{"id":535,"date":"2014-09-01T09:03:53","date_gmt":"2014-09-01T09:03:53","guid":{"rendered":"http:\/\/basichealthinternational.org\/?p=535"},"modified":"2014-08-29T16:39:17","modified_gmt":"2014-08-29T16:39:17","slug":"shimshal-july-2nd","status":"publish","type":"post","link":"http:\/\/basichealthinternational.org\/?p=535","title":{"rendered":"Shimshal (July 2nd)"},"content":{"rendered":"<div id=\"fb-root\"><\/div>\n<p>Our first morning in Shimshal involved a number of meetings and organising food and gear for our upcoming hike to the summer pastures of Shimshal Pass.<\/p>\n<p>We visited the Shimshal Health Centre early in the morning. We met the staff and then joined Mr Farman Ullah at his clinic, seeing patients together. We discussed current health issues in the Shimshal Valley including hypertension, bronchitis, pneumonia, anemia, urtis, maternal, child care\/nutrition issues and had a long discussion with all the staff about their current perception of TB prevalence in the Shimshal Valley.<\/p>\n<p>We discussed previous government\/Aga Khan and privately funded studies on the TB issue and the absence of an active DOTs program in the area.<\/p>\n<p>We indicated that BHI would be willing to act as consultant in setting up and completing a comprehensive TB surveillance program in partnership with the Government of Pakistan ,Aga Khan Health Services and any other interested parties. Mr Zulfiqar agreed to access and provide copies of previous TB studies to BHI so we can look at the best approach for a comprehensive community TB assessment, treatment and prevention plan.<\/p>\n<p>We discussed future e health possibilities once mobile phone and internet services open up in the Shimshal Valley. We discussed training of medical staff in e health possibly through the KADO IT centres.<\/p>\n<p>Apparently there has been some discussions with S- Com recently re future mobile\/internet connectivity in the Shimshal Valley.<\/p>\n<p>We later met with local Sam (IT trainer) and his new wife Nazarine (dental hygienist from Afghanistan)<\/p>\n<p>We discussed multiple medical issues including the dental health of the people of Shimshal Valley.<\/p>\n<p>Nazarine and I discussed the possibility of doing a joint dental health improvement seminar in the community at a future visit.<\/p>\n<p>We then had a lunch meeting with Ashraf\u2019s father Doulat Amin at his beautiful home in central Shimshal.<\/p>\n<p>It was so nice to visit with him again. He is a great educator and spiritual leader in his community and always so hospitable and generous with his knowledge and time.<\/p>\n<p>He provided a beautiful lunch for us all and agreed to have Pat record a video interview.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"ngg-singlepic ngg-center\" src=\"http:\/\/basichealthinternational.org\/wp-content\/gallery\/pakistan-2014\/2014-07-02_06-20-20.jpg\" alt=\"KADO rep Imran Khan interviews 95 year old Baig Doulat, Shimshal village, Karakoram Range, Pakistan\" width=\"494\" height=\"329\" \/>We then visited Nambardar Baig Doulat and family at their beautiful home in Khizarabad overlooking the Shimshal Valley. He is an amazing 95 year old farmer, father, grandfather and great grandfather, community and spiritual leader living with four generations in the same house. When we arrived, he had just come back from working in his beautiful garden.<\/p>\n<p>He is in great physical and mental shape and a true example of the old Hunza traditional life with long life expectancy. He attributes his good health to regular physical and mental exercise, good diet (grows a lot of herbs in his garden\/ low salt intake) and reduced stress. He grows lots of vegetables, herbs, apricots, mulberries, cherries and apples and has a large yak herd currently in the Pamir. He apparently rarely has to visit the Health Centre. He is a great example of what can be achieved in areas such as Shimshal and what can be learned from the elders and past generations. He agreed to do a video interview with Pat.<\/p>\n<p>Imran agreed to do a simple random household TB surveillance study in all communities in the Shimshal Valley while we were travelling in the Pamir. He went from house to house collecting data and interviewing residents. He did a wonderful job and was received well by the community. The results will hopefully give us some guidance in regards to setting up a more comprehensive household TB surveillance study in the Shimshal Valley.<\/p>\n<p>With the help of Imran, Zulfi, Hasil (hotel owner)and hotel staff we prepared food and gear for our hike up into the Pamir.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Our first morning in Shimshal involved a number of meetings and organising food and gear for our upcoming hike to the summer pastures of Shimshal Pass. We visited the Shimshal Health Centre early in the morning. We met the staff &hellip; <a href=\"http:\/\/basichealthinternational.org\/?p=535\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":537,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"ngg_post_thumbnail":0,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[1],"tags":[34,35,11,28,14,27,22],"class_list":["post-535","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-e-health","tag-education","tag-fundraising","tag-health","tag-medicine-in-remote-locations","tag-pakistan","tag-world-travels"],"jetpack_featured_media_url":"http:\/\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-02_06-20-20.jpg","jetpack_shortlink":"https:\/\/wp.me\/p4UPJH-8D","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[{"id":553,"url":"http:\/\/basichealthinternational.org\/?p=553","url_meta":{"origin":535,"position":0},"title":"July 8th (Tuesday) Back at Shimshal, Again.","author":"Katrin Becker","date":"8 September 2014","format":false,"excerpt":"We woke up to a crisp, clear, blue sky morning. The early morning sun brought back warmth and great light to the pasture. After chai and chappatis at Tai Bibi\u2019s house we donated a solar lantern to the community, said our goodbyes and started out across the snow covered, sun\u2026","rel":"","context":"In \"e-health\"","block_context":{"text":"e-health","link":"http:\/\/basichealthinternational.org\/?tag=e-health"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-07_19-31-21.