Gorkha

The next phase of our eleven full days in Nepal between May 8 – May 18 started on the morning of Sunday, May 10. It began with the arrival of a van hired from Nepal Sanctuary Treks at Ron and Cheryl’s in Bhukuntole near the British School. After expressing our gratitude to Ron and Cheryl we went to Kalimati and picked up the other three people of our original group (Lisa, Knight, Heather Knight, and Chris Butler) and the four other’s who had decided to join us – a paramedic from South Africa, two EMT’s from Texas, and a volunteer firefighter from Virginia.

On our drive out of the Kathmandu valley, David decided to call Becky Paris, a friend from our time in Pokhara when he was in primary school. Becky is now an anesthesiologist/trainer at Tansen Hospital. David asked her what she knew of NGOs involved in Gorkha district and she suggested we look up World Vision, as they had been assigned that district. Gurkha is not too far off the road to Pokhara so we decided to take the detour and see if we could make a connection right away with World Vision.

We arrived in Gorkha around two in the afternoon. I had called my friend Kiran Shrestha in Pokhara. He’s a Rotarian with connections. He called Nakul Thapa, the President of the the Gorkha Rotary Club, who met us when we arrived in town. We asked him if he knew where World Vision was in Gorkha but he had no idea. Wondering what to do next we saw several UN vehicles drive by and enter the Gorkha Inn which had been set up as their headquarters in the district. We made our way toward the Inn with the intention of finding out what was going on and how we might fit in. As we reached the entrance, Nakul recognized a man in a vehicle exiting the Gorkha Inn parking lot. After a brief conversation between Nakul and the man in the car, he stepped out and introduced himself as Dr. Joshi of WHO. I introduced our group as firefighters and paramedics.

Dr. Joshi recommended that we follow him up to the Gorkha District Health Office. When we arrived he invited us in and asked what kind of work we might be able to do. After explaining our skills which included treating injuries and building temporary shelters, he suggested we might be able to help construct temporary shelters in which local health workers could continue seeing patients. We thought this was an excellent idea and a perfect fit for our abilities.

I was impressed that Dr. Joshi opened up his laptop and brought up the same UN coordinating website that Ron has shown me the night before. He began looking at the health cluster pages to see which villages had health posts that had been destroyed in the earthquake. He found two that were fairly close and we could possibly complete in the few days were had to offer. Dr. Joshi spoke with us in English, but I occasionally spoke Nepali with his staff members. I explained that I’d learned Nepali as a child in Tansen and that my father, Dr. Carl Friedericks, had started the hospital there. This, I’m sure added to our credibility and their willingness to give us an assignment.

We left the District Health Office with assignments to build two temporary village health centers. We were given two letters introducing us to each VDC (Village Development Committee). The two areas were Gankhu VDC (population about 3000) and one for Mirkot VDC (population about 6000). One of the letters was for the health worker in charge of the VDC Health Centre. The other letter was for the Secretary of the VDC, an appointed administrator and representative of the Government. The letters authorized us and instructed the local officials to allow us to operate in the village area.

Authorization letter from Gorkha District Health Office

Authorization letter from Gorkha District Health Office

IMG_3877 - 2015-05-10 at 19-53-49The road to Gankhu was unfinished but passable, we were told, but even so our driver was unwilling to take his van on it. The road to Mirkot was even worse. We decided to go to Gankhu first; it was a smaller place and easier to get to. If we were successful there, and we had enough time, we would go on to Mirkot.

 

IMG_3868 - 2015-05-10 at 18-38-07We asked Nakul Thapa, the Gorkha District Rotarian, to help us find transportation to Gankhu. He found us a small bus which we hired for the journey. It was a hair raising journey!  Chris Butler admitted he made a mistake sitting at the front of the bus as it careened down the hill from Gorkha, swinging off the single lane tarmac on the outside to pass a bus or truck laboring uphill. He said, “I run into burning buildings, but this scares the sh*t out of me!”

Despite hiring the entire bus, we picked up passengers along the way. They turned out to be family members of the owner of the bus returning to their village after the earthquake had frightened them away. We were happy to share our bus as we ventured deeper into the hills and submitted to the same environment and risks everyone in Nepal was facing.IMG_3874 - 2015-05-10 at 18-40-28 This family had lost their house, but were returning to the village to pick up the pieces and continue. Besides two young boys, there was a new born baby girl. David began talking with the young mother and shared his own family pictures with her. Chris later commented on how gorgeous this woman was.

