Jimmy Carter Inches Towards Stunning Accomplishment

The Huffington Post

Jimmy Carter's Fight Against Guinea Worm Approaches Victory

First Posted: 12-25-10 04:56 PM | Updated: 12-26-10 12:03 PM

ABUYONG, Sudan — Lily pads and purple flowers dot one corner of the watering hole. Bright green algae covers another. Two women collect water in plastic jugs while a cattle herder bathes nearby.

Samuel Makoy is not interested in the bucolic scenery, though. He has an epidemic to quash.

Makoy points out to the women the fingernail-length worm-like creatures whose tails flick back and forth. Then a pond-side health lesson begins on a spaghetti-like worm that has haunted humans for centuries.

This fight against the guinea worm is a battle former U.S. President Jimmy Carter has waged for more than two decades in some of the poorest countries on earth. It is a battle he's almost won.

In the 1950s the 3-foot-long guinea worm ravaged the bodies of an estimated 50 million people, forcing victims through months of pain while the worm exited through a swollen blister on the leg, making it impossible for them to tend to cows or harvest crops. By 1986, the number dropped to 3.5 million. Last year only 3,190 cases were reported.

Today the worm is even closer to being wiped out. Fewer than 1,700 cases have been found this year in only four countries – Ethiopia, Ghana, Mali and Sudan, where more than 95 percent of the cases are. The worm's near-eradication is thanks in large part to the efforts of Carter and his foundation.

"I'm still determined to outlive the last guinea worm," Carter told The Associated Press in a phone interview. The 86-year-old set that goal in the 1980s, when his center helped eliminate guinea worm from Pakistan and other Asian nations.

Story continues below

The Carter Center has battled the worm for 24 years through education and the distribution of strainers that purify drinking water. It has helped erase guinea worm in more than 20 countries, and it believes the worm will follow smallpox – which was wiped out in the late 1970s – as the next disease to be eradicated from the human population.

But Carter staff members say ending the disease in Southern Sudan may prove the most difficult, because of how remote the remaining endemic areas are and the fact that the worm is found in semi-nomadic pastoralists who have little education and low sanitation standards.

Another complicating factor: Southern Sudan is scheduled to hold an independence referendum Jan. 9, a vote that is likely to lead to separation from the Khartoum-based north. The process has been peaceful so far, but any conflict that arises would derail eradication efforts.

As Carter put it: "War and good health are incompatible."

"There's no way we can go into an area that is at war," he said.

Although the Carter Center has been fighting guinea worm in Sudan since 1994, its efforts only made significant headway following the signing of a 2005 peace deal that ended two decades of north-south civil war.

The 20 years of fighting prevented the Carter Center and other authorities like the World Health Organization from conducting a comprehensive assessment of guinea worm here until 2006. Since then, eradication programs have reduced the number of yearly cases by about 90 percent.

The few remaining cases exist in off-the-map places. In many sites, the Carter Center is the only outside presence – no other international or Sudanese organizations have set up shop. Even a government presence is rare.

"We are in the most remote places because that's where the guinea worm is," said Doug Tuttle, 31, a technical adviser with the Carter Center who lives in a tent in the village of Abuyong. He oversees a staff of paid field officers and guinea worm volunteers whom he visits on his motorcycle or by walking anywhere from 30 minutes to two hours.

Reaching Abuyong requires abandoning the dirt road for a narrow path hacked through dense woods that was only forged after the Carter Center moved in. On a recent bone-rattling ride to Abuyong in the center's hulking, Russian-made truck, the vehicle forded flooded ravines as the occasional baboon scampered away.

At the picturesque pond outside Abuyong, Makoy explains to the women that if someone enters the pond with a guinea worm hanging out of a blister, the worm will dump larvae that will mate with the white worm-like creatures – copepods – and render the pond endemic with guinea worm.

Makoy doesn't use the words "endemic" or "copepods" with the women. His aim is to deliver a more pragmatic message: that filtering water is the key way to avoid contracting the disease.

"This work requires a passion inside you to keep you going day after day. Even if you must repeat the same things 100 times to the same person – education, education, education," said Makoy, who works for the Southern Sudanese government's Ministry of Health and has collaborated with the Carter Center since 1996.

