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2016 KICKS OFF!

With Team 1 ready to go, the Timor Leste Dental Program’s year starts this Sunday April 17th. Dr David Sheen will juggle a tag team, with David, Patrick Fitzgerald, and newbie, Dr Neil Lanceley hitting Timor soil first. Patrick departs week 2, and the team will be joined by newcomers, Dr Mary Tuituinnik, and Ben Sheen. This year, in order to improve our services to the communities in which we work, and our training delivery to our Timorese dental nurses,  the program has decided to hire a translator to work with the teams. With the help of our friend, Mimi Chungue, David’s team will be trialling two translators, both university students. Good luck Team 1!

On gloves and masks and gauze

Thanks to our great supporters, Henry Schein Halas, the TLDP has 13 cartons of much needed consumables heading over to TL by ship, due to arrive before the first team this year. Our teams use, on average, 1200 pieces of gauze, 4200 pairs of gloves, 500 masks, 700 cotton rolls, 1000 capsules of filling material and 2000 cartridges of local anaesthetic every trip – that’s a lot of stuff! HSH’s generous donations save this program a lot of dollars, allowing us to spend the money on much needed equipment upgrades and making your kind donations go further. Thank you HSH!

Thankyou also to our fabulous volunteers at Rotary’s ‘Donation in Kind’ Warehouse in Footscray, Victoria. They received, crated and physically manhandled our supplies onto the ship. Thanks guys! We are incredibly lucky to have such amazing supporters. This program would cease to exist without you. Here’s to a good year!

Introducing Anna Paula

For the past couple of years, the TLDP has had the privilege of helping two of our friends, Fran Saggers and John Tweedie (and their friends), support the studies of a fabulous young lady, Anna Paula Dos Santos Tavares Salgado, who hails from Same, several hours south of Dili. John first met Anna Paula at a Scout Jamboree in Victoria, and realised what the TLDP has since discovered upon meeting her – she is a force to be reckoned with – hardworking, engaging and determined. Anna Paula has now completed a Certificate III in Dental Assisting and is due to finish her Diploma of Dental Technology from Brisbane TAFE this July. Timor Leste currently has no qualified dental technicians – these are the people who make dentures (and crowns and mouthguards) –  so the Timorese people will benefit greatly from her skills. Dentists and dental technicians work closely together to replace missing teeth, much needed in a country where emergency extractions are still the most common form of treatment. Anna Paula has not been home for 6 years, so she returns to TL in August to determine her next steps. Watch this space!

John is part of the very active Blue Mountains Friendship Group of Hato Builiko, a village near Mt Ramelau, TL’s highest peak. This group is holding a ‘Trek for Timor’ on Saturday 17th September 2016 in the beautiful World Heritage listed Blue Mountains, west of Sydney, to raise money for basic services in this remote village. The group has already built a school using money from last year’s trek. Get a team together, put your hiking shoes on and experience this stunning world heritage area AND support this fantastic group!   Link to Trek for Timor

 

Bosfestas Natal!

As the year draws to a close, the Timor Leste Dental Program would like to wish all our volunteers, their families, our supporters, friends and loved ones “Bosfestas Natal!!!”, ie a very merry Christmas. We hope that the following year is one of peace, joy and fulfilment for all.

Despite its challenges, this year has been a very successful one for the program. We sent out 5 teams in total, visited 17 villages and 6 schools, treated 2371 Timorese people and carried out treatment worth a conservative estimate of A$649630. We worked with many different Timorese people and visited a myriad of new places.

Next year we hope to see more of Aida, Tino, Armando and Ricardo, who seemed to be doing a lot of in-house training this year. Aida, Blanche and Sr Filomena will be running a mid-year refresher dental health workshop, focusing on prevention, for teachers and health workers from the Maubara, Loes and Liquica subdistricts, and the program will be getting its feet wet as it trials a service to the nearby island of Atauro. It will be a great year next year!!

Thank you all for your support and your compassion for the Timorese people. Ate tinan-oan! See you next year!!!

New Links between Maubara and the NT

In November this year, English lessons commenced in Maubara Primary School via video-link from Darwin in the Northern Territory. We at the TLDP are pretty chuffed about this- we are quite fond of our Maubara, the program’s base village. It’s come a long way since we started. This fabulous initiative is designed to provide increased job opportunities for Timor’s youth (I know some dentists that could do with a translator). Well done TL and NT govts! For the full story – Link to Guardian article

 

Hope and Hard Yakka

A visit to the orphanage is always fun!
A visit to the orphanage is always fun!