When we arrived the Nayasanghu, the main village of Gankhu VDC on the new motor road, I showed the letters to a shopkeeper who informed us that the health worker had returned to Gorkha for the night but would return the next morning. The letter, however, immediately gave us credibility among the townspeople. My fluency with the language was also immediately noted and appreciated. Feeling welcomed, I said we would consult with the health worker about a location for a temporary health center and we would like to camp somewhere for a few days. Our bags and totes containing medical supplies were unloaded from the bus and we were taken to the school yard where we pitched camp.

Nayasanghu School, Gankhu, Ward 5

Nayasanghu School, Gankhu, Ward 5

The school was very close to the old health center so we thought it was a good location. We could also treat people who would show up when word got out that we had medical supplies. The District Health Office also authorized us to treat patients with injuries and had given us forms to use to help with district-wide data collection.

IMG_3910 - 2015-05-10 at 20-12-17

Collapsed classroom walls.

The outer structure of the school buildings, at first glance, looked okay. But looking closer we saw that several interior walls had collapsed and parts of exterior walls bulged or had collapsed. They were all too dangerous to enter. During April and May schools in Nepal are on summer holiday. Annual exams are in March followed by a two month break. But school was due to begin again by the end of May or early June. No temporary shelters had been built for classes in this village and we wondered where teachers and students would be meeting. Hopefully another group like ours would be assigned to set up temporary classrooms in the school yard.

Village children came to see what was going on when we set up camp in their school yard. Though all of them were living in make-shift structures, usually under a tarp, they were all clean, well dressed and happy. They enjoyed playing football (soccer) and being curious children. Several practiced their English with us and one boy was even able to act as translator when people showed up for treatment.

Playing football with village children.

David and Chris playing football with village boys at our camp in their school yard.

It was evening by the time we settled in. Still gripped by jet lag and several days of travel we were in our tents and asleep by about 8:30. It was hot and it didn’t cool down much at night. We never knew exactly how hot it was but we guessed it was around 95 degrees F.

 

Sindhupalchowk

Chaku village in Sindhupalchowk We arrived in Kathmandu on Wednesday night, May 7, just before 9:00 local time. It was 11:30 before we got our baggage and walked out of Tribhuvan International Airport. We were met by CRI and taken to a Christian guest house for the night. All of us slept in the same room. Beds were comfortable and it was wonderful to stretch out after more than 20 hours in three different aircraft. The fan rattled badly but David found a way to fix it. It was very hot; we needed that fan! The Internet didn’t work but we wanted sleep!

In the morning we were told we were being deployed to Sindhupalchowk. There was no discussion, no suggestion that we might have an idea where our skills would be most useful. As a group we decided to see where this might lead and proceeded to load a couple pickup trucks with our stuff along with some bags of rice and instant noodles (Wai Wai). We went shopping in Patan for more supplies. First stop happened to be near Patan Darbar Square where several ancient structures had colpased. The clean up had begun and we were not allowed in the area. Nearby we were able to buy plastic buckets with lids for the Swayer water filter kits, a couple cooking pots and bowls for ourselves, snacks, oatmeal and coffee. Later we stopped to pick up several more bags of rice. Both trucks were quite full. The last stop before heading out of the Kathmandu valley was to buy SIM cards for our phones that would work in Nepal.

Hannah, a Nepali Christian girl, came with us as a translator for CRI personnel in Sindhupalchowk.  There were also two hired drivers with trucks that belonged to a church in Kathmandu. One truck had “Jesuse Love You” in English across the front windscreen.

David’s Nepali was coming back. It is quite amazing how the mind digs up the words when you’re in context. He did a lot of the negotiating in the shops. It was fun to watch!

As we drove around Kathmandu we noticed that the city was very much back to normal. We saw evidence of collapsed walls along streets, but most had been cleared away. Traffic seemed light. We speculated that many vehicles were outside the valley either taking people out of the valley or were being used to transport relief supplies. Shops were open and many people seemed to be living inside again. People were going to work. As Robert Frost said ‘Life goes on’.

Outside the city, as we drove east, we didn’t see much damage initially. We travelled down to the Sun Kosi River and then north along this river toward Kodari, at the Chinese border. The farther we travelled up the river, the steeper the sides of the valley became and we saw more damage to houses, landslides and boulders hanging precariously.

Ghost town along the road

Ghost town along the road

At 3:00 we reached our destination – Chaku, a series of houses along the road. When we got out of the trucks we had no idea where we were supposed to go or who would meet us. As we stood waiting for phone contact, we noticed that it was basically a ghost town.

Soon a small group of foreigners came up a side road from the rest of the village. They welcomed us as part of the CRI team and showed us where to park the trucks. The houses along the road, they said, had been abandoned. Their owners had returned to villages high up in the mountains because they felt safer up their away from the possibility of landslides in the steep slopes by the river. What many of them found on returning to their villages, however, was that their village homes had collapsed. But on higher ground they could, at least, set up temporary shelter in open ground and they could take care of their animals and fields. Many villagers rented or build houses for shops of some kind along the roads where members of the family could generate cash income. Those who stay back in the villages continued farming and raising animals.

