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 AUGUST 2004 in this issue:

Urgent Needs:
Hospital Electric System a Death Trap
         When the electricity goes out and services stop, it sometimes takes 10 minutes to get the generator going again. In March, the lines were crossed, causing a back feed into the ground wire. We could smell something burning in the  hospital, and we lost many pieces of equipment that day. More importantly, we  lost one human life due to the outage. I cannot express with words how desperately a new electrical system is needed in this hospital. The wires are frayed, there are no disconnect systems, the breakers are overloaded and there  is constant 20-point fluctuation in voltage. In the words of Michael McClintock, owner of McClintock Electric, "it is a disaster waiting to happen."
          This is the main hospital for over 1 million people, and the electricity is directly related to the services that can or cannot be provided. I will not show you starving children, as many other organizations do. What I can tell you is that every day the neonatal unit has 20 babies in it and at least one of these babies is dependent on a ventilator. The ward for children 1 month to 3 years old has 30 babies, and the pediatrics ward has 40 children with two per bed. The hospital saves lives every day; it is basic to the care of the population. Electrical systems are not glamorous, or something you can make into a cute poster, but for myself and other professionals who cannot save a life without the energy provided through the electrical system, it is as vital as a beating heart. I would ask each of you to focus on this issue and help CAMO with this project. The cost is estimated at $120,000.00. McClintock Electric is willing to help us with the material list and supervision of the project. It is my goal to start this project by November of this year. Our newsletter reaches approximately 2,500 people. If each one of you who receive this letter would designate $50.00, we would have enough to complete this project. Please consider this - it is an urgent and basic need.



CAMO - Breathing Easier
The ventilator that CAMO donated to the hospital last year saved this young boy's life.
          Walking through the open-air halls of the hospital in Honduras, I recall the suffering that lies behind each door, knowledge gained during the time I was a nurse here for two years in the Peace Corps. These memories flood my mind as I peek into my old wards and still see two patients to a bed. I wonder if the toils of the past 11 years with CAMO have been worth it. Reminiscing as I finished up with a few details before my return home in May, I was approached by the hospital's pediatrician, Dr. Hector Sandoval. When he first came to the hospital several years ago he was leery of CAMO and hesitant to use the new equipment we donated. But today, he greeted me and said, "Kathy, did you hear we saved two children this week with the ventilators!" I continue to be amazed at the change I've witnessed in him, and I asked if I could see these children. We visited Arlen first. Only 18 months old, Arlen had been on the ventilator for three days. Now, with the ventilator removed for 24 hours and his breathing unlabored, we found him asleep with his mother at his side. I looked up from his face and into the nurse's eyes and saw that they were just as proud as the doctor was. They told me how they applied the instructions we had taught them in March about caring for children on ventilators, and their eyes danced with joy as they shared their success. The second child we saw was Frelin. Near death when he was brought in, Frelin had been on the ventilator for a week. Losing hope, his father wanted to take him off the machine and allow his son to die at home. But Dr. Sandoval insisted that Frelin could be saved. The doctor was true to his word -- the father will soon take his son home, but it will be to recover and live a healthy life.
          This day in the hospital, I witnessed that 11 years of work have had purpose and many lives have been saved! Sometimes the work seems too hard and the hours too long, but Dr. Sandoval, the two boys and the nurses help put the long hours of CAMO into perspective. CAMO is so honored to be able to serve those in need and those willing to learn. Arlin and Frelin were saved with supplies, equipment and education provided through the respiratory program of AMO. These boys are just one example of the life saving work that CAMO is able to do with your support. Thank You.


Patients served January 1 - June 30, 2004 
            This chart represents programs and the work they are producing on a daily basis. There are many aspects of CAMO. As the founder of the organization, sometimes I find it overwhelming. CAMO started 11 years ago from a duffel bag in my living room. My purpose was to alleviate suffering, to do something, to make the world a better place during my stay on it. I am not sure where this journey will end, but through faith and many individuals like yourself you can see many lives are better. I am grateful to God for being my constant companion and I want to personally thank each one of you for being part of this journey.
 
