Tuesday, October 09, 2012

In the land of big cows and gleaming rest stops



Three of my work buddies from the Comision de Accion Social Menonita  just came back from the World Dairy Expo in Madison, Wisconsin - their first trip to the United States.
As you might expect, the trip blew them away. Like all good travellers, they took a ton of photos, and it was great to share their experiences yesterday as they flipped through the large collection of classic tourist shots they took on their journey.
Several of them were of rest stops along the highway. I have to admit, it's been a long time since I've given much consideration to the glory of American rest stops, but the guys were captivated by them and I get that.
"Look at this! They have these all along the roads," exclaimed one of them as he pointed to a particularly clean and tidy example somewhere between Spooner and Madison. "Nobody works there, and anyone can just pull in and use them!"
They'd gone on the trip with the encouragement of a Spooner veterinarian, Dr. Allen Pederson, who comes to Copan Ruinas a couple times a year through the Seattle-based Christian Veterinary Mission. CASM does a lot of work with rural farmers that includes encouraging them to diversify their subsistence livelihoods with a dairy cow or two, and Allen figured the CASM gang would get a lot out of the grand spectacle that is the World Dairy Expo. (That and the fact that a purpose for travel appears to make it much easier for a Honduran trying for a coveted U.S. visitor's visa.)
Sure enough, those U.S. cows made a big impression on the guys, especially the $25,000 Holstein that's capable of producing an astounding 90 litres of milk a day. That's roughly 11 times more than a Honduran dairy cow produces. Even an average dairy cow in the U.S. produces40 litres or more a day.
But that's not really surprising given that a Honduran cow never sees the scientifically designed diet, careful breeding, hormones or vet care that's just part of life for a commercial dairy cow in the U.S. Here, the farmers with more resources might grow "super grass" that the international aid organizations have introduced to the country, but a lot of the tough little mixed-breed cows around Copan just get by on whatever they can scrounge up in the fields.
I asked the guys what they liked best about their visit. The October chill, said one, who admits to never having liked the heat of Honduras despite growing up here. The fall colours in the woods, said another. Trees do lose their leaves in Honduras, but they just kind of shrivel up and turn brown. This fellow was enchanted by the rich oranges, reds and yellows that anyone from a cold country recognizes as a familiar herald to winter.
Did they like the food? Not much. They were travelling on a budget that was well below shoestring, having forked over the equivalent of a month's salary for their $600 airfares that left them with barely any spending money for the actual trip. That meant eating as cheaply as they could - sandwiches at Subway, fast-food burgers.
"Everything was with bread," declared one fellow, who found the diet monotonous. I got a quiet laugh out of that - I guess my buddies are oblivious to the monotony of their own daily diets of beans, tortillas, and those  sweetened hot-dog-style buns that everyone dips in their morning and afternoon coffees.
The cultivated pine forests charmed one of the guys, who sees much potential for similar forests in Honduras. Pine grows well here and is ready for harvest in 10 years because of the warm climate, compared to 40 years in Wisconsin. But I come from a land that's in the process of losing most of its pine forests to the voracious pine beetle, and I suspect the damage being caused by a similar beetle right now in the forests of Honduras will ultimately bring about the same devastation here as climate change alters the environment.
It's too bad the boys had barely a week to enjoy the sights, because there's nothing more valuable than seeing another culture in action when it comes to clarifying what's good and bad about your own culture. Were I a person with the money to invest in a new future for Honduras, I would launch a massive exchange program that sent Hondurans to work and study in developed countries, where they could learn that ambicion isn't always a bad thing and better governance is possible.
But for now, at least the guys know that good roads and rest stops exist. That's a start.

