Sunday, January 26, 2014

Together Again

     Things have been so busy this past week that I have not even had time to write about the arrival of my son, Pierre, in Haiti. Pierre flew in last Sunday afternoon (January 19). He will spend three months with us here in Christianville working as the Assistant Project Coordinator for Meer. Pierre has a job description and specific assignments and will report to Meer, the Lab Director. It is a volunteer position for now. We will see how things work out. It is a great opportunity for Pierre to get some practical administrative and organizational experience working in a developing country. He will also certainly meet people from NGOs and the Haitian ministries and network, which is always useful for getting jobs later. Pierre set up a blog before he left Silver Spring. Here is the link: http://pierremaurellihaiti.blogspot.com/

     Pierre was arriving on an afternoon flight so that morning Meer and I rode into Port-au-Prince with John at the wheel of the Everest. We were invited to have lunch with his Bangladeshi friends in Belvil, a gated and guarded community in PauP. There are about 900 homes in the Belvil community and it is like you are not even in Haiti. It is almost like a suburban community in the U.S. The homes are beautiful. Faruque, our host, rents his house for $1300 a month. There is a separate gated entry for the three houses in his cluster. When we arrived, John parked the Everest next to the driveway gate. A guard with a shotgun opened the gate and ushered us in. Then he took his position in the driveway next to the UN Nissan that was parked there. In the front yard was a small (empty) swimming pool. Among the guests for this beautiful afternoon luncheon was a retired Bangladeshi Army colonel and a retired Major (both now working for the UN), two people who worked for NGOs, and two employees of Digicel. All Bangladeshi. The food was great but the conversation was mostly in Bangla. I did chat a little with the UN folks and learned about what they were doing – logistical support for the UN mission. The retired colonel wanted to know why the DoD was interested in my work here, why did they want to know about STIs in Haiti. It is all about tracking global diseases and emerging diseases, I told him. Knowledge means preparedness, trying to understand what diseases may be coming by understanding and tracking the diseases and agents of infection that are circulating now. I hope I convinced him. It was too bad that Pierre was not already here. This encounter is a good example of the kinds of people you can meet on the ground and the opportunities to network (and in my case, to educate, I hope).

     After lunch, John drove us to the airport where we waited for Pierre’s flight to arrive. It was Pierre’s first trip back to Haiti since 2009 when he was still in high school and pre-earthquake. I thought it might be a bit of confusing since the airport was now completely different. So I had Big, a big guy who sometimes meets people inside the airport for Christianville and UF, go inside to look for Pierre. Soon Pierre walked out, sporting wraparound sunglasses and his Penn State jacket tied around his waist, carrying his backpack while Big pulled his suitcase. We hugged. It was only two weeks ago when Pierre dropped me off at Reagan National for my return to Haiti. Now here I was meeting Pierre at the PAP airport on his arrival in Haiti. It is great to have Pierre with me in Haiti once again. Pierre will work for Meer and together we are going to do great things. We’ll get stuff done for Haiti. That’s the goal. That has always been the goal.

Me and Pierre in Haiti

Friday, January 24, 2014

It's Haiti v13 – Politics are Local, Again; and They Screw Up Traffic

     One morning when Meer, Madsen and myself were driving into Port-au-Prince, traffic on Route 2 slowed down to a crawl and then stopped. Nothing was moving. Makendy, ever the model of calm and patience, asked someone what was going on. “Manifestation” was the response, a demonstration. This demonstration was in front of a school. I was immediately reminded of the manifestation that occurred at Christianville back in December (see December 12, 2012 post, All Politics are Local). I wondered what the people were protesting this time (I never found out). This manifestation was serious. Blocking the major highway was not to be dealt with lightly. Here we were stuck in the long line of cars, trucks, and tap taps waiting to move east towards PauP. What should we do, I asked Makendy. “We wait”, he replied. I asked Makendy how long we might be waiting. “Until the police come”, Makendy replied. That sounded pretty ominous. It wasn’t long before the police did arrive. Soon we saw three police in riot helmets and bulletproof vests. The line of traffic began to slowly move. Makendy was right. We rolled slowly past several police cars and now I saw10-15 police, all in riot gear, gathered around, directing traffic and keeping the road clear. Makendy gestured with his left hand toward a red Nissan parked on the side of the road. I looked over and saw a gentleman in a grey suit walking next to a guy with an Uzi. “The mayor”, Makendy said. The mayor was the guy without the Uzi. We drove on into PauP.

