Since the last several Shanksteps we have sent out have been of a serious nature, I thought I’d write about some fun experiences we’ve had lately.Every time a case of polio is found in our region, the whole of Koza is revaccinated against this dreaded disease. Because the vaccine is given orally, local people can be trained to give it, and they go house to house in EVERY part of Koza to vaccinate ALL children under the age of five. During the three day vaccination campaign, supervisors also travel around to make sure that every child in every neighborhood receives their vaccine and that it is being distributed correctly. Each house is markedwith the number of children living there under age five, and the number actually vaccinated at the time of visit. It is a huge undertaking, but very effective. I was one of the supervisors, and I requested to supervise a region in the mountains (as I love the mountains).I was directed to an area of Koza that I have never seen before. To get there, it is best to take a motorcycle to the base of the mountains (so you have an easier way to get home at the end of the day). After that it is all on foot. The trail up the mountain is somewhat strenuous. I needed to use both feet and hands in several parts (probably because I’m a weak American…). Anyhow, once partway up the mountain, the view is absolutely incredible. At the top of the mountain range, the land dipsdown a bit and there is a fairly large village nestled among the rocky outcroppings. In all, I had 5 cartiers (or neighborhoods) to survey. We (me and a translator, Dougdje) decided to go to the farthest area first. What a walk. We wound our way up the side of another mountain and ended up pulling ourselves up over the outer wall of a house (hut). We had found the center of this cartier. The people up there were incredibly nice. No one really stared. No one followed us gawking. No one askedfor money or gifts. They were just hospitable, simple people. They explained to me the different activities they were involved in. One group was shaving the bark off of dried branches that would later be ground into a fine powder to be made into sauce. I was able to see a man spinning cotton yarn from the cotton he had grown and just recently harvested. I saw the tiny loom only 2 inches wide that the local people weave on. I watched as the women and girls of the village sewed these pieces offabric together to make clothing. One of the women brought out the finished product, a beautiful gandara (local long robe). This is given by the groom-to-be to his future father-in-law as part of the dowry. This is a very special piece of clothing that is only worn for the highest of holidays, and as a burial shroud.  After seeing all of these interesting things, I did a little bit of surveillance in this village for the vaccination program. We then continued on to another cartier where we sawthe “forgerons” (translated blacksmith, but in this society are the ones to make the axes, pottery, bury the dead, and deliver the babies…). They were in the process of making the large clay pots that hold water, which sit at the entrance to every house. The forgerons are considered a “lower” class, and no self-respecting Mafa is allowed to voluntarily mingle with these families. It is completely forbidden for marriage between a forgeron and non-forgeron. It was very interesting watching themmake these huge pots by hand (no potter’s wheel). We then continued on to visit the Lawan of this village. The Lawan is the highest-ranking political official for the region. He is a local man, chosen by the government. I chose to visit him just because I was “in the neighborhood” although his hut was way up the side of yet another mountain. I found a very nice man, surrounded by his five wives and some of their kids. He had grown up in that very house and counted 140 people in his “immediate”family. We visited for a while and upon leaving, he gave me the gift of a rooster. I told him that I would return to visit him with my family. After that we left the mountain for “civilization”. I had a wonderful day. Didn’t get much work done, but found a reason for being here in Cameroun.Last Wednesday, we decided to go up the mountain as a family. (Wednesday is our day off.) I wanted to show my family all of the things I had seen on the mountain. So Greg, Sarah, Katie (peace corps worker), Vambi (Camerounian friend and translator), and I went up the mountain for the “real” African experience. We were able to see a whole family in the process of making the clothing I had seen the previous time. This time I was able to see how the loom worked. They weave with 40 strings at atime, and they use their hands and feet to maneuver the loom and shuttle. In this particular family, two young boys spun the yarn, the father wove the fabric, and the wife and the daughter sewed the strips of fabric together to make the gandara. It was fascinating to watch. Then we went on the visit the Lawan. He was so surprised to see me return. He told our translator that he thought I was joking when I said that I would bring my family back to meet him. We talked with him for a while andthen, out of the door of his house he brought me a ram as a gift. I wanted to refuse it as this is a HUGE gift, but it would have been culturally inappropriate to do so. He said that because we didn’t come during mealtime, he felt that he had to give us some kind of food. So, we made a deal that the next time I visited, it would be only for a visit, not for food. I then decided to invite him to our house for lunch the following week. It was quite interesting walking down the mountain with aram that didn’t want to leave home. In the end we paid a young boy to carry the animal down off the mountain for