Makoy hands both women mesh filters and explains how to use them. Then he repeats a message he has delivered thousands of times – that even one person with a hanging worm who enters a water source can trigger scores of cases in the next transmission season, roughly a year after someone drinks tainted water.

Change is difficult here. As someone who comes from a pastoralist tribe, Makoy knows that cattle herders on the move don't think twice about drinking from a brown puddle. In a place like Abuyong, where the few water hand pumps each cost thousands of dollars because water lies so deep under ground, accessing any water – infected or clean – is a blessing.

By January, the cattle camp next to Abuyong will have cleared out and the large pond dry. The 500-plus cattle and their keepers will move to the Nile River, where they will remain for the blisteringly hot dry season.

It won't be until May that some begin to notice red puffy blisters developing on their legs and feet, the sign of a soon-to-emerge guinea worm.

That's what 7-year-old Ajak Kuol Nyamchiek had to deal with a couple weeks ago as a worm exited her foot at a Carter Center clinic in Abuyong, where worm victims stay while the worms make their painful exits. Nurse John Lotiki slowly pulled the thin, white worm out of the girl as Ajak looked on with pain – and appreciation.

Pulling a worm out is a weekslong process of rolling out the worm by coiling it on a pinkie-length stick, about an inch (2.5 centimeters) a day. Aside from surgery, this centuries-old extraction method is the only way the guinea worm can be removed safely.

Carter, whose center began working in Sudan in 1987, said he knows the people appreciate the work his team does.

"They know we're working for freedom and they know we're working for peace," Carter said. "And they know that we are there to end the plight of diseases that they should not still have."

___

On the web:

The Carter Center: http://www.cartercenter.org/health/guinea_worm/mini_site/index.html

Humanists Find Meaning in Christmas

John J. Dunphy

---

The following article is from the Secular Humanist Bulletin, Volume 22, Number 4 (Winter 2006/2007).

---

People often ask me if I, as a humanist, celebrate Christmas and, if so, why. After all, they point out, Christmas is the observance of the birth of Jesus, the Christian savior who is son of God. Don’t I, as a humanist agnostic, feel more than a bit awkward at this time of year?

They seem genuinely surprised, even astonished, when I reply that I feel perfectly comfortable joining in this annual celebration, since there was a Christmas long before there was a Christ.

Humanity has celebrated a winter solstice festival virtually since the dawn of our species. Our primitive forebears rejoiced that the menacing tide of increasingly short days and long nights had at last ceased and that the newly reborn sun would continue to grow more powerful with its promise of renewed life for all on earth. As civilization advanced, so did the nature and sophistication of winter-
solstice festivals. The Romans, for example, observed the Saturnalia celebration from December 17 to December 24.

But how, I am frequently asked, did December 25 come to be recognized as the date of Jesus’ birth? Is it clearly designated as such in the Bible? Alas, the answer is no!

Luke writes that the savior was born in Bethlehem while shepherds were “keeping watch over their flock by night.” In that area of the world, this would have occurred from mid-March to mid-November. Shepherds would never have had their flocks out during the cold midwinter.

The earliest Christians did not observe Jesus’ nativity on December 25—or any other date, for that matter. They believed that the celebration of birthdays was a decidedly pagan, secular custom.

Mithra, the Persian god of light and embodiment of the sun, was said to have been born out of a rock on December 25, and that date was recognized as an important festival in the religion of Mithraism. In the third century, the Roman Emperor Aurelian, who had embraced that religion, established December 25 as Dies Invicti Solis—the Day of the Invincible Sun—and Mithraism became the official state religion of Rome. When Christianity supplanted Mithraism in the fourth century, pragmatic Christians chose to transform the Day of the Invincible Sun into the day of the son of God’s birth, since December 25 was so firmly entrenched in the popular mind as a festival date.

Through the centuries, any number of Christian sects, uncomfortable with the pagan origins of Christmas, have sought to ban the holiday. Puritans in early America fined anyone caught celebrating Christmas, and the holiday remained forbidden in much of New England until the mid-nineteenth century. Cromwell’s England actually tried to ban Christmas from that nation by an act of Parliament.