All members of the TLDP’s last team for 2015 have returned home after a super-productive, whirlwind trip. The chameleon-like team had several changes to its component members during the two weeks; Dr David Digges and his wife, Carolyn, were first on the job, and were joined by newbie, Dr Charmaine White, two days later.

Charmaine had missed the flight to Timor as her plane to Sydney from the NSW far South Coast had fallen victim to one of Eastern Australia’s infamously bad spring storms, and although she made the herculean effort of then driving to Sydney, she still missed the flight to Darwin. She also hit a roo on her way up the coast…..yet she got to Timor in the end! Well done Charmaine!

The team made another shift in Week two, with the departure of an overworked Carolyn Digges, and the arrival of David’s sister, Elizabeth Erberl, a registered nurse, to take her place as dental assistant, along with dental guru, Dr Geoff Knight. Whew! Sr Filomena had her work cut out for her to keep that straight in her head!

Charmaine and Liz
Charmaine and Liz

As usual, the first week was spent working from our base in Maubara. In our fixed clinic, the team treated members of the local community and also checked and treated the children from the local orphanage, another vital service run by the Carmellite Sisters. These kids have the best dental care in all of Timor, thanks to David’s annual checks! Hanging out with the kids at the orphanage is always a highlight for the lucky people on David’s team!

The team also spent a day in Maubara Primary School and two days treating Grade 4 and 5 in Kaikasa Primary School, which is up the hill and west from Maubara. They were pleased to see that the children’s teeth at Kaikasa were quite good. Sr Filomena attributes this to the lack to access to the shops (far, far away) as well as a lack of money with which to buy lollies. The team also spent two days at Vatuboro Primary School, in Loes subdistrict, treating the children, as well as the general community at the end of the day.

DD in a classroom
David in a classroom clinic

Setting up a mobile dental clinic in a classroom requires ingenuity. With few exceptions, the classrooms in TL are generally hot and dusty; there is a multitude of wooden chairs and tables in varying states of disrepair – the best we use as our instrument and sterilisation tables, and patient rest areas, the remainder are piled up against the walls to make as much space as possible. As the classrooms are open to the outside, we have problems with pests, such as flies (and mozzies!!), especially when there is a lot of blood and saliva around. The Timorese, even the children, like to spit, and we are hard-pressed to keep it all in one place and off the floor – infection control is always a challenge when there is no running water! Often there is no electricity or a single electricity socket, precariously dangling by its wires from the wall. Hence, the filling mixer, compressor, suction unit and curing light are all plugged into one power board, which then plugs into a portable generator outside, or is gaffer-taped to the dodgy socket; with the addition of two compressed air lines running from the dental carts to the compressor, this results in a mass of trip hazards all across the floor!

The team saw 446 patients in the first 5 days – the only thing that kept them going was their daily swim in the ocean, a treat that most of us who head to TL cannot function without. No wonder Carolyn was exhausted when she left on Day 6!

David, Domingos the driver, Sr Fatinha, Charmaine, Liz and Geoff
David, Domingos the driver, Sr Fatinha, Charmaine, Liz and Geoff

The second week, with Geoff, Liz, Charmaine and David, was spent in Bobonaro, hanging out with Srs Mendez and Fatinha. Enroute, the team was able to visit the infamous village of Balibo, (for some interesting info, check out  http://balibohouse.com, http://www.naa.gov.au/collection/fact-sheets/fs238.aspx, http://aph.org.au/balibo-time-to-move-on, http://www.theaustralian.com.au/news/inquirer/balibos-grisly-truth/story-e6frg6z6-1225757583994) where another NGO is organising a fixed dental clinic. They have already set up a 4-star hotel in the old Fort– reliable sources tell of culinary delights served there! The team spent three exceedingly busy days treating patients in Bobonaro, with the help of the clinic’s lab technician, Guerlermino.

Geoff triaging in Bobonaro
Geoff triaging in Bobonaro

Unfortunately, Aida had been placed on annual leave during the entire duration of the team’s visit and thus missed out on the valuable training and experience that working with the team offers. She would have been very disappointed, in particular, to have missed the opportunity for a refresher with Geoff, who she thinks is an excellent teacher. Unhappily, Aida relies on the dictates of her hospital director – unlike us, she does not get to choose when she has her holidays. The team, too, was really disappointed to have missed her sunny presence.