USA TEAMS: 
Medical Teams USA ........................................... 1,295 
HONDURAS COUNTERPARTS:
Medical Teams Honduras ............................................ 
Dental Mobile Honduras ...................................... 2,989 
Audiometry Clinic and Screening .......................... 2,049 
Wheelchair Clinic ................................................... 247 
Prosthetic Lab ........................................................ 414 
Ultrasound Public Health ........................................ 418 
Eye Clinic and Surgery ........................................... 997 
Gastroenterlogy Department ................................... 385 
Urology (Cystoscope) ............................................ 101 
MMERV (Maintenance vehicle) ............................... 57 
Mammography........................................................ 561 
Autotransfusion .......................................................... 0 
National Registry CPR, ACLS, NALS ..................... 41 
CAMO equipment services rendered ................. 32,390 
6 months number served ................................ 41,944



"I just want to wear a blouse"
          This seems like a simple request. But for Marie Luisa Corea it was a dream and an impossibility. She lived alone and had lost her left breast and left shoulder and arm to an aggressive cancer, which was treated on July 5, 1995 in Tegucigalpa. In November 2002 she presented herself to the CAMO prosthetic and orthotics laboratory. Marie shared with us her difficulty to work, to make her tortillas and to wash her clothes. She was embarrassed to go out of her home, and her clothes would always fall off her shoulder. Now, all she wanted from us was to keep her shirt from failing off of her. Jorge, the prosthetic technologist, was overwhelmed by her story and her need for a functioning prosthesis. He asked Maria to return the next week when Mark Gorman, Jorge's counterpart from the USA, would be there. They evaluated Marie and then put themselves to work to find the best possible solution for the single woman. Maria would return at the end of the week for her prosthetic device. At home, she returned to her wood stove and would make her tortillas using her mouth and her right hand to peel them off the paper and place them on the grill. Her clothes would be taken one at a time off the rope between her tree and her house, for she had no shoulder or arm to drape them over. Her chores were difficult, but she is a survivor. At the end of the week Maria returned to CAMO prosthetic lab and was fitted with her device. She placed her blouse on and it stayed up. Then she was shown how it worked. She could use the hand piece to peel the totillas off the wax paper, she could drape her clothes over it, and for Maria the mpossible became possible. She left us with new hope for her life. Maria visits our lab from time to time and she shares stories of how her prosthetic arm and hand have made her life better and the new things that she is doing with them. Jorge smiles as he shares this story with me, and states, "She is happy with Mark and my work." I say, "So am I Jorge, so am I."


I am not dumb
          The greatest opportunity for any child is a good education, but what happens when the teachers and your parents believe you to be not smart enough to make it through first grade, and you have been there for the third year in a row? You are nine years old. You observe what is going on around you, but no one knows why you are this poor child that pays no attention to anyone. You are locked into silence, which no one has come to detect. Only Edin Francisco, who is too small, helpless to explain that his silence and lack of ability to capture sound has robed him of his right to an education. It is not he who is deaf, but it is those who surround him that are not listening to him. Edin Francisco's life changed the day the screening program from another city came to his village. This woman (Gloria) in a white lab coat stuck something into his ears. He heard nothing, but he could see she was different -- her eyes understood him, and soon he would visit her place of employment, CAMO. Gloria would give him things to put behind his ears and then something to place in his ears. They called them hearing aids. For the first time, he heard clearly. Six months later his mom brought him back to CAMO for more batteries. This time his eyes were bright and there was a big smile on his face. He had passed first grade and was moving very rapidly thorough 2nd grade. His life  had changed forever. Now his parents and teacher understood, and more importantly, he would not lose the precious opportunities of an education in the years to come. 
          This year we have tested over 2,272 children's hearing, and we have pulled cockroaches and other bugs from their ears. We are finding about nine percent with infections , plugged ear canals and hearing loss. The school screening is done on Tuesday and Thursday, and it is the only such program in Honduras. The clinic is open daily for the general public. Each school visit costs $50.00. If you would like to sponsor one poor school, please let us know.


