Thursday, December 13, 2007

Tacos in Swaziland - Cultural encounter series (4 of 10)


Treasure, Anne, an Mlingisi eating their first taco.

There are no tacos in Swaziland. There are no Taco Bells, Taco Buenos, Taco Cabanas, or for that matter any taquerias, taco stands, taco trucks or taco shacks named Taco Something.

There is a place downtown named Pablos with a desert cactus on the sign, but they serve burgers.

Well, I recently found taco shells at the local grocery store. I do not know if there was a supply chain routing error or if I just got lucky, but there they were. I believed they were "El Paso" brand.

I made that tacos that night for dinner, so many in fact that I had seven extra, which I brought to work the following day. I sat down in the kitchen to enjoy one, and handed out the others to the next six Swazi colleagues that happened to drop by the kitchen.

None of them had ever heard of a taco or seen anything like it.

Here were some of their comments:
"Oooh. It is sooo nice."
"So, doc, is this really what they eat in Texas?"
"What is it again? A teekos?"
"How do I do it? Do I hold it like this?"
"You really have to share the recipe."
"I like Mex-Tex. I must visit some time."
"Oh! It tastes just like Doritos."

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Sunday, October 28, 2007

Yesterday's jog past the graveyard - Cultural encounter series (3 of 10)



We had biked past the graveyard before. The first time I pedaled by the place, just less than a year ago, I did not know that dead bodies were buried there. It looked more like a quarry of some sort, or an unlikely rock garden. I say “unlikely” because I have yet to see a rock garden in Swaziland, and if there was a lonely gardener of stones, he or she would be unlikely to choose this exposed, treeless, featureless, eroding square of land.

Not the best place to bury something either, I suppose.

I did not point this out to the three men with shovels. On my next pass, a week later, they were methodically lunging toward an enlarging hole in the ground, moving earth and aerosolizing dust. Their shovels made the sound that cats make when frightened. Sometimes, when the tool’s metal hit rock, it made a different sound. A short-lived, lifeless one.

In the foreground, there was a prone, human-shaped shadow in the back of a carelessly-parked pickup truck. The able-bodied figure was awkwardly positioned and perfectly still. I did not stare, for the scene was already rife with indecency.

--

Yesterday, I jogged past the same cemetery. There were no grave-diggers there, or anybody for that matter. On the surrounding hillside, however, it was a busy Friday afternoon.

A few paces from the piles of dirt and rock, there was a child carrying a child. They were the same child, it seemed, but one was smaller. I believe they were sisters. They were at the base of the hill, walking up. Others followed, many of them students returning from the school in the valley below.

Further along, two men peered into the rusty bowels of an old tractor. One was crouched down looking up, while the other was perched on a tire, peering down. They both looked perplexed, as if there was no good reason for the ancient machine to be giving them so much trouble.

Ahead, two sheppard boys began waving their whips at a small herd of cattle that were slowly crossing the road ahead of me. Under the threat of the leather lash, the cows’ pace quickened. A calf, trapped between me and a hillside drainage ditch, leaped away from me in desperation. Despite the well-known nursery rhyme, cows are not able jumpers, especially on concrete. Shortly after a frantic extension of the front legs, there was slip, a buckling, and an awkward tumble. The calf regained its footing, seemingly satisfied with itself for having avoided both the runner and the whip.

As I began the two-kilometer climb to the top of the hill where I was to turn around, a child began to run alongside me. He was punching the air in front of him, like a shadow boxer, or, for those familiar, one of those miniature boxing nun novelty toys. I had no idea why he was doing this, nor did I understand why he was nudging me to the right side of the road. After a few seconds of fist-pumping and nudging, a four-wheeled cart sped by in the other direction. The child driving was holding a horizontal stick, like a water-skiing tow-rope. He was steering the vehicle with the same back-and-forth hand motions as my new running escort.

After the cart had passed, my gesturing protector smiled and asked me, “Want to ride it?” I answered “no thank you”, for it looked a lot like one of those old wood-and-red-metal Citizen Kane “Rosebud” sleds, and I crashed too many times as a child. (We rarely got more than an inch of snow in Texas, and this provides little cushion.)

I ran up the hill and turned back. I passed the graveyard. This time it was on the left. I crossed a bridge where a woman was washing her clothes in a shallow, smoky river. The water smelled of algae and sulfur. Five children shouted and waved from outside a shack built from corrugated tin and weathered wood. Their bubbly excitement when I waved back and said “hhheeeellllooo” made me feel happy but small, maybe even a little bit old.