     We were not finished with traffic jams, not yet. As we approached the first traffic circle in Carrefour, we saw several UN armored personnel carriers (APCs) parked on the circle with blue-helmeted troops carrying automatic weapons in formation on the circle observing the four directions of traffic.  That was odd. I had never seen the UN deployed like this before. At the next traffic circle, there was another APC with troops fanned out in the same pattern as the previous circle. This was no longer odd. This was the UN guarding the major entry points into PauP. What is going on? Madsen had the answer. President Martelly and Prime Minister Lamothe were both scheduled to address the National Assembly today. We drove as far as Bicentenaire where we met a police roadblock. The neighborhood of the National Assembly was closed to traffic. Makendy did a U-turn with one hand and pulled out his cell phone with his other hand. Soon he was asking someone for advice about the best route to take through Bicentenaire to get us to the airport. Makendy got us to where we needed to go (the customs office, again). Later that day, we needed to get to the FedEx office which is in Bicentenaire, the neighborhood that was cordoned off. Somehow, Makendy found a way to get to the FedEx office from the backside of the roadblock so that when we left, we were actually coming from the police side of the roadblock back out into traffic. It was late. Another exhausting day in PauP. It’s Haiti.

Thursday, January 23, 2014

The Road to Port-au-Prince

     In the two weeks since we returned to Haiti on January 5, Meer and I drove (actually Makendy or John did the driving) into Port-au-Prince five times. It is at times surreal. It is always mentally and physically exhausting. Let me try and capture as best I can, the sights and sounds I experienced over the past two weeks.

     National Route 2 to Port-au-Prince (or PauP as it is written on the tap taps) is alternately bad and horrible. Route 2 is the main east-west artery from PauP way to Miragoâne and then south over the mountains to Les Cayes. But it is only a two-lane road. Traffic goes from speeding along at 50 mph to slowing down to 2 mph because of a bad patch where the road surface is completely torn up or where the occasional speed bump is found in front of a police station or customs checkpoint. The road is filled with traffic. In particular, there are lots of trucks; dump trucks, large (bus-size) tap taps, tap taps, and SUVs. And a few cars. You see hardly any American brand vehicles.

     Driving is nerve-wracking. Driving behind a tap tap is the worst. Tap taps are basically pickup trucks with benches along the inside of the bed and a frame attached to the sides which support a metal covering. These tap taps stop anywhere along the road to pick up and drop off passengers. So as you are driving behind them, they may suddenly slow down and pull over (or not) to the side of the road to pick someone up or drop someone off. You have to always be watching to see if they are going to suddenly stop.

A tap tap in Port-au-Prince
     There are no lines on the road so passing is a real test of nerves. Since Route 2 is really only a two-lane road, when you pass you are usually staring at a giant dump truck coming straight at you. Everyone passes everyone else so horns are blaring constantly. There are horn signals for when you want to pass, when you are passing, when you have finished passing. There are horn signals for when you want a vehicle to move over so that you can pass. Signals for passing a motorcycle. Signals to warn people crossing the road to get out of the way. Signals to let someone know that they can proceed through an intersection or cut in front of you. There is a form of horn etiquette but I have not completely figured it out yet.

     The road is full of dust and smoke. The smoke from diesel engines mixes in with the smoke rising from charcoal fires and burning trash. It is the dry season in Haiti and the drainage ditches are bone dry but filled with trash. Smoke curls up from trash burning in the drainage ditches.

     On the outskirts of PauP, we pass a service station called Station de l’Immaculee Conception (Immaculate Conception Service Station). Everywhere along the road and in PauP there are shops with names praising God or citing the Bible: Gloire de Dieu Clinique Dentaire (Glory to God Dental Clinic); La Sang de Jesus Cosmetiques et Alimentation (The Blood of Jesus Foods and Cosmetics).

     As we drive through Carrefour, we round a curve where buses are lined up to take people into the center of town. On the left, is the dump where smoke is always rising up from the mounds of trash. Sometimes I see people milling around on the piles of trash picking through them looking for anything useful. I once saw a man in PauP using his machete to slash open plastic bags of trash and sort through the trash for anything he could use.

