Here There and Everywhere

Expat wanderer

Oh! Didn’t It Rain!

I love it that this YouTube version of Mahalia Jackson’s rendition of “Oh Didn’t It Rain!” starts out with photos in Wadi Rum in Jordan, a couple peeks at Petra, and as the camera backs off, the effects of wind and rain on the topography of the Wadi Rum area. We camped there for three nights, lo, these many years ago, going on camelback into the deeper parts of the canyon. It was unforgettable.

My trip back into Doha last night was unforgettable.

In what is usually the most mundane of flights, we found ourselves bumping up and down with lightning striking all around us, from about the halfway point all the way into Doha. I’ve never had a lot of faith in the aerodynamics that keeps airplanes up in the air, and seeing flashes of lightning all around me was a genuinely religious experience, LOL.

(From article on lightning strikes plane in Japan: According to a Scientific American article about lightning strikes and aircraft, its is “estimated that on average, each airplane in the U.S. commercial fleet is struck lightly by lightning more than once each year”. However, the article notes that the last crash directly attributed to a lightning strike occurred back in 1967 when the fuel tank exploded.)

At the airport, all the baggage handlers actually had on rain-gear, and on the way home, there were deep pools where drains have clogged. And, as AdventureMan said, when you live at sea level, just where is the water going to drain?

I am so thankful to be home. Home for the next scant three weeks, anyway, as I pack up all those boxes once again for what we think will be (one of) our last moves. Sorting, giving away, “can I live without this if I leave it behind?” “Will I regret it forever if I leave this behind?” “Is there someone who could give this a good home?”

I have two great avenues of disposal; my own church, where incoming church personnel can make use of household goods and not have to buy everything new, and my housekeeper’s church, where they cherish anything they get.

March 2, 2010 Posted by | Adventure, Charity, Doha, ExPat Life, Florida, Jordan, Living Conditions, Qatar, Technical Issue, Weather | 4 Comments

AIDs Rate in Some American Cities Higher Than African Rates

Part of the problem, from what I understand, is that people KNOW the risks, and choose to take them anyway. Part of the problem is the percentage of the population that spends time in prison . . .

Epidemic in Some US Cities Worse Than Global Hot Spots
From : AOL Health News
Katie Drummond
(March 1) — Despite advances in prevention and treatment, rates of HIV/AIDS in some parts of the U.S. are higher than those in sub-Saharan Africa, say the authors of a recent study in The New England Journal of Medicine.

AIDS advocacy efforts in the U.S. have waned in recent years, after medical innovations helped sufferers live longer, minimized obvious symptoms and alleviated the widespread social panic that characterized the early spread of the disease.

Globally, though, the spread of AIDS has yet to be curtailed: 33 million people are afflicted, including two-thirds of those living in sub-Saharan Africa.

But what might come as a real surprise is news that rates across some parts of the U.S. have yet to decrease. In fact, they’re right up there with the prevalence of HIV/AIDS in global hot spots, where the health scourge continues largely unabated.

Rates of HIV among adults in Washington, D.C., for example, now exceed 1 in 30 — higher than reported rates in Ethiopia, Nigeria or Rwanda. In New York, rates are higher among blacks (1 in 40) and injection-drug users (1 in 8).

In urban areas across the country, 30 percent of men engaging in “sex with other men” are contracting HIV — compared with overall population rates of 7.8 percent in Kenya and 16.9 percent in South Africa.

Groups at a high risk of HIV infection have remained largely unchanged since the 1980s. So what happened to ongoing efforts at prevention and education, which were largely concentrated on those same demographics?

According to the essay’s authors, it’s a question of insular sexual networks rather than individual behaviors.

“Understanding the context and settings in which risk is increased may lead to more robust and effective preventive interventions,” the authors note. The idea hits on some touchy subjects, like the vulnerable demographics of black and Hispanic women, who are more likely to have multiple partners within one community because of the rates of incarceration among men in their social circles.

Those at high risk are also less likely to have access to health care, which means fewer opportunities to learn about or benefit from preventive interventions like HIV tests, anti-retroviral therapy or even condoms.

And AIDS remains an epidemic in the U.S. Low prevalence in most areas is outweighed by the startlingly high occurrence in others.

Potential solutions are nuanced and require out-of-the-box thinking, the essay notes. For example, the authors urge public health officials to shed ideological biases, like an unwillingness to consider needle exchange programs or safe sex in bathhouses. There’s also a need for better understanding of how one’s social circumstances affect HIV education, prevention and rates of infection.

That means everything from addressing the massive incarceration rates among black and Hispanic men to helping women who feel forced into commercial sex because of poverty or drug addiction.

Then there’s the question of how to help groups who have yet to respond to previous efforts. “Research is also needed to identify interventions that will persuade men who have sex with men to undergo HIV testing, facilitate their disclosure of their HIV status to sexual partners and promote negotiations for safer sexual practices,” the essay notes.

Of paramount importance, though, is to acknowledge that AIDS has not gone away. “The time has come,” the authors write, “to confront this largely forgotten and hidden epidemic.”

At the very least, health officials will have more money to take their prevention efforts out of the past and move them into the 21st century. Citing plans to develop “a national HIV/AIDS strategy,” the White House recently announced the first boost in HIV/AIDS investment in nearly a decade.

March 2, 2010 Posted by | Health Issues, Living Conditions, Safety, Women's Issues | Leave a comment