Motorcycle Crashes

Motorcycles are ubiquitous in the Dominican Republic. In my rural community, and much of the developing world, the motorcycle is the family vehicle (There are only two families out of 150 in my community that have cars). It is not uncommon to see a family of four packed together on one motorcycle. And when walking, Dominicans are constantly on the lookout for a friend on a motorcycle to take them the rest of the way (nobody wants to walk under the hot Caribbean sun). Despite all the motorcycles, few laws are enforced regarding their usage. It is not uncommon for me to see twelve year-old kids driving motorcycles, and drivers sometimes will have an open beer or rum bottle in one hand. Thankfully, I have yet to see a twelve year-old drinking alcohol and driving a motorcycle at the same time. The only time I have seen the law requiring drivers to wear helmets was during the week of Easter, which traditionally is a week of partying and therefore lots of drunk driving. And even then the police accepted the following types of headgear: baseball helmets, bicycle helmets, and construction hard-hats.

The lax enforcement of these laws have allowed for thousands of Dominicans to needless die each year. Motorcycle accidents are the leading cause of death for young men in the country (for girls it is AIDs - but that is a whole different can of worms). For the most part I have been able to ignore the dangerous role motorcycles play in Dominican society. I mitigate my own risk by wearing my helmet and riding motorcycles as little as possible. However, since a careless motorcyclist broke my host sister’s leg, my acceptance of Dominican vehicle culture has been rapidly deteriorating. It is getting to the point that I might start lecturing everyone I know about the importance of wearing a helmet and the dangers of drunk driving.

Luis Angel showing off his school work

Two weeks ago, two boys from my community riding a motorized scooter crashed into a guardrail. The driver, a 14 year-old boy named Nezo, was sliced open by the guardrail and died on impact. In some ways that was a blessing because as neighbors took the boy to the hospital a truck struck their motorcycle. Thankfully the two other passengers on the motorcycle only received scrapes from the hit-and-run. The second boy on the scooter, Luis Angel, a student of mine, hit his head on the pavement hard. He was sent to the capital for treatment and is now recuperating with family in another part of the country. The rumor is that he has permanent brain damage. Luis Angel is 10 years old.

Only a few days after the accident in my community, a Dominican baseball star, Oscar Taveras of the St. Louis Cardinals, killed himself and his girlfriend in a drunk driving accident while vacationing in the D.R. In both cases, the crashes were talked about for a few days and masses of people attended the funerals. But there was no rally cry to change the status-quo. Instead people chalked up the deaths as terrible accidents and went back to their daily lives.

On Monday I witnessed another motorcycle crash in town. I was in the back of a pick-up truck headed to my community when two motorcycles crashed into one another. One of the motorcycles went skidding by the truck on its side. The semi-conscious driver was then picked-up by another motorist who rushed off to the hospital. The second motorcycle also skidded on its side but was stopped by the back tire of the pick-up truck, where I was seated. The driver was able to get up on his own and, with only a slight gash on his forehead, wedged his motorcycle out from underneath the pick-up and then continued on his way out of town. The whole event occurred in less than 3 minutes, afterwards you would have no idea there had been an accident. And for me that's a problem.

No one stops to think after an accident occurs - how can another crash like this be prevented. Time and time again deadly accidents occur, yet little is changing (There is currently an ad campaign with Dominican baseball players saying they don't ride without helmets.). Part of the problem is that the police are not enforcing laws that would improve rider safety and security, but society is also to blame. Dominicans like to say that teenage boys fooling around, not obeying their elders causes all the accidents. But they forget that even when teenagers are to blame their are often innocent victims in crashes, like my host sister, Luis Angel, and countless others. As roads improve and Dominicans become wealthier, more vehicles will be on the road being driven at faster speeds. It is critical that Dominican society start to take road safety seriously. Parents need to be more cautious about allowing their kids to drive motorcycles and ride with other teens. The government needs to better enforce