     Just before entering the PauP city limits, we pass Thor Terminal, the oil terminal along the shoreline. There are always dozens of tanker trucks lined up along the road. As we drive past you might think that “DEFENSE DE FUMER” is the name of the leading tanker truck company in Haiti. It is not. It’s just that all the tankers that transport fuel have “DEFENSE DE FUMER” written in giant letters on the sides and backs of the tanks. It means No Smoking. Interestingly, I have seen very few Haitians who smoke.

     Port-au-Prince is crumbling and decaying. It is rebuilding and falling apart at the same time. It is in a perpetual state of construction. Trash is everywhere but trash is being picked up now by the SMCRS (Le Service métropolitain de collecte de résidus solides – Metropolitan Trash Collection Service). They have a Facebook page – it has 65 likes. Unlike when I first drove though PauP two years ago, today I see more SMCRS trucks and I even see workers sweeping streets or shoveling trash from the market place into dumpsters.

     As you drive through PauP, you see a lot of UN vehicles. The first few times it is exciting. Wow, there’s a UN car (or truck). Oh, there’s a truck with soldiers from Brazil (or Uruguay, or Argentina or Guatemala). After you see your 50th UN vehicle, it’s ho hum, just another white Nissan. The same goes for the UN base camps. They seem to be everywhere, especially around the airport and near the U.S. Embassy. The U.S. Embassy, by the way, seems to be in an industrial park (I saw the $3200 leather arm chair in the big box store across from the Embassy). It is far from the center of PAP. The Embassy used to be in the center of PauP. Now it is isolated and out in the middle of nowhere. A metaphor or the reality of post-911 security concerns?

     We have lunch at a little restaurant near the airport. Makendy once more pulls into an impossibly small space for the Everest, and he does it after cutting across traffic to turn left into the parking space in front of the restaurant. We order lunch: poulet local or poulet importer – local or imported chicken. The local chicken is more expensive but overall the dishes are inexpensive, 300-350 gourdes for lunch, about $7.00-8.00. For some unknown reason, the movie on the TV monitor is showing Thor-The Dark World. We cannot hear the sound but the movie is subtitled - in Chinese. When we leave I see a massive guy with a gun squeezing into a UN vehicle parked next to the Everest. He had a U.S. flag shoulder patch. The U.S. has committed troops to the MINUSTAH mission but this is the first one I’ve seen.

     We pile back in the Everest. After a few more stops, it is time to return to Christianville. We are exhausted. I am beginning to recognize the landmarks on the streets and know when we will turn. There is the broken down SUV (a white Chevy 2500), with at least two flat tires, sitting right in the middle of a major intersection. It is always there. I once pointed this out to Meer. He told me that it was a police “station”. The next time we drove past, I noticed that the SUV was still there but the doors were open and a couple of police were standing around and sitting inside the SUV. Makendy turned left at the police “station” and we joined the exodus out of PauP.

     Traffic moves slowly back west towards the sun setting on Route 2. The traffic slows and inches its way through Carrefour. Street vendors stand in the road and peddle cold drinks, water, ice, loaves of bread, and sweets (vendors near the airport sell cell phone headphones, chargers and sunglasses; go figure). They walk alongside the cars and tap taps as the line of traffic slowly moves forward and sell their wares and then walk back to their places in the road. Makendy waves over a Pap Padap, a Digicel street vendor who can add minutes to your cell phone. He tells the Pap Padap how much he wants to buy, hands him a 100 gourdes note and his cell phone. The Pap Padap calls a number, enters his code and the amount Makendy is buying. He gives the phone back to Makendy. Seconds later, Makendy’s cell phone receives a text message verifying the amount he just bought. We drive on, Makendy’s cell phone recharged with gourdes. Meer dozes off. I doze off as well. Madsen is talking on his cell phone. Makendy keeps driving. We slow down to cross the speed bumps at the Gressier police station checkpoint. We are close now. Makendy turns left at the Total gas station. The motorcycle taxis at the entrance to the road leading to Christianville edge backwards to make room for the Everest. We bounce along the road another five minutes and pull into the Christianville compound. We’re back home.

Saturday, January 18, 2014

Peaks and Valleys, Again

     I wrote earlier (see October 19, 2013 post, Peaks and Valleys) about the peaks and valleys of working in Haiti and of doing science. This week was another example. We had delay after delay in getting the autoclave installed and operational. On Sunday, the last piece of the installation was complete. On Monday, Rick (from the company who assembled the autoclave) arrived to verify the installation and test out the machine.  On Tuesday and Wednesday, Rick took us through the steps of operation and now we have a working, large capacity autoclave worthy of a microbiology lab!

