ktravula – a travelogue!

reflections on the world

The Blood Bank

IMG_3127As soon as we passed by the Red Cross blood donation point at the SIUe quadrangle today, Chris and I, and managed to steer our conversation to donation of blood, I knew that I had come to another ktravula moment in the life of this journey. You see, I am conscious of all the dimensions of my Nigerianness, and about a year ago, just after I published my short story Behind the Door, I had had a conversation with an American friend who told me that she had been denied the chance to donate blood in America – for life – just because she ticked “yes” on a pre-donation questionaire that asked whether she has had “sexual contact” with anyone who was from or who had lived in Nigeria and some other sub-saharan African countries between 1977 to date. I didn’t believe it even after she sent me the online questionnaire, so I googled it up myself, and the result was indeed stunning. Nigerians, and everyone who has had sex with them were excluded from donating blood in America. (I don’t know yet if this is the same all over the world). The obvious question then is “Why?”, and it had circled my head for a while now, until that time this afternoon when I came within sight of the Red Cross truck on campus, asking students to donate blood. This website mentions requirements to donating blood in America but does not say why Nigeria is mentioned. So, you guessed it, I went right into the truck, leaving Chris outside to gape at what he said was an obvious time-wasting effort.

IMG_3124There was a sign-in sheet on the table. It had the name of those who are on the waiting list. On the examination table is a young woman whose blood was being taken. She had a pump in her right hand.

“Hi. Can I help you?” A young lady approached me. She wore a white lab coat.

“Yes,” I replied. “I’d like to donate blood.”

“Alright. You will have to write your name in here. The next slot opens at 1.45pm, and there are about three people before you already. Is that fine?”

“Yes, of course it is. I can always come back. But I’d like to know if there’s anything I need to read before you take my blood. Maybe instructions or anything like that.”

“Sure. Here, on the wall, is the first instruction. It’s important to read and understand it. And here is the comprehensive manual that every donor must read and comply with.”

“Can I sit and read it in lieu of going and coming back?”

“Yes, why not. Please sit over there.”

“Thank you.”

IMG_3137And read I did, carefully, until I got to where I am mentioned. Indeed, it’s written there in clear black ink of the excluded list. If you’re from Nigeria, If you have been to Nigeria, or had “sexual contact” with a Nigerian. Or if you have had malaria in the last three years, you CANNOT donate blood. I called her back and asked her why.

“HIV and AIDS, you know.”

“What?”

“HIV/AIDS”

“But you do know that not all Nigerians have HIV and AIDS, right?”

“I guess, but, erm, it’s what the FDA says. We just follow the law.”

“Oh my! So what you’re saying is that you have no way to know which blood is infected and which is not?”

“Like I said, it’s just the law, and we just follow it.”‘

By this time, a more mature looking woman also in a lab coat had shown interest in the conversation but maintained an aloofness that told me that she would allow the younger lady handle the situation rather than get involved. Whenever I looked in her direction expecting her to say something, she just smiled.

“I can’t believe this.” I said, as I gave back the booklet to her. “I guess I have to go now since you don’t want my blood.”

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They didn’t say anything so I left, back to listen to Chris say “I told you so.” If she had said they do this because of malaria, I could have been a little more understandable. But AIDS? By population figures, there are probably more HIV infections in North America right now than in West Africa, but it is not so pandemic here because of adequate healthcare and healthy living. With the right technological advancement in medicine in the United States, this definitely did not have to be a factor for denying opportunity to a certain demographic to contribute to efforts to save lives worldwide. If I sound a little upset, it could be because I am at the incredulity of the whole matter. Maybe there are some things that people like me are not meant to understand.

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Die Malaria, Die!

I have just taken my last dosage of malaria medication, and it feels good.

I was never a fan of drugs (medication, as my American friends call it). I was never a fan of needles either anyway, but when I think back to those times when we were young and mummy would use all the threats in the world before I would swallow one tablet of paracetamol, it feels strangely good now that I am able to complete a dose of thirteen tablets in four days all by myself, without a cane hovering all over me. Oh how time flies.

I slept early yesterday. I think it must have been earlier than seven o’clock, and I woke up at some minutes after one, all sweaty and feeling a little weak. They say I sweat because my body is in the process of evicting all these parasitic strangers, and I say OK. They have also said I am prone to malaria only because I’m AA. Bollocks. Give me an AS genotype if it will rid me of malaria forever. I am fed up of (tablet) swallowing, or (needle) poking.

Die Malaria, Die!
So that children can sleep more peacefully in the hot summer without worrying about covering.

Die Malaria, Die!
So that Nigerians may get their visas to America a little faster than they do now.

Die Malaria, Die!
So that our Caucasian friends don’t run away when they hear we are from Nigeria.

Die Malaria, Die!
So as to save us from the poisining of paraffin Mosquito Sprays and CO2 Mosquito Coils.

Die Malaria, Die!
So that we can still be able to donate blood to those who need it. (See attached photograph)

Source: http://www.bloodbook.com/donr-requir.html

Die Malaria, Die!

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First Malaria

I have been struck by malaria, finally.

