966.<br />

Initially, activities consisted <strong>of</strong> assist<strong>in</strong>g<br />

<strong>the</strong> Diocese <strong>of</strong> Mahagi <strong>in</strong> <strong>the</strong> distribution<br />

<strong>of</strong> medic<strong>in</strong>es.<br />

This year <strong>the</strong>y opened two large pharmaceutical<br />

warehouses <strong>in</strong> Mahagi and<br />

Ariwara, which supply two medical<br />

districts with 2,000,000 <strong>in</strong>habitants.<br />

Very soon it became apparent that two<br />

major health problems needed to be<br />

addressed: <strong>the</strong> plague (which is<br />

endemic <strong>in</strong> <strong>the</strong> area) and sexual violence<br />

(which had escalated dramatically s<strong>in</strong>ce<br />

<strong>the</strong> second Congolese war <strong>in</strong> 1998-<br />

2003).<br />

In both cases <strong>the</strong> problem is communication.<br />

As far as sexual violence is<br />

concerned, <strong>the</strong> numbers are still very<br />

high: each month <strong>the</strong>re are at least 400<br />

new reported cases. The women now<br />

know that if <strong>the</strong>y come to <strong>the</strong> Buu centre<br />

with<strong>in</strong> 72 hours <strong>of</strong> be<strong>in</strong>g raped <strong>the</strong>y will<br />

be given post exposure prophylaxis,<br />

which m<strong>in</strong>imises <strong>the</strong> risk to contract<strong>in</strong>g<br />

AIDS or sexually transmitted diseases.<br />

Also, should <strong>the</strong>y become pregnant as a<br />

consequence <strong>of</strong> be<strong>in</strong>g raped, <strong>the</strong>y will<br />

receive assistance dur<strong>in</strong>g <strong>the</strong>ir<br />

pregnancy. All victims and, if possible,<br />

<strong>the</strong>ir partners and families are given<br />

expert counsell<strong>in</strong>g <strong>in</strong> order to fight <strong>the</strong><br />

stigma connected with rape, which<br />

normally resulted <strong>in</strong> <strong>the</strong>se women be<strong>in</strong>g<br />

rejected by <strong>the</strong>ir families and villages.<br />

But <strong>the</strong> Black Death still rages<br />

From Buu we visit <strong>the</strong> Ndrele Health<br />

Centre, which has achieved outstand<strong>in</strong>g<br />

success <strong>in</strong> <strong>the</strong> treatment <strong>of</strong> <strong>the</strong> plague.<br />

It seems almost impossible that <strong>the</strong><br />

‘Black Death’ <strong>of</strong> <strong>the</strong> Middle Ages, which<br />

had at one po<strong>in</strong>t killed one third <strong>of</strong> <strong>the</strong><br />

European population, could be<br />

prevented and treated simply by tra<strong>in</strong><strong>in</strong>g<br />

and educat<strong>in</strong>g <strong>the</strong> people at risk.<br />

Alphons<strong>in</strong>e, a strong look<strong>in</strong>g middleaged<br />

woman, is one <strong>of</strong> this breed <strong>of</strong><br />

survivors. She probably cannot read or<br />

write, but when she woke up one<br />

morn<strong>in</strong>g feel<strong>in</strong>g feverish with a<br />

headache and very pa<strong>in</strong>ful underarm<br />

lymph nodes she thought back and<br />

remembered hav<strong>in</strong>g seen some dead<br />

rats around her house. So she asked<br />

her neighbours to take her to hospital<br />

where she received immediate<br />

treatment and was discharged with<strong>in</strong> a<br />

few days – and without pay<strong>in</strong>g a cent,<br />

she added with a huge smile!<br />

Before leav<strong>in</strong>g Ndrele we have <strong>the</strong><br />

opportunity <strong>of</strong> watch<strong>in</strong>g a dis<strong>in</strong>festation<br />

campaign. Two men with special<br />

cloth<strong>in</strong>g and masks spray all <strong>the</strong> huts<br />

and <strong>the</strong> surround<strong>in</strong>g area with<strong>in</strong> a 200<br />

metre radius from Alphons<strong>in</strong>e’s hut.<br />

Start<strong>in</strong>g from <strong>the</strong> outer perimeter <strong>the</strong>y<br />

<strong>the</strong>n converge towards Alphons<strong>in</strong>e’s hut<br />

to <strong>the</strong> delight and amusement <strong>of</strong> <strong>the</strong><br />

whole village. The downside <strong>of</strong> this is<br />

that unfortunately this procedure is very<br />

expensive: <strong>the</strong> yearly cost is €300,000.<br />

When we leave, and <strong>in</strong>evitably once<br />

aga<strong>in</strong> we leave part <strong>of</strong> our hearts with<br />

our black bro<strong>the</strong>rs and sisters who<br />

struggle so bravely aga<strong>in</strong>st <strong>the</strong>ir adversities,<br />

we are chased by all <strong>the</strong> schoolchildren<br />

<strong>of</strong> Ndrele <strong>in</strong> <strong>the</strong>ir blue and<br />

34<br />

SOVEREIGN MILITARY HOSPITALLER ORDER OF ST. JOHN OF JERUSALEM OF RHODES AND OF MALTA

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