     On Monday, I also finally received a cost center for my AFHSC-GEIS grant. This means that I can now spend the money that I was awarded for the project. Remember that the award was made on October 3, 2013. Money for the first quarter was sent to USU. I emailed back and forth for three months asking when I could have the cost center to start buying things I needed. The first quarter came and went and still no cost center. Finally on January 13, 2014, two weeks after the first quarter of my project ended, I received a cost center to begin buying things. Was the delay due to excessive bureaucracy or errors/incompetence in the processing chain? I have no idea and I do not particularly care where the fault lies. I just want it fixed so that this type of delay does not happen again. I want to do my work. It is a disgrace and an embarrassment to a University that considers itself a world-class research institution.

     On Tuesday, three people from the CDC in Port-au-Prince came to visit the lab. They brought along the head of the Molecular Section of the National Labs in PAP. I had been working since October to connect with someone at CDC-PAP. Just before Christmas I connected with Rob Burris and we set up the visit. It was great. Meer and I gave them the tour of the lab and talked about the various projects that we have going on. They were impressed. We talked about common interests. We talked about vision and how to plan for the long term in Haiti, what are we (UF and USU) are interested in doing and the CDC’s plans for Haiti. I think we share a common vision of what needs to be done. It is complicated and it all involves money; how does one fund a sustained research/public health presence in Haiti? We all need to work on solutions.

     Before lunch, we showed our visitors the UF house under construction and asked our construction manager, Solomon, to explain the concept of foam core panel construction. Our guests were astonished by the simplicity of foam core and its low cost. This part of the tour provided an unexpected bonus. It turns out that the National Labs put out a call for bids to construct a blood bank building in PAP. The bids were all pretty high, around $9-10 million. Solomon told them the building could be done for $4-6 million if foam core was used, and it could be done quicker. So apart from the science, our guests learned about another (better, cheaper and more secure) form of building construction. It was a very good visit.

     Later that same day, the valley. After more than seven months of work, email exchanges and phone calls, trying to get Pfizer to donate drugs for treatment of the participants in our STI surveillance, our request was declined. The panel determined that our request was supporting a research project and thus was “noncompliant” with their donations policy. I was very disappointed.  But the STI project will go on as planned. I encouraged Jim and Sandy at Haiti Health Ministries to try and request donation of the drugs from Pfizer without me. If my “research” was what killed the donation request, maybe they can get the donation without me.

     On Friday, things got better, much better. In the space of 20 minutes, I received emails from two people offering to help me ship my equipment from the US to Haiti on military transport planes via the Denton Program. That same afternoon, Team Micro back in Bethesda finally convinced the Jackson Foundation to agree to let me have a pre-paid credit card to shop for stuff in PAP!!!!! That also took over a month, dozens of emails, and some creative thinking to make happen. Thank you Lori, Kim, and Lucille.

     It has been an excellent week. And tomorrow Pierre arrives in PAP for three months to work as the Assistant Project Coordinator for Meer.

Sunday, January 12, 2014

It’s Haiti v12 – I Hate these Mices to Pieces

     Mice, now we have mice. On Thursday Marsha bought me some traps. A mouse ran across my foot when I walked into my bedroom Friday night so I set out two traps. I was not even finished brushing my teeth when I heard a mouse get caught in a trap. I set out two more traps. In just one day, we caught eight mice. But I’m not sure we got them all.

     So why all the mice? I have no idea. We (Meer and I) left for two weeks for Christmas and when we got back the termites were gone but the mice had moved in. Ken says it’s because the weather is getting cooler and the mice are coming in from the cold. Meer saw one come in under the door (the gap is pretty big). We need door sweeps. Maybe I should bring back the tarantula. They eat mice, don’t they? So what about the cats, where are they when you need them? I mentioned previously that I had only seen two cats so far during my three months in Haiti (see December 3, 2013 post “The Dogs”). I heard that the reason there are no cats is because the Haitians eat them. It’s Haiti.

