Kwan Kew Lai - Into Africa, Out of Academia
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Into Africa, Out of Academia
McFarland & Company, Inc., Publishers
Jefferson, North Carolina
Library of Congress Cataloguing-in-Publication Data
Names: Lai, Kwan Kew, author.
Title: Into Africa, out of academia : a doctors memoir / Kwan Kew Lai.
Description: Jefferson, North Carolina : McFarland & Company, Inc., Publishers, 2020. | Includes bibliographical references and index.
Identifiers: LCCN 2020033167 | ISBN 9781476679723 (paperback : acid free paper) ISBN 9781476638676 (ebook)
Subjects: LCSH: Lai, Kwan KewTravelAfrica. | Medecins sans frontieres (Association) | Women physiciansUnited StatesBiography. | Medical assistance, AmericanAfrica. | Public healthAfricaInternational cooperation. | AIDS (Disease)Africa.
Classification: LCC RA390.A2 L3354 2020 | DDC 362.1096dc23
LC record available at https://lccn.loc.gov/2020033167
British Library cataloguing data are available
ISBN (print) 978-1-4766-7972-3
ISBN (ebook) 978-1-4766-3867-6
2020 Kwan Kew Lai. All rights reserved
No part of this book may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying or recording, or by any information storage and retrieval system, without permission in writing from the publisher.
Front cover, top to bottom: Zedekiah, severely malnourished, tried to feed himself when his mother stopped feeding him; refugees from the DRC lined up at the UNHCR administrative tent with their meagre belongings to register for a refugee card; the women from the Mothers Union feeding the children a meal of githeri and beans at one of the feeding programs in Maseno, Kenya; the author cares for a sick child under the Bieh tree in Mirmir, South Sudan
Printed in the United States of America
McFarland & Company, Inc., Publishers
Box 611, Jefferson, North Carolina 28640
www.mcfarlandpub.com
To my husband, Scott, and my children, Tim, Cara, and Charles, who tolerate my long periods of absence and still remain my ever faithful and enthusiastic cheerleaders, and to all those living with HIV/AIDS, the internally displaced people, and the refugees of Africa who touched my life.
What counts in life is not the mere fact that we have lived. It is what difference we have made to the lives of others that will determine the significance of the life we lead.
Nelson Mandela. Nelson Mandela by Himself: The Authorized Book of Quotations (New York: Macmillan, 2011).
First of all, I would like to thank the many non-governmental organizations (NGOs) which took me on a wild ride with them in so many volunteering missions and allowed me to play a small role in helping my fellow human beings in times of need. In return, the people I came in touch with taught me humility, hope, persistent trust in humanity, and to always count my blessings. Despite the unbelievable hardship, insurmountable problems, inconsolable and heartbreaking tragedies they had been through and still face, they continue to show tremendous courage and resilience in overcoming them and always harboring hopes for a better future. Throughout all these years, I have received more than I have given.
Above all I want to express my deepest thanks to my family who stood by me and gave me their unconditional support when I went off again and again to challenging and perilous places which would worry any loved ones. In my book debut, Lest We Forget: A Doctors Experience with Life and Death during the Ebola Outbreak , I mentioned my son and husband, Charles and Scott FitzGibbon, staying with me during the quarantine, but I failed to remember that both my daughter, Cara Sibelle Lai, and James Sibelle, her dear friend then and now her husband, were there with me as well. I want to apologize to Cara and James who traveled specially from Burlington, Vermont, to welcome me back from my first Ebola volunteering in Liberia in 2014 during my quarantine period. They were not afraid of the possibility of contracting the deadly infection, while the people from the Massachusetts Department of Public Health were cautious and kept their distance from me. They were obviously and understandably worried about my dangerous mission and being there with me when I reached home meant a great deal to me. If I were incubating Ebola, they would be at risk as well, and it would also mean that there would be a danger of them spreading it to their respective school and workplace: The University of Vermont and the Hole in the Wall Gang Camp in Connecticut. The implications could be huge. I was thankful to be home safely.
AC air conditioning
ACTION AIDS Care and Treatment in Nigeria
AFREC Africa Emergency Committee
ANC antenatal clinic
ART antiretroviral treatment
ARC AIDS-Related Complex
ARV antiretroviral
BBC British Broadcasting Corporation
BCA British Central Africa
BOMA British Office for Management Administration
BPRM Bureau of Population, Refugees, and Migration
CD4 cluster of differentiation 4
CHAI Clinton HIV/AIDS Initiative
CHN community health nurse
CNDP National Congress for the Defense of the People
CNN Cable News Network
CDC Centers for Disease Control and Prevention
CTC Clinical Treatment and Care Center
DfID Department for International Development
DHO District Health Officer
DMO District Medical Officer
DNO District Nurse Officer
DRC Democratic Republic of Congo
ECHO European Commission Humanitarian Aid
EID Early Infant Diagnosis
FHI Family Health International
FPD Foundation of Professional Development
GAM Global Acute Malnutrition
GMF Global Medic Force
HIV/AIDS Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome
ICEHA International Center for Equal Healthcare Access
ICTR International Criminal Tribunal for Rwanda
IDI Infectious Disease Institute
IDP internally displaced people
IEHK International Emergency Health Kits
IHVN Institute of Human Virology Nigeria
IMC International Medical Corps
IMF International Monetary Fund
KSh Kenyan shillings
MAF Mission Aviation Fellowship
MOH Ministry of Health
MP Member of Parliament
MSF Mdecins Sans Frontires
MTI Medical Teams International
NACA National Action Committee on AIDS
NATO North Atlantic Treaty Organization
NEPA National Electric Power Authority
NGO Non-Governmental Organization
OCHA Office of Coordination of Human Affairs
OPD outpatient department
OPM Office of the Prime Minister
ORS oral rehydration solution
PEPFAR Presidents Emergency Plan For AIDS Relief
PrEP Pre-Exposure Prophylaxis
PHCC Primary Health Care Center
PMTCT Prevention of Mother to Child Transmission
RMO Regional Medical Officer
SPLA Sudanese Peoples Liberation Army
SPLM Sudan Peoples Liberation Movement
TASO The AIDS Support Organization
TB tuberculosis
UN United Nations
UNAIDS Joint United Nations Program on HIV/AIDS
UNDP United Nations Development Program
UNESCO United Nations Educational, Scientific and Cultural Organization
UNHAS United Nations Humanitarian Air Service
UNHCR United Nations High Commissioner for Refugees
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