Showing posts with label Tanzania. Show all posts
Showing posts with label Tanzania. Show all posts

Wednesday, September 3, 2008

Email to friends and family (8/08/08)

To: Family and Friends

We are back in Dar es Salaam and getting ready to get on Air Force C-130 to head back to Combined Joint Task Force - Horn of Africa in Djibouti. Our VETCAP (Veterinary Civil Affairs Project) in Tanzania is completed. We were able to positively affect about 62% of the total cattle in the Tanga district in the NE of the country. I will attach the latest UNEDITED version of my "HOA Diary" which you may find amusing.

We visited a dairy processing plant in Tanga day before yesterday and we were impressed by their progress since having started such a facility only a few years ago, and demand for dairy products being relatively low. They could use a national dairy checkoff program but they don't even have mandatory pasteurization laws yet. I'll also attach a few pictures of the last couple of days, including a very friendly dog that CPT Amanda Coenen befriended, some donkeys mixed in with the cows, and a few spectacular ticks on cows.




If they aren't attached when you get this it will be because the connection bombed.

We head to Kenya for next VETCAP on August 12, just next week.

All the best!

Jim

Thursday, August 7, 2008

LTC Pope and I meet at breakfast and then go with a driver to the U.S. Embassy to submit the VETCAP report. We meet Karin Gleisner, Defense Liaison Officer with the Defense Atttache’ Office, who we met a couple of weeks ago in Tanga when she was visiting there.

The Ambassador wants to meet us at 8 AM. He is Mark Green, who has been here for slightly less than a year. An internet search shows that he is a former Republican Member of Congress from Wisconsin who ran for Governor of that state but was defeated. He had strong, bipartisan support for his nomination to the post of Ambassador although it had been held up by Senators Dodd and Kerry because he was a political appointment and not a career diplomat. He and his wife previously lived and taught in Kenya and he speaks some Swahili. He wanted to meet with us personally because he expressed an interest in VETCAP as a particularly effective way of using U.S. assets to benefit the host nation and the government.

One government Minister who is helpful to the U.S. would benefit from local VETCAP in a particular area, which the Ambassador asks about. The Ambassador is interested that we had visited the Tanga Fresh coop; he has more than passing knowledgeable about dairy production in TZA and from his Wisconsin background. His congressional district was NE Wisconsin. He seems to be a dedicated public servant and genuinely interested in helping Tanzania and promoting U.S. interests here.

A 9:00 AM ceremony is scheduled outside the Embassy so our meeting is short. Today is the 10th anniversary of the bombings at this embassy and at the one in Nairobi, Kenya. In Dar about 11 Tanzanians were killed, and in Nairobi on the same day, within minutes of the Dar bombing over 200 Kenyans and Americans were killed, including Weezie Martin, DVM (LSU 1982). It is very strange that we happen to be here in Dar and in the embassy on this day. A group of Tanzanians was gathering to participate in the ceremony, perhaps as a choir or other performing group as we came in and the preparations for the ceremony are continuing as we leave.

We return to the hotel and then go to a shopping area to look for some momentos, which we all seem to find readily. After a few hours shopping and a trip to Barclay’s Bank to exchange some Tanzania shillings for U.S. dollars, we return to the hotel and purchase some flowers from road side vendors to present Mrs. Rose Machera who we will join for supper along with her husband, LTC Machera and ten-year old daughter Clara.

LTC Machera picks us up that evening and hosts us to a wonderful meal at the Sea Cliff Hotel. Mrs. Machera is very happy to receive the flowers. Daughter Clara is very quiet. CPT Coenen and I are presented with gifts, including a shirt for me, a wrap around for Twila, and a wrap around for Amanda. We have a very nice evening and return to the Hotel. SGT’s Berk, Cabreza, Barnett, and Carnel are also having supper at the hotel but stay to spend some time at the casino when two of them claim to win a little money and one says he lost.

Wednesday, August 6, 2008

CPT Coenen, LTC Pope, MAJ Asey, LTC Machera, 1SG Holland and I head to the Ministry at 9 AM after loading all the unused items to transfer to them. We are joined by 1LT McCoy and MSG Rodriguez and we all exchange goodbyes several times. In the meantime we are offered a tour of the Tanga Fresh dairy cooperative processing plant, which we accept. This will give us a much better idea of the collection and distribution system and perhaps answer some questions about milk quality standards, etc. etc.

Some confusion sets in as we discuss doing this, since it might involve necessitating CPT Coenen and me to stay over in Tanga another night, or perhaps delay the departure to Dar of the entire convoy if we can’t travel back as a separate vehicle. We eventually decide to take the tour with MAJ Nigoli (sp?) of the Tanzania Peoples Defense Forces who is assigned to work with the US Civil Affairs Team in Tanga, and LTC (Dr.) Machera who has been with us the entire time. LTC Machera will ride back to Dar with Amanda Coenen and me once we finish the tour.

While waiting in Dr. Shemolu’s office at the Ministry, I am able to determine from a chart on his wall that the 2006 census of animals in Tanga district was 16,000 total cattle, about 6,000 “dairy” and “10,000” native. Goats and sheep were about 6,000 total. These numbers seemed low to me and we discussed how in the US, beef producers are often reluctant to discuss the numbers of their cattle. We share a laugh because the Tanzanias say their farmers are exactly the same way, particularly the Massai. They will say they have 300 when a thousand are in plain view. If the census of 16,000 is anywhere near accurate, our total number of cattle treated on the VETCAP (9,988) represents approximately 62% of the total, which is not bad.

