Yet another Annual Update: my year 2011 in 67 photos

Dear family, friends, and those who fit into both (or other) categories, this is that once-yearly mass email I send out and post to my blog to bore you with the details of 365 days of my life. It’s safe for work, except that you might fall asleep face first on your keyboard while reading it, thus creating a small commotion in your office.

The short version:

And now for the extended version, with a sprinkling of photos, some of which I’ve put within sentences (how clever).

When 2011 started off, I was nearing the end of a super fun three week holiday in Vancouver. Technically speaking, when 2011 started off I was on a dance floor surrounded by green lasers

Laser green goblin

…and booming bass, doing my best to jump up and down and side to side in what I hoped might be mistaken for dancing, while wearing a Buzz Lightyear costume with glowsticks lighting my flightpath at the wingtips.

Buzz Lightyear

All good things come to an end, however, and by January 2nd I was sitting back comfortably in a Vancouver International Airport departure lounge. The fact that I can show a little piece of plastic to a company and they then let me sit in a chair, in the middle of the sky, speeding over the land and sea at sometimes over 900 km/h, still amazes me. Two days of travelling took me back to work in Juba, South Sudan, where I had two months remaining on my contract. On January 9th I was lucky enough to witness the referendum on secession that resulted in South Sudan becoming the world’s newest country six months later.

Biggest polling station in South Sudan's referendum on independence in Juba, South Sudan

I also witnessed the delivery of, and first flight of, South Sudan’s first air force

South Sudan Air Force Mi-28 transport helicopter, Juba

…went hiking up Jebel Kujur to take a Sunday mid-morning nap…

Taking a nap atop Jebel Kujur, Juba

…and got a guided tour of the Physical Rehabilitation Reference Centre run jointly by the International Committee of the Red Cross (ICRC) and the South Sudan Ministry of Gender, Child and Social Welfare:

Touring the PRRC in Juba, South Sudan
Artificial foot at the PRRC in Juba, South Sudan

In my final week in South Sudan, I just barely managed to make it to see Juba’s best kept Engrish secret, the manure cure shop:

Thong Ping Salon, Juba, South Sudan

After leaving South Sudan, I spent the last week of February visiting friends in the UK. Within hours of landing at Heathrow, I was in real doctor’s scrubs in London, complete with anti-bacterial silver oxide thread participating in the Imperial College med school’s time-honoured, purely academic activity known as the Circle Line Pub Crawl with my friend Aidan and his fellow future doctors.

Circle Line Pub Crawl with Imperial College medical students

I also visited my friend Jackie in Cambridge, where we went to a show and the next day I took a long walk along the River Cam…

Narrowboats and rowing clubs on the River Cam in Cambridge, England

…and then Fraser and Kate in Abergavenny, where Fraser and I went mountain biking

Fraser above Abergavenny, Wales

and also saw my friends Katie and Louise in Oxford before hopping on a plane to return to Vancouver at the beginning of March. While waiting for my plane, I saw the mythical Airbus A380 roll by, the largest passenger aircraft in the world:

Qantas Airbus A380 at Heathrow Airport

I spent the next three months waiting in Vancouver to go somewhere new and unknown. I filled my time sleeping with no alarm, going to physiotherapy for my knee, building a couple of custom single speed bicycles (one for my sister, one for me)…

Custom single speed freewheel bicycle for Lisa
BumbleBike custom single speed freewheel bicycle for me

…checking the forecast for days when I could comfortably take my motorcycle out on the town (there were very few of these days in what was apparently Vancouver’s wettest and coldest spring in the last half century)…

Honda CM400T motorcycle

…and watching the Vancouver Canucks make it all the way to the Stanley Cup Finals for the first time since I was 10 years old. The city came alive like nothing I’ve seen (I was in London for the 2010 Vancouver-Whistler Olympics, living 5 minutes from one of the 2012 Olympic sites, so I missed out on all that craziness), with free taxi rides, SkyTrain antics, downtown street parties, and all kinds of awesome all around.

