Skip to main content
We step out of the air conditioned halls of the airport into a blast of Cape heat. It is nearly 30 degrees and I am wearing jeans and walking boots. I have been met by three friends from Hlabisa days, gathered in Cape Town for a wedding. We are chatting animatedly in the car as we leave the airport complex - developed massively for the 2010 World Cup – and I am struck by how glitzy and new everything looks.

10 minutes later and we are hurtling down the freeway towards the city. Table Mountain looms ahead of us, cloud pouring over its edge like the head on a hastily pulled pint. As the road curves the towers of the city centre buildings bristle at the mountain foot. I turn to look at the road side – I had seen it before but I am still startled: the glass of the airport buildings has given way to the shacks of the Townships and informal settlements that line the freeway. Thrown up with scraps of wood, corrugated iron, and plastic sheeting these are no temporary shanty towns. There are street lights, webs of cabling dangle from central pylons dispersing electricity to each dwelling, and one shack wears a precariously positioned satellite dish. At the edge of the road stand around 30 or 40 huts, each big enough to accept a person standing.

“What are those?” I ask, puzzled.

“Toilets” our resident Capetonian replies. “The shacks don’t have their own plumbing.”

As we approach the city the Township becomes more developed. Shacks give way to one room bungalows with water and waste plumbing. A large billboard by the highway shows a smiling black family and the tagline “From shacks to civilisation”.



My friends drop me off at my home for the next few months, a flat in a Cape Town suburb belonging to a family friend in the UK. I wave them off and lug my bags into the building. I walk into a reception area. “You must be Ed? We were wondering where you had go to!” says the smiling woman behind the desk in heavily Afrikaans accented English. The reception area is decorated with pictures of times past and several high backed chairs placed around a table are occupied by a group of white haired pensioners. A little old lady heaves herself slowly across the hall on a Zimmer frame, followed closely by a nurse. A poster on the wall declares “Are you having trouble getting to the shops?” I am momentarily puzzled, and then realise: this is a retirement complex.

A man comes down the stairs on a stick. “Look at you, young man!” the receptionist shouts at him cheerfully, “using the stairs at your age!”. My apartment is on the 4th floor. I take the lift.
Posted by Picasa

Comments

Popular posts from this blog

Abscess

The phone rings. I am lying on the sofa in the dark squinting at the laptop screen: someone has lent me series 1 of Spooks. I struggle up and bump across the room to the phone. “Hello?” “Moran!?” “Yebo.” “How are you?” “I am fine.” “I am fine too.” And then those four dreaded words. “Please hold for maternity.” The line goes dead for a second and then a midwife comes on the line. “Moran?” “Yes.” “How are you?” “I am fine. “I am fine too. I have a 22 year old primip. She is in labour but I cannot do a PV. She has a Bartholin’s abscess.” I ask a few intelligent questions and then, pausing only check what exactly a Bartholin’s abscess is (an abscess of the Bartholin’s gland apparently) I head for maternity. On arriving I am taken to the woman concerned and, yes, sure enough there is a large abscess in the position that I imagine a Bartholin’s gland might sit if I knew exactly what it was. “I cannot do a PV to check the cervix because it is too painful.” The abscess blocks the way. “Right.

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

Ceza Hospital

I am woken with a jolt. The 4-wheel drive has left the tarmac and we are on dirt road. I look ahead into the hills – the road wends its way high up into the distance. “How far?” I ask Amos, our driver. “About 40km.” I settle back and watch as the settlements become less and less pseudo-bungalows and more and more mud rondavels. The road to Ceza It was about a month ago that our medical manager first mentioned that we had been asked to help out at Ceza Hospital – a remote rural hospital about 2 hours away. Its medical staff (only 8 at the best of times) had been steadily departing and only one remained. He was leaving at the end of May and they were desperate. Desperate enough to accept help from us. As I said – a month ago – but it was only last Thursday that I found myself agreeing to go. Two of the others had been that week. I phoned them to ask what it was like. “There are no words to describe it,” said Nomfundo, “speak to Dr Kekana.” Dr Kekana comes on the line and after humming an