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By Nick WadhamsIn the Kenyan capital Nairobi lives a priest named Father Ed Phillips. For the past 14 years, Phillips has tended to the sick in one of the world's largest slums and conducted groundbreaking, but unheralded, research on AIDS. Nick Wadhams has the story for VOA.
It was in 1993 Father Ed Phillips came to understand the devastating1 effect of AIDS. People were dying by the hundreds with no help from the Kenyan government or anyone else.
The Mathare slum, where sewage runs down the streets, was huge, but its people seemed invisible beyond the tin shacks2 where they lived.
At first, all he could do was help Mathare's AIDS patients die with as much dignity, and as little pain, as possible. In those days, he and his nurses were seen as angels of death.
Fourteen years later, Phillips' Eastern Deanery AIDS Relief Program has treated more than 40,000 patients for AIDS and tuberculosis3. He helped shape Kenya's national AIDS and TB policy, met President Bush and testified before the U.S. Congress.
Father Phillips' research routinely anticipates breakthroughs announced with fanfare4 somewhere else a year or two later. All this from a missionary5 with no medical training beyond the books he has read, the conferences he has attended, and the patients his staff treat in Mathare.
"We just were responding to what we saw as a serious pastoral need that no one was talking about," Phillips said. "So people were dying, we found out what they were dying of, no one was talking about it. So we just responded to a serious need in the world we were working in, in that section of the city."
On a recent day, Phillips headed into Mathare to visit patients. The priest is a hero here, well known and loved. Patients who cannot afford treatment, who would likely die without his help, welcome him happily.
The first thing to do is find an escort to guide him through Mathare. After some time, one of Phillips' assistants with the Eastern Deanery, James, locates a man who will be able to navigate6 between the rival gangs that control the slum.
"So this gentleman is in charge of this area. And he can guarantee the safety of visitors? Of course yes, of course yes," James said. "As long as we are
together, there is no problem."
He was joined by two nurses from his program, Jane and Charity, who bring him to a woman named Julia, who has given birth to a child three days before. Her home is tiny, just big enough for a bed, a television stand, and a couple of chairs.
Father Phillips looks on as Charity inspects the child. He explains this is an AIDS affected7 family.
"Well, she's on anti-retroviral drugs now, the husband's on anti-retroviral drugs, the two-year-old baby is on anti-retroviral drugs, but she would probably be dead, the baby would be dead by now if they were not with us."
The 60-year-old Phillips was raised near Boston in the northeastern U.S. state of Massachusetts. Ordained8 by the Roman Catholic Church in 1974, he moved to Tanzania as a missionary with Maryknoll Fathers and Brothers, whose members live overseas for the rest of their lives. He has spent more years in Africa than in the United States, and his Swahili has long been fluent, though it still bears a Boston accent.
He says things changed for his program in 2003, with President Bush's $15 billion Emergency Plan for AIDS Relief, known as PEPFAR. Criticized by some for its focus on faith-based organizations, the program has been a boon9 for Phillips, The Eastern Deanery's budget is now just less than $2 million, almost all of it from PEPFAR
Father Phillips' program has a staff of 140 and is a leading provider of anti-retroviral drugs in Kenya. It has shown that nurses, not physicians, can be responsible for administering the drugs, an idea that is just starting to take hold in the West. Phillips has also built the program to be run entirely10 by Kenyans.
That means it can continue long after he is gone, something he worries about because fewer and fewer priests are heading abroad.
"I have no expectation for a member of my society to follow up on me. Vocations11 in the American Church are not a big issue right now," Phillips said. "So that has a major impact. Then you add on second thing, you want to become a priest, you ant to become a brother and then do you want to work overseas, that adds on an additional dynamic. Just do what you have to do, keep on working, and our whole concept is, my system is set up, honest to God, if I take a heart attack tonight and die, the system, it should run itself."
As Phillips leaves the slum, children emerge to greet him. He responds with handshakes, high-fives and Swahili greetings.
Back at the office, Phillips laughs about the surprising turn his life has taken. He has helped invent a simple ointment12 that effectively eases skin rashes. And he has won over countless13 doctors with talks he has given at conferences around the world.
People confuse him with a medical doctor so often that he has even got a running joke. Doctors will inevitably14 ask what area of medicine he specializes in.
"G.P.," he will tell them. "General Practitioner15?" comes the inevitable16 response. "Nope," Phillips will reply. "General Priest."
1 devastating | |
adj.毁灭性的,令人震惊的,强有力的 | |
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2 shacks | |
n.窝棚,简陋的小屋( shack的名词复数 ) | |
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3 tuberculosis | |
n.结核病,肺结核 | |
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4 fanfare | |
n.喇叭;号角之声;v.热闹地宣布 | |
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5 missionary | |
adj.教会的,传教(士)的;n.传教士 | |
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6 navigate | |
v.航行,飞行;导航,领航 | |
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7 affected | |
adj.不自然的,假装的 | |
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8 ordained | |
v.任命(某人)为牧师( ordain的过去式和过去分词 );授予(某人)圣职;(上帝、法律等)命令;判定 | |
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9 boon | |
n.恩赐,恩物,恩惠 | |
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10 entirely | |
ad.全部地,完整地;完全地,彻底地 | |
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11 vocations | |
n.(认为特别适合自己的)职业( vocation的名词复数 );使命;神召;(认为某种工作或生活方式特别适合自己的)信心 | |
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12 ointment | |
n.药膏,油膏,软膏 | |
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13 countless | |
adj.无数的,多得不计其数的 | |
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14 inevitably | |
adv.不可避免地;必然发生地 | |
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15 practitioner | |
n.实践者,从事者;(医生或律师等)开业者 | |
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16 inevitable | |
adj.不可避免的,必然发生的 | |
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