He was extremely informative in his data and assessments. He said they were not only treating young women, but children as well in the AIDS facility, many of whom had been raped, and then shunned by their tribes once they were no longer virgins, worse yet if they got pregnant. Their families could no longer marry them off, so they were useless in trade for livestock, land, or currency. And once they got sick, they were almost always abandoned. The number of AIDSaffected men and women was shocking, and the fact that it continued to rise was even more alarming. He said their patients were also suffering from tuberculosis, malaria, kala azar (a form of black fever), and sleeping sickness.
“We're emptying the ocean with a thimble,” he said, outlining the situation for them in words that left no doubt as to how desperate the situation of their patients was, many of them refugees from border disputes with Ethiopia in the years before the truce. He also said the truce was somewhat uneasy as Ethiopia continued to lust after Massawa, Eritrea's port on the Red Sea. “All we can do is care for them, make them comfortable, and help some of them until they die. And try to educate others about the prevention of disease.” It was a daunting prospect, as Christianna listened to him, and Samuel and Max also asked him a number of questions. Theirs wasn't a dangerous mission, but it was a depressing one. Their mortality rate was high, a hundred percent among those with AIDS. Most of the women and children who came to them were too far advanced in the disease for it to be arrested, controlled, or forced into some form of remission. One of their main goals, he said, was to prevent new mothers from passing on AIDS to their newborns, by giving both mother and infant medication and convincing them not to breast-feed. Culturally and practically difficult since many of them were so poor, they sold the formula given to them and continued to breast-feed because it was cheaper, and then the babies got AIDS too. It was a constant uphill battle, according to him, to educate and treat them, when they could. “We do what we can for them, but we can't always do a lot, depending on the situation. Sometimes we have to accept that too.” He also mentioned that Doctors Without Borders came through the area frequently and gave them a hand. They were grateful for help from other organizations as well, not just the Red Cross, although a hundred percent of their funding came from them. The local government was too poor to be of any help. He said they were planning to ask some foundations to contribute, but they hadn't had time to write the grant requests yet. Christianna thought she'd like to help eventually, thinking of their own foundation, which contributed generously to situations similar to this. She would learn more about their needs in the coming weeks and months, and talk to the foundation about it when she went back.
It took them five hours to reach the camp. They talked almost all the way. Geoff was a pleasant, obviously kind and compassionate, interesting man, with a vast knowledge about the continent where he lived, and the agonies that plagued it, most of which could not be fixed, for now, and probably wouldn't be for a long time. But he and those he worked with were doing all they could to change that.
Christianna finally fell asleep for the last few minutes of the bus trip, despite the constant rattling, shaking, noise, and appalling fumes that the bus emitted. She was so tired she could have slept through a bomb at that point. She woke up with a start when Max touched her arm. They were in the camp, and the bus was surrounded by Red Cross workers, watching with curiosity to see the three new workers who were about to arrive. They had all been talking about them for weeks. All they knew was that they were two men and a woman, and that they came from somewhere in Europe. There was some vague rumor that they were all Swiss, someone else said they were German, then they thought the men were German, the woman Swiss. No one had mentioned Liechtenstein to them. They were perhaps confused since their stay and arrival had been set up by the Geneva office. But whoever they were, they were more than welcome, and desperately needed at the camp. Even if not doctors or nurses, at least they were willing hearts and hands.
As Christianna looked around, she saw a dozen people staring at her, all of them in assorted informal garb. Shorts, jeans, T-shirts, hiking boots, the women with short hair, or tied up under scarves, several of them had white doctors' coats on, the women as well. She saw one middle-aged woman with a weathered face, a warm smile, and a stethoscope around her neck. There was a very pretty one, tall, with dark hair, who was looking into the bus intently with a native child in her arms. There seemed to be roughly an equal division between women and men. And the age range seemed to span from Christianna's age, or somewhere in that vicinity, to a few faces that looked nearly twice her age. Standing among them were a handful of local workers wearing colorful native garb, some of whom were holding children by the hand. The center itself, at the hub of the compound, looked like a cluster of freshly painted white huts. And on either side were a series of large, almost military-looking tents.
Geoff held a hand out to her, in spite of her lofty position, to steady her as she got out of the bus onto uneven ground. Christianna smiled at him, and then glanced at the others shyly, as Samuel and Max came out of the bus carrying their bags. Christianna looked just rumpled and sloppy enough after the long trip not to stand out, as one by one the waiting band of workers approached.
Geoff introduced the older woman first. Her name was Mary Walker, and as the stethoscope suggested she was a physician. She was British, and the head of their program that dealt with AIDS. She had white hair hanging in a long braid down her back, a heavily lined smiling face, and piercing blue eyes. She reminded Christianna instantly of Marque. She shook Christianna's hand with a strong, sure handshake of her own and welcomed her warmly to the camp. There were two other women standing beside her, one a pretty young Irish girl with curly black hair and green eyes. She was a midwife, and drove all over Debub, in the outlying areas, delivering babies, and bringing them, or their mothers, back to the camp when they were sick. Next to her was a young American woman, who, like Geoff, had grown up in Capetown. She had gone to college in the States, but missed Africa too much, as they all did when they left.
And once they met, and he had told her about the place where he was working, she had agreed to join Geoff here. Her name was Maggie, and Christianna rapidly realized, as Geoff put an arm around her once she approached, that Maggie and Geoff were romantically involved. Maggie was a nurse. She gave Christianna a warm hug of welcome. The Irish girl introduced herself as Fiona with a broad, mischievous grin. She was quick to shake Christianna's hand and welcome her.
The four men who were standing around introduced themselves in rapid succession. Two were German, one was French, and the fourth was Swiss, and all appeared to be somewhere in their thirties: Klaus, Ernst, Didier, and Karl. And finally, the tall dark-haired young woman with the child in her arms came forward and shook hands with Christianna and the two men. She had beautiful eyes and a serious face. Her name was Laure, and she was French. She seemed much more reserved than the others, and Christianna wondered if she was shy. She spoke to her in French, but even then the tall beautiful young woman didn't warm up much. Her attitude bordered on hostile. Geoff explained that she had been with UNICEF for several years, and had been in Senafe with them for several months. Geoff and Mary were the only doctors in the group, Fiona the only midwife, Maggie the only nurse. The others were all benevolent, caring, hardworking, conscientious people who had come to Senafe to make a difference, in whatever way they could, like Christianna herself.
The camp was actually on the outskirts of Senafe, in the subzone of Debub, in the north, near the Ethiopian border, which would have been worrisome in the years before the truce, but no longer was. It was peaceful here now, and fairly remote. As Christianna continued to look around, she was struck by the beauty of the African women who were standing just beyond the group, smiling shyly, in colorful costumes, with lots of jewelry in their hair, on their ears, and around their necks. There were six more residents working at the center, four women and two men, all of whom were talking to women or children in the huts, and hadn't been able to come out and greet the new arrivals. But there was an ever-growing group of exotically dressed African women who stood staring and smiling at the threesome that had just gotten off the bus.