The lower part of Chaku village where the original residents live.

The lower part of Chaku village where the original residents live.

The CRI team of three women and four men had been in the village 5 days. Among them was a nurse, two young EMTs from Texas, a volunteer firefighter from Virginia, and three who called themselves CRI co-leaders. Soon after we unloaded the trucks we had a meeting at the local church, one of the only buildings in reasonably good condition since it had recently been build of concrete and rebar. We heard that they had re-established a water supply for the remaining villagers, the original settlers of the area who had lived here before the motor road had been built. Their settlement was below the road on an extended ridge between two streams.

It soon became clear that the CRI team had not done much and the primary focus of the co-leaders was to work with the pastor of local churches in this and surrounding villages. They were waiting for the pastor of the local church to return from visiting other churches so they could assess needs. We were told we would not be able to visit any other villages unless we were invited by its local church, that the pastor of that church accompanied us and one of the CRI co-leaders also accompanied us. We took this information in silently but we each realized it was going to be difficult finding a way to use the energy we had brought to this place.

After this meeting we newcomers were invited to set up camp in a field next to the one the others were camped in. It was well away from any houses and also away from the danger of landslides and falling boulders. After pitching the tents we walked around the village to assess damaged houses. David and I talked with several local people. Because of our language ability, we immediately established a rapport and learned that the primary need was for a clinic. Even though seriously injured people had been transported out to hospitals by road, others needed dressings changed or had various “routine” complaints. We discovered there was a local pharmacy but no villagers had cash to buy needed medicines. There were no real medical emergencies here any longer. The people would need continuing medical attention the longer they stayed in temporary shelters.

After an aftershock that evening the top corner was even more precarious.

After an aftershock that evening the top corner was even more precarious.

There were several houses posing a critical danger along the street. Walls could collapse at any time. We debated the risks of brining them down completely. We spoke to the owners who were eager for us to do what we could. Standing as they were was of no use to them; they were too dangerous to enter and posed a danger to everyone until they collapsed completely.

We thought we could bring one house down relatively safely. There were no buildings below it but on a closer look we noticed a row of houses was leaning against it. We could not speak with the owners of these building because they had left the village. We could not proceed without their permission.

One thing we were able to do was distribute five Sawyer water filters to family groups camped in open spaces away from the broken buildings. We put a hole in the side of five buckets and fit the filters. When we set them up we made be sure the women knew how to use and clean them.

Demonstrating a Sawyer water filter.

Demonstrating a Sawyer water filter.

That evening after a meal prepared for us by the local church, the three CRI co-leaders called a meeting. This consisted of twenty minutes of singing songs, praying and then sharing what we had done that day. It became clear to us that the leadership really had no idea of what to do; they were completely reliant on the local pastor who was away. During that meeting we were not consulted nor were we encouraged to present any ideas we might have had. We felt frustrated. Later that evening, after discussing amongst ourselves, we met with the co-leaders to ask directly what we would be able to do. We suggested visiting other villages and setting up a medical clinic but these ideas were not encouraged. We were told that since the following day was a Saturday, the day of rest and worship for the local church, we would be required to respect this situation. We would be expected to attend the church service and stay in the village. We would have to wait for the pastor to return. The ineffective leadership frustrated us and we decided to discontinue our relationship with CRI and go with our original intention to work in Gorkha district. We realized CRI really had no track record in Nepal and no real understanding of the culture or situation of the people.

Loaded for the return journey.

Loaded for the return journey.

The next morning we packed and loaded up a truck. Our exodus sparked three others to leave, too. The two Texans and the Virginian who had come with the CRI team were as frustrated as we were. Besides setting up the water supply system and helping people remove belongings out of the rubble of their houses, these young people had done nothing for five days. They wanted to join our group.

I called Tulsi Gyawali, my travel agent friend in Kathmandu with Nepal Sanctuary Treks, to send a van to meet us in Barabese, about an hour’s drive down the valley. There were too many of us to go in the pick up truck so it made two trips to Barabese. Our original group went first then it returned for the Texans and Virginian.

We all arrived in Kathmandu in the late afternoon. David and I went to our friend’s place while the rest went to an Air B&B that Heather Knight arranged. Ron Hess and Cheryl Groff, our friends from my childhood at Woodstock School in India, live in a very nice, strong house that had survived every earthquake and tremor so far without a crack. We felt safe and they fed us a great meal. After showing David around our old neighborhood in Sanepa, Ron showed me the UN coordination website that list every village area in the effected areas. Each cluster group oversees health or shelter or food distribution. NGOs are assigned to operate in different districts. In effect, it showed that the UN had taken over the job of coordinating relief and rebuilding efforts by working with the Government of Nepal. We later had first hand experience of this process.