us.Today the Lawan, his son, Dougdje, and Vambi came to our house for lunch. This was the first time that the Lawan has ever been inside a white man’s house, let alone eaten with one. I think he felt honored, but also somewhat uncomfortable here. We just have SO much, and they so little. For lunch we had planned to give him the “all American” meal of spaghetti, bread, and salad. We were advised, however, to have some kind of meat at the meal, as a vegetarian meal would not “honor” our guests.So, this morning, our cook whipped up a great meat dish in addition to spaghetti. It was very interesting watching the Lawan and his son eat here. They are completely unused to utensils and therefore ate with their hands (we had told them they could). I also think they had never had spaghetti before (kind of a weird food if it’s the first time you’ve ever seen it). We had a very nice visit, but it really opened my eyes again to how totally different our cultures are. I have become used to thepeople in the “city” of Koza, who have at least been influenced by Western culture. But the mountain people are still largely untouched by prior colonialism. What a breath of fresh air. I often think that with the good that western culture brought to Africa, came a whole lot of bad. I hope you’ve enjoyed this trip to the mountains with me. I will surely return when I can. —AudreyOh, by the way, during our dinner, we were discussing Camerounian delicacies. There is something called potasse that is made by slow cooking your cow feces for many hours. Then you filter water through what is left. Apparently it gives off a wonderful taste used for soups and sauces, not to mention that it is used to calm the stomach and intestines. (Now who was the first to think of doing that…?) The other side dish that was discussed is apparently only eaten at the big festivals when killinga goat or lamb. The goat is killed by cutting the jugular vein in the neck. The blood is collected and allowed to clot. Then it is mixed with the stool filled intestines (although now in the “city” the intestines are cleaned out). And voila, a tasty side dish, suitable for kids and adults alike. Take heart, most Christians no longer partake in this meal, although the ones we talked to said that it’s delicious… Â
#81 Shanksteps – leaving Cameroun
#81 Shanksteps – leaving CamerounWe just wanted to give all of you an update on what our plans are for the near future. Â As many of you may remember, my (Audrey’s) mom was diagnosed with lung cancer just before we moved here in 2005. Â At that time she underwent surgery, chemotherapy and radiation therapy. Â She suffered through the treatments, but did well afterwards. Â While we were home on vacation in June, we found out that she has metastases and has had to suffer through another round of chemo. This time she is not toleratingit well, and the first medication didn’t work. Â With much prayer we have decided that it would be best for Sarah and I to return to the US to help out my mom and dad (and give medical and moral support) while she is going through this. Â All three of us will be leaving Cameroun the 30th of December. Â Greg will return to Koza around the 13th of Jan and Sarah and I will remain in the US as long as necessary. Â Please pray for my family both here in Koza and in Connecticut, as this will be a difficulttime for everyone. —Audrey
Shanksteps # 80
Shanksteps # 80Meningitis vs. SacrificeOne week ago, 13-year-old Birmé came into the hospital with a 5-day history of headache and neck pain.  She was diagnosed with meningitis (the first of the season) and started on a long course of antibiotics.  During the first two days she had convulsions and severe agitation. After several days, the agitation resolved, but unfortunately last night she again started having convulsions and vomiting. She has been in a coma of sorts since entering the hospital.   I repeated a spinal tap on her todayand it was clear, indicating that the infection is, in fact, being treated by the mediation that we are giving her.  Why then is she still in a coma and having convulsions?Medically, it’s very possible that her brain was damaged by the infection during the first 5 days that it went untreated.  To complicate things, she took many different medications from the market, including one made in Nigeria that contains dangerous drugs (including cocaine?).  She may have taken traditional potions or powders that could further damage the brain.  Much has been written about the lasting sequelae of meningitis including: blindness, deafness, paralysis, coma, and death.Although the family brought her into the hospital for medical healing, they believe that her illness is of a more spiritual nature.  For those of you who don’t believe much in the “spirit world”, this will just come across as a weird story.  For those of you who truly believe that there is a war raging between God and Satan, please read this and pray, HARD!  I assure you, living in a land where the Devil can and does work openly; I have no doubt that we are involved in spiritual warfare.  Here isher story, and the beliefs of her people, the Mafa.In Birmé’s case, she is unlucky enough to have a grandfather (father’s father) who is a sorcerer, an old one at that.  As the story goes, her grandfather is becoming more and more feeble and is afraid of dying.  Every year, for the past three years, he has sacrificed (in the spirit world) one of his grandchildren in order to “buy” more life.  Consequently, in the “real” world, each of these children has gotten sick and died.  This year it’s Birmé’s turn.  To make matters worse, her mother’s brother”knows” what has been going on, and has threatened that if Birmé dies, he will kill everyone in the grandfather’s family.  