Today started as usual with ward rounds, visiting my patients: Stephen, baba with DM and Mr. SO whom we operated on for appendicitis. I really feel sorry for Stephen’s dad.

Then we went to the OR where we had one scheduled surgery and one emergent ex-lap. The scheduled surgery was removal of a breast mass; turned out to be a chocolate cyst (grossly). I really enjoyed having scrubbed in. I started the IV line and first-assisted; also got to close the skin. I really do enjoy surgery especially on days like this when I feel competent; when the operation went well, when I closed skin properly, when I feel I helped the team help a patient.

Bill Frist: NPR Interview with Melissa Block

To listen, CLICK HERE.

Former Senator Bill Frist just came back from a fact finding-finding mission to the border of Kenya and Somalia. He and Jill Biden, the vice president's wife, visited the Dadaab camp, which was designed for 90,000 but its population of Somalian refugees has swollen to 430,000.

In an interview with NPR's Melissa Block, Frist threw out numbers. Lots of them that put the situation in the Horn of Africa in some perspective. He said: This is the worst drought in 60 years; 29,000 children under the age of five have died in the past 90 days; tens of thousands are dead; 12 million people are at risk of death; 42 percent of them die from starvation.

All of that is hard to visualize, but then Frist talks about the people he talked to at the camp.

"A family might be typically a woman who has four children, who has walked for 15, as many as 20 days to leave the area of famine and lawlessness and lack of aid... and walk across a desert, arriving many times missing one child, a child who died along the way," he said.

The children arrive at the camp malnourished or starving and what's amazing, he said, is that an inexpensive mix of water, sugar and nutrients will bring a child back to life.

Frist has seen human tragedy. He's been to Rwanda during the genocide and saw the 1980 famine in the horn of Africa. He's been to Chad, Darfur and Sudan but he says what strikes him about this particular crisis is that "the world is responding to the need itself but the need is increasing faster than the response."

"The simplicity with which this can be addressed... is not keeping up with increased demand," he said. "They're all human tragedies, but this one we can nip in the bud if we're more aggressive."

Melissa also asked some tough questions of Frist, the chairman of the non-profit Hope Though Healing Hands. She brought up the AP report that detailed that thousands of sacks of food aid were being stolen and asked what he would tell Americans, struggling through a bad economy.

"We spend less than half a percent of our budget on all of developmental aid. Not just responding to crisis but in all of developmental aid. So we don't spend nearly as much as people think," he said.

Frist admitted that this famine is a man-made crisis. The drought is bad but the political situation on the ground, the fact that Islamist militant group al Shabaab has not let aid flow in has made things worse.

"But it doesn't mean we give up," he said. "It means we stay on it. We do the best we can as the oneness of humanity gets translated by [non governmental organizations], by partnerships, by governments, by individuals who focus on it."

To read more, CLICK HERE.

By Jill Biden and Bill Frist

USA Today

WHF and Biden 8.8.11

This week, we traveled to Dagahaley refugee camp in Dadaab, Kenya, where hundreds of thousands of people have fled Somalia seeking to escape the worst famine in 60 years.

We met women and children who walked for weeks, often barefoot and with nothing but the clothes on their backs, desperate to find food and medical care. We heard the story of one mother who was too weak to carry both of her children, and made the wrenching choice to leave one behind on the road in hopes of saving the other. We learned of families who had arrived too late whose children became part of a devastating statistic: In the past three months alone, 29,000 children younger than 5 have died of starvation.

Fortunately, the international community has mobilized. Last year, the U.S. realized this potential for famine and worked with other countries to stockpile food and medical supplies in the region. We are now helping more than 4.6 million people.

Amid the devastation, we saw the impact of this aid. We saw inexpensive oral rehydration packs bring listless babies back to life. We saw children getting vitamins and vaccines that will stop the spread of deadly diseases throughout the camps.

Still, the scope of this crisis threatens to overwhelm the international response. Without lifesaving assistance, hundreds of thousands of people, most of them children, could die.

As governments and international organizations do their part, the rest of us can do ours. Just a few dollars can literally save a life. (Go to USAID.gov to see how you can help.)

Yet we must also confront the broader challenge of food insecurity that leaves so many people vulnerable to droughts like this one. That's why America has been helping nations such as Ethiopia and Kenya develop innovative and improved crops and irrigation methods, and new ways for farmers to market and transport their products. The goal of our aid is simple: to help create the conditions where such aid is no longer needed.

That, ultimately, is how we can help prevent the kind of suffering we see in Somalia today.

As we left one of the camps, a mother looked us in the eyes, surrounded by her four malnourished children, and asked us to please help save her family.

We all have the power to answer her plea.

Jill Biden is the wife of Vice President Biden. Bill Frist is a former Republican senator from Tennessee.

 

