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Friday January 3, 2003
Tonchigue
By Lauren Auble, Jackie Kelly, and Jessica Vorpahl
We spent the morning in the town of Tonchigue. This was a community with all the elements of breeding disease. We visited two homes in the community where we split up into
groups to examine the living conditions and environmental health factors, inside and outside of the house.
In the first house there were seven children with one on the way.

This family of nine was living in a shack the size of an average family room. There was no electricity, no running water, no latrines, or waste disposal. Everyone in the
family slept cramped and lying on top of one another, with no beds, just a hard floor made out of logs. They did have bed nets, but they were inadequate having holes the size of
a fist in them. There were holes in the floor boards, and stagnant water running underneath the house. The stagnant water next to and underneath the house had mosquito larvae in
it. The mother was pregnant and severely anemic, as many where in the community. They did not boil their water, and their only heat source for cooking was burning logs in their
kitchen.
In the second house we visited, there were ten children with one on the way. The house was elevated above ground, and the floor was incredibly unsteady and had large holes in it.
Most of the children slept on the floor but there were two “shelves” made of wood with no mattress that a couple children could cramp onto. This house did also have bed nets,
but once again they were unsubstantial. The mother recently had malaria, and one of her children had recently had dengue. This house did have a gas stove but they also didn’t
boil their water because it was too expensive. We left bags of food and clothing for the families, but it didn’t come close to really helping these people;. “It was like
putting a band-aid on a cancer patient.”
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We also visited the health clinic of the community. The doctor there spoke English, and informed us that he was doing his rotation of one year community service. We learned
that the most common diseases are malnutrition, colds, diarrhea, and scabies, and that malaria’s prevalence increases in the rainy season. This clinic could handle very
little, and the nearest hospital was two hours away, reachable by bus (there was no ambulance). Eighty percent of patients at the clinic are pregnant women and children under
five, for whom health care is free. The clinic was in very short supply of antibiotics; we were able to donate some antiparasitic and antifungal medications.

The rest of our day was spent visiting Atacames (somewhat like an Ecuadorian Atlantic Beach) and practicing our bartering skills at the beach market. After a wonderful meal
at our hotel we decided to go to the discothèque and create our own gringo dance floor, where we defiantly captured a few looks. It was a long and emotional day
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