Same Planet, a Different World
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The following is a firsthand account of a medical-relief mission to western Indonesia that Dennis Whitehead, MD ’75, undertook in March 2005 in response to severe earthquakes that devastated the region only months after the tsunami struck. As this issue of Buffalo Physician was going to press, Hurricane Katrina hit the Gulf Coast. We contacted Whitehead and asked him if he had been involved in relief efforts following the storm. We learned he had just Same Planet, a Different World returned from six days of working with the Louisiana Department of Health and Hospitals to support search-and- rescue efforts in downtown New Orleans, assist boat crews in the flooded areas, treat rescue workers, complete MEDICAL RELIEF IN INDONESIA, POST-TSUNAMI AND EARTHQUAKE EMS site surveys and examine shelter patients in rural St. Tammany Parish, northeast of New Orleans. By DENNIS C. WHITEHEAD, MD ’75 At our request, Whitehead agreed to report on his Gulf Coast experience in the next issue of Buffalo Physician. —S. A. UNGER, EDITOR All that remains of Banda Aceh’s densely populated residential area. The hills in the background shielded most of the downtown business district. Nias Island Same Planet, a Different World India Indian Ocean Cambodia My thirtieth medical class reunion took place this past April, and I was looking forward to it very much. I have greatly enjoyed seeing my Sumatra classmates every five years and catching up on their lives. My former room- Malaysia mate, Jack Freer, MD ’75, now a clinical professor of medicine at UB, was 8.7 earthquake coordinator for our class this year and I promised him I would be there for the festivities. I never did make the reunion, but I had a pretty good excuse. Sumatra Nias Island During my daughter’s birthday last December 26, those with prior international experience were being newscasts reported that there had been a severe earth- asked to serve. So I donated money and prayed for the quake and tsunami in the East Indian Ocean. Initial victims, vowing to volunteer again sometime in the reports indicated significant damage and some casualties near future. in Sri Lanka and Thailand. By evening my children and I on April 3, I sent my CV to several NGOs and again SHOTS, FORMS AND ANXIETY were appalled by news of how much devastation the THE RIGHT TIME TO SERVE volunteered my help. IMC is very well organized and sent me a great tsunami had caused, putting a damper on the birthday Shortly thereafter I received a response from the On March 28, 2005, an 8.7 magnitude earthquake deal of information about what to expect during my celebration. We pulled out an atlas and looked at how International Medical Corps (IMC), headquartered in hit just north of Nias Island, Indonesia, which is 400 miles service. At their recommendation, I started mefloquine close northwestern Indonesia is to the quake’s epicenter Santa Monica, California: “We could certainly use south of Banda Aceh and 90 miles off the west coast of for malarial prophylaxis and was immunized against and wondered how the people living on the coast there your services in Indonesia. Can you leave in a couple Sumatra. This quake was the second largest quake our typhoid, meningitis, tetanus and polio, all of which are had fared. of weeks?” planet had experienced in 41 years and thousands of endemic in Indonesia. I also completed many forms about The next morning, reports began coming in from The next day, my four partners in our rural hospital’s casualties were reported on Nias. (The tsunami quake in my background and questionnaires about whether I had Banda Aceh at the northern tip of Sumatra, estimating Emergency Department readily agreed to cover my shifts December is now rated at 9.35.) The epicenter of the any objections to living in a tent, whether I was willing to that over 100,000 people had been killed in that city during the five weeks I would be away, truly making my March 28 quake was farther south on the Sunda Fault, fly in helicopters and whether I minded exposure to phys- alone. I recall feeling sad and helpless. I just wanted to commitment to IMC a group effort. the same fault that caused the tsunami. ical challenges. do something to help. IMC was founded in 1984 by an emergency physician Non-governmental organizations (NGOs) previously Since I have mountaineering experience I expected December 27, 2004, was a beautiful snowy day where I named Bob Simon to help train emergency medicine per- flush with volunteers were finding fewer applicants with assignment to an austere environment. I was told I