Only her first baby steps had been like stepping onto the moon. A giant leap for mankind and a giant leap for Violet.
Working at the DPA had sheltered her for a while. It had almost made her feel safe. Watching the crops and dust speed past was exciting—her first visit to Africa. But it was just so, so different from being based in the DPA at Atlanta.
Could she really handle this? Or was it all just a step too far?
The car jolted to a halt outside a makeshift building. This was obviously the village. Most of it was in a state of disrepair. There was a huge variety of structures from thatched-roof huts to wooden buildings, from brick buildings to some traditionally built husa houses.
Her eyes were drawn immediately to the overhead water tank at the edge of the village. At least this village had one. From what she’d learned, access to improved water and sanitation was a daily challenge for most Nigerians, particularly in the rural north of the country where less than half the population had access to safe drinking water and adequate sanitation.
She jumped out and followed Evan into the building. Although the surroundings were poor, the equipment almost made her do a double-take. Two computers sat on a bench—where the generator was she’d no idea. Her eyes widened at the sight of some mobile phones and GPS monitors sitting on another bench, alongside vaccine transporters and fridges into which the vaccines were already being unpacked.
There was whole host of people to meet. Some of the village leaders, some health staff, community outreach workers, midwives and members of another voluntary organization involved in water aid.
But most importantly, outside stood a row of women with their children. Violet cringed with embarrassment as her case thudded from the back of the car. Three months’ worth of clothes and a whole pile of other things now seemed extravagant and ridiculous.
It didn’t matter that she also had a whole host of medical supplies in her case. The size and weight of her lime-green case now seemed like a beacon of excess. She wanted to send it straight back home.
Evan’s much smaller, navy blue case seemed much more appropriate. Something else to hold against him.
Dr. Yusif was still fussing around them, probably relieved that there were finally some colleagues to hand over to. “Your accommodation is over there. I’ll get your luggage taken over. Would you like to go and freshen up?”
Violet followed where his finger was pointing at a solid brown building just a few hundred yards away.
“Separate rooms?” she asked. It was the first thing that sprang to mind.
“What?” He looked confused then started laughing. “Of course. There are single rooms for all of our staff. They are small and pretty basic, a single bed with mosquito net, a chest of drawers—” his eyes danced over her bulging case “—and some toilet facilities, but I’m sure you’ll be comfortable.”
“I’m sure we will be.” She was relieved. Being stuck in a room at night with Evan had unsettled her, and she had no idea if that would be expected in their field assignments too. Thankfully not.
She glanced at her watch, unsure what to do first. She nodded at the people outside. “Want me to get straight to work?”
Dr. Yusif looked a little taken aback. “Don’t you and Dr. Hunter want to take some time to settle in? I’ve got a whole host of things to hand over to Dr. Hunter before I leave—it will probably take the rest of the day.”
Violet shrugged. She wasn’t there to be a team leader. She was there to be doctor. And there was no time like the present.
Dr. Yusif’s hand touched her skin. “You do realize you won’t just get to administer polio vaccine straight away? Most of these people are here because their children are sick.” He lowered his voice. “This is where it gets really difficult. People come because you’re a doctor, not because of the vaccine. If you start to treat every problem, you’ll never get the job done that you’re here for.”
Violet looked at the anxious faces. She could already tell where she would fall down in this job. She couldn’t just administer vaccine. She had to look at the whole health of a person, how they lived, their home and their facilities, in order to give them the best advice possible. It was the heart of public health.
“Well, let’s just get me started in the meantime. We can reassess how things are going in a few days. Can you pair me up with an interpreter?”
Dr. Yusif nodded quickly and gestured to a young woman dressed in bright clothing to come over. “Olabisi, come over here please.”
The woman hurried over, her bright orange and red skirts sweeping along the floor. “Dr. Connelly wants to start straight away. Can you interpret for her, please, and show her around the clinic?”
Evan touched her shoulder. “Are you sure about this?”
He was leaning over her, watching her again with those blue eyes. He was close enough to see the gold flecks.
He couldn’t possibly know. He couldn’t possibly know how hard these first few steps would be.
Should she tell him?
Of course not. That would be another fault. Another black mark against her name. She’d already kept one secret from him. What would he say if he found out there were two?
He would undoubtedly question her suitability for the job.
But she wanted this. She needed this.
Even though it would inevitably break her heart.
It was time to move on.
She turned to face him and met his gaze. “I think it’s for the best. If I can get started straight away it will help build some relationships with the villagers.”
She could almost hear his brain tick, trying to decide if it was the best thing to do. “I’ll come and find you in an hour, okay?”
She nodded and smiled. “That’s fine. If there’s anyone needing immunization I can do that as I go.”
“You’re happy with the protocol for recording?”
“It seems straightforward enough. I’ll give you a yell if I run into any problems.”
He seemed to hesitate, as if he wanted to say something else, but she didn’t wait to find out. She walked to the doorway. Olabisi was already talking to some of the mothers waiting outside, forming them into two separate queues.
“Ah, Dr. Violet.” She pointed to the queue on her left. “This one is yours, all these mothers understand English. The other queue is mine. These villagers only speak Hausa. We should be able to get through more this way. Okay?”
Violet smiled. Olabisi was already looking like a professional rather than a local volunteer with rudimentary training. She could learn a lot from these people.
She turned to the first woman in the queue, who was clutching a baby in one arm and holding the hand of another small child with one limb showing clear signs of atrophy. Already they were too late. This child had already been affected by polio.
She gestured with her hand. “Please come in. I’m Dr. Violet.”
The afternoon flew past. Polio had blighted this community. Most villagers had probably never even realized they’d been affected. Ninety percent of sufferers had no symptoms.
But then there were the few poor souls—children and adults alike—where the virus had entered their central nervous system and destroyed their motor neurons, leading to muscle weakness and acute flaccid paralysis.
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