What we learned from this experience was that working with NGOs that had little or not track record in the country was both ineffective and inappropriate. It is important to connect with established NGOs such as World Vision, Mercy Corps, Save the Children. Making contact with the government also gives legitimacy at the local level to your presence in rural areas. From what we observed, CRI wanted to work only through the Nepali Church.

Nepal Earthquake Response

It is now a week after the 7.8 earthquake hit Nepal. The Indian subcontinent is said to have moved 10 feet northward. Parts of Nepal rose 3 feet while Mt. Everest is 1 inch lower. Kathmandu moved 10 feet south and rose 3 feet. The Indian subcontinent continues to collide with Eurasia. It is sliding under and raising up the Tibetan plateau. The 2008 Sichuan earthquake was a related event.  A 9 on the Ritcher scale had/has been predicted. The last ‘big one’ in Nepal was 1934. There is an 80 cycle; a blink of an eye for Gaia.

That’s the geophysics. In the biosphere, though the loss of life and property is colossal, it could have been much worse. Taking place at midday on a Saturday was most fortunate. People were not in offices and schools. Most people were able to get out of their homes and shops in the cities and towns. Christians, however, were crowded in churches. There are reports of congregations trapped in collapsed buildings. In the countryside, it is a different story. Like the epicenter at Barpak, Gorkha District, most villages effected are on the sides of high mountains. Many an entire village was whipped away by landslides; roads were taken out or covered over, streams dammed. Grazing cattle were killed by falling rocks or collapsing makeshift shelters of stone. Spring rains have brought misery at night, muddy roads, and more danger of landslides and swollen rivers but there is a positive side to the extra heavy rains this year. It is usually very dry, dusty and hot in May and early June. Temperatures are lower, water tanks are not empty and reservoirs have not dried up. This year the planting season has been extended.

Though the situation is not as bleak as originally expected, there are still many people suffering. They are sleeping without proper shelter, many are injured and food is scarce. In situations like this it is the poor who are affected most. The homes of the rich are stronger and still standing. Many people in Nepal recognize this and have begun sharing what they have with their neighbors and are organizing teams to take temporary shelter and food to villages outside Kathmandu. It is wonderful to see this happening.

I will be going to Nepal this Tuesday, May 5, with four firefighters from Portland, OR.  Our son, David, is one of them. He has a heart for Nepal, as I do. He lived there as a child from age 4 until he was 14. Suzanne and I went to Nepal in 1981. David was 4 years old, his brother Ethan was just 2. A year later our daughter Elizabeth was born in Pokhara. We lived in Pokhara for six years and for four years in Kathmandu until 1991.

In Pokhara, 1983 - Elizabeth 1, Ethan 4, David 6.

In Pokhara, 1983 – Elizabeth 1, Ethan 4, David 6.

I have a much longer history with Nepal. I first went there in 1954. I was seven. My father, Dr. Carl Friedericks, started a hospital in Tansen, Palpa District to the south of Pokhara, at the invitation of the Governor of Palpa and the Government of Nepal. The hospital is still running and is very busy now as one of the destinations for helicopters to take the most seriously injured people from remote villages. It is crowded with hundreds of patients. Please see Dr. Rebecca MacAteer’s blog about her involvement. She is currently one of the doctors in Tansen.

My work in Nepal between 1981 and 1991 was to create health education media of all kinds to raise awareness about medical treatment for leprosy and a variety of community health and development issues. Since 2009, as a media teacher at Hong Kong International School, I have taken groups of high school students to Pokhara yearly to build awareness of Nepal and it’s needs. In this way I have kept up my involvement with Nepali people and my language skills.

The goal of our small group of firefighters and me, the Nepali language interpreter, is to take relief supplies and go to Pokhara. Once there we will connect with the Rotary Club of Pokhara Annapurna through my friend Kiran Lal Shrestha. The club is organizing 1500 “bucket packs” to send to villagers in need. They have also arranged for Kolkata Rotary in India to supply 1500 “shelter boxes” which the Indian Army is delivering to the Nepal border. Then the Nepal Army is transporting them from the border to villages in the high mountains. Kiran will help us connect with groups going into the mountains with these supplies. We will offer help in setting up shelters, distributing food, and treating injuries.

We are being sponsored by Crisis Relief International (CRI) and we have been raising funds through Firefighters For Nepal Fund. Please donate to either of these groups.

I will do my best, given access to the Internet, power for charging devices, and time, to keep you aware of what is happening while we are in Nepal.