Medical to the remote

This Blog is all about the work of God. Nothing we do is without the knowledge of our Father. He is the soul provider for everything we do.
We are Mordegai, Toinette, Suzaan,Gideon and Anton Rossouw from Namibia-Africa. . This Blog is all about our lives here in Cambodia while Suzaan works in South Africa. We are real Farmers from Africa and we love life and what it have to offer and enjoy it day by day.

Mordegai travels to remote villages up in the far North of Cambodia, doing much needed medical work ,where no other doctors go, with local pastors as well as the Department of Health of Ratanakiri.

Toinette is at home with the boys. Homeschooling Gideon is a task not for sissies, while Anton is in Eli school. .She joins FGC Community Link Cambodia to the villages close by, teaching local children in an after school setting and also women about Health Issues in a village setting.

We consider us Asians as we live such a long time in Asia, eating rice as a staple food and not meat......

Our motto in life comes from a dear friend:

With common sense and God we
can accomplish a lot

Robin Wales

Monday, June 13, 2016

Monday night prayers 13 June 2016

Visited a small village in the mountains, this last week. What a shock to see how clean this place is compare to other villages!! Glad to see that the local Pastor, who was the head of the village a while ago, influenced the people in cleaning their village. Sad to see that a big NGO donated a well, for U$3600 and its already broken for a year. Cost to repair, U$10, and nobody wants to give money to repair the well. This is just to show that we need to stop and make these people dependable on us. Dumping money into poor communities is not the answer. Wish the big guys will start to listen. 

Was encouraged by the pastor’s seal, when we told them we will help them to build their church roof. Some people donated some $$ for the roof. We need a bit more, so if there are someone who is interested, please let me know. They went off to build the structure and we will meet them again in 2 weeks. They said to us:”” IF you help us, we will put your name their on the church……””We replied that we do not want that as we love to see independent /indigenous standing on their own. Samai told them to put the name of Jesus on the church. 

Sad to see that the people do not have money to go to the clinics. Met a few old people with real problems but cannot help them as well as it is long term problems like diabetes and high blood pressure etc. Toinette visited a lady that was send home by the hospital as she is yellow as can be. Obvious something wrong with her liver or kidneys. She is just lying at home and waits to die. Sad to see people like this. Where is the justice in this place, when you need it? Pray for wisdom how to help these people in a remote setting.

I am off to Phnom Penh tomorrow to see if we can apply to get visas. Always a problem for us Africans. Pray for safe travels down there as well as open doors in the Dept. of Foreign Affairs.

Just see a report on Dengue in my inbox. Because if this severe drought it will be bad this year. Not even to mention the malaria. I include a letter so you can know what to pray for. We also experience a sudden increase in flies this year, due to the drought. Continue to pray for rain as it is still much needed. 

Dengue Epidemic Looms
Sonny Inbaraj Krishnan
13 June 2016
Dengue cases normally peak in the Kingdom during the onslaught of the monsoon. This year, however, things seem to be different and we are seeing a large number of cases of dengue fever reported even before the start of the wet season.

The Ministry of Health, in a statement released last week, said that from January to May this year there were 1,915 cases and four deaths from the mosquito-borne disease. Last year during the same time period, the ministry added, there were 567 cases with one death.

This large number of dengue cases in the country, so early in the year, needs to be taken very seriously. A recent study published in the US-based Proceedings of the National Academy of Sciences is convinced that we will see a dengue epidemic in Southeast Asia due to the “predicted extreme intensity of El Nino,” with abnormally high atmospheric temperatures.