Celebrating a Vancouver Canucks win on Granville Street

Into these three months, I also somehow squeezed a trip to Kelowna

Kelowna, BC

…a couple of quick visits to Bowen Island

Bowen Island, BC

…a two night trip to Ottawa to get a visa for Côte d’Ivoire and see my friends Alex and Luke…

Parliament Hill, Ottawa

…and a motorcycle ride to Salt Spring Island

Salt Spring Island, BC

With the Canucks comfortably ahead in the final series against the Bruins, I left town to start my next job. Having spent a year and a half with Medical Emergency Relief International (Merlin), in the UK, DR Congo, and South Sudan, I’d decided to try on a different pair of shoes: Médecins sans Frontières (Doctors without Borders, aka MSF). They decided to send me to Côte d’Ivoire, but first, I flew to Germany (with a few hours spent hanging out in Amsterdam to see my friend Pieter-Henk) for the MSF PPD, a 10 day group introduction to the organisation for new staff. I can’t spoil any secrets by talking about it online, except to say that it was really fun, and I met and befriended some very cool people.

MSF PPD, Bonn, June 2011

During the PPD, I even woke up one morning at 4am to watch Game 7 of the playoffs streaming online, then had a productive day in Germany not torching police cars on camera.

By the morning of June 19th I was back up in the skies.

Flying to Côte d'Ivoire

By supper time that day I was eating supper (how appropriate) with my new colleagues in Abidjan, the biggest city and former capital of Côte d’Ivoire (Abidjan was also the name of the local watering hole in Buea, Cameroon, where my friends and I used to eat barbecued meat with a beer in the evenings after a good day’s work back in 2007).

Abidjan, Côte d'Ivoire

The next day I arrived in Daloa, where I spent the next three and a half months working my butt off. Work was hard, but I gradually trained my staff to do a lot of the work I was doing myself, which greatly increased the number of hours I spent sleeping. It also let me get out of the office a bit more, including a day trip across the border into Liberia to help bring some medical goods into Côte d’Ivoire.

Welcome to Liberia (Pékanhouébli border crossing)

In Daloa, I saw our medical stock grow from taking up the space of a small bedroom with a few shelves…

First medical storeroom in Daloa

…to taking over my bedroom as an overflow area.

My bedroom, the overflow storage space in Daloa

At the end of July I organised to move our office out of the house and into a dedicated office space, where we had a new warehouse space in which I had custom shelves built…

Building shelves in the new warehouse space

…and another room of boxes stacked on pallets. What a difference a couple of months makes!

Medical goods on pallets

We also helped the Ministry of Health run a measles vaccination campaign for over 15,000 children and later on collected the dozens of sharps boxes from remote health centres.

Sharps boxes for safe disposal of vaccination needles

I also helped improve the water and sanitation standards of health centres around Daloa by donating soap and other supplies, and making these hand washing buckets for patients and staff:

Hand washing stations for health centres around Daloa, Côte d'Ivoire

We also spent a fair bit of energy rehabilitating a couple of health centres that had been looted and badly damaged by armed groups during the conflict.

Smashed glass on the floor of a looted health centre near Daloa, Côte d'Ivoire

They needed doors repaired, smashed locks and windows replaced, electricity and lighting restored, furniture built and donated, grounds cleared and cleaned, and much more.

New door for a health centre outside Daloa, Côte d'Ivoire
New door handle and lock for a health centre outside Daloa, Côte d'Ivoire
New electrical panels for a health centre outside Daloa, Côte d'Ivoire

One health centre had a puddle the size of a lake right out front, the perfect breeding place for mosquitoes, so I organised to have it fixed:

The lake outside Zoukpangbeu health centre, Côte d'Ivoire
The lake is gone outside Zoukpangbeu health centre, Côte d'Ivoire

My logistician, Moussa, did a great job of supervising all this work.

Moussa, my logistician

Two months into my time in Daloa, a few friends and I managed to see a huge wild elephant nearby.