Regardless of its non-Christian genesis, Christmas will always be exalted as the birth of the Christian savior, a truth that brings us back to the matter of why a humanist such as myself has no reservations in joining with my Christian friends to celebrate Christmas. How do I find meaning in this Christian holy day?

For me, this beautiful season is a joyous paean to life and love, a time that reminds us that, beneath the veneer of race, religion, and nationality, we are all members of a universal family. I celebrate Christmas as the victory of light over darkness, not merely the defeat of the winter darkness by the waxing sun, but the triumph every person of good will feels when our innate warmth and compassion rout our tendencies toward selfishness and malice. I celebrate Christmas as the resurgence of that sacred flame that dwells within every woman and man. I celebrate Christmas not so much as the recognition of a divine child’s birth but as the recognition of a divine essence in all of us.

Not celebrate Christmas because I am a humanist? I celebrate it because I am a humanist.

---

John Dunphy is a writer and bookstore owner. His essay “A Religion for a New Age” was the basis for the Religious Right’s charge that secular humanism was invading public education. This essay was originally published in The (Alton, Illinois) Telegraph on December 24, 1995.

Published on Thursday, December 23, 2010 by YES! Magazine

10 Most Hopeful Stories of 2010

There was plenty of disappointment and hardship this year. But the year also brought opportunities for transformation.

by Sarah van Gelder

It was a tough year. The economy continued its so-called jobless recovery with Wall Street anticipating another year of record bonuses while most Americans struggle to get work and hold on to their homes. The wars in Iraq and Afghanistan continued, and spilled over into Pakistan and Yemen, and more American soldiers died by suicide than fighting in Afghanistan. And it was a year of big disasters, some of them indicators of the growing climate crisis.

World leaders, under the sway of powerful corporations and banks, have been unable to confront our most pressing challenges, and one crisis follows another.

Nonetheless, events from 2010 also contain the seeds of transformation. None of the following stories is enough on its own to change the momentum. But if we the people build and strengthen social movements, each of of these stories points to a piece of the solution.

1. Climate Crisis Response Takes a New Direction. After the failure of Copenhagen, Bolivia hosted a gathering of indigenous people, climate activists, and grassroots leaders from the global South—those left out of the UN-sponsored talks. Their solution to the climate crisis is based on a new recognition of the rights of Mother Earth. Gone are notions of trading the right to pollute (which gives a whole new meaning to the term "toxic assets"). Instead, life has rights, and we can learn ways to live a good life that doesn’t require degrading our home.

The official climate agreement that came out of Cancún was weak and disappointing, although it did represent a continued commitment to work to address the challenge. But the peoples' mobilizations, and the solutions born in Cochabamba, continue to energize thousands.

Meanwhile, Californians voted to uphold their ambitious climate law, despite millions spent by oil companies to rescind the measure in November's election. And cities—Seattle, for one—are moving ahead with their own plans to reduce, and even zero-out, their climate emissions.

2. Wikileaks Lifts the Veil. The release of secret documents by Wikileaks has lifted the veil on U.S. government actions around the world. While the insights themselves don't change anything, they do offer grist for a national dialogue on our role in the world—especially at a time when our federal budget crisis may require scaling back on our hundreds of foreign military bases, our protracted overseas wars, and our budget-busting weapons programs. Likewise, the traumas inflicted on civilian populations and on our own military are spurring fresh thinking. We now have data points for a bracing, reality-based conversation on the future of war—the kind of conversation that makes democracy a living reality.

3. Momentum is Building for the Abolition of Nuclear Weapons. The ratification of the START Treaty is an important step in the right direction. And the National Council of Churches, the U.S. Conference of Catholic Bishops, the U.S. Conference of Mayors, and others from across the political spectrum have joined UN Secretary-General Ban Ki-moon in calling for an even more ambitious goal: the end of nuclear weapons.

4. Resilience is the New Watchword. As familiar sources of security erode, people are rebuilding their communities to be green and resilient. Detroit, a city abandoned by industry and many of its former residents, now has over 1,000 community gardens, a six-block-long public market with some 250 independent vendors, and a growing support network among small businesses. Around the country, faith groups and others are forming Common Security Clubs to help members weather the recession and consider more life-sustaining economic models. Communities are becoming Transition Towns as a means to prepare for breakdowns in society that may result from any combination of the triple crises of climate change, an end to cheap fossil fuels, and an economy on the skids.