Do I have cancer? 
           Doña Blanca, a 47-year-old female, had traveled all day from a distant village by bus, thinking and fearing the worst. She had never had a mammogram, but she knew she must do something, because she had severe pain in her right breast for four months. Now the doctor in the village insisted that she have a mammogram. Dona Blanca had heard stories from well-meaning friends that this fancy machine would cause cancer, that the machine would flatten and deform her breast. All kinds of stories were shared with her. She would remain brave and continue her journey to Santa Rosa. Doña Blanca would soon know first-hand if her friends were telling her the truth. She would also learn if her lump and pain were due to cancer. She arrived at the CAMO mammography program in Santa Rosa and was greeted by a smiling, friendly Bonnie Medina. Bonnie soon put Doña Blanca at ease and educated her on self-breast examination and the importance of women's health. The exam was done. Then the film was showed to the radiologist and followed up with an ultrasound. Her lump was a cyst, and the appropriate treatment was given. This service was never available before, but so much more is needed. We need foundations that are willing to support women's health issues, not only in education, but also in actual provision of funds to provide the service. There are so many services we take for granted that are not available to the women in Honduras. Other than a Pap smear, there are no other instruments to diagnose cervical cancer, which is the leading cause of death of women in the western part of Honduras. If your Pap smear comes back abnormal, no private or public facility has a Colposcopy unit, cryo or loop treatments available. This is not a costly program -- a good used Colposcopy and cryo with the instruments would cost no more than $6,000. Please consider helping us with the women's education and treatment programs.



Asking Comes with Responsibility
          Our dental program began in 1995, and since then we have visited many communities. In the last eight months we have visited 39 communities and have given dental care to 3,150 children. We always attempt to visit the poorest sites that have no access to dental care. The word is getting out to the communities. They send their representatives to the CAMO offices in Honduras and ask us to come to their village. We request that the village pay for the gas and the lunch for the dentist and the assistants. This program is booked out 6 months in advance, and the communities are sharing the responsibility for their children. This is vital step in the right direction. Teaching communities to be responsible for their own will never occur if everything is given to them. The community has to learn responsibility and be given viable ways to demonstrate that they are willing to be a part of the solution. It is interesting to note that when we offered the program without criteria that gave them responsibility for the visit, the schools were not ready. No one would help with the cost, and to him or her the services had no personal value. Today we receive their requests and provide them with the responsibilities of the community, and without fail the community has been responsible and they're there to help us provide care to their youngsters. The dental program has seen a change in attitude. Before, it was common to have a toothache and the parents and children would say, " Pull my tooth -- it hurts," but nine years later parents and their children are asking, "Can you save my tooth?" This is called long, torturous development. It is the difference between teams coming in one week a year and pulling teeth or a permanent presence. Our programs work every day of the week in those poor areas, educating the community and its children to be responsible not only for themselves, but for others as well.

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Surprise Acquaintance
          The staff of CAMO Honduras visits poor communities with medical services and school supplies. Often the older women of the village help us. They will sit and talk with the staff as the children are seen for dental problems and screenings for ear problems. During one of these visits Doña Maria Cruz was helping our staff and visiting at the same time. She shared with us her life and the fact that she loved sewing, but at times she could not find in her small village the supplies she needed. Carmen, the assistant director, shared this with the office manager of CAMO USA, Helen Smith.
Carmen had remembered her conversation with Helen concerning sewing and that Helen is always organizing her sewing materials and thinking about different craft ideas. On the next truck, Helen placed a package of various sewing supplies for Doña Maria Cruz. Upon their arrival in Honduras, Carmen tucked them away until the next visit that would take us close to this village. As on every day at CAMO Honduras, the halls were full of people with needs and this day, many months later, was no different. A group of women had arrived at the CAMO offices for ear exams. As they passed in the hallway, Carmen recognized Doña Maria Cruz! With surprise and delight, she asked Doña Maria Cruz to come to her office, where she pulled out the sewing supplies prepared for her by Helen Smith. Doña Maria Cruz was pleased, but sad, and Carmen asked her why. Then she shared that she could not hear or see well anymore and had to give up her sewing. Two hours later, Doña Maria Cruz left CAMO with a hearing aid, eyeglasses and most of all, her ability to keep doing what she loved, to work with a needle and thread