I drive with Dr. Shimbolu to the processing plant which is in downtown Tanga, close to the German memorial park commemorating their WWI dead from the battles in East Africa. We are introduced to the Executive Secretary of the Tanga Dairies Cooperative Union Ltd., Mr. Mohamed B. Rashid, who actually had visited us on one of the VETCAP sites a few days before. As is the custom in Tanzania, we sign guest books, in this case two of them, one for the cooperative and another for the plant itself (I think this was the second entity but could not swear to it; mainly just realized that he apparently wears at least two hats).

Mr. Rashid speaks good English and explains the organization and history of the coop and plant well and distinctly. Tanga Fresh is set up as a cooperative with some investors. With assistance from the Dutch in the late 1990’s the plant was set up and is soon to move to a new location near the airport which we have passed by several times during our travels to VETCAP sites around Tanga. The farmers who provide milk for the coop take their product to pooling stations, apparently once or twice a day, where it is collected and then transported to the processing plant in Tanga. Later on we see a truck arriving with the unrefrigerated milk in cans, the same type previously used in the U.S.

Mr. Rashid explains that supply and demand forces have altered how they have done business, with changes being necessitated as time progressed. They needed to ship to the Dar es Salaam market to be competitive, which they are doing. They produce butter, cheese and yogurt as well as fresh product. Seasonal supply of milk dictates cheese production goes with the season. Prices are set by a board within the coop and farmers are paid every 15 days.

Major Digoli of the TDPF states that among the people the widely held impression is that the processed milk product from Tanga Fresh and other dairy coops is of lower quality than fresh, raw milk, probably because of the cream content they are used to. Mr. Rashid acknowledges this and explains that they are trying to market their products advantages, primarily that it is a more healthy product. Dr. Shimbolu later explains that there is a law pending passage in the national legislature which would require milk to be pasteurized which would promote the public health, and that the politics were lined up that he believed it would pass.

We then tour the plant, beginning with the reception station where we meet Mr. Adam Gamba, Processing Superintendent. He shows us the vessel where milk is poured, apparently involving some filtering with a cloth, and weighed or measured. They measure in liters based on what we have been told. At the reception station there are three tests conducted, one of which was a type of “alcohol” test which is used to determine freshness; I did not understand the other three initial screening tests. We pass by several bulk tanks which chill the milk, to that point which had not been refrigerated and then go into the laboratory. Bacteriological testing is conducted, which I assume is similar to a standard plate count but I am unable to determine if this is the exact methodology. Somatic Cell Counts are not done, apparently, and antibiotic testing is done through a type of bacterial inhibition testing which is non-specific, i.e. they are not specifically testing for beta lactams, etc. I do not believe that other types of residues are tested for, which squares with the lack of concern with withdrawal times we encountered on the VETCAP. We are told that they do test for brucellosis and TB although I am not able to determine how. They also test product shelf life in this lab, with some of the yogurt and milk in a refrigerator for monitoring.

We go into the plant itself, passing by the pasteurizer which is apparently high temperature short time, being accomplished with stainless steel tubing. The fluid milk is packaged in .25 and .5 liter plastic bags for delivery and sale. Product is stored in refrigerated conex type containers which are underneath Mr. Rashid’s office. There is a product store which sells to the general public at the plant’s entrance. A few bicycles with baskets on the back are used to distribute Tanga Fresh milk without refrigeration. We have seem milk lories on the road that do appear to be refrigerated and which may be taking product to sale points elsewhere. In general the plant is good, although it clearly would not pass as a grade A facility in the U.S. They will be able to increase their capacity when they move to their new facility. The plant personnel are knowledgeable and dedicated although standards are nowhere as high as in the U.S. According to Dr. Shimbolu, government officials, apparently the Ministry of Health does inspect the eleven pooling stations and there is attention paid to diseases of primary public health importance such as TB and Brucella.

At the end of the tour CPT Coenen and I depart with LTC Machera and the driver for the 5 hour trip back south to Dar es Salaam. We make a couple of pit stops enroute and buy some roasted cashews from one of the many vendors who descend upon stopped cars in gas stations or other stopovers. They are not salted but are good. We arrive about 5:30 PM and check into the Colosseum Hotel where we stayed before.

Tuesday, August 5, 2008

Our last day of the VETCAP mission involving animal work. We meet at the Ministry of Agriculture office with Mama Safe, Freddy Manju and the others who have participated. Dr. Shimbolu, the veterinarian in charge joins us today. We will have a local TV station covering our activities. LTC Pope hands out certificates to the Ministry personnel and to our contract drivers who have been taking us around.

We depart to the south once again and work about 600 cattle today. Dr. Shimbolu takes active part, including herding the animals, which goes pretty much as usual. Dr. Shimbolu explains that his career has progressed from the ground floor up. He began working as a layman first and then obtained a two-year certificate, and then a veterinary degree (I believe that was his progression). He has served in different locations in Tanzania, and for about the past six years in Tanga.

After our day we head “home” and at the hotel we meet to plan the trip back to Dar es Salaam and get the unused items ready to leave with the Ministry personnel. We have left over pour-on permethrin and dip tank permethrin, ivermetin injectable, FMD vaccine, rabies vaccine, New Castle disease vaccine, injectable antibiotics (tylosin, oxtytetracycline, and penicillin-streptomycin), and antibiotic spray (oxytet and gentian violet “purple spray”). We also will leave the remaining “gun” syringes made in West Germany and the parts from those that broke down, and needles. We also prepare some to FMD vaccine, pour on and ivermectin with “Jane” the desk clerk who we had agreed to help with her 16 cows but now we are unable to do because of “protocol” with the Ministry. We are OK with leaving the treatments but she and her brother will have to do them.