Monday, September 24, 2012

People's hope for prescription drugs goes up in flames

Medicines burn at the dump in Santa Barbara

A tragedy played out late last week at the garbage dump in Santa Barbara, Honduras, where three big truckloads carrying tons of expired pharmaceutical drugs were burned. 
This comes less than a month after another story in the Honduran media about publicly funded prescription drugs valued at almost 13 million lempiras - $660,000 - being thrown out during 2010-11 due to expiration even while countless sick, poor Hondurans waited in vain for the medicines they'd been prescribed but couldn't afford.
You only have to contract dengue fever once to empathize with how miserable life would be if you couldn't afford a few tabs of acetaminophen to get you through the worst of it. And there are a heck of a lot of people in this country who would be in that situation, even though $1.50 will get you 100.
But this is far from being just about pain management after the mosquitoes get you. It's about vast quantities of drugs essential for people's well-being and health - paid for in many cases by international non-profits doing aid work in Honduras - that never make it into the hands of the people they're intended for, or anyone else's hands for that matter. 
You need only spend a few days at the children's home where I help out to get a sense how little access average people have to medicines. There's a public health system of sorts here (although I think it's safe to say that nobody who can afford private care would ever use it) but medicine isn't covered. 
Right now, at least half the kids at the home appear to have impetigo. But even a tube of antibiotic cream to clear up that highly contagious skin condition is a luxury. 
And some of the children clearly have chronic, debilitating health conditions that are much more serious than impetigo. Unfortunately, even if they were ever properly diagnosed - a rare luxury in itself - whatever medications they need wouldn't be available   unless somebody was picking up the bill.
And perhaps the worst of it is that the whole issue of drug expiry is something of a myth. I did a Google search to find out more about drug expiration dates after reading the sad Santa Barbara story this morning, and pulled up no less than a Harvard Medical  School report that puts the lie to this business of expired medicine being ineffective or  dangerous. 
"Most of what is known about drug expiration dates comes from a study conducted by the Food and Drug Administration at the request of the military," notes the 2003 report.  "With a large and expensive stockpile of drugs, the military faced tossing out and replacing its drugs every few years. What they found from the study is 90 per cent of more than 100 drugs, both prescription and over-the-counter, were perfectly good to use even 15 years after the expiration date."
It turns out that a law was passed in the U.S. in 1979 requiring all drug manufacturers to stamp an expiration date on their products, "the date at which the manufacturer can still guarantee the full potency and safety of the drug." And from that rather arbitrary decision, we can trace a line all the way to 2012 and the foolish decision to burn a warehouse full of drugs that many, many people could have used.
The Harvard report says the potency of drugs do diminish over time, but the expiry date stamped on the package has little relation to when that will actually happen. 
"It's true the effectiveness of a drug may decrease over time, but much of the original potency still remains even a decade after the expiration date. Excluding nitroglycerin, insulin, and liquid antibiotics, most medications are as long-lasting as the ones tested by the military."
Alas, nobody in the Honduras health system did the same Google search before calling in the truckers to haul away the "expired" prescription drugs. A tremendous waste of international resources. A tremendous loss to millions of Hondurans who are essentially living without health care. 

Wednesday, September 19, 2012

It's not always about the money


After eight months in Copan Ruinas, I’m finally getting 10-lempira moto-taxi rides.  It’s a big moment.
Not because of the money, mind you. My experience is that foreigners typically pay two or even three times as much as the locals for a moto-taxi ride here, but we’re still talking a difference of no more than 50 cents or a buck per ride.
But I admit to being bugged by the two-tiered charges these past few months, and am happy for whatever threshold I just crossed that led me to being viewed differently by the moto-taxi guys.  I don’t know what changed, but I’ll take it.
Moto-taxis are the only form of public transportation for getting around Copan Ruinas. They’re small three-wheeled, canvas-topped vehicles that can accommodate two comfortably, but it’s not uncommon to see one labouring up the hills with three adults and a few small children aboard, along with that day’s load of groceries or other supplies from the town centre.
I found the code of the moto-taxis to be something of a mystery when we first moved here. We knew enough from those who had gone before us to ask what the charge would be before we got into the vehicle, but I had no idea how to gauge the prices the drivers gave us. When you come from a place like Canada, a ride from the bus station to your house that costs a couple bucks sounds like a pretty good deal.
So we’d ask, and the drivers would quote us something, but then we’d just get into the taxi and pay whatever the rate was.  Some drivers charged more, some less; if there was a pattern, I couldn’t see it.
But then I started talking to my workmates about what they paid when they took a moto-taxi to work, and realized that I was paying a lot more than the going rate.  I’m no babe in the woods when it comes to being a tourist in a poor country, so I wasn’t exactly surprised by that. Still, it started to grate.
I accepted the two-tiered rates for quite a while as the price for being a comparatively well-off foreigner in an impoverished land.  And fortunately, just as it was really starting to bug me these past few weeks, everything changed and suddenly the drivers were charging me the same rate as everybody else.
I’ve also come to understand that rates are better if you share a ride, as do so many locals. So if you’re willing to stand at the taxi stop for a while and wait for someone else who’s going in your direction, you’ll pay 50 cents instead of a dollar for the ride up the hill. I suspect the drivers didn’t even consider packing other people into the taxi with me in the first few months, so part of the reason I’m getting local rates now could be that the drivers understand that I’m OK with a crowd.
I’ve also learned to refuse rides on occasion, when I know I’m being overcharged. The drivers don’t appear to take it personally – they just don’t give you the ride.  Some will even ask other drivers at the stop if they’re willing to take me for the local rate. Either somebody agrees to and off I go, or I wait for a bit to share a ride with another person going in my direction.
Again, I’m a little embarrassed to be making a fuss over a difference of 50 cents. But I hope at least some of you know how it feels to be indignant over a principle. All I know is that somewhere around the seven-month mark it really started to get to me that I had to pay more solely because I was a gringa.
The drivers charge by the rider, so whenever my partner and I are catching a taxi together I know the rates will be higher.  (I think we also look more gringo-ish when together.) One rainy night when we were returning from San Pedro Sula and the bus got in late, we really wanted to catch a moto-taxi for the short hop home, but ended up walking rather than feel exploited by the record 60-lempira ($3) rate the driver quoted us.  Serves us right for using the bus service frequented by gringos, I guess.
Drivers aren’t getting rich by any means, and only a few of them actually own their own taxis. I think any visitor coming from a country like Canada or the U.S. will find prices extremely reasonable in Copan, and I’m definitely not advocating that tourists start haggling with drivers to drop their rates.
But I’m grateful for whatever made drivers decide I was due for the local rate. It makes me feel like I live here.