If the team was disappointed by Aida’s absence, the presence of the new Troopie boosted their spirits considerably. In 2013, David Digges’ team experienced the catastrophic failure of the rear axle in our original Troopie and he has been leery of driving in Timor ever since. In contrast, he describes driving T2 as “blissful”. We are all immensely grateful to everyone who contributed to buying a vehicle that we can count on when negotiating the not-so-fantastic roads of TL. Unfortunately, not all the team got to ride in the ‘dreamliner’ to Bobonaro; Charmaine and Liz had a little wilder ride with Domingos, Sr Filomena’s driver who, like most Timorese, regards hairpin bends and double yellow lines with equal abandonment.

As usual, there were a number of equipment failures. One of the dental carts started playing up again, as well as one of the ultrasonic scaler units. Both had to be brought back to Australia. With much fiddling, David managed to get the other ultrasonic scalers working – well done David!

Overall, the team saw a grand total of 810 patients, filled 321 teeth, extracted 200 teeth and carried out 546 preventative treatments. What a fantastic effort!

Well done Team 5!

Thank you to Henry Schein Halas and SDI for their continued support with essential materials and equipment and to Keith Mentiplay, of Forrest Dental, for continually rejuvenating all our recalcitrant equipment so they can return to the fray.

Welcome Home Team 5!

Team 5, headed by Dr David Digges, arrived home on the weekend, safe and sound. We await their report with much anticipation, however, it may be awhile – we received an unusual call from our lovely Sr Filomena on the day that the team left. The team worked very hard, she reported, and were very tired. What dedication! Well done team and welcome home!!

Last team to TL

Hot on the heels of Cowboy and Snake, TLDP’s last team for 2015 leaves Sydney today. After overnighting in Darwin, they will hit TL’s shores on Saturday. The team is a conglomerate of first time volunteers and seasoned TLDP-ers. Carolyn and David Digges will be joined by yet another member of the intrepid Digges family, David’s sister, Elizabeth, as well as newcomer dentist, Charmaine White. Geoff Knight will also be adding his considerable experience to this team in the second week when this team heads out to Bobonaro. Have fun team!

Cowboy and Snake Ride Again

andy and gordon in prisonTeam 4 returned home last Saturday following an intensely busy 10 days in and around Railaco. It has been a while since Drs Andy Moran (Snake) and Gordon Saggers (Cowboy) have been to TL, so they really noticed the improvements in infrastructure, particularly in the quality of the main roads and the availability of electricity; as well as improvements in public health, especially the reduction in betel-nut usage which has been attributed to a public health campaign.

Andy and Gordon were charged with taking over the pressure cooker steriliser that the TLDP has just purchased from India. The fabulous Rotary Coordinator, Daryl Mills, provided us with a spare gas bottle and the boys bought a gas cooker from a supermarket in Dili and now the new clinic in Railaco has a steriliser that can sterilise a load of dirty instruments in 15 minutes!

The pair had a smallish set of dramas unique to working in this beautiful place – on finding that they had the wrong set of handpieces for the dental cart, they had to endure the 4 hour return trip from Railaco to Maubara to make an exchange. They wrestled with a recalcitrant generator, stemmed the flood from a leaky scaler and negotiated the goat tracks, otherwise known as secondary and tertiary roads with audaciousness and resolve. The roads to Tarasu and Leorema are particularly BAD.

andy, gordon and pt

Team 4 was kept extremely busy by the redoubtable Father Bong, treating patients in Railaco, Nasuta, Leorema, Railaco Leten, Gleno Jail, Daicerlaco, Tocoluli, Cocoa and Tarasu. Super-organised Father Bong had patients lined up and ready to go so the boys had very little downtime. He also organised two excellent support staff; a driver and interpreter, Victor, a Timorese who been a soldier in the Portugese army and had worked in Sydney as a cleaner in St Vincent’s Hospital and as a garbage truck driver in Liverpool; and Natalia, an ex-nun who was their nurse and interpreter.

In total, the team saw 335 patients; did 20 cleans, filled 353 teeth and extracted 425 teeth. As Andy puts it, “Not bad for a couple of old blokes”.

Many thanks to Henry Schein Halas who again stepped up to the plate and donated some much needed local anaesthetic to us, to Father Bong and Daryl, whose hospitality and efficiency we could not do without, and to Cowboy and Snake, for their sheer hard work. Fantastic job!

Team 4 ready

Our next team is ready to hit the road this Friday. The dynamic duo, Dr Andy Moran and Dr Gordon Saggers, is our Railaco-specific team this year. They will spend their entire 2 weeks in the company of the fabulous Father Bong and his merry crew. They will be taking over a new pressure cooker autoclave that we have just purchased from India. This autoclave will live in Railaco, which will mean that Tino (the super-dedicated Timorese dental therapist we mentor), who lives in nearby Gleno, can run a regular outreach clinic there. Good luck and have fun Team 4!