We settle up our hotel bills, mine amounting to 1.885 Million TZA shillings. That night have supper at the Kiboku (Hippopotomus) Restaurant, joined by 1LT McCoy and SFC (MSG?) Rodriguez of the Civil Affairs team stationed in Tanga. The best item on the menu for the money is the mishikaki, or beef which is grilled on a skewer. One shiskabob skewer of six pieces of “steak” is 4,000 TZA shillings, or less than $4 U.S. Goes well with a Tusker or “Kili” (Kilimanjaro) beer and chips (fried potatoes) and a salad of cucumbers, tomatoes and a slaw which is pretty tasty.

Tuesday, September 2, 2008

Monday, August 4, 2008

We depart the hotel with the convoy and equipment, pick up the Ministry of Agriculture extension personnel and travel to a new site on the coast, south of Tanga toward Pangani. The site is off the road a short distance with one of the standard triangular concrete floor holding pens connected to a “crush” raceway which leads to a dip tank with a new green tin roof. This dip tank is full of dark liquid and we are told it has been “charged” with acaricide.

The cattle are already lined up so we begin work with our standard protocol of FMD vaccine (3 ml SQ), ivermectin at 200 mcg/kg (1 ml/50 kg or 110 pounds), and run through the dip tank. The sides of this facility are sturdy but the design is not conducive to the cattle moving from the triangular holding pen into the raceway/”crush.” The triangle is not round, there is no crowd gate, the sides are not solid, and the cattle probably have a memory of the dip tank. It all equals the same situation whereby the cattle are forced into the “crush” by stick wielding Tanzanians who flail away at them until they move, usually one a time into the crush for processing and dipping. All going according to plan.

These cattle are in pretty good shape although they are particularly “ticky,” with virtually all having large numbers of ticks on their bodies. By sitting down and letting one group walk by me, and pretty much over me for that matter, I am able to get some good photos of ticks on teats and other areas that I had not previously captured “on film” (digital film, that is). The group of cattle that I am taking images of is held near the entrance to the holding pen and I help keep them held close until for some reason the group of “cowboys” heads them back in the original direction from which they came. At the same time they shout back at our folks in Swahili and gesture angrily, none of which I understand other than to realize that they are P.O’d.

LTC Machera tells us that they arrived late and were trying to get into the holding pen with their group ahead of another group that had been before them. They left in a huff, and in a few minutes a few of them came back to continue the “discussion” with some of the Ministry folks. I am concerned that it might turn a little rough but eventually they leave and work continues.

By the end of the day we have worked about 800 cattle. CPT Coenen befriends a couple of dogs, one a tan colored male named “Simba” (Lion in Swahili) and the other a black and tan female whose name sounds like “Baretto” or something like that, but we are unsure if it has a meaning. They are friendly and enjoy getting scratched. “Baretto” gets 2 ml of albendazole as a door prize for showing up, just in case she’s wormy. Both are tossed in the dip tank by the Tanzanians who claim them. They both swim to safety but Simba seems to have his feelings or pride a little wounded and diverts around the back of the dip tank instead of coming back to the side where we are standing. Baretto is none the worse for the wear and shakes it off as an unchanged, but now “dipped” dog. We depart and head back to Tanga.

Email to family and friends (8/03/08)

Dear Colleagues, Family and Friends,

While the internet works I'll try to send a message with my HOA Diary update (the last few days are added at the end of the MS word doc), and if I'm lucky a picture.


One is of an ear tag designating a cow an official vaccinate for East Coast Fever (Theileriosis) and another with proof that African cows love their calves too! The Tanzanian people are wonderful and a privilege to work with and for. My diary only captures a little of what goes on. Since I'm trying to use it as a daily log instead of a BLOG, which I can't do from here because the connection is so spotty, I apologize for it being wordy and boring. All the best!

Jim

Sunday, August 3, 2008

In the early afternoon LTC Machera, CPT Coenen, and SFC Cabreza and I go in one of the cars to a memorial to German war dead from WWI which is toward “downtown” Tanga. We are also able to finally locate the Commonwealth Graves Commission memorial and mass burial site that was mentioned in the flier posted in the hotel. It is not far from the cemetery we visited last Sunday. At one time it had a gate with a keypad lock that required the code to enter, but the gate is gone and one can easily walk in to view the wall with the names of the Indian and British soldiers who died in the Battle of Tanga in November 1914. SFT Cabreza has managed to obtain permission from LTC Pope to assist one of the hotel clerks, Jane, by working her 16 cattle. LTC Machera approves the “add on” to the scope of work and suggests that we do it on Tuesday, or last day of this phase of the VETCAP.

Saturday, August 2, 2008

We meet in the lobby of the Hotel Mkonge at 9:30 AM to depart on the PDSS. We visit four sites away from Tanga. One site is next to a village with a 20-stall milking shed set up for hand-milking cows. It is located next to a dip tank of the standard construction, and close to a soccer field. We plan to recommend the crush site be on the other side of that field.