Many Hands
          The gastric program has many aspects to it. It is equipment intensive, requiring trained staff for the research aspect and trained staff to provide quality services. In 1995, the Secretary of Health of Honduras had only 23 documented cases of stomach cancer. CAMO knew this data to be incorrect and set out to find the truth. Through the efforts of Dr. Doug Morgan and a research team, we now know that the incidence of stomach cancer in Honduras is very high- close to the second in the world! We are looking at the nutritional, health and genetic factors to identify the cause of this high incidence. 
          Patients present themselves every day with stomach pain. The fully equipped Endoscopy department by CAMO provides this service with equipment purchased by CAMO with the help of Peter Coyle from the Republic of Ireland, who, through the charitable organization called Voluntary Services Abroad (VSA), helped to purchase a Endoscopy system for the Endoscopy lab. Thank you, Peter and VSA! We look forward to a continued relationship with your group. 
 

          Biopsy's are then acquired and are sent to the lab for a pathology reports. It takes at least 2 weeks to get the results back due to no pathology lab close to the western part of Honduras. (This is a big problem for all types of biopsies, pap smears etc.-the western part of Honduras is in great need of a pathology lab.) Demographics are obtained, along with blood samples for genetic studies. The study is registered in Washington DC according to the standards of genetic research. The studies coming out of this research have been presented to the International Gastric Cancer Congress, first in 2001, with annual update on the study.



Updates:
Community Center/Gym
TThe community center and gym will be fully functional by October 30th. We look forward to the presentation of this facility to Dave and Gail Noble, who will be in Honduras for the ceremony. We would like to extend a very special thank you to the Noble Foundation for making this center a reality. The community of Santa Rosa also stepped up to the challenge and was able to match the requested amount. Many, many good people have given this gift to the Western part of this country. Already, it has been money and time well spent. The facility is being used daily by all the schools and churches and for other activities. Even as we work with scaffolding, plastering the walls, the concerts and other sport activities are going on at the same time. It is exciting to see the enthusiasm of the community as they explore all the opportunities that this will provide for them.


Daycare Center Receives Boost
Thanks to the Jack Deloss Charitable Trust, the daycare center is receiving support for food, vitamins. Also, the kitchen is receiving some vital repairs.

Technical School 
Classes are being given day and night in the areas of carpentry and masonry. The students are helping to revive the school structure at the same time. Dan Greaser and Mort Curie are helping to acquire more tools and carpentry equipment to look at giving a micro loan to the student who shows the most responsibility and talent.


US Ambassador Larry Palmer of Honduras
I had a thoughtful meeting with the ambassador of Honduras Larry Palmer, a fellow former Peace Corps volunteer. It was an honor to meet him; he is what all ambassadors should be like! Also, a thanks to the state department and our leaders for making themselves available to us. 

In the USA
Here at the CAMO office in the USA we are without two of the four staff members. Christine Burkhart, Assistant Director is in Washington DC until the end of August and Helen Smith is on a 6 week medical leave of absence after surgery. We would like to extend our prayers and support during Helen's recovery. She is a vital staff member who keeps everything running smoothly in the USA while Kathy is managing the many programs and projects in Honduras.
 
We stay busy here in our warehouse in the USA. We always have volunteers or staff working on programs, sorting, packing, inventory data entry and picking up donations. Without the volunteers we could not keep CAMO running! They are faithful, reliable volunteers, and we are grateful for each and every one. These volunteers process about $1.5 million worth of medical supplies and equipment per year. Those supplies help over 80,000 people per year. As everywhere, our donations are down. Please remember us -- we are doing so much with minimal costs, and we are worthy of your donation.


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