I looked back at the hill I had just climbed. The rains have recently arrived to Swaziland, and the grass was rich and green, the color of a plastic turtle.

The graveyard was not green. It was brown and ruddy, the color of a place where too many young people are buried.

The children were still waving, so I shouted “Bye byeeee!”

Recognizing another of the few English words they knew, they were delighted, and each of them squealed the same word back several times.

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Friday, September 28, 2007

The un-barefoot doctor: My Swazi half marathon - Cultural encounter series (2 of 10)




I ran a half marathon last Saturday, the "Standard Bank Slojos Half Marathon", to be exact.

Some of the competitors wore the latest running apparel. Others wore dilapidated Converse high-tops and worn-out khaki pants. Some ran in bare feet.

Most of the competitors were Swazis. Some were from neighboring countries (South Africa, Zimbabwe, etc.)

The course was about a third dirt road, two thirds pavement. Hills there were plenty.

The highlights of the race for me were two:

1) Running km 14-16 with Goodness, a barefoot Swazi women around twenty years old. She spoke to me in easy, full sentences and ran the downhills fast, claiming that she could not slow down. I have never run shoeless down a gravel road, but, if I did, I would do so slowly.

2) Handing out chewing gum to the kids on km 17, after several volunteers gave me two handfuls. As I cannot long-distance run and chew gum at the same time, I tossed them one at a time to the clapping, waving, singing, dancing, and sometimes just staring children that stood in groups along the road every few hundred meters. They not only reminded me why I was in Africa to begin with, but provided me with a much-needed distraction from the inevitable pain experienced when running just a little bit too far.

Speaking of which, the Nedbank Soweto Marathon is November 4th. I just registered. Registering, of course, is the easy part.

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Saturday, August 25, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 7 of 10)


ANSWER= (d) Enema instrument.

Well, I finally bought one of these. (My dad's birthday is coming up on the 28th of the month. Happy birthday, dad!)

The one pictured cost USD$4.50 and was purchased at the roadside shop pictured in the previous "pop quiz" post.

I am not sure of the exact statistics, but these are very commonly used for "cleansing", especially on Sundays, and are often found hanging in private latrines here in Swaziland.

Now you know.

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Wednesday, August 22, 2007

Burdened hunters – Cultural encounter series (1 of 10)

On my way to work yesterday, (like the day before, a 2 hour drive each way), I looked out the window. I had tried reading during the drive and found myself little smarter and much sicker. (Something about the UNICEF truck, the vehicle we use for rural site visits, disagrees with my inner ear, stomach, and all of those other body parts that are afflicted when car sickness sets in.)

On my protracted commute, I saw crowd of people, mostly women, with wheelbarrows. They were awaiting the delivery of powdered maize to sustain their families. Children used the wheeled vehicles for cots, seats, or shade, depending on their size and age.

I saw a child laying across three empty twenty-some-odd liter water jugs in the morning sun at the minibus stop, likely awaiting pubic transport to the muddy river down the valley. Despite the magnitude and seeming impossibility of his errand, and despite the dirt devils that sprung to life in the wake of passing trucks and powdered his clothes and jugs, wore a relaxed, reflective expression.

I saw women with bundles of wood balanced carefully on their heads, each bundle longer and by all appearances heavier than the body shuffling beneath. They were for building or burning, I know not which.

I saw a semicircle of people bent at the waist around the newest deposit of municipal garbage at the landfill outside of Manzini, Swaziland’s largest city. They picked through colorful plastic bags for something worth more than trash, something that could be eaten or sold.

I saw a grazing wildebeest, one of the few respites my eyes found between these and other incessant high-speed snapshots of impoverished human beings.

Human beings sitting hungry, thirsty and dusty atop the food chain.

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Monday, August 20, 2007

Swazi 'cultural competency' pop quiz (Question 7 of 10)

The photo below is of poor quality. I work hard not to rubberneck, and so did not dwell long when shooting. I searched diligently for online images of this device and found none. Basically, they are coffee cans with a clear plastic tube attached. My question for you is this: What are the things hanging up?





(a) Dispensers for cattle dip (i.e. for livestock deparasitization, esp ticks)
(b) Tubes for siphoning or filling gas and oil tanks
(c) Maize mealie meal storage/dispensing canisters
(d) Instruments for self-administered enemas
(e) Feeding tubes for parentless or disabled baby domestic animals

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Thursday, August 16, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 5 and 6 of 10)

The answers and explanations correspond to questions 5 and 6 below. The questions relate to Swazi destinations #14-15 (also below).