CRISIS IN THE HORN OF AFRICA - Dr. Bill Frist, former Senate majority leader, telephoned Playbook after returning from a trip with Dr. Jill Biden to a famine refugee camp on the Kenya-Somalia border: "The Horn of Africa is undergoing the most acute food-security emergency in the last 25 years - 29,000 kids have died in the last 90 days. The response to the crisis is improving globally, but the magnitude is outstripped the supplies. ... Two issues that I'm stressing: Number one, lives can be saved by both individual Americans, and taxpayers through our government responding and investing. And, number two, our long-term investments over the last 10 years, through the USAID, in the Horn of Africa, have paid off. ... "Dr. Biden is very effective in listening, observing, listening, asking questions, and representing the United States in terms of concern and commitment of support. Because she's not in the political hotbed, for me, who's out of politics, she was a perfect leader for the delegation. ... I have visited refugee camps in Chad and Darfur ... The striking difference here is the lack of access in Somalia, because of a dysfunctional government. There's no access to the millions of people in Somalia, where the famine is worst. Therefore, the refugees all have to go to Ethiopia and Kenya, where there is economic stress and environmental stress. ... The crowding in the refugee camps has resulted in pneumonia and a very rare skin disorder, ictchyosis. The kids are dying of pneumonia and diarrheal diseases. ... Individuals who do want to invest, the easiest place to go is USAID.gov, which has a list of nongovernment organizations."
I have been in Kijabe for almost three weeks and today is the first day I received a hard and fast sign that I am in a developing country. No power. No explanation. On one minute then off the next. It happened in the OR – just a blink – but serves as a reminder that as much as there is available here in Kijabe, more than in many other hospitals in Kenya, it is still a tenuous resource. One that is dependent on the hard work of so many to keep things running as smoothly as possible so that the lights stay on, the available suture will be strong enough to hold a knot, and blood will be available for the patient with anemia who needs to have his spleen out.

Editor's Note: William Frist, the former Republican majority leader of the U.S. Senate, is a physician. 

CNN photo

(CNN) -- Why should Americans care about the unfolding crisis in Somalia when our own economy is in chaos? 

To shed some light on that question, I joined Dr. Jill Biden, wife of Vice President Joe Biden, on a fact-finding mission over the past several days to a Somali refugee camp close to the Kenya-Somalia border. 

We saw the answer as we listened to a grief-stricken mother of five, who had marched for 15 days across the parched Somali land to find food and security in a border camp. They arrived malnourished, sick and thirsty to a camp of 430,000 other refugees. They competed with 1,500 others who had made it to the camp that day, only to find it filled to capacity. Inside they would find adequate food and water. 

They would find the vaccinations that are saving the lives of thousands. They would survive because of the generosity of Americans (the U.S. is responsible for 47% of the food being provided) and increasingly because of members of the world community who are standing up, in spite of challenging times in their own communities. 

More than 29,000 children have died over the past three months in what is the most acute food security emergency on Earth. It's worsening by the minute and outstripping available supplies. Thousands never make it to the camps, and those that do might have to wait outside the confines where 50,000 others are waiting. 

Drawing from my experiences as a doctor in refugee camps in southern Sudan and Darfur, the conditions Biden and I saw this week constitute among the worst, the result of a cruel nexus of war, drought and poverty. The issue is complex, but we know with certainty that a primary focus on health greatly improves the chances of preventing death and of establishing security throughout the Horn of Africa. It's a worthy investment.

Drought occurs regularly throughout the region, but a dysfunctional government in Somalia is incapable of responding. Direct access by the international aid community is difficult and dangerous. This is why our focus on assistance in Ethiopia and Kenya is essential.

The five regions of famine in Somalia lead to death locally and to an exodus of children and families to Kenya and Ethiopia for food. The arrival each day of 1,400 to 2,000 new Somali refugees to the Dadaab Camp alone places a huge food, economic and environmental stress on eastern Kenya.

The good news for the American taxpayer is that investments by our humanitarian and development organizations have worked. Through past advances in agriculture and food security led by the United States, we learned that from the more plentiful regions of Kenya, food is flowing to the areas of greatest need. Even though tens of thousands have died in recent weeks because of the famine, I am certain that the number would have been much higher if the American people had not so smartly invested over the past decade. 

Drought and famine are not new to the Horn of Africa. By examining past famines, we have learned that among the most important acute interventions is taking steps to improve health. This primacy of health is not generally recognized by the public, but it is by USAID administrator Rajiv Shah, who accompanied us. 

Drought leads to famine, and famine leads to deteriorating health. Therapeutic health intervention with vaccines and oral rehydration is easy and cheap. But we have to get material to the region. And that is why the increased aid of $105 million announced Monday by our government is so important. This also shows that we can make such a difference as individuals through our own contributions (see http://www.usaid.gov/ for organizations). 

The region is witnessing the worst drought in 60 years with more than 12 million people in need of outside assistance. Even though contributions by government, NGOs and the international community are growing, the needs are growing faster than the world is responding.

Will the American people respond in these difficult times? I know based on my experiences in southern Sudan, Darfur, Chad, Haiti and Bangladesh that the American people will give generously and support our nation's ongoing response.

Americans are at their best when they respond unselfishly to others in need -- and they do so generously when they know that their investments, both personal gifts and government contributions, have value in saving lives in the short-term and supporting prevention in the long-term.

They know that their help will make a difference. Americans will act as they always do to help those in need.

The opinions expressed in this commentary are solely those of William Frist.

This week I traveled with Second Lady Dr. Jill Biden to refugee camps in eastern Kenya along the Somali border to witness the impact of the most acute food security emergency on earth. We need your help, and your help I promise will make a difference.

Yesterday we visited intake centers just on the border where over 1,500 Somalis who walked for weeks with their starving children (over 29,000 young children have died of malnutrition and disease in Somalia alone over the past 90 days) arrive each day to find food and a safe place to live. But the camps are at capacity (the Dadaab camp has 430,000 refugees today; it was designed for 90,000) and new arrivals are left to fend for themselves on the outskirts of the camp.
Yesterday, I visited the Dadaab Refugee Complex in eastern Kenya with Second Lady Dr. Jill Biden and USAID Administrator Rajiv Shah. While there, we heard stories from mothers with their children who had lost their husbands. Families who had journeyed for weeks to arrive at the camp malnourished and in dire need of medical assistance. And, worst of all, parents who had heartbreaking stories of losing children in the flight from famine in Somalia.

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