The next site we visit involves going into a town with a curious billy goat sitting on a concrete pad next to a flour grinding station for maize and cassava. At first I think he is not ambulatory because his two front hooves are not worn down at all and he tends to “kneel” on his carpi like a goat with footroot. However, he does get up when offered what appears to be cassava flour from a young man in a red T-shirt (“AIG” logo); this goat appears to be a town favorite and gets amorous with the red T-shirt guy by mounting him to the delight of the children watching; all to our amusement while we wait to meet with the village officials.

The next village is next to tidal flats just off the Indian Ocean. A cemetery in a grove of trees at that town is curious to me. Except for two graves, none are marked other than with stones containing no carving or names and dates of birth or death. My impression from the proximity of these stones to each other that many of these are children's graves, which is certainly consistent with the high childhood mortality that one reads about in Africa.

We stop at a resort on the ocean with a thatched roof cottages for guests. Several white Europeans (or so we assume they are) are staying there. The beach and surf look good, with several guest swimming. Several of our party have soft drinks as we visit this site as a diversion. It is next to, and perhaps associated with a large sisal plantation. This area is west of the Tongoni ruins that we visited a week ago today. We take the same rough road back into Tanga that we traveled last week on that visit.

Friday, August 1, 2008

On the way to the day’s work site we stop at the Ministry office and Mama Safe gives me the report from “Mkwakwani Vet Care” that the blood sample we gave to Dr. Shimbolu yesterday showed “few Theileria prioplasms.” As it turns out that cow had been vaccinated for East Coast Fever (I had noticed a circular ear “button” (looked like an RFID tag from the US) but did not notice that it was the evidence of ECF vaccination. Because of this status, the recommendation was to treat with “30% OTC” (300 mg/ml oxytetratcycline) or “inject with “(1) Butalex /Parvequone and (2) Oxytetracyclines.” Mama Safe explains that this recommendation is because of the previous vaccination.

We had treated the animal with injectable OTC (note: it was 100 mg/ml; we don’t have any Tetradure or 300 mg/ml) at 4 mg/kg as per label dose, leaving two additional treatments for the following two days. Our references on ECF vaccination state that the modified live organisms are injected simultaneously with oxytetracycline or followed seven days later by parveqone or buparvequone. Not having any clinical experience with ECF, we estimate that our treatment of that cow with OTC was according to the recommendations and leave it at that.

We go to another new site today which is a good ride from Tanga. We stop on the way to pick up a village elder who is dressed in a long robe and has short, white hair. He looks every bit the wise man. We arrive at an area with a circular corral constructed of acacia branches, about 20 yards in diameter with a “crush” leading off one end with no funnel or narrowing where the crush joins the circle. Trouble to come? We are accompanied by two mini-buses of about a dozen midshipmen from the US Naval Academy who are visiting CJFT-HOA and Tanzania. They visited a well drilling site yesterday and are to spend part of the day with us.

We set up the vehicles to the side of the crush and the Tanzania’s start running the cattle through. I am asked to give the middies a briefing on what we are doing. There are not many questions although a few arise during the briefing and after as they observe. The first question was about how thin the animals appear, to which I respond that they are in good shape for Zebu cattle. Most are in pretty good body condition, the grazing not having been too bad thus far this year. They are asked to participate in herding the animals, which three or four of them do and are pretty game.

The amount of whipping of the cattle that the Tanzanians are engaged in is clearly worrisome to a few of the middies, as it has been to us. I explain that this is their way of doing business and we have not set this VETCAP up as an educational program in cattle handling, although we might want to do that as part of a future effort to promote the faster working of the animals. One female midshipman asks about how animals are slaughtered and I confirm from LTC Machera that the slaughter process is universally of halal type by cutting the throat. One middie asks if we are pregnancy checking; he had some background on a ranch somewhere I am told. Dr. Machera mentions to the group of middies that we are also interested in maintaining a healthy supply of animals to provide food for the people and to reduce zoonotic diseases. The middies depart by late morning.

At midday CPT Coenen and I are asked to conduct an ante-mortem exam on a 150 kg heifer who is to be slaughtered. She is tied by the legs and in lateral recumbancy. She appears healthy and is slaughtered by having her neck cut and bled, which mercifully goes pretty fast. We conduct a post mortem exam and she is clean. Many of the Tanzanians gather wood for a fire with four posts set at each corner about two feet in height and from which a frame is made of green wood for the meat to cook. The first pieces put on the “grill” are liver, kidney and tongue, followed by muscle. It is brought first to us for sampling and is not bad, especially with a little salt which they have.

The village elder who had been present yesterday when we had examined the cow with the fractured metatarsus speaks with me. He speaks very good and deliberate English, better than other Tanzanians I had encountered yet. He expressed the opinion that the advice we gave to slaughter the cow was very good and he appreciated that we had given it. That made me feel much better about the previous day’s business, having seen the disappointment in the faces of those responsible for that animal.

It turns out that all of the cattle we are working today are owned by one man, the only one so far who I have seen wearing a cowboy hat, or what could pass for one. He is on the ground herding with the others and is a somewhat larger man than the average. MAJ Azes (sp?), one of the physicians from the Tanzanian People’s Defense Forces, tells me that he began with only three cows. He is obviously very smart or very lucky, or a combination of both. He also may have other means of livelihood but I can’t determine that.