This 13-year-old girl IS a spiritual battleground.To give you a better idea of the Mafa ideas, and how one can “buy” life, you need to understand their basic spiritual beliefs.  I won’t pretend to understand most of this culture, but what I have started to understand I will share with you.  The Mafa believe in what is called a second or middle heaven.  Some Mafa Christians call this The Devil’s Heaven.  In this heaven is a grand market.  At the market, you can find almost anything you want, from special pieces of clothing, to knowledge, to longevity.You can also buy spells to harm or kill people.  Only a sorcerer can go to this market, however many people here are considered sorcerers.  My opinion is that a sorcerer here is just one who has access or is open to this spiritual world.  (I have also learned that you can indeed buy the title of sorcerer in a nearby village from a certain group of people.)  From what I understand, people go to this market all the time to get what they need.  They can also see others there, and therefore see whatthey are buying.  Sometimes if you go and you aren’t supposed to be there, or you try to steal, you will be stopped by a soldier.  If this happens in the spiritual realm, you will become sick in the physical one.  There are many stories of people who had traveled to the Devil’s Heaven and been stopped by a soldier.  After getting sick, they went to the hospital but were unable to be healed/cured.  There is the story of a student 4 years ago who was doing poorly in school, so he went to the Devil’sHeaven to buy knowledge.  For some reason he was taken captive by a soldier and held in chains on his left side.  The physical manifestation of this was that he was forced in the physical world to lie on his left side.  If he got up, his eyes would roll back in his head and he would stop breathing. He was able to do complicated assignments for school as long as he lay on the left.   As you can imagine, the doctor here didn’t know what to do to cure this kind of sickness.  He was sent 7 hours awayfor further testing, only to find nothing.  Then the neighbor saw him captive at the spiritual market, being held in chains on his left side. She told the family who employed the services of a sorcerer, who aided in the release of the prisoner, and therefore the immediate healing of the patient.Back to the story of Birmé.  Apparently her grandfather goes to this Devil’s Heaven to buy longevity, but the spell only lasts for a year.  His payment each year, for the past three years, has been the lives of his grandchildren.  I don’t know how her story will end.  I have talked with her parents, prayed with them and her each and every day, and prayed for her healing, and more importantly her parent’s understanding of the gospel, all the time throughout the day.  Her father believes that it isthe Devil’s doing that she is sick, but I don’t think he has quite understood that blood of Jesus has already defeated the power of Satan and that he needs to call on that blood.  Please pray for her healing, the true understanding of God’s love for her parents, and that despite the Mafa beliefs, that we can find a way to explain God’s love and redemption to this culture that relies so much on appeasing the evil spririts.In His Mighty Grasp, Aud and family
Shanksteps #79-Greg
She is burned from the thighs to her ankles on both legs.  It’s “cold”, 62 degrees.  She was huddling next to the fire when her cloths caught on fire.   She lives in the mountains and they brought her to the hospital after two days.  She had no sensation over the burned areas.  And her legs were contracting in a sitting position.  For a year now we have not been able to purchase antibiotic ointment but Béré Hospital in Chad gave us some burn ointments recently.   She was brought in the hospital andtreatment begun.  I explained to the family that in a few days she would need skin grafts.  We are very fortunate to have received a Zimmer dermatome as a donation.  Over the first few days she did well.  Then she started having chills and fevers.  I at first thought of infection from the burn site.  I started treatment with oral antibiotics.  She continued to have fevers.  I checked a malaria smear that was positive.  After a few days her fever abated.  We received another woman who was burned when her cloths caught fire and had a 2nd degree burn on her right side.  So I decided to graft both of them one day.  The morning I planned on doing it her father was there.  He did not want anything done.  He wanted to take her home.  I tried to explain how it was not good for her.  That without dressings she would likely die.  He said that it was because he had not done the correct sacrifices that she got burned.  So since this was the problem he was taking her home to make the right sacrifices.  I asked him if he believed in God and he said he believed in the spirits and this was why the I didn’t understand ofthe sacrifices.  It is hard to explain something to someone who believes completely opposite you in every way, medically/spiritually/physically.  Everything about this man and his thinking is different than mine.  So they paid her bill and took her home.  It is so hard to reach some people for their good.  Medically my ideas are so different than the local populations.  Theirs is based on spells and correcting the spell given.  A few people believe in modern medicine but most in traditional medicine (herbs, roots, potions)  and some in sacrifices.  Even some of our nurses use medications and if they are not working fast enough will try traditional things also.  It covers all their belief  bases.  Audrey willwrite more of their beliefs in the near future.  Please continue to pray for our work here.  In His Service, Shanks