Saturday, September 15, 2012

One more cup of coffee for the road

The beans are starting to turn red in
La Cuchilla, Santa Rita

This is the time of year when Honduran coffee growers find out what price they can expect for their beans when the harvest starts in November. And right now, the news looks pretty good.
The current international price for Honduran coffee beans is $161 per quintale - 100 pounds.  My co-workers at the Comisión de Acción Social Menonita tell me the make-or-break-it point for the small producers around Copan is $150 a quintale. So getting $11 more is happy news indeed, especially after the bad year local producers had in 2011.
That’s the thing with coffee as your only cash crop: You just never know. There used to be a marketing board of sorts for coffee that kept prices more predictable, but that ended in 2001. Prices now fluctuate from year to year, creating booms and busts for coffee growers.
The big growers ride out the highs and lows. But for small producers a dip in prices makes the difference between eating and going hungry after the harvest ends in February. In three Copan area coffee-growing communities where CASM has a project going on, producers have plots ranging from four to eight acres, and are frighteningly dependent on coffee to cover the year's bills.
A North American might easily drop $2.50 or more on a cup of coffee at any high-end coffee shop in their neighbourhood. Allowing for 40 cups of coffee per pound, the price you pay for the amount of beans used in your cup is about 100 times more than what the grower in Honduras got paid.
Blame some of that on all the middle men that lie between the grower and the consumer. But there’s more to the economics of coffee than that.
World tastes change all the time, swinging from Arabic to Robusta, from mild to dark.  The fate of producers all over the coffee-growing world hangs in the balance, as each country has certain beans that it grows best.
Then there are the many natural disasters that small producers have to worry about, from insects and coffee leaf rust to uncertain weather patterns and poor soil. If there’s plenty of rain in May, that bodes well for a good crop later in the year. But too much rain in September and October can bring all the coffee plants on at once, wreaking havoc on a harvest if pickers end up in short supply.
Even in a just-right year, the small growers around Copan have to rely on pickers from Guatemala, seeing as every Copaneco  with hands – including children as young as seven – has as much work as they can handle during the four busy months of the harvest.  A quarter of the country’s eight million people directly participate in the annual harvest (USDA Foreign Agriculture Service), earning the equivalent of $71 million during those four months.
Honduras was the second-largest exporter of coffee in the world last year, according to last month’s report from the International Coffee Organization. Among the subsistence farmers that CASM works with, coffee is by and large the only crop that generates money.  Even the corn and bean crops they need to feed their families take a back seat to coffee, with many farmers opting to bypass a second planting of vegetables in order to free up time for the hectic coffee harvest.
It’s understandable, but so risky. The project CASM has just launched in the aldeas of La Union II, Guaramal II and Las Flores involves mapping the indicators of when a community is at risk of widespread hunger. It’s clear a mere week into the project that the state of people’s coffee crops is going to be one of the major determinants.
The world drinks an astounding 1.4 billion cups of coffee a day. I’m sure it can’t be good for us. But given the economic disaster that would befall coffee-dependent communities were we to ever shake the habit, just think of it as taking one for the team.