Cambodia is unique when it comes to dengue. Every five years or so, there seems to be a peak of dengue cases and deaths – and the statistics don’t lie.
In 2007, 407 people died of dengue hemorrhagic fever and nearly 40,000 cases were reported by the National Center for Parasitology, Entomology and Malaria Control (CNM). That year was a nightmare for Cambodia’s Ministry of Health with the highest dengue deaths on record in a single year.
In 2008, the number of cases and deaths dramatically dropped with 9,200 recorded dengue infections and 65 deaths. In 2012, five years from 2007, CNM reported 183 deaths and 41,716 cases. In 2013, the cases dropped to 59 dead and 17,491 infected. So the next cycle, according to the data analysis, is due either at the end of this year or by the first quarter of next year.
There is no one single dengue virus and the Aedes aegypti and Aedes albopictus mosquitoes can carry four different strains – DV1, DV2, DV3 and DV4. In Cambodia, the predominant mosquito species that carries the dengue virus is Aedes aegypti.
When a new dengue virus strain circulates there can be serious outbreaks because there is no acquired immunity against it among the population high at risk, mostly children. Each virus strain only confers immunity to its particular type, which means a person can come down with dengue four times. The life-threatening version of this disease is dengue hemorrhagic fever and it results when a person encounters a second dengue strain. Death is common among children who have previously been infected by another dengue type.
We still don’t know why new dengue strains emerge and suddenly disappear and we have yet to fully understand the behavior of this arbovirus. The Aedes aegypti is a very sneaky mosquito, and we need to worry about the daytime biting female species. This means that you have to be very concerned if you’re stabbed aggressively several times in your ankles or calves by mosquitoes during the day. There is a high probability that Aedes aegypti mosquitoes are depositing their viral load with each plunge of their proboscis.
As a domestic mosquito, well adapted to humans, the female Aedes aegypti depends on people for the water containers in which she breeds and the blood that nourishes her eggs. Studies have indicated that dengue-carrying mosquitoes carry the virus for life and can transmit it to their larvae in a process called transovarial transmission, for the virus to survive and lay dormant during dry or cold seasons.
So preventing the transmission of dengue doesn’t only include eradicating adult female mosquitoes, but also destroying their larvae.

The Ministry of Health uses temephos pellets, marketed as Abate, in water containers to kill the larva of dengue-carrying mosquitoes. The use of Abate, however, has to be followed by a health education program on the proper use of the larvicide, with intervals between applications in water explained in simple language to ensure their effectiveness.

While there is little doubt concerning the effectiveness of temephos in controlling Aedes breeding sites, there is, however, a serious lack of data in Cambodia to show a reduction in dengue transmission with the use of that particular larvicide. Yet the ministry continues to promote its application in water.

What’s also troubling is the haphazard distributions of Abate by overzealous commune chiefs during provincial elections – every five years and by chance coinciding with dengue epidemics – to curry favor from their electorates and taking away the much-needed larvicide from areas prone to outbreaks.

Community-based control strategies like using larva-eating guppy fish to fight the spread of dengue have been endorsed by the Asian Development Bank (ADB) and the World Health Organization.
“This is a low-cost, year-round, safe way of reducing the spread of dengue in which the whole community can participate. It offers a viable alternative to using chemicals and can reduce the scale of costly emergency response activities to contain epidemics,” said a 2013 ADB statement after the bank reviewed the impressive results of pilot projects in Kampong Cham province and neighboring Laos.

However, it is baffling why the guppy fish project has not been scaled up nationwide by Cambodia’s Ministry of Health, unlike Laos, despite numerous requests by the ADB with offers of funds.
Perhaps the commercial interests in Abate deals are just too lucrative. In the meantime, the lives of Cambodians, especially children, remain in jeopardy with a dengue epidemic just around the corner.

Our prayer for Syria this week:
Isaiah 2:12  “The Lord Almighty has a day in store for all the proud and lofty, for all that is exalted (and they will be humbled)”
Father God, I thank You for Your great mercy in humbling the proud, in exposing the weakness of the sand they have been standing on. Thank You Lord that You have chosen the weak things of this world (those who have been persecuted) to shame the strong. Thank You that their strength is in You. Jesus, I pray for the leaders of Syria, the leaders of the country, leaders of armies, leaders of regiments, leaders of families. Father, I pray that they will be humbled… SO THAT they may find a greater prize - strength in You. May their hope be placed in YOU!
Today’s story is not quite connected to the verse but I ask for your prayers for a dear friend. Ruza* became a believer last year. I saw her grow in her relationship with Jesus. I saw her being set free from fear and demonic activities in her home. I saw her smile and her eyes sparkle. I know she experienced Jesus in a special way. Then in the last few months, Ruza and her husband (also a believer) have experienced rejection and judgement (sadly from other believers). This has caused her to turn her back on Jesus. I visited her this week and she compared the ‘prophets’ with me. One did and said wonderful things. And the other did some very bad things. "But because all of my neighbours are muslims, and I have lost my friends, I cannot stand alone.” It was only at the end of the visit that i realised she was fasting for Ramadan. My heart broke. It was the first day of ramadan.
Jesus, I pray for Ruza. Jesus, she saw a vision of You with her own eyes. She experienced You setting her free from fear and shame. I don’t understand but I know that Your love for her is still so very real. She still knows the truth… but she can’t stand alone. Jesus, as You were shamed and abandoned, I pray that You would give her and her husband the strength during this time. I pray for reconciliation with the other believers. And most of all, I pray that You would be her rock, that she can share with her neighbours who You are, her sure foundation.
We’re one week into the month of Ramadan. Let’s continue to pray for Muslims around the world to receive dreams, visions and revelation of the Truth.


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