A cat in the Gressier market


The Goodness in All of Us

     Sunday morning. I went for a run on my usual course and then took a detour to the chicken sheds and the fish basins to see if I could make that a more interesting loop. That would have been a nice little run but there is no trail around the basins. So I turned back. Maybe if they cut the grass…

     I showered and then helped Meer clean up the house a bit. His friends from Port-au-Prince called last night and asked if they could come visit and have lunch with Meer in Christianville. Meer knows lots of Bangladeshis in PAP and his two friends work for Digicel. They are both married and each has a son and today is Nihal’s birthday, the son of one of the couples. They thought it would be a good idea to come out to Christianville and celebrate their son’s birthday with Meer. As I walked back from the lab to get brunch at the dining hall, Meer invited me to join them for lunch.

     The women took the day off from cooking and played with the kids while Meer and his two friends prepared the meal. When I met the women, they were in our back yard with the two little boys collecting bori or jujube fruit from a tree that I did not even know had fruit. The fruit are about the size of a small cherry and they look like miniature Granny Smith apples. They taste a little like apples also. 

     Lunch was ready but before we ate we all walked over to the orphanage.
Sue and the orphans
Meer’s friend and his wife brought five birthday cakes to celebrate their son’s third birthday with the orphans. Sue has 25 children in the orphanage right now (a new baby will be coming this week to make the number 26). The kids are all ages. I guess Rose is the youngest. When I first saw her in October, she was four months old and four pounds. I guess she is a lot bigger now; she was sleeping when we went over with the cakes so I did not see her. These were beautiful cakes. Meer’s friends live in a really nice neighborhood in PAP. Caribbean Super Market, one of the upscale supermarkets in Pétion-Ville, is about a minute from where they live. I guess they bought the cakes there. The kids were finishing up their lunch when we got to Sue’s orphanage. There were kids everywhere, in high chairs, on boosters, being fed by Sue’s workers or eating on their own at little tables. Orphans. Some have lost their parents (maybe in the earthquake); others were given up by parents who simply cannot afford to feed and cloth and raise them. Sometimes parents come back for the child when they are better off and can raise the child; sometimes they only show interest when they are asked to sign the papers to put the child up for adoption.

     Sue gathered the children around the table with the cakes,
Three of the birthday cakes
lit the candles and we all sang Happy Birthday. As I watched I was touched by this simple act of thoughtfulness and friendship. It was their child’s birthday. Far from their own family in Bangladesh, they made this gesture to share their son’s birthday with children they had never met who have no family except the other orphans. I was touched by their kindness.
Everyone gathers around for the birthday cakes

Nihal and his mother cut the cake
     We returned to the house and I had a fine Bangladeshi meal of fish and goat and rice and eggs. Everyone ate with their fingers. Meer set out a fork and knife for me. It is sort of amusing that my introduction to Bangladeshi food is in Haiti. Everything was delicious. Meer kept asking if it was too spicy. I told him it should be spicier. Don’t hold back on my account!

     After we had all eaten, Meer prepared another plate of food. I asked who it was for. The driver/body guard, he said. Digicel does not allow their people to drive and they provide a driver who also serves as security for them. He is taking care of them so they take care of him. It’s Haiti. You look out for each other. Actually, that’s the way it should be everywhere, right?
Enjoying the birthday cake


Wednesday, January 8, 2014

And I’m Back in Haiti

     Sunday morning, 3:30. Pierre and I are in the car headed for Washington National Airport for my flight back to Haiti. It was almost like a similar trip back in October when Pierre drove me to BWI Airport as I left to begin my sabbatical. Back then, I had waited until Cecile had gone back to UVA and Odile had started her first year at Cornell. It was just Pierre and I and I left Pierre alone, on his own in Silver Spring and got on a plane for Miami and Port-au-Prince. This time, I was saying goodbye and leaving all three kids at home. Pierre and I got three hours sleep. Cecile and Odile stayed up all night so that they could say goodbye. In October, the weather was mild. Sunday morning, the air was cold, temperature of 39F, and there was snow on the ground. My flight from BWI to Miami was on time. I met Meer and Bernard (a malaria investigator from UF) in the Miami airport. Our flight to Port-au-Prince was on time. American Airlines flight 1665 took off from Miami at 10:30 and we got off the plane in PAP at 12:10 pm. The temperature was in the high 80s and it was humid.  I’m back.

     John, one of the Christianville drivers, picked up Meer and I in the Ford Everest (Bernard was staying in PauP). We went to the Visa Lodge for lunch. It is becoming a custom. This time the buffet had ham, fish stew, rice, potatoes, salad, and a cake called “Better than sex”. It wasn’t.