The elephant outside Daloa, Côte d'Ivoire

By the end of September I was pretty tired out, so I decided to take a week’s vacation next door in Ghana. I had to fly out of Abidjan, so on the way from Daloa to Abidjan I visited the biggest church in the world in Yamoussoukro:

Basilique Notre Dame de la Paix, Yamoussoukro, Côte d'Ivoire

In Ghana, I became perhaps a bit too familiar with Ghanaian buses for such a short stay…

Bus broken down near Mole National Park, Ghana

…and had two different vehicles break down from radiator leaks, but the trip was really fun, and I got to see a whole bunch more elephants while I was there.

Elephants in Mole National Park, Ghana

I also saw lots of sideways lightning, which I’ve only seen in Côte d’Ivoire and Ghana.

Horizontal lightning in Mole National Park, Ghana

Back in Côte d’Ivoire, within two days of my return to Daloa, I was asked to move to Tabou to replace the logistician who was leaving a bit earlier than planned. I was a bit surprised, and quite moved, when two of my staff broke down in tears when I announced the news to them. Tears of joy, perhaps, to finally be rid of their boss? The next weekend I arrived in Tabou, a very small town on the Atlantic coast, just a few kilometres from the Liberian border, overlooking the Gulf of Guinea.

Tabou, Côte d'Ivoire

I spent the next two months in Tabou, squeezing in three short trips north as far as a town called Para, with some beautiful stretches of road…

The road from Tabou to Para, Côte d'Ivoire

…and some short stretches of road almost as bad as the one we travelled from Buea to Mamfe, Cameroon, or the not-really-roads outside Kindu, DR Congo.

Rough spot of road en route to Para, Côte d'Ivoire
Rough spot of road en route to Para, Côte d'Ivoire

The last few weeks in Tabou were really focussed on closing down the project, which at its peak had over 40 national staff running 20 mobile clinics, plus support to 12 health centres (of which the farthest was 6 hours away), and running an intensive therapeutic feeding centre plus an ambulatory therapeutic feeding centre for malnourished children. Closing the project involved a LOT of paperwork (I might have drowned if it weren’t for the wonders of mail merging), but also some fun stuff like big donations of drugs and supplies to health centres and the Ministry of Health.

Paracetamol to be donated to health centres near Tabou, Côte d'Ivoire

Our office/warehouse space went from being completely packed with medicine…

The MSF office and warehouse space, full to capacity

…to completely empty!

The MSF office and warehouse space, totally empty after many donations

Other big jobs in closing the project in Tabou included donating all sorts of furniture and office supplies to another NGO working in the health sector, which involved lots of trips back and forth from our office to theirs…

Donating a vaccine fridge to a medical NGO in Tabou, Côte d'Ivoire

…and uninstalling our radio and comms equipment, like the VHF antenna bolted to the top of a 15 metre pole. The VHF antenna is on the left, not the huge mobile phone tower in the background!

The VHF antenna (on the left) in Tabou, Côte d'Ivoire
Removing the VHF antenna in Tabou, Côte d'Ivoire

I also got to burn all the unimportant paperwork in our big fire pit, fun!

Burning unimportant documents in Tabou, Côte d'Ivoire

Having closed the project, and with the December 11th parliamentary elections having passed without any violence, our team returned to the MSF coordination office in Abidjan. Eating extra oily omelets with my colleagues on the way to Abidjan was, as usual, good times:

Evening omelet time in Gagnoa, Côte d'Ivoire

I spent the next few days in Abidjan, finishing up some final reports and burning more unimportant paperwork…

Burning unimportant documents in Abidjan, Côte d'Ivoire

…then took a three day road trip to the Liberian border to import a Land Cruiser into Côte d’Ivoire as the Liberia mission was also closing.

Bringing a Land Cruiser from Liberia to Côte d'Ivoire

My last few days in Abidjan were spent helping the Financial Coordinator with some actually important paperwork (sadly, this did not involve any fire).