#5 Answer: (a)
#6 Answer: (c)

If any of you Swaziland aficionados know the explanation for these seemingly disparate correct answers, please let me know. I have asked around, so far to no avail.

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Thursday, August 09, 2007

Swazi 'cultural competency' pop quiz (Question 5 and 6 of 10)

The following questions will test your knowledge of Swazi destinations #14-15 below:

#5. Both homesteads pictured have a round hut on them. This is traditionally called:
(a) The granny house (or “Kagogo” in SiSwati)
(b) Young men house ("Lilawu” in SiSwati)
(c) Married man’s house (SiSwati name not retrievable)

#6. This round hut is the place where:
(a) The dancing occurs
(b) The marital bed is situated
(c) The children sleep and the food is prepared
(d) The grandmother, or gogo, sits to give advice in the evenings

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Tuesday, July 31, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 4 and 5 of 10)

See below for the question.

#4 - (c) is the incorrectly worded choice. The pregnant woman, in traditional culture, would sleep by herself in the marital bed/house. The father sleeps with the children separately. The other statements are true.

#5 - (d) is correct. While (d) this may seem a reasonable reason to start fires, there seems little calculation/care involved in the modern day burning process. This was recently corroborated by two sources. One, the newspaper, which reported on the 100+ homeless families following a fire this past weekend (photo below). Several also died in the blaze, which started when small, intentional fires were spread by gusty winds. The other source is our UNICEF driver, Dumsani, who reviewed the history of Swazi burning with me as we drove to Matsanjeni yesterday. (See Swazi destination above.)

Dumsani's hypothesis was the inspiration for the last choice below. He said, "I think that, these days, many [of the fires] are started because of rage."

If this is the case, many angry folks are running around Swaziland with matches.

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Monday, July 30, 2007

Swazi 'cultural competency' pop quiz (Question 4 and 5 of 10)

Answers to the following coming soon. See also patient encounters and other 'cultural competency' questions below.


www.unfpa.org

#4: Which of the following is NOT true regarding pregnancy in Swaziland?

(a) Traditional custom encourages the father to avoid association with the pregnant mother until the child is one month of age.

(b) Approximately 40% of pregnant Swazi’s are HIV+, and up to 40% of those will transmit the virus to the baby.

(c) The pregnant woman, in traditional culture, would sleep with the children in a separate building, while the father, if at the homestead, would sleep by himself in the marital bed/house.

(d) The pregnant woman, if HIV positive, is very unlikely to receive any medicines to help her prevent transmitting the virus to her newborn (12% coverage according to some estimates).

(e) According to UNICEF statistics, 74% of deliveries in Swaziland will have skilled birth attendants present.

A forest fire near Mbabane. (www.times.co.sz)

#5: This is the fire season here in Swaziland. Thick smoke fills the air and ground/grass/forest fires abound wherever you go. It is quite a phenomenon. Swazi’s have preserved this traditional practice for all of the following reasons EXCEPT:

(a) It is believed to be good for preparing the soil for planting when the rains come around September.

(b) It is easier and cheaper than cutting the grass.

(c) Charring the ground allows the cows to graze earlier on green pastures.

(d) Calculatedly lighting and carefully controlling fires on a calm day helps prevent more dangerous fires when the windy season begins.

(e) "Rage."

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Tuesday, July 24, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 3 of 10)

Here are the answers. See below for the question.

Chakalaka = (b)
See my previous entry One hundred and one Swaziland destinations: Chakalaka for more.

KFC = (b)
Yes, it is here, but it costs most Swazi’s 1-2 days wages.

“Seswaa” = (c)
Boiled, pulled beef, a common food in Botswana. I had this for the first time last week. (Thanks to KT, my colleague from Bots.)

Sushi = (c)
This may look like Tokyo’s finest, but we had to import several ingredients and make the rolls from scratch. See Japanese brunch in Swaziland - An exercise in culinary syncretism.

Trout = (c)
Not in Swaziland. Zululand (in South Africa) and the Drakensburg Mountains are your nearest options for these fresh-water fish.

Pap = (a)
This one is a local staple. It is relatively inexpensive, made from maize meal. When mothers run low, they add more water to make a thin porridge to quiet the kids. See Leaving on a jet plane, and stuffed for the original post.

Eggs, PB, beans lentils = (a), maybe this year (b)
This is a photo of what I call the “strong foods”. I review these with my patients whenever a child is not gaining weight, for they are high-cal, relatively inexpensive options. With this year’s drought, prices are up and the strong foods harder to get. Read my post Whispers and averted eyes if you want the story behind the photo.