     We stopped in Pétion-ville (a nice section of PauP) to visit a friend of Meer’s and drop off some items that Meer had brought them from the U.S. We ate again. I’m not even back in Haiti four hours and this is my second meal. But it was real Bangladeshi food, nice and spicy.

     The ride back to Christianville was long. There was a huge traffic jam getting through Mariani. We finally arrived at 5:30 pm, just in time for dinner. It was good to see Marsha, Ken and Kirk again. We had hot dogs for dinner and homemade glazed doughnuts. Dale was back and we saw Solomon also. The good news is that Ken and Kirk did a chlorine shock treatment of the well and water distribution system over the holidays. Now the water coming out of the faucets in Christianville is drinkable (Meer will check samples later this week to verify that the shock treatment worked). We brought our stuff in to the house. The lizards were there to greet me, scurrying across the bathroom floor and hiding behind the curtain in my bedroom. A mouse had also taken up residence. It ran across the floor and disappeared (the mouse showed up the next day on my shelf in the bathroom; why? there is nothing to eat there but toothpaste, soap and shampoo). I unpacked my stuff. I brought a pillow for my bed and a nice bath mat for the bathroom floor, just a small touch of comfort for after a shower. We brought stuff to the lab and found that the autoclaved trash had not been taken out. The lab smelled bad. We also found out that the Internet connection in the lab was down. I was exhausted. I took a shower (cold, of course) and was in bed by 9 pm. 

     Woke up at 5 am. The chickens were making a racket and the odor of the pens was quite pungent. The goats were also pretty active. Turns out that Eric was in Christianville this weekend from North Carolina to give the does their hormone injections for the next breeding cycle. I guess the bucks were pretty excited. At 5:30 am Meer and I got back in the Everest with John to drive to the U.S. Embassy. Meer had an appointment at 7 am to renew his visa.  We arrived at 6:40 and waited in a long line outside the embassy. I think I was the only “blan” in line. The line slowly moved forward as they checked off people’s names and let them enter the compound. By 8:00 we reached the gate. They checked off Meer’s name but they would not let me in with Meer for his interview. So I walked back to the Everest and waited with John. The sun was up and it was getting hot. The U.S. Embassy in Haiti is located in the Tabarre section of Port-au-Prince.  There is a sort of industrial park across the road, the Capital Coach Line bus company next to the compound, and a Brazilian United Nations camp across the road. It is a rather barren section of town, far from downtown PauP and clearly not residential (although the Embassy is building housing units across the road) and there seems to be a lot of open space around it. I watched the line of vehicles passing by on the road in front of the embassy.  There were lots of UN vehicles. How much longer are they staying here? What exactly are they doing here? You see their vehicles everywhere around PauP but I don’t know what they do. Meer and Solomon know people in the Bangladeshi and Indian UN contingents, respectively, and they socialize with them frequently. I’ve asked them about the UN troops. Meer and Solomon said they don’t appear to be doing much of anything except being visible.

     Back at Christianville, I took a break from working in the guesthouse (the only place we can connect to the internet until the lab connection is fixed). I walked up to the new dorms (still under construction). The air was cool and the goats were quiet. I climbed up to the roof to look out over the landscape. PAP stretched out to the east. The sun was low in the western sky. The mountains within mountains rose off to the south. Smoke from charcoal fires swirled up from several spots in the valleys. The pasture and farm land next to Christianville was green and peaceful. Haiti is a beautiful country. 
     I’m back.

Home for the Holidays – What I Miss and What I don’t Miss

Now that I’m back in the U.S. for Christmas, I miss:

The warm sunshine
Being able to walk two minutes down the dirt road from my house to the lab
Having a driver
My 6 am wake up call: the sound of Ken’s motorcycle driving past my window on his way to turn on the generator
Fresh baked rolls at lunchtime
The dance music from the soccer games at night that lulls me to sleep
The landscape: climbing up to the roof and looking at the mountains to the south or to Port-au-Prince Bay to the north
My focus: not having the Washington Post to read in the morning and sports and other shows on TV to watch allows me to really focus on my work without distractions

But I don’t miss:
Mosquitoes
Eggs for breakfast four days a week
Cold showers
Filling up the Gift of Water buckets to treat our drinking water for the dining hall
The sound and smell of chickens in the morning
Jogging on rocky ground
Hanging a mosquito net over my bed every night
Having to use bottled water to brush my teeth
Peanut butter and jelly for lunch (four days a week)

But as I said, you do get used to it.