Giant African Snail
Achatina achatina, a large air breathing land snail, grows up to 7 inches long and 2.5 inches wide.
These snails are on the path I take to reach the MSF truck that takes me to the hospital.
Beautiful Girls and Boys
Beautiful girls and boys. I was surprised. Guess I naively thought the children would all look malnourished and generally unwell. Most of the children I see in the ER are well-nourished and loved infants and toddlers much like at home. They started their life in a good home with good parents and were fed good food and loved. They reached the normal developmental milestones. I have grandchildren the same age who look the same. Then the rainy season started and armies of mosquitoes invaded their homes. A female mosquito bites them during sleep. It takes a few weeks or a month for malaria to develop. They all develop malaria. Just depends on how severe and how often. Malaria is the fourth most common killer of children under five years of age in the world. Malaria in children is more aggressive and more likely to progress to severe malaria with seizures, low blood sugar, severe anemia, and sudden death. I’ve seen a lot of severe malaria in my first week. Fifty pe
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