Wors = (b)
Meat (in this case sausage) is also a strong food, but beyond the monetary reach of the vast majority here.

Butternut = (a), sometimes (b)
This squash is a common food, but can be expensive if out of season. It makes a sweet pumpkin mash or soup, often served with cream and cinnamon (if available). See my Gardening in Swaziland link, where I brag about my green thumb.

Barracuda = (c)
This fish fillet is found along the Mozambican coast and is delicious. Seafood in Swaziland is hard to find and very pricey.

Corn Soy Blend = (a)
The World Food Program distributes this powder around Swaziland. All children on ARVs or TB medicines through our clinic leave with a bag of CSB. See Broth, no bread – A patient encounter and Today's family photo(s) – Powdered foods for more.

Fish and chips = (b) Again, meat is expensive. Few have it except on special occasions. This dish, as you might guess, was imported by the Brits, whose protective role in Swaziland dates back to the rise of the neighboring Zulu nation, at the time a grave threat to the Swazi tribe. (Pardon the broad historical brush strokes...I am not well-studied in Swazi-British history.)

Mealies = (a) These are common along the road and cost the equivalent of 30 cents US. Each ear is a meal. See One hundred and one Swaziland destinations: Mealie brai drive-by.

--

Ok. The number and distribution of the (a)’s illustrate that, essentially, Swazis subsist on maize and other vegetables when in season. Beans and maybe dairy products offer occasional protein.

The feast of photos from the previous post reflects the foods that this over-privileged ex-pat doctor (and other well-off Swazis) have eaten over the past year, and is in no way representative of the menu in a typical local household.

Food, you see, is at the top of the long list of inequities in this country.

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Friday, July 20, 2007

Swazi 'cultural competency' pop quiz (Question 3 of 10)

There has been a lot of talk about food in Swaziland recently. Of course, malnutrition is widespread here, its treatment a regular component of our clinical practice. I will talk a bit more about the drought soon, but I wanted to ask a culturo-culinary question to set the stage.

Those of you who frequently visit this website will have an advantage here as I post comments and photos of local food quite frequently.

Ok.

Please classify the thirteen pictured foods as (a) ubiquitous in Swaziland, (b) available in Swaziland, but unaffordable by most all Swazis (c) nowhere in Swaziland. If you email me your answers (or leave them under comments), I will reward the winner with public praise. My email address is messageforryan@gmail.com.

Answer soon.
















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Tuesday, July 17, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 2 of 10)

Answers to questions below as follows:

2a. False (chain link fence ~6ft tall)
2b. F (pic taken at water’s edge, where crocs eat)
2c. F (reminds me of that game “hungry hippos”, and I am one of the marbles)
2d. True (the 16 inch wall between me and the most deadly of the big 5 was some comfort, though.)

Pardon the melodrama. It's just that I like my place at the top of the food chain, and sometimes here in Africa I feel temporarily displaced.

More Swazi 'cultural competency' questions soon.

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Monday, July 16, 2007

Swazi 'cultural competency' pop quiz (Question 2 of 10)

True or false:

The photographer taking the photo below has kept a safe distance from the wild, deadly animal.



The photographer taking this photo has kept a safe distance from the wild, deadly animal.


The photographer taking this photo has kept a safe distance from the wild, deadly animal.


The photographer taking this photo has cleverly placed a subject between him the wild, deadly animal to ensure that he is not the first to be trampled.


Answers (and more nuanced questions) coming soon.

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Thursday, July 12, 2007

ANSWER: Swazi 'cultural competency' pop quiz (Question 1 of 10)

The answer to the question below is, of course, is “all of the above.”

The questions will get more difficult. I do not want to insult my vast, erudite readership.

In review:

Choice A is common knowledge.

Choice B is discussed in a previous [somewhat lengthy] post called The mysterious noise – An [auditory] patient encounter.

Choice C hearkens back to my inability, despite much searching, to find ethnic dolls when holiday shopping last year. I haven’t figured it out.

Question #2 coming up.

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Wednesday, July 11, 2007

Swazi 'cultural competency' pop quiz (Question 1 of 10)


Sihle.

The pediatric patient pictured above (named Sihle) is demonstrating:

(a) The tendency of young children to want to mimic the behavior of their parents
(b) The most common method used by Swazi mothers when toting around toddlers
(c) That, despite the epidemiology of Swaziland, there are very few dolls that do not appear 'Caucasian' on the local market
(d) All of the above.

Answer coming soon...

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