Skip to main content

Demo

I am on way to outpatients after lunch when I spot Nkosi and Ziggi. There are both wearing bright yellow trade union T-shirts.

“You on strike?” I ask.

“Ziggi was on strike before the strike!” laughs Nkosi.

They explain they are on their way to a big meeting in town – all the public servants – teachers, nurses, local government employees and so on – are gathering for a march. Durban has been paralysed for the last week – our major referral hospitals are accepting no patients, demonstrators are turning away ambulances, all the ITU patients have been transferred to private hospitals (at what cost cannot be imagined) because no nurses turned up for work. It is claimed that the biggest hospital in Durban had only 10% of its staff turn up.

It has been slow to move up to the rural areas – perhaps because money is more scarce (“no work – no pay” is the government policy) and there is a high chance that you know or are related to the people who will be affected. This week however it has begun to hit. Yesterday the medical manager would not allow Nicky to go to the local clinics – government vehicles were being stopped on the road in some parts – and picketers were turning away ambulances from our local referral hospital in Empangeni and our clinic at KwaMsane.

I ask Ziggi and Nkosi about the strike. It centres over the government pay increase of 6.5% (inflation is 6%). Nurses are extremely badly paid. One (very experienced) nurse tells me she gets R4000 a month before tax (£285). They are asking for 12%. They are thinking of striking they tell me. “Strike away,” I say, “but will you let the red-light ambulances through? I don’t mind about the coughs and blood pressures.” They laugh but do not reply.

In OPD things it is silent. Eerily so. Only Mr Zulu, the head nurse, is there. All the others have gone to the meeting. We see a patient. As I finish I hear singing start up outside. Olstein pops up from the next cubicle: “Want to go watch?”. I grab my camera and we run outside.

50 or 60 staff in yellow T-shirts are standing in a circle singing and chanting. In twos or three people enter the circle and dance to the cheers and whoops of the others. Some are waving banners: “Yes to 12%”, “We cannot live on 6%”. The X-ray man leads a conga of dancing people whilst shouting slogans. The noise is fantastic and exhilarating. There is a party atmosphere. Dr Kekana comes out of OPD and joins the line, gyrating along with the best of them. I would like to join but am too Britishly inhibited – and besides, I can’t do what she can do with my hips. Well not my hips. With “ones” hips. She is doing it with hers, not mine.

I notice the head matron speak to the crowd. I turn to Sister Jele who is standing next to me. “What is she saying?”

“She is reminding them that they had permission to strike for an hour and they must return to work soon.” Astonishingly they seem to listen. Matron herself gyrates and undulates her not insubstantial form across the crowd back to her office. Sister Jele tells me they made sure there were 2 nurses on every ward and all the rest could come out.

The crowd disperses. I walk back in to an almost deserted outpatients. I see Bongani – a newly qualified nurse I have had beer with a couple of times.

“Hey Bongani – why were you not dancing.”

“Ah – Ed. I am a new employee, on probabtion. It would not do for me to be seen doing that! And besides. I cannot dance.”

That evening as I walk back to the accommodation I pass Thandi, one of the black Comm Serv doctors. “Hi Thandi! I didn’t see you dancing with the demonstrators today!”

“No Ed. I was scared!”

“Scared? Why? It felt like a party.”

“I try to keep my head down. It is OK for you. But for me – if they see me working they will say ‘Why are you not striking with us?’ So I keep out of sight.”

Comments

Popular posts from this blog

Otherwordly isolation

I lean across the reception desk and catch the attendant’s eye. “Sawubona,” I say, dusting off my rusty Zulu. I see you. “Sawubona, ninjani?” she replies. I see you, are you well? “Ngiyapela.” I’m fine. She grins at me. “You must be a doctor.” “I am! How did you know?” “It is only the doctors around here who use Zulu. Even if it is only the greetings.” She arches an eyebrow. “I used to work here, at Hlabisa hospital up the road. I have a few other Zulu words, you know like ‘Does it hurt?’ and ‘Take a deep breath’.” She laughs. And then launches into an excellent impression of an elderly Zulu lady rattling off a series of complaints, waddling across the reception area clutching her back in mock agony. She gets it exactly right. I have come up to KwaZulu-Natal for a few days. Tonight I am staying in the Hluhluwhe-iMfolozi game park, 20 minutes or so from where I used to work. Awarded my entry ticket, I drive into the park. The sun is low in the sky, the kills bathed in amber light. I ta...

The first rule about run club

This is what death will be like. My heart is pounding, chest constricting, I can barely lift my foot from the ground. The sweat pours from me and my head pounds. It is Thursday run club. An hour ago Ibby was rounding us all up, exhorting us to get a move on, and allocating us to vehicles so we could lurch through Freetown’s commuter traffic to Lumley Beach on the west side of town. Half way there, the traffic solid and the heat stifling we hailed a street trader and we bought packets of drinking water (improbably branded “CLIMAX”) and biscuits (incongruously labelled “made in the UK for Aldi”). A King’s Sierra Leone Partnership tradition – started by Ibby some years ago – the whole team go beach running after work every Thursday. “The route’s fine” they tell me. “Flat, and you can 5k or 7.5k”. It started well enough but it’s 28 degrees and my pale body is unprepared. The route is straightforward but weaving in and out of other runners, stray dogs, unexpected ga...

10 years on

The door flies open. Lele peers in. "You must come out here and see. They are doing a play!" I finish up my case file annotation and come to the doorway. The waiting area is in chaos. A gang of school children are manhandling a couple of marimba's to the space in front of the consulting rooms, a team of nurses and counsellors are creating a stage area. Patients look on mutely. Some with interest, others - presumably feeling proportionately less well - without. "What is going on?" I ask. "It is 10 years since the clinic started. 10 years since MSF first started the HIV treatment programme and proved that it could be done in Africa. So the staff are celebrating. They are doing a show or something." The sister in charge of the clinic has moved to the front of the crowd of patients. She calls for silence and then gives a short introduction. Lele translates for me. "She is saying that this is a very important day. 10 years ago people were dying. And 10...