Mission Honduras LeMars teams up with Joint Task Force Bravo and the United States Military base at Soto Cano, Honduras.
The following are notes from Francis Seivert, Elkton, S.D., while representing Mission Honduras LeMars, early December 2010. This information concerns our joint medical team planning mission to Montana de la Flor.
1. I don't remember the exact date, but I read a story in the Brookings Register, Brookings, S.D. about a team from SDSU (South Dakota State University)that went to Honduras and worked with Joint Task Force Bravo (JTFB) doing nutritional assessments. JTFB is stationed at the military base in Soto Cano, Honduras. Dr.Kemmer, a retired army Col leads the SDSU team. I contacted her and then met with here at a restaurant just off I-20 and Hwy 34 east of Colman, S.D. It was here I told her about our group and our efforts to help the Tolupan of Montana de la Flor. She expressed interest in doing a study in MDLF and would check with her contact at JTFB which she did. It was then that I started to communicate with Dr.Kemmer and Dr.Coello, the Honduran link with JTFB.
2. Our visit with representatives of JTFB to MDLF was on 4 July 2010. Dr's. Kemmer and Coello were present along with representatives from Mission Honduras LeMars. Those present were Carolyn Bickford, Linda Reichle, and Richard Seivert. It was during this meeting that the chiefs gave us permission to do a study of nutrition if the US military and JTFB would approve such a mission. Obviously much has happened since. I was in contact with both Dr's. and I met again with Dr.Kemmer in Brookings to learn more about the process of her study which has always been done in conjunction with JTFB. I also attended an informational meeting Dr. Kemmer had at SDSU outlining the upcoming trip.
3. Originally Dr. Coello hoped to do the study in late October, 2010, but was not able to complete it at that time, do to weather and other issues.
4. Dr. Coello sent me an e-mail in September that mentioned that the study could be done in late Jan/Feb 2011.
5. This nutritional assessment will be done as part of a "Medical Readiness Training Exercise" that the US Army conducts periodically in Honduras. I'm not sure if these exercises always include pediatric doctors or others.
6. This trip will include 4 pediatric doctors from different U.S. hospitals. It will also include other team members from JTFB, Soto Cano, south of Comayagua in Honduras. At this time I am not sure how many team members will be present from JTFB.
7. On 01 Dec. 2010 Julio Rivera (eldest son of Chief Tomas), Karmen Betsworth, LeMars, Iowa, Dr. Coello and I traveled to MDLF to meet with the doctor at the health center in San Juan. We also met with the 2 nurses that work at the health center. We had a 1 and 1/2 hour meeting. Dr. Coello explained the entire team concept. This study will include a complete nutritional assessment of children 6 months to under the age of 5. Those selected would be assessed using a scientific process. He stressed that not all kids between 6 months and under age 5 would be assessed simply because there are so many. The Honduran doctor and nurses fully accepted and understood that reality. Dr. Coello also went over with the doctor and nurses the registration information that the health center has on the 5 tribes in the area. He also looked at vaccination records. He took photos of the registration data on the kids under age 5 that showed their birth dates. It is from these records that the kids will be selected. We also visited La Ceiba to once again check the GPS data for a LZ(landing zone) near the soccer field.
8. During this trip Dr. Coello took many photos of the roads and the rivers. These are necessary to help determine how the team will arrive in MDLF - either by ground convoy or helicopter. He needs to do many different assessments and then present them to commanders at JTFB.
9. It was during this trip that he told me that he and a complete assessment team from JTFB would fly to MDLF on 13 Dec 2010 to check out the conditions...the buildings, water and just about everything necessary to have a team stay in MDLF. He requested that I be present if possible to answer questions about how we and Mission Honduras LeMars have done things in the past.
10. Julio and I traveled to MDLF early on the morning of 13 Dec 2010. Angel Paz (water director for Mission Honduras LeMars)was also with us. Dr. Coello had previously contacted the police that provide security for MDLF. They would be needed to help us secure the LZ as well as guard the helicopter while it was on the ground. The assessment team was greeted by Chief Tomas, Chief Alvero and the son of Chief Julio Sota.
11. The assessment team spent about 1 and 1/2 hours on the ground. Many
questions, photos etc. It was during this meeting that we talked about our (Mission Honduras LeMars)role in this special medical team. I will continue to follow-up on this with Dr. Coello and Dr. Kemmer.
12. Basically our role will be to provide translators and vehicles if the team is flown in by helicopter. Vehicles would be needed to move the various team members on a daily basis. I also told them I would provide cooks, generators, fuel, food etc. but Dr. Coello informed me that the US military would be required to eat MRE's (meals ready to eat)only. The teams would also eat MRE's while in the field during the day.
13. We will also provide mattresses, blankets, pillows, sheets etc. for the team members from MHL. Dulce, our normal cook while we are in the mountain, will cook for our part of this effort. Dr. Kemmer will check with Dr. Coello if the SDSU team members can eat our food or not. Since they are being flown by the military they might have to eat only MRE's. She will get back to me on this. She will also send me a copy of the assessment form to be used so the translators can have an advance awareness of the questions.
14. Dr. Coello plans to return to MDLF and meet with Julio in Acote and then drive the route again, as well as drive an alternate route that will bring the vehicles about 7 km's north of Acote. From there, the road is the same. I think after this trip, a final decision will be made on how the team will get to MDLF. Our team will travel by trucks and arrive the day before the Task Force Bravo Team.
15. The process is this: Dr. Coello and Dr. Kemmer will divide the team into 4 smaller teams. Each team will be assigned certain kids to visit daily. We will also have to provide guides (Julio will take care of this) and maybe even burros to carry some of the supplies. Typically these small teams work for 4 days, and then on day 5 there is a general treatment day. Dr. Coello has told me that because of the remoteness of this area they may try and have 2 general days of treatment. He is talking with the Dr.in Orica about getting a couple of doctors to help. I'm not sure where he is at on this, but will check soon. I am also not sure if we will have a dentist. I will follow-up with him on this. Typically this type of team does not provide general care or dental care, but only the nutritional assessment. I told him that whatever they decide we are in agreement with.
16. Currently we are looking at these dates: 26 Jan 2011 SDSU team along with doctors from Walter Reed arrive in Tegucigalpa, Honduras,and are transported to JTFB. On 27 Jan they will do inventory, pack and train on the assessment protocols and then on 28 Jan travel to MDLF. At this time it looks like they will travel by helicopter. Our part of the team will arrive on 27 Jan 2011. Julio and I will also travel there before to bring supplies and help get the building and grounds clean.
17. I spoke with Dr. Kemmer recently and she will have a total of 7 team
members (including herself). I am not sure how many will be from JTFB. Dr. Kemmer spoke with me about the process yesterday. This will be a research project to study the nutritional status of these kids between 6 months and under age 5.
18. It looks like the team will return to JTFB on the morning of 3 Feb and then transition into Tegucigalpa. On 4 Feb they will tour hospital Esquela (NICU), PICU (pediatric intensive care unit) and the nutritional ward. They may even go to Valley of the Angels. The SDSU team will stay in Tegucigalpa on 3 and 4 Feb. They return to the USA on 5 Feb 2011.
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