Thursday, September 13, 2012

If problems exercise your brain, I'm in a mind marathon


Tearing apart the old bathroom
 I once made the horrible mistake of buying glue traps to deal with a mouse problem. I got up the next morning to the unforgettable sight of a poor dead mouse that had gotten his little paw stuck first, then another paw, then the side of his face.
I'm starting to suspect the water project at the children's home here in Copan might be angry mouse spirits getting back at me for that wrong deed. Every thing I touch up there just seems to stick me tighter into the glue.
The plan was for new bathrooms and a big new water tank so that the Angelitos Felices foster home had decent basic services for the 30 or so children who live there. The mason who took on the project told me he'd have it done in 15 days.
A little over three weeks into the project, the bathrooms are done and the tank's in place, sitting atop a nicely reinforced concrete floor to avoid any risk of 5,000 pounds of water crashing down on sleeping children in the room below. I have to laugh now at how I once thought that would be the most complicated part of the project.
A new front door! Not rotten!
The foster home is a scant four years old, which is unbelievable when you see what a state it's in. Who knew that a door frame could rot out in four short years? Like they say, you get what you pay for, although rumour has it that you can't pin the blame for the shoddy job on the benefactor whose name is on the commemorative plaque outside (like everything else to do with Angelitos, it's complicated).
At any rate, that was the second big surprise once the mason and I got the crushed-children problem sorted out - that virtually every tube, fitting and pipe in the home would need to be replaced. All of them were either undersized, plugged, broken or missing entirely.
There wasn't a single trap on any of the drains or toilets, which certainly went a long way to explaining why the place smelled so bad all the time. The cistern in the street where the city water came in - well, you don't even want to know what that looked like inside, what with a passing dump truck having caved in the metal lid some months before and the hole in the ground catching all kinds of filthy runoff from that point on from the surrounding street.
The cistern had to be drained and rebuilt, as did the water pump that by this point was packed with the mud that had settled a foot deep at the bottom of the cistern. The pipes running from the cistern into the home had to be replaced, as did the pipes in the street connecting the Angelitos water system to the city supply.
Check out that big new water tank and tortilla/beans sink
Weird things kept cropping up. Like the badly built drain pipe above the children's bedroom that poured water into the room whenever it rained. The hole in the floor in the grubby little half-kitchen upstairs, where staff had gotten into the habit of just dumping food waste down onto the property of the increasingly irritated neighbour. The lack of water access in that same cramped attic of a room, which meant staff had to pack dishes and cooking water up and down three steep, dark flights of stairs and through the children's bedroom anytime they were making tortillas and beans (which is to say, daily). That rotting front door, which somehow managed to stick fast at the bottom while dangling loose at the top.
The kitchen water came straight out of the cistern instead of being connected into the rest of the system - a big problem anytime there's insufficient water in the cistern. The outside gutter poured rain water directly onto the ground in front of the home from two stories up, creating a muddy mess and irritating the neighbour on a whole other front.
Renovated downstairs bathroom
Addressing those many issues weren't part of the original plan. But what are you going to do? So we added them in.
This week was supposed to be the week everything came together. Ah, but I should have known better.
The water was supposed to flow into the newly renovated system for the first time on Sunday, but the cistern didn't fill. The work crew had to dig up the street to find the problem.
Then the cistern filled, but the water didn't flow into the home, necessitating a whole other round of digging. On Tuesday, the big tank up top filled for the first time, but a faulty valve that had been overlooked let all the water drain away over night.
Today it almost all came together - the cistern filled, the water flowed into the stone pilas where the clothes are washed. But the staff was so enthusiastic about finally having water to wash the thousand or so pounds of dirty laundry that had built up that they drained the cistern, which meant the tank up top didn't fill and the bathrooms weren't working.
I learned something else today: The pipe that connects the Angelitos system to the city water supply is ridiculously small. So even when the water does flow - every other day in that neighbourhood - it's quite likely not going to be enough for the needs of the home. And wouldn't you know it, using a bigger pipe is prohibited by the municipality.
New project: Get to know the mayor.