would live in Michigan’s Upper Peninsula. I had a date for cross- sonnel in Afghanistan during its conflict with the former a second major disaster occurring so soon after the be sent somewhere in Aceh Province, an area that before country skiing with my friend Coleen, a critical care nurse Soviet Union. I was acquainted with Bob from my work tsunami, so international relief rookies were needed. On the tsunami was best known as the home of a militant at the hospital where I practice emergency medicine. Our with the American College of Emergency Physicians, and March 30, Coleen was called by Project Hope for imme- Muslim separatist group called GAM. (Aceh is about conversation turned to the tsunami, and as we talked I many years ago I had called him to inquire about volun- diate service onboard the USNS Mercy, a navy hospital 95 percent Muslim, by far the highest percentage in realized that now was the time to translate into action my teering with IMC. At the time, he told me that he received ship that had been en route back to the U.S. from Banda Indonesia.) Since the tsunami, GAM had been lying low longstanding intention to do international relief work. about 30 inquiries for every volunteer who actually went Aceh and was now returning to assist the people of Nias. but were thought to be planning new attacks on the That night I went online and sent messages to several into the field and that when the time was right for me to I knew she had filled out applications with several vol- Indonesian military, so there was some possibility of relief organizations, volunteering my services. I was a bit serve I would know it. In the spring of 2005, with IMC unteer NGOs a few months earlier, and I regretted not physical danger. As our departure date drew near, we were disappointed to learn that most of them already had more having grown to over 6,000 volunteers and employees in having gotten around to doing that myself. After she left told that final field assignments would be made at IMC’s volunteers standing by than they could use, and only 20 countries, I knew it was my time. 14 Buffalo Physician Autumn 2005 Autumn 2005 Buffalo Physician 15 TOP: I was grateful I had brought a headlamp with me, as lighting at the hospital was pretty poor. A mild quake occurred as I was working on this man, and I had to have my nurses restrain him Nias Island Same Planet, a Different World Same Planet, Another World Nias Island from running outside so I could finish repairing his laceration. BOTTOM LEFT: Dozens of boats in Banda Aceh were thrown more than five miles from the Indian Ocean by the December 26, 2004, tsunami. BOTTOM RIGHT: Virtually all the buildings on Nias Island were damaged in the March 28, Indonesian headquarters in Jakarta, where we would be After a short night in Jakarta, our crew stumbled out 2005 earthquake. This building collapsed in one of the strong aftershocks. stopping overnight on our way to Banda Aceh. of bed at 4 a.m. for the three-hour flight to Banda Aceh, I wondered how I would fare as a physician in the where we were to spend another day before a flight was tropics. Practicing for the past 25 years near Lake available to Nias. Despite the heat, we were told to wear Superior, I had seen exactly two cases of malaria in my long pants and mid-length sleeves in keeping with medical career: a Christian Science couple who had just Muslim customs and Aceh provincial laws. returned from a religious mission to Africa and were Banda Aceh had a population of nearly half a million speaking at a church in our town when they became ill. before disaster struck at 9:12 a.m. on December 26, 2004. I had never seen dengue, typhoid, cholera, tetanus or The business district on the south side is shielded from Japanese encephalitis. I hadn’t even seen a case of measles the Indian Ocean by a range of hills to the west. However, or mumps in 20 years. I emailed Coleen on the USNS the densely populated residential area to the north has no Mercy and told her of my fears, and she assured me that such protection, and over 100,000 people were killed in my concerns are common among first-time relief physi- 30 seconds, more than were initially killed by atomic cians and that my lack of tropical experience would not bombs in Hiroshima or Nagasaki. be an issue at all. Nevertheless, I copied several articles on IMC had maintained active relief programs through- the subject to take with me, and I fervently hoped there out Aceh Province since the tsunami, and we had a chance were doctors along who knew more about tropical medi- to see the destruction firsthand with several of the organi- cine than I did.