Important paperwork

Then, on December 22nd/23rd an Air France jet kindly carried me to Paris for a coffee with Thomas, a friend and all-round amazing guy on break from his job in Afghanistan. Having finished coffee and a croissant, I high-tailed it back to the airport just in time for my flight to Toronto and eventually Vancouver. I landed about three hours before a DJ show downtown, for which I’d bought a ticket online a month earlier. Knowing that several friends would be there, I showed up downtown to surprise them. And, with the 6 month beard that was weighing down my chin, they were definitely surprised.

DJ show in Vancouver, BC

The next day, Christmas Eve, I went to Studio D Hair Salon

Studio D Hair Salon, Vancouver, BC

…and had my beard bleached white, morphing into a very odd-looking Santa Claus for the next couple of days, long enough to show it off to my grandma in Nova Scotia on her first ever Skype video call…

Santa beard
Grandma's first Skype video conversation

…and to the extended family at our annual Boxing Day party.

My cousin's kid testing whether my Santa beard is real

With that over, I removed all my white Santa hair in time to avoid scaring the surgeon who’ll be slicing my knee open in the future. On December 29th we met, we talked, and we settled on fixing my knee once I return from wherever I go next, if it’s about 5-6 months from now (oh, how I love waiting lists).

On December 30th a huge group of friends descended on the King’s Head in Kits to say goodbye to the place…

Closing party for the King's Head pub, Vancouver
Closing party for the King's Head pub, Vancouver

…which then shut its doors on New Year’s Day. Apparently it’s going to become a Wing’s. The following night, a potluck of culinary delights…

Preparing a veggie roast for New Year's Eve potluck
Mike's bacon coated turkeys for New Year's Eve potluck

…followed by another crazy New Year’s Eve party with friends…

New Year's Eve party in Vancouver

…helped shut 2011 down, and open 2012 up, a year bound to be filled with 24 extra hours of adventure, and boy am I looking forward to it!

If you got through this entire summary, I’m impressed; if you take the time to send me an update on your life, whether it be short or long, I will be even more impressed, and promise to read it too (I’ll even reply!).

Cheers, beers, and bicycle gears,
Chris

New Legs

South Sudan is home to many thousands of landmines and guns. As a result, there are many landmine and gunshot injuries. In Juba, the Physical Rehabilitation Reference Centre was set up by the International Committee of the Red Cross (ICRC) and is run jointly with the Southern Sudan Ministry of Gender, Child and Social Welfare to make prosthetic legs and train South Sudanese amputees how to use them. The centre is staffed mostly by South Sudanese who have undergone various types of training, along with four people from ICRC with significant experience in this kind of work.

My friend Sam and I were invited to visit the centre to learn more about the process involved in addressing an individual’s needs after he or she has lost a leg. The centre is very well-organised, the staff are knowledgeable and friendly, and the patients were quick to smile when they saw my camera, so I took a few photos as we walked around.

Suresh is a physiotherapist, so he spends a lot of time in the gait training room, where patients learn to walk with their prosthetic legs. While patients walk up and down the room, staff observe and take notes, and the prosthetics are adjusted and re-adjusted until they suit the patients.

Suresh shows us a selection of prosthetic legs at the Physical Rehabilitation Reference Centre in Juba, South Sudan

Once the artificial leg is correctly adjusted for a patient, the cosmetic part of the new leg can be fitted over the functional parts.

A technician grinds away at a plaster leg cast at the Physical Rehabilitation Reference Centre in Juba, South Sudan

Antero, a prosthetics specialist, shows Sam how PVC plastic is molded on plaster casts. A flat sheet of hard plastic is heated in a pizza oven (the industry standard) until soft, then wrapped around a plaster cast of part of a patient’s leg.

Antero shows Sam how the plastic is molded over plaster casts at the Physical Rehabilitation Reference Centre in Juba, South Sudan

After several hours, the plastic is hard again and ready to be removed from the cast. Edward uses scissors to cut away excess plastic:

Edward cuts away excess plastic after it has cooled at the Physical Rehabilitation Reference Centre in Juba, South Sudan

In the workshop, prosthetic legs are organised on the shelf:

Various prostheses on the shelf at the Physical Rehabilitation Reference Centre in Juba, South Sudan

During fitting, the patient tries out the leg, and adjustments are made by loosening bolts then adjusting the angles of the components (see the blue ink on the leg in the foreground below, where the angles can be changed).