5. Health Care—Still in Play. The passage of the Obama health care package seemed to lock us into a reform package that maintains the expensive and bureaucratic role of private insurance and props up the mega-profits of the pharmaceuticals industry. But the story is not over. The decision by U.S. District Judge Henry Hudson to strike down the individual mandate in the health care reform may begin unraveling the new health care system.

As insurance premiums continue their steep climb, some are advocating expansion of Medicare to cover more people—or everyone. Thom Hartmann points out this could be done with a simple majority vote in Congress—expanding Medicare to everyone was what its founders had in mind in the first place, he says.

Vermont is exploring instituting a statewide single-payer healthcare system. The United States may wind up following Canada’s path to universal coverage, which began when the province of Saskatchewan made the switch to single-payer health care, and the rest of Canada, seeing the many benefits, followed suit.

6. Corporate Power Challenged. Small businesses are distancing themselves from the Chamber of Commerce, which promotes the interests of mega-corporations over Main Street businesses. And there are more direct confrontations to corporate power. The citizens of Pittsburgh, Penn., passed a law prohibiting natural gas “fracking,” and declaring that the rights of people and nature supersede the rights of corporations. Other towns and cities are adopting similar laws. The biggest challenge will be undoing the damage of the Citizens United decision, which opened the floodgates to wealthy special interests to spend what they like on elections. Groups around the country are gearing up to take on the issue, with a constitutional amendment just one of the potential fixes.

7. A local economy movement is taking off as it becomes clear that the corporate economy is a net drain on our well-being, the environment, communities, and even jobs. A “Move Your Money” campaign inspired thousands to close their accounts with predatory big banks, and instead, to open accounts at credit unions and locally owned banks. Schools, hospitals, local retailers, and families are increasingly demanding local food. Farmers markets are spreading. Independent, local stores have huge cachet as people look local for a sense of community. And the experience of one state with a budget surplus and very low unemployment is capturing the imagination of other states—North Dakota’s state bank is creating a buzz.

8. Cooperatives Make a Comeback. A new model for local, just, and green job creation is gaining national attention. Leaders in Cleveland, Ohio, created worker-owned cooperatives with some of the strongest, local institutions (a hospital and university) promising to be their customers. The result: formerly low-income workers now own shares in their workplace and earn family-supporting wages. They can plan for their families’ futures, knowing that their jobs can be counted on not to flee the country. The model is spreading, and people now talk about how to bring "the Cleveland model" to their cities.

9. A Turn Away from Homophobia. The revoking of Don’t Ask, Don’t Tell is just the most dramatic sign that the country has turned away from homophobia. A widespread anti-bullying campaign sparked by the suicide of Rutgers freshman Tyler Clementi led to an “It Gets Better” campaign with videos created by celebrities and others.

10. Social Movements Still Our Best Hope. Thousands gathered in Detroit in June for the second US Social Forum, an event that galvanized grassroots social movements from across the United States. In Toronto, the meeting of the G20 was greeted by thousands of protesters, many of whom were subjected to police beatings and gassing. The Cancún climate talks brought caravans of farmer/activists and global justice activists as well as greens to press for a meaningful response to the climate crisis. Social movements are alive and well, even though they are disparaged or ignored by the corporate media, which choose to instead shower attention on the well-funded Tea Party. And movement leaders are connecting the dots between Wall Street’s plunder, growing poverty, and the climate crisis, and setting priorities instead for people and the planet.

The turbulence of our lives is increasing, spurred by the crises in the economy and the environment, growing inequality and debt, military overreach, deferred peacetime investments, and species extinctions. Turbulent times are also times when rigid belief systems and institutions are shaken, and change is more possible. Not automatic, and definitely not easy, but possible. The question of our time is how we use these openings to work for a better world for all life.

Sarah van Gelder is co-founder and executive editor of YES! Magazine, a national, independent media organization that fuses powerful ideas with practical actions for a just and sustainable world. Sarah is executive editor of YES!

YES! Magazine encourages you to make free use of this article by taking these easy steps. This work is licensed under a Creative Commons License