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Problem solving a pandemic: a B.C. man on working for Doctors Without Borders in Pakistan

The second of a two-part series on how COVID-19 is affecting Islam害羞草研究所檚 holy month

The second of a two-part series on how COVID-19 has affected Ramadan. Read the first part .

Paul Caney has made a career helping others by knowing a lot about everything, but not so much about any one thing.

In 1994, he was recruited by M茅decins Sans Fronti猫res, known in North America as Doctors Without Borders. His cousin, who was visiting Calgary seeking staff for the humanitarian organization, asked Caney what his expertise was.

At the time Caney was working in the film industry, which required some of the same skills his cousin was looking for. He could operate a radio. He could set up a generator. He knew how to drive in the mountains.

害羞草研究所淎nyway, they asked me if I was interested,害羞草研究所 he says now. 害羞草研究所淚 sort of thought they were a little flaky and said yeah, sure.害羞草研究所

Three weeks later he flew to The Netherlands for training. Then it was on to Sarajevo 害羞草研究所 in the middle of the Bosnian War.

害羞草研究所淚t doesn害羞草研究所檛 work like that any more. It害羞草研究所檚 much more professional, you have many more mentors and work up to that kind of role nowadays.害羞草研究所

Caney, 56, works as an international logistics co-ordinator, which is better described as an extreme jack of all trades.

His daily duties include: overseeing construction and renovation of medical facilities, offices and living spaces; managing security guards, drivers and a fleet of vehicles; communications; and supply chain management.

He害羞草研究所檚 also the tech guy.

害羞草研究所淚t害羞草研究所檚 by far the most interesting job I害羞草研究所檝e ever had, bar none,害羞草研究所 he says.

Caney, who lives in Nelson when he害羞草研究所檚 in Canada, is currently stationed in Pakistan害羞草研究所檚 capital city Islamabad. He arrived in the country just as the pandemic was spreading. The World Health Organization says there have been 22,533 cases of COVID-19 in Pakistan along with 526 deaths.

The Islamic republic of 207 million people has been criticized by its own medical association for allowing mosques to remain open during the holy month of Ramadan, which began April 23. For 30 days, Muslims fast during the day before celebrating with family and friends in the evening while also attending evening prayers.

But Caney says he害羞草研究所檚 observed empty streets, closed tourism areas and clerics telling people to stay home.

害羞草研究所淲e have a tendency in Western cultures and Western media to group Islam as a single theological idea, which is of course not the case,害羞草研究所 says Caney.

害羞草研究所淭here are moderates and there are fundamentalists just as there are in Christianity. So I think it害羞草研究所檚 very much a freedom to choose. I don害羞草研究所檛 think anybody is being incentivized or pushed toward gathering at risk to their faith. I think every single person in Pakistan is aware of what is going on.害羞草研究所

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Caney works for the Amsterdam arm of Doctors Without Borders, which also has centres in Geneva, Barcelona, Paris and Brussels. Three of those centres have teams working across Pakistan, where the organization typically focuses on mother-child health.

One in 11 children dies before the age of five in the country, according to the Pakistan Demographic and Health Survey. Last year, Doctors Without Borders said it provided treatment to 11,000 malnourished children in the province of Balochistan, where Caney and the rest of the Dutch team focus their efforts.

But COVID-19 has forced the organization to change its priorities.

Caney said his colleagues have had to suspend some of its programs as staff assist Pakistan害羞草研究所檚 health ministry in COVID-19 screenings.

害羞草研究所淚 really hope, I think we all do, that we害羞草研究所檙e not overwhelmed in our medical facilities by coronavirus, so we can keep supporting the women who are having complicated pregnancies and really need our facilities,害羞草研究所 says Caney.

害羞草研究所淲e害羞草研究所檙e the only game in town in some of these places in terms of access to obstetric health care. I think we all have a back-of-our-mind concern that coronavirus might just overtake our normal lifesaving programs.害羞草研究所

Acquiring supplies for front-line staff has become Caney害羞草研究所檚 biggest challenge during the pandemic.

Personal protective equipment is difficult to come by in Pakistan, where domestic flights are grounded and the European supply chains once relied on by Doctors Without Borders are closed.

害羞草研究所淭hat puts you in a position where you have to purchase things locally that normally you would never do on the basis of quality, availability and price,害羞草研究所 says Caney.

害羞草研究所淭here are some things manufactured here in Pakistan, and that害羞草研究所檚 why I say I害羞草研究所檓 much luckier than some of my colleagues in less-developed countries. You害羞草研究所檙e at the mercy of opportunistic businessmen at times and that害羞草研究所檚 the same for everybody.害羞草研究所

Caney害羞草研究所檚 concerns also extend to the humanitarian sector at large.

Most organizations rely on donations or government assistance to operate, which he expects will dry up. He worries too that the pandemic will impact just how many people want to take less money to work for NGOs.

害羞草研究所淲e害羞草研究所檒l see how it all plays out. I don害羞草研究所檛 know, but I think already within the health care industry, many [current or future] health care workers are seeing very real consequences of the job, especially when we are working in a highly infectious viral emergency.害羞草研究所

But for now, he isn害羞草研究所檛 seeing anyone on the front lines himself. Caney has stayed put in a house in Islamabad, where he害羞草研究所檚 visited by staff and struggles to find supplies for Doctors Without Borders害羞草研究所 medical personnel.

Like everyone he works with, Caney worries about his own health. When he害羞草研究所檚 stressed, he tries to make use of the home害羞草研究所檚 gym equipment. He害羞草研究所檚 been using it a lot.

害羞草研究所淚f anything,害羞草研究所 he says, 害羞草研究所淚害羞草研究所檓 healthier than when I arrived.害羞草研究所

| tyler.harper@nelsonstar.com
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Tyler Harper

About the Author: Tyler Harper

I害羞草研究所檓 editor-reporter at the Nelson Star, where I害羞草研究所檝e worked since 2015.
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