Prosthetic legs in the gait training room at the Physical Rehabilitation Reference Centre in Juba, South Sudan

The functional part of an above-the-knee prosthetic leg includes a simple joint connected to a metal rod which then connects to a plastic foot. The knee seen below would need to be connected to a molded piece of plastic into which the leg stump fits.

Knee joint and load-bearing metal for an above-the-knee prosthetic leg at the Physical Rehabilitation Reference Centre in Juba, South Sudan

Some full length plaster casts:

Full leg plaster casts at the Physical Rehabilitation Reference Centre in Juba, South Sudan

A staff member works on a prosthetic leg in the workshop:

A technician works on a prosthetic leg in the workshop at the Physical Rehabilitation Reference Centre in Juba, South Sudan

Artificial feet come in standard sizes and connect to the prosthetic leg with a bolt. The bolt can be tightened or loosened using an allen key through a hole in the heel of the foot:

An artificial foot in the workshop at the Physical Rehabilitation Reference Centre in Juba, South Sudan

The patients in the gait training room were all more than happy to have a photo opportunity and chat with me at the end of our visit to the centre:

Five South Sudanese men with Suresh during their gait training at the Physical Rehabilitation Reference Centre in Juba, South Sudan
Two South Sudanese men, proud of their increasing mobility at the Physical Rehabilitation Reference Centre in Juba, South Sudan
A South Sudanese man, happy with his prosthetic leg at the Physical Rehabilitation Reference Centre in Juba, South Sudan

Creatures of Juba, South Sudan

Following in my time-honoured tradition of posting photos of the creatures I see in the places I go, here are 49 photos of animals and critters from Juba, South Sudan. I won’t bother with any added captions, but if you don’t know what you’re looking at, then hold your mouse over the image.

Cattle in Juba, South Sudan
Cattle in Juba, South Sudan
Goats in Juba, South Sudan
Storks in Juba, South Sudan
A stork in Juba, South Sudan
Storks in Juba, South Sudan
Kites in Juba, South Sudan
A kite in Juba, South Sudan
Agama lizard in Juba, South Sudan
Agama lizard in Juba, South Sudan
Geckos in Juba, South Sudan
Gecko in Juba, South Sudan
Lizard in Juba, South Sudan
Blue-tailed lizard in Juba, South Sudan
Blue-tailed lizard in Juba, South Sudan
Toad in Juba, South Sudan
Toad in Juba, South Sudan
Toad in Juba, South Sudan
Toad in Juba, South Sudan
Tiny toad in Juba, South Sudan
Tiny toad in Juba, South Sudan
Fly in Juba, South Sudan
Fly in Juba, South Sudan
Fly in Juba, South Sudan
Fly in Juba, South Sudan
Mosquito in Juba, South Sudan
Dragonfly in Juba, South Sudan
Dragonfly in Juba, South Sudan
Strange fly in Juba, South Sudan
Strange fly in Juba, South Sudan
Strange fly in Juba, South Sudan
Grasshopper in Juba, South Sudan
Grasshopper in Juba, South Sudan
Grasshopper in Juba, South Sudan
Mantis in Juba, South Sudan
Mantis in Juba, South Sudan
Mantis in Juba, South Sudan
Mantis in Juba, South Sudan
Mantis in Juba, South Sudan
Caterpillar in Juba, South Sudan
Strange bug in Juba, South Sudan
Strange bug in Juba, South Sudan
Snail in Juba, South Sudan
Mothra in Juba, South Sudan

The final five photos are all of spiders, so if anyone who finds those unpleasant may not want to scroll down any further.

Spider in Juba, South Sudan
Spider in Juba, South Sudan
Spider in Juba, South Sudan
Spider in Juba, South Sudan
Spider in Juba, South Sudan