They shuffle across the dirt threshold. The older ones lean on others for support. Some are too weak to walk and are transported in on a mattress by a team of concerned relatives. Younger children are carried, limp and listless in the arms of their worried parents. All in obvious signs of distress.
They do not know what’s wrong with them. They only hope the medical staff of the Canadian Red Cross Health Emergency Response Unit (ERU) can help them feel better.
With support from the Government of Canada, the ERU has established a treatment centre to help manage an outbreak of acute watery diarrhea/cholera that has seen tens of thousands of people affected.
With lab tests not possible, medical staff rely on their experience and know-how to determine which treatment is best suited to each patient.
“We look, we touch, we feel,” says nurse Colleen Laginskie. “What is their overall demeanour? What do their eyes, their stools, their skin look like? And most importantly, we make sure to ask about their history – how has their body been reacting the last couple of days.”
The treatment centre was set up originally to house 60 patients, divided between four large tents.
“It's not important that we are working in tents and not the sterile environment of a Canadian hospital,” explains Laginskie. “Regardless of where we are, the one thing that doesn't change is the level of care we provide to people who are so desperately in need of someone to tell them, ‘It’s okay. We are here. We are going to help you.