Led by Dr. Ed Zuroweste, Drs. Laurel Pellegrino, Lila Worden, Brett Wanamaker, three Johns Hopkins fourth-year residents, Dr. Mish Mizrahi, a family practice attending physician from UCLA, and Mike Piorunski, an Environmental and Occupational Health Program Associate with the Migrant Clinicians Network, the Johns Hopkins brigade spent two weeks immersed in the daily healthcare needs of the Santa Lucia area.
Accompanied by our nurses and Social Service doctors, they visited some of our most remote clinics and communities. While some students attended patients in our traditional field clinics, others assisted with the vaccinations. Dr. Pellegrino, who will begin her Psychiatry residency in July, had the opportunity to see patients in her field at the Santa Lucia clinic. Brigade members conducted home visits and gave charlas, or health education talks, to hypertensive, diabetic, and pregnant patients. Both the students’ and the audience’s favorite tool, by far, was a sugar-filled zip-lock bag demonstrating the actual amount of sugar in one bottle of Coke.
In their off-time, the brigade forded the Rio Torola, toured the La Esperanza hospital, and played a lot of Catchphrase. This group was open to experiencing everything from grunt work to taking night call and really went above and beyond in filling out our government paperwork. Thank you to Johns Hopkins and Dr. Zuroweste for your continued support, and for the brigade members’ tireless efforts on the ground in Intibucá.
For more photos from the brigade, check our Facebook page.
A Word on Brigades
In November 2012, the U.S. State Department issued a travel warning for parts of Honduras, including the states where Tegucigalpa and San Pedro Sula are located. Intibucá was not named in the travel warning.
On February 19, 2013, U.S. Ambassador to Honduras Lisa Kubiske tweeted: “Proud to meet the Public Health Brigade from my alma mater Brandeis. Look forward to seeing more volunteer groups soon.” How should we react when the State Department issues a travel warning, but the Ambassador encourages brigades to come to Honduras?
Honduras is certainly not without its problems. For generations, there have been problems with political instability, corruption, and violence. Over the last two decades, the country has seen a rise in drug and human trafficking. For the most part, Intibucá has avoided much of the violence associated with Tegucigalpa, San Pedro Sula, and the North Coast. Intibucá has problems, but currently they are largely limited to alcohol, ongoing family or business disputes, and domestic violence.
The safety of brigades visiting Shoulder to Shoulder remains our number one concern. As a result of the travel warning, we decided to temporarily suspend certain brigades, including less established brigades and certain undergraduate programs.
Brigades associated with Shoulder to Shoulder are subject to rigorous safety checks, including undergoing safety training and passing a test prior to visiting Honduras. When the brigades are away from our service areas, they stay in secure hotels and are supervised by both US- and Honduras-based brigade coordinators.
In our 23-year history, we have never had a violent incident involving a brigade member. Still, we remain vigilant with our brigade members. The brigades sleep securely in one of our two CMI clinics or one of our three affiliate clinics. Fieldwork is performed under the supervision of our Honduran doctors and nurses or American brigade leaders.
We recognize that brigades play a central role in the education of both US and Honduran practitioners, and have formed the basis for many a practitioner’s desire to volunteer, contribute, or practice in needy areas worldwide. Brigade alumni remain our most vocal advocates.
Honduras, the United States, and Shoulder to Shoulder remain committed to fostering individual development in a safe environment. For more information regarding our brigades, please e-mail Scott Reinstein at scott@shouldertoshoulder.org.
"Part of their world"
This is a song written by one of the Dayton brigade members:
To Disney’s “Part of Your World”
21 July 2012, Dayton Ohio HS Brigade
Look at our lives; aren’t they neat?
(But) Somehow or other they’re not quite complete
Looking around here you’d say,
Sure, we’ve got everything
We’ve got muy cool hair gel a-plenty
And high tech track sneakers galore
Cavity-free teeth? More than twenty!
But who cares? No big deal… we want more
We wanna go where the people know
Know how to smile when they’ve got next to nothing
Loving their fútbol played barefoot
On hard-scrabble ground
We need to share what we have in life
Crayons, papers, pencils, puzzles…
(with) kids who walk 5 miles to school each day
on uphill ground
This is our chance
Chance to give back
Some of the things that we have that they lack
It only makes sense, Dad
We’re just not that dense, Dad
We’re part of their world
What would it take to give them a break
Just next to nothing
When push comes to shove, we get more love
Than we could ever hope to be given
Yes we’re knowin’
That we’re growin’
We understand
We’re part of their world