One of the first pieces of advice Francis gave me weeks before my travel was that I should for prepare for a strong attack of malaria in my first weeks of arrival in the United States. I didn’t take him seriously at first because I had grown up believing that malaria was a mostly tropical disease. His logic was that in the first weeks of landing in the States, when the African body is just begining to adjust to the weather and nutrition condition of the host country, one’s immune system is generally very low and malaria usually comes out then from within the recess of the blood with a brutal attack almost certain to knock one down. Well, he should know. He has come to Edwardsville once every year now for more than six years as much as I know. He also advised me to bring along all my malaria medication, and be prepared to use them as soon as I notice the first symptoms. It was a good thing that I listened then, and followed his advice. He was right. Now after a couple of days in denial, I recognize these symptoms I have for what they truly are: malaria, finally.

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It always starts with a mild fever, then rising temperature, then cold and shivering which is a third confirmatory stage. I have experienced those stages and I’m convinced that it is not just a sign of stress. As I type this, I am taking time off to swallow a horde of anti-malaria tablets to specification after this meal of warm roasted chicken. Where is that warm bosom to lay my wearied head? Where are those arms to pet me to sleep. Where are the hugs? Where are the kisses? Where is the cool soothing towel to keep my temperature down. There’s no one here to pamper me. I am alone in my mandatory distress, so I stretch my legs and get under the duvet. Let the pillows be my comfort. Let their soft charming hold warm me up, cool me down, set me free into restful sleep. The air conditioning must also sleep tonight. I am cold enough. This is a mandatory rite of passage, and malaria must die. In just a few days of battle, it should all be over. Fansidar, Artesunat, Paracetamol, here is a chance for you to prove yourself on an alien soil. There are no more mosquitoes here to move and recycle my blood. You have no excuses. There is only this strange erratic weather which we must now adapt to, must now conquer together especially before the winter cold descends. This is war!

And still, I must attend that excursion to Six Flags St. Louis tomorrow. I will not miss the Ferris Wheel and the breathtaking Roller Coaster rides for the world. First I will need to get off the computer, and rest. Tomorrow is tomorrow, one last fun weekend before the real work begins.

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Mosquito!

Yea, I want to tell you about mosquitos. If you are reading this from Nigeria, you might want to skip forward.

Now, why would anybody breathing the air of Providence, Rhode Island in the United States of America ever have to think of the insect, or ever have to title a blog post after the mosquito? Well, you are about to find out. Like listening to a good story, you will have to be patient to the end.

Providence from Above: Google Earth.

I have once considered a house in Bariga, Lagos Nigeria where a brother used to stay as the headquarters of mosquito colonies in Nigeria, and here’s why. They never died. They never left. And with all the numerous insecticides and mosquito sprays that my brother bought and sprayed the house with, all it needed was for you to go to bed, and the mosquitos came right back, out to get you: their singular purpose. It didn’t matter whether you had a covering or that the fan was running at the highest speed. They will get you and your skin will be full of blisters and marks when you wake up the following morning. It was the same in many houses in Lagos where I had laid my head, and I had long given up on being ever able to stay away from malaria infection at least once every six months, when I am lucky.

However, in the last couple of months, in my preparation for America, I had been sleeping under a mosquito treated net. With this net, all mosquitoes died immediately after making contact with it, and the person who slept inside it was safe and sound. If it wasn’t treated for mosquitoes, it still served as a net to keep out the intruding blood-suckers who were the main malaria vectors. In making sure that I didn’t bring malaria into the United States, I also gave myself a complete Atemisin Combination Therapy (a full dose of Artesunat and some other strong malaria medication, to give your body a complete malaria fumigation) and rested assured that I had nothing to scare my American hosts with. While on the American Airlines flight from Heathrow to Boston, I had about a half-hour discussion with someone about malaria, and what I came off with was a confirmation of what I had heard about the American dread of the disease, and their surprising ignorance about its spread and characteristics. Was it contagious? Did you get it by shaking hands with someone who had malaria? etc. I took time to explain and hoped that I had set his mind at rest that Malaria was not like Ebola or Leprosy which was spread by touch or any human bodily contact. It was a common disease all right, but with the right medication taken rightly, you’d be fine in no time.

An American Mosquito

So, here I am now, just returning from a very fulfilling trip round the city of Providence. We had met the Lieutenant Governor of the State, toured the Mall, bought some nice things, ate some nice stuff, and are now just getting down from the bus in front of the University Inn when something pinched me hard on the back of my hand. The pinch was familiar but it took me some time before I adjusted to the now shocking reality that a mosquito was indeed on my hand, sucking me out. It didn’t wait for me to get into my room. It had attacked me in the presence of my fellow scholars from Spain and Germany, and as I was not prepared to accept defeat, I reacted in a way only a Nigerian could, and defeated the blood-sucking demon. Now who would have thought that after flying for thousands of miles to escape away from the heat and troubles of deadly malaria in Nigeria, one of these suckers would still trace me down and actually find me here in Providence, RI? I may be screwed. It’s a good thing I came here with some more of those malaria medication from Nigeria. Time to get back to swallowing. By the way, did you hear the story of the Fulbright FLTA students from Nigeria that were delayed for five hours at the airport in the United States (some two years ago, I think) for telling the Customs Officer that they had brought “drugs from Nigeria” in their bags to deal with Malaria? The Customs Officer would not have batted an eyelid had they said they brought “malaria medication” instead. Drugs are another matter entirely.

Why did you think the mosquito was able to trace me down here. Was it my colour? Maybe. Was the mosquito racist? Maybe not. I think it must be because of all the personal information I’ve been sharing out on my blog lately. Darn Google Earth!

Update: More information about the American Mosquito here, since it will take convincing some Nigerians that mosquitoes are not native to their country.

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