Toward the end of the day the animals, which are tending to be larger, are not moving out of the circular corral and into the “crush” lane very well. It’s taking a long time to finish up. They try to cut out a group from those in the corral and herd them over to the crush entry, which typically ends up with many rejoining the main group despite being hectored and beaten vigorously by a number of stick-wielding Tanzanians. The problem is that they can’t readily see the small opening to the “crush” lane as an escape route, and until we get some of the workers to step away from the other side of the “fence” right by that entry they are also seeing people in their “flight zone.” It is one of the more frustrating episodes we have had when it comes to seeing the consequences of poor facility design. The irony is that the cattle are largely contained by the brush corral and the stick fences, which the Tanzanians admirably repair with strips of bark “twine” as the fence becomes weak during the day.

I decide to make the conduct of a cattle handling course a long term goal, and will make efforts to see if we can make that happen in the future. I predict it will take a few years and that the best way to do it would be through the Tanzanian Ministry of Agriculture, which has good extensionists like Fred Manju and Mama Maud Safe who have worked with us every day. Dr. Shimbolu, the Ministry veterinarian who we have met with twice, told me that they conduct training for these laymen every few months, which is apparently effective given my estimation of their understanding of the diseases we are working with. My impression is that Tanzania is ahead of the other countries we will visit, including Kenya and Uganda with regard to its Ministry infrastructure and extension system, so it would be the place to start.

I note that a few cows have the yellow ear button that the ECF vaccinated cow we treated a few days ago had. Closer exam of these tags shows them to have “ECF vaccinated” printed on the edge along with an ID number. We close up shop at day’s end having worked between 1200 and 1300 total cattle. I confirm from our Tananian PDF physicians that “sleeping sickness” in humans is not a disease of high incidence now and that controlling tsetse flies in cattle is a way to reduce the disease in people; they also express that cattle can be a reservoir for some trypanosomes that affect people. Upon return to the hotel we learn that Saturday CPT Coenen and I are to accompany LTC Pope and MSG Holland to conduct a PDSS (Pre-Deployment Site Survey) with LTC Machera and Mama Safe to the sites that the next VETCAP phase will work at in November.

Thursday, July 31, 2008

Dr. Shimbalo (Sp?), the ministry veterinarian we met on the first day we arrived, was at the office site where we always pick up Mama Safe and Freddy, et al. We discuss how the work is going and the animals we treated yesterday. He takes the EDTA blood sample we drew and will have a smear done for tick borne RBC parasites, not failing to mention that we should also have taken a lymph node aspirate in any case of suspected tick borne disease. We have a good discussion of therapies they use. They use label doses (“manufacturer’s recommendations”) of drugs such as oxytetracycline and pen-strep, which is what we did yesterday with our treatment of the more mature cow with OTC injectable at 4 mg/kg. They stay with label doses and train their field workers to do this. I assume that these antimicrobials are effective at those doses because they may not have been used widely, although the isometamidium (“Veridium” or “Samorin” by trade names) that are used for prevention and cure of trypanosomiasis are certainly widely used. He also mentions that stacking treatments such as buparvaquone (“Butalex”) for theileriosis/East Coast Fever along with the babesiosis treatment we have, imidocarb (“Imizol”) i.e. the same as “Diampron” that we used in Devon in 1979, and even along with OTC as combination therapies is an ok practice. They do not like multiple antigen vaccinations, however; hence their reluctance to immunize with both FMD and Lumpy Skin Disease at the same time.

We go to a new site for working animals today. An old unfilled dip tank reveals just how deep they are. I estimate the depth is ten feet at least. This one has not been used in a while. A nearby concrete walled building has “16-3-1980” etched in the concrete to memorialize its construction date. I am told by Anna, one of the Extension workers who rides out with Amanda Coenen and me today, that the square tank to the side of the dip tanks is for conserving water and premixing the dip. Still not sure the exact function but that sounds good. In any event, we are not using the dip tank and the number of cattle to be worked is relatively small. By the end of the day, which we declare over by about 11:30 AM, we have only worked about 200+. These are small herds and the cattle are somewhat thinner on average. One of the young men has an “Alabama Crimson Tide” t-shirt. I take several pictures and will send to the Auburn crowd.

I do a stand up interview for the “Combat Camera” crew which is composed of Air Force personnel, including one still photographer, one motion picture cameraman with a Sony, and one who is a Public Affairs guy. I manage to talk about cattle infectious diseases and how the Tanzanians work their cattle for longer than necessary, but they keep prompting me to talk more: “Why is this mission important to the CJTF-Horn of Africa?” “What would you say to students who might be visiting here about what you are doing?” “What has been the greatest challenge?”

I talk about the importance of tick borne diseases here in East Africa and about how CPT Coenen and I lack clinical experience with the particular ones they have in abundance. I mention that we treated an animal with signs of East Coast Fever yesterday and that it was the first one I had encountered, along with all the FMD vaccines being the first I have administered. I mention that it would be great to have our veterinary students from NC State here to share in these clinical experiences, emphasizing that our knowledge of Foreign Animal Diseases is critically important to our ability to keep the US free of them.

While I am talking Amanda takes a look at a cow that had gone through the “crush” earlier and then had injured her leg in a fight of some type. Her right rear metatarsus has a complete fracture on the distal end above the fetlock. This is a mature cow; the fracture is not at the epiphysis but it is complete; not compound yet but it will be if given the chance. She is standing but cannot bear weight on the right rear, obviously. Although we discuss making a splint and using the small amount of water activated casting tape we have, it is obvious that there is no way to stabilize the fracture and the best course of action is slaughter and salvage. With the help of Freddy, Mama Safe and Major (Dr./MD) Asez (sp?) of the Tanzanian Peoples Defense Force who is with us every day along with LTC (Dr./MD) Macheka (sp?), we inform the owners and the village head that the prognosis for successfully healing the fracture is hopeless. I help the 300 kg cow, who is in lactation (she also has a neck bell, indicating some worth) at about 5+ years old, to walk to a shade tree and then we depart.

We have no firearm with which to shoot her or drug that we could use to euthanize her, which would not be appropriate for slaughter anyway. I am guessing that if they do slaughter her they will cut her throat. Very sad that we couldn’t help her or them, but it would have been hopeless given the location and nature of the fracture. We considered going through the motions of splinting her but CPT Coenen and I agreed not to and also convinced Mama Safe of the wisdom of this. She and the Major talk to the owners and people, who I hope understood.

We leave and return to the hotel by 12:30 PM in the early afternoon, a very light day. We believe that there was a failure in communication which prevented any numbers of cattle being treated today. CPT Coenen takes on the task of arranging the two “VETCAP” boxes with drugs and equipment so we can better find things. She is doing a great job. Don’t know about me.

Wednesday, July 30, 2008

Mujambo (Hello),

On the way to breakfast the spider monkeys are on the roof of the passageway between our wing of the hotel and the lobby and dining room/bar.


I stop to take a couple of more pictures of a mother and baby suspended on her chest, and another who is eating mango or papaya right outside the window. The light is not good so the flash automatically goes off, scaring them. Malaria prevention day for me so I take my weekly mefloaquine (Lariam) pill in the morning with breakfast.

We depart at usual time, stop at Ministry office to pick up Mama Safe, Freddy and the others and head back south to Pongwe, taking the “shortcut route” to the site that we departed on yesterday. A few cattle are there, supposedly restricted by arrangement to no more than 100 today at the “crush” site. We are to concentrate on goats and sheep, which we do. We begin by administering FMD vaccine (2 ml rather than the cow 3 ml dose SQ), ivermectin injectable, and Drop-On pour on deltamethrin. Quite a “goat rope” as the Massai capture them by their hind or front legs, one to three at a time and bring them up to us to treat and then be marked with a crayon. We adjust the dose of the ivermectin and pour on to the smaller size of the animals, some are babies and others more mature and of some size, including a few Billies. The ivermectin sting some of them quite badly when administered SQ, with a few running off and rolling on the ground or twisting their necks pretty wildly.

I find one goat who is three-legged lame, not sure if it relates to the SQ injection it obviously received (blood from injection site on neck) or from injury received at same or earlier time. It would bear weight on that leg if the other leg was held up but went back to non-weight bearing lameness when let go. Could not palpate a fracture or dislocation, so I gave that goat to over to the Lord and moved on. We end the day pretty early, about noon or so.

Two sick cows to look at. A mature milk cow with fever of 105.9 degrees F in good flesh and “sick for three weeks.” CPT Coenen and I do a physical exam: lungs clear, HR = 72 BPM, not anemic on vuvlar or oral mucoas and no signs of vesicles or erosions; peripheral lymph nodes not enlarged above those we feel on all the cattle that we have felt. She is not pregnant; her right rear quarter is hard but not inflamed and the milk is not abnormal. We treat with injectable oxytetracylcline and give enough to repeat the treatment for two more days, and give a multivitamin injection.

The other animal is a calf about 180 kg who is weak and has clear nasal discharge. The pre-scapular lymph nodes are very enlarged, about the size of a small orange. One of the animal health workers points out that the parotid lymph nodes are also enlarged. Temperature is 102.9 degrees F, not clinically anemic and no erosions/ulcerations/vesicles on oral mucosa. We diagnose East Coast Fever and treat with buparvanone (Bulalex). Based on what Dr. Mwossa told me, if we were being paid for this call we should get it now; the chance for survival is not good. We also give that one over to the Lord and to her Massai owner, and then depart. We took a blood sample in an EDTA tube from the cow and intended to do a smear to look for RBC parasites but managed to not get that done today; will try tomorrow and perhaps add ECF treatment to her if we have the chance to get it to the owner.

Kwaheri! ("Good Bye" in Swahili)

Tuesday, July 29, 2008

Departed Mkonge Hotel at about 8 AM and proceeded south of Tanga to Pongwe where we left the hard paved road in the middle of town and turned right through a “farmers market” of produce that was very lively. We then headed into the country where the scene shifted markedly from previous days. Now we are in more “farming country” with sisal plantations (not well tended) and cultivated corn (passed a field of > 4 acres), plus some houses that appear to be more prosperous, of brick construction but far between. Gives the feel of a “plantation.” We get to a dip tank and crush area with several Massai tribesman there, confirmed by our driver from Dar named Menonu. Mama Safe from the Ministry of Agriculture is upset that the “crush” allows the cattle to step outside the foot bath area because the poles are set to the side of the concrete, not in the holes in the pipe that was set in concrete. Nonethless we proceed and eventually work about 500+ animals but at slower pace than previously.

The Massai are good “cowboys” (and “cowgirls” - more than in previous days), but the crush is problematic and only holds about 5-7 animals at a time. By mid afternoon they are gathering individual animals outside of the gathering pen for us to pour on or vaccinate with FMD and inject with ivermectin. This being done by the younger Massai or women while the others still try to work them through the chute. Eventually they weary of it and start picking off individuals in the holding pen and catching with ropes or hand power to manhandle and then we injection and pour on. Many ticks including what appear to be Boophilus and perhaps, what I’m told is the Heartwater Bont tick Amblyoma (another tells me it’s Ripecephalus, the vector of East Coast Fever). Will send pictures to the parasitologists at NCSU for key out. We eventually work 500+. The chief Massai wants CPT Coenen’s phone number, dirty old man that he is despite his robes and dignity. We head back a different way, getting to Pongwe on back roads that get us to the hard ball quicker and more to the north than where we originally turned off. We reach the hotel and some of us meet a travel agent to discuss possible group travel to Zanzibar over the weekend. Then a group, including newly arrived “Combat Camera” specialists (Air Force) go to the “Hippopotomus” restaurant (Kiboko…in Swahili) for a pleasant supper and several beers (I drank Serengeti).

Email to friends and family (7/28/08)

Staying busy in Tanzania. We worked 1400+ cattle today including the two whose pictures are attached.





One is of a cow that may have had "lumpy skin disease" associated with a Caprivirus, or that's my best guess right now. The other cow picture is of a black and white animal probably with Holstein genetics that has a bad case of photosensitization on the white haired areas with less skin pigment.

Fairly common based on the several we have seen in the past couple of weeks. Since we are not working with local vets (there are some but not many) I haven't been able to confirm diagnosis on anything.

It's hot here but very nice on the whole with temperatures getting to the 90 F range at mid day but not unpleasant and nice in evenings as a rule. We are in the beginning of the dry season and the cattle are mostly in pretty good condition. They are concerned with East Coast Fever caused by a tick borne blood infection that attacks red blood cells, and also "Nagana", the cattle form of Tsetse Fly borne sleeping sickness, also caused by a blood parasite. All of us who are not native here are on anti Malarial drugs (mine is once a week) so these diseases are just a fact of life for man and beast.

If you are interested, Google "The Battle of Tanga" and read about the British invasion of Tanga in November, 1914 at the beginning of WWI when Tanzania was part of German East Africa. We are staying in Tanga where the British made an amphibious landing of sorts, also known as the "Battle of the Bees" because they had as many angry African bees to worry with as well as with the Germans who then managed to push them out with a force inferior in numbers.

Must run before email fails, as it seems to do from time to time. -- Jim

Monday, July 28, 2008

Left at 8 AM, usual time for VETCAP departure from Hotel Mkonge, in convoy of four SUV’s and one van. Picked up Ministry of Agriculture (Livestock?) folks including Mama Safe and “Freddy” plus others to head to Pongwe site, same as Friday. We are told to expect 900 animals but by the end of the sunny, hot day we have worked >1400, including 40 owned by one of the Ministry extensionionists to whom we give 40 doses of FMD vaccine and enough injectable ivermectin to treat 40 cattle @ 400 kg; good deal for him. I get some sun on my face, neck and arms as the temperature gets into the 90’s (F) by my estimate.

Amanda Coenen and I are asked to inspect two goats who will be slaughtered for lunch. We do an antemortem inspection and then a post mortem, with able assistance from one of the Ministry personnel who is pretty spiffy at finding the parotid and retropharyngeal lymph nodes. Despite the busted gut and hair on the carcass, we pass them both as essentially healthy. I am befuddled by feces in the spiral colon I mistake for a lymph node chain, but other than that don’t look too bad. At lunch, which is not ready until about 4 PM, the boiled meat, liver, bananas and cucumbers / onions are not too bad although I pass on the liver, as always.

We finish up and return to the hotel. I commandeer Menano, our driver, to take me to the Tourism kiosk in town to ask for location of Commonwealth Graves Commission cemetery. Same guy there on Saturday tries to talk me into getting him to tour me there rather than showing me on the map. I decline and will find it on my own. After cleaning up and sending emails to Mother, Twila, and also to Family and Friends along with pictures, I walk to the Tanga Yacht Club and have fish and chips along with a Bushmills and water and then a Tusker Beer for supper. All in all a good day.

Sunday, July 27, 2008

Lazy day for the most part as it started. Breakfast in the hotel Mkonge which is good followed by relaxing morning. Walk to cemetery with both UK and German graves from both WWI and WWII (UK only that we found), but apparently not the Commonwealth Graves Commission cemetery listed on the flier posted on the hotel bulletin board. SFC Berks and CPT Coenen and I walked a clockwise route and took in the cemetery that is primarily a civilian site with some military interspersed. One area contains the graves of some killed in a plane crash at Pangani in May (5?), 1954, including a diplomatic currier and a husband-wife couple. All buried in a row. A few Jewish graves, none of which had been vandalized or desecrated, although a few of the Christian graves of much more recent burial, i.e. 2006 showed signs of vandalism such as a cross being broken.

That afternoon CPT Coenen and I inventory the remaining drugs, vaccines and equipment for the rest of the seven days’ work and find that we have 6,300 doses of Foot and Mouth Disease Vaccine (enough for 900 cattle/day; not enough at current rate of > 1300), 9,795 doses of ivermectin injectable 1% solution (enough for 1,399/day), and 5,000 doses of Veridium (isometamidium Cl for treatment/prevention of trypanosomiasis; sufficient for 714/day; we only used it the first 2-3 days and not since). We alert LTC Pope that we may need to let Mama Safe (pronounced Safay) know that we may face running out of vaccine, or need to order more from Dr. Mwassa in Dar es Salaam. We have enough reusable needles, 259 to treat 9,065 cattle @ 35 injections/animal, or 1,295/day. Probably enough.

Saturday, July 26, 2008

Took day trip with one of the drivers to Tongoni ruins south of Tanga by about 17 km, first on paved then on dirty/gravel road which is quite bumpy at places. This is the site of an older habitation on the coast that was the site of a mosque founded by Arabs or Persians in the 14th or 15th century, will have to check. Jim Edwards mentioned that he checked online and found that Vasco da Gama may have landed there or nearby during one of his voyages. Had to pay a small fee to guide there who apparently represents the government. We walked on the beach by the town, that at one time was quite large. Cemeteries still there and a few fishing boats. Mangrove trees line the coast line in abundance. The tide was out so many snails and crabs about in the tidal flat.

We return to Tanga and have lunch at a local restaurant. The wait after ordering was about 2 hours so I had two Serengeti beers in the meantime. After lunch we walked across the street to a stand selling carvings, next to a market. For 28 Tza shillings I purchase an ebony wood carving of a seated human figure with head resting on one hand, the elbow resting on a corresponding knee and the other elbow resting on its knee and the forearm bridging across to the other knee. It’s a figure of weariness, perhaps both mental as well as physical. The head is featureless but faces down between the knees. Not an optimistic figure but of all the ones I saw, including many animals, it was the most interesting to me.

The crowd I find myself hanging with includes CPT Amanda Coenen, US Army Veterinary Corps, SFC Marites Cabreza, a Philippine RN who works in NY city and is an LPN in the US Army Reserve, SFC Sean Berk of the 354th CA Bde, SGT Joshua Barnett of the 218th Arty (MLRS), and SGT Justin Carnell, also of the 218th. The arty soldiers are along for force protection but on this mission do not carry weapons and are, like us in civilian clothes. We employ them, and they do a good job keeping the syringes filled with ivermectin and FMD vaccine. Keeping the old type 50 ml injection guns going takes some OJT, and they are doing well.

Friday, July 25, 2008

New site south of Tanga off road leading back to Dar es Salaam going by the airport toward Pongwe. Close to habitations and to more built up area than previous sites. This site was next to a dip tank of same design as the one at our first site several days ago, but the cattle at this site had already been dipped. We worked 1400+ cattle through the corral / “crush” here. Longer corral and more sturdy but each group had to be herded to the entrance that lacked an efficient gathering area to funnel the cattle into the chute. With brute force the Tanzanians beat the cattle into the chute. Numerous Ministry of Livestock local extensionists do the injections.

CPT Coenen and I first started out marking the cattle with colored markers but then passed that over to some of the extensionists. Hot day again and I got a bit of sun, although this time I borrowed sun screen from Amanda who is red headed and also fair skinned. On each of the days so far we have started out by leaving the Hotel Mkonge and traveling to a Ministry of Ag/Livestock office to pick up Mama Safe (Safe’) and “Freddy” who head the team of extensionists. Today was the first day Mama Safe did not accompany us. She was dressed up this morning when we arrived and looked to have other business to attend to.

After returning to the hotel at work’s completion, we cleaned up and then walked to the Tanga Yacht Club for some refreshments and then supper. One has to buy a temporary membership for either a day or a few days, and then a book of chits for various denominations summing to 5,000 Tanzanian shillings, or about 5 dollars U.S. (exchange rate when I converted at airport was $1 U.S. = 1,060 Tza shillings). Yacht club gets more crowded as the night wears on. We were among the first to arrive when we got there at about 6:20 PM or so.

Thursday, July 24, 2008

New site with numerous cattle to be worked. Left the hard paved road and travelled well into the countryside north of Tanga. A circular corral had been built using Acacia tree limbs and branches; thorns made it not unlike barbed wire. A chute / “crush” had been constructed at the opposite end from the entry to the circular Acacia corral. We worked about 1300+ cattle through by 1730 hours when we departed. Protocol was same as yesterday: injectable ivermectin, FMD vaccine, and pour on deltamethrin. Because ivermectin was running low I returned to Hotel Mkonge to retrieve more. Previous resupply mission retrieved additional FMD vaccine. Round trip took about 1.5 hours. When I returned they had run out of ivermectin 10 minutes ago. Locals provided some cooked goat and banana for lunch.

Wednesday, July 23, 2008

Went to a new site today with a more sturdy “crush” and larger, more “Brahma” acting cattle. More like working them in the southeastern US with typical Brahama cattle cries when they are in the chute being vaccinated, etc. Vaccinated 377 for FMD and treated with ivermectin injectable plus pour on permethrin derivative (deltamethrin) Bayer product “Bayticol.” One calf with lymphadenitis was bled and blood heparinized and EDTA preserved for smear tomorrow for East Coast Fever, trypanysomiaisis. Getting there north of Tanga we drove through several villages with cultivated areas of corn and cassava. I noticed what appeared to be number of ricin plants growing off the road. Several large centipedes / millipedes in the area.

Tuesday, July 22, 2008

Last day working in Pande area at “crush” with dip tank. I vaccinated via water inoculation about 2,000 chickens and ducks with LaSota NCD vaccine. The people lined up to get the vaccine which was reconstituted in 1000 ML sterile water to make 1 ml = 1 animal. CPT Coenen worked several hundred for vaccination with FMD and tx with ivermectin injectable at the crush. Went to supper at at the Kiboka (Hippopotamus) restaurant across the road. President Mikweke of Tanzania was visiting next door to the Mkonge Hotel where we are staying. We listened to him delivering a speech as we walked to the restaurant. Fairly large number of folks and cars outside the venue of the speech.