"Improving the health status of underserved populations through sustainable and comprehensive research, service and educational initiatives related to infectious diseases."

10th Tropical Disease Biology Workshop in Ecuador
Winter 2002

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  December 27th and 28th 2002
Coca and Palma Roja

By Anna Igler

After a long journey from the USA we arrived safely and spend the night in Quito. We rose at the crack of dawn and set out for an eight-hour drive. As we jostle and tumble along a rough and pitted road, we get to know one another and gaze at the amazing landscape, ranging from a pristine forest to golden grasslands. At last we arrive in Coca and have our first night experiencing the “pleasures” of DEET and bed nets.
Rising early we enjoy breakfast (delicious juice!) and begin our adventure into the rainforest. We take a motorized canoe onto the Napo River. After about an hour with quite sore bums we forge a path to the indigenous village of Palma Roja. Our guide Miguel assists this community’s health post and 64 others in the province. This health clinic is unlike any other we have ever seen. This “closet” only contains de-worming medication and a miniscule assortment of basic medications. The community school was also shocking; a true one room school house with decrepit desks and a blackboard. We sat in the school house and enjoyed new and exotic fruits (guaba, papaya, and amazonian grapes), while the children and a tiny monkey entertained us. After speaking with the community leaders, the women prepared us a meal. We sat in the community building and were served a banana based soup with boar, yuka (salted potato-like root), fresh fish wrapped in leaves, and chicha, the indigenous drink, how it’s made is a don’t ask don’t tell policy, use your imagination…
From speaking with Miguel and the community leaders we get a glimpse into the everyday life of the people. Their main source of income is farming, specifically bananas and coffee; however, they must travel to Coca to sell it. At most, including the price of passage to Coca, they receive about 80 cents per banana bunch and about 1 $ per 50 kg of coffee. Besides farming, some men choose to work for the oil companies.


Everyone in the family contributes in some way; the men do the more strenuous labor while the women and children also farm and collect fruit and such. Although the people don’t have much, their happiness and good humor are apparent throughout our entire visit. While in the middle of our meal the women began showing us and explaining about a ceremonial skirt made of shells, which was the beauty queen’s costume for their annual festival. The current queen then proudly modeled this for us; as we admired all of the women suddenly burst out laughing! Following their gaze we saw that one of the men had put on the shelled skirt and grass top, he comically approached and the couple allowed us to take their picture. As we left the village, at least on my part, I was pleasantly surprised at what we had found. Despite the fact that these people had nothing according to our standards, they had a positive attitude and outlook on life, which is more than many people I know back home.
Upon arrival back at the hotel, we had some free time and then met with the man in charge of malarial control for the area. From his description, it sounded like a losing battle. Around 39% of the people tested are positive for malaria and with the funds he has, about $40 a month, this is not enough to support his programs for control. His methods of control include spraying for mosquitoes (using DDT on and off), attempts to eliminate breeding ground such as treating water storage tanks with larvicide tablets, and treating people with anti-malarial medication. When asked what would happen if things continued as they were, he replied that the results would be disastrous. That night I had a new appreciation for my bed net and mefloquine.