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-07_19-31-21.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-07_19-31-21.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":531,"url":"http:\/\/basichealthinternational.org\/?p=531","url_meta":{"origin":535,"position":1},"title":"The Shimshal Road (July 1st)","author":"Katrin Becker","date":"31 August 2014","format":false,"excerpt":"The following day we headed up the adventurous 55km Shimshal Road from the KKH and Passu. This road has a long and interesting history. It was built with a lot of local villager voluntary work over a 20 year period with some financial support from the Government of Pakistan and\u2026","rel":"","context":"In \"e-health\"","block_context":{"text":"e-health","link":"http:\/\/basichealthinternational.org\/?tag=e-health"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-29_23-38-31.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-29_23-38-31.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-29_23-38-31.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":549,"url":"http:\/\/basichealthinternational.org\/?p=549","url_meta":{"origin":535,"position":2},"title":"July 6th (Sunday) Shimshal Pass Summer Pasture","author":"Katrin Becker","date":"7 September 2014","format":false,"excerpt":"Shimshal Pass summer pasture at 4700m.We woke up to a crisp morning with scattered clouds. At 5am women were milking their sheep\/goats and yaks in the stone walled enclosures in subzero temperatures. There was a calm, focused silence among the shepherds in the animal enclosures. By 8am the milking was\u2026","rel":"","context":"In \"e-health\"","block_context":{"text":"e-health","link":"http:\/\/basichealthinternational.org\/?tag=e-health"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-06_09-54-59.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-06_09-54-59.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-06_09-54-59.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":546,"url":"http:\/\/basichealthinternational.org\/?p=546","url_meta":{"origin":535,"position":3},"title":"July 5th (Saturday) &#8211; Shimshal Pamir","author":"Katrin Becker","date":"4 September 2014","format":false,"excerpt":"We awoke to some fresh snow and cooler temperatures. We started out a little later than originally planned (7.15am) because of the conditions. We started up a very muddy, steep incline in fresh snow. Our single poles came in handy to get some traction along the steeper muddy trail. Fortunately\u2026","rel":"","context":"In \"e-health\"","block_context":{"text":"e-health","link":"http:\/\/basichealthinternational.org\/?tag=e-health"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-05_23-30-46.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-05_23-30-46.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-07-05_23-30-46.jpg?resize=525%2C300 1.5x"},"classes":[]},{"id":540,"url":"http:\/\/basichealthinternational.org\/?p=540","url_meta":{"origin":535,"position":4},"title":"July 3rd &#8211; Pamir &#8211; Following in the Shepherds\u2019 Footsteps to Learn About Health","author":"Katrin Becker","date":"2 September 2014","format":false,"excerpt":"On July 3rd around 6am with low cloud we headed out of Shimshal village on foot towards the Pamir. Our group included Zulfiqar (Zulfi\/HC administrator + guide), porters Saieed and Hussain, Pat and Dr. Bill. Our gear comprised of medicines\/ medical equipment (including blood pressure machine, stethoscope, auroscope, opthalmoscope etc.)\/dressings\/\u2026","rel":"","context":"In \"e-health\"","block_context":{"text":"e-health","link":"http:\/\/basichealthinternational.org\/?tag=e-health"},"img":{"alt_text":"Bill Hanlon on trek to 4700 m Shimshal Pass from Shimshal village, Hunza Valley, Karakoram Range, Pakistan","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/gallery\/pakistan-2014\/2014-07-03_02-01-28.jpg?resize=350%2C200","width":350,"height":200},"classes":[]},{"id":510,"url":"http:\/\/basichealthinternational.org\/?p=510","url_meta":{"origin":535,"position":5},"title":"Hunza, Pakistan &#8211;  June\/July 2014","author":"Katrin Becker","date":"27 August 2014","format":false,"excerpt":"In June\/July 2014, Dr. Bill Hanlon, Founder and Medical Director of Basic Health International Foundation returned to Hunza in north east Pakistan to build on existing medical programs and expand it\u2019s work into more remote areas such as the Shimshal summer pastures at 4700m, Chipursan Valley (3500m), Misgar Valley (3075m)\u2026","rel":"","context":"In \"Fundraising\"","block_context":{"text":"Fundraising","link":"http:\/\/basichealthinternational.org\/?tag=fundraising"},"img":{"alt_text":"","src":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-28_22-45-10.jpg?resize=350%2C200","width":350,"height":200,"srcset":"https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-28_22-45-10.jpg?resize=350%2C200 1x, https:\/\/i0.wp.com\/basichealthinternational.org\/wp-content\/uploads\/ngg_featured\/2014-06-28_22-45-10.jpg?resize=525%2C300 1.5x"},"classes":[]}],"_links":{"self":[{"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/posts\/535","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=535"}],"version-history":[{"count":3,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/posts\/535\/revisions"}],"predecessor-version":[{"id":539,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/posts\/535\/revisions\/539"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=\/wp\/v2\/media\/537"}],"wp:attachment":[{"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=535"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=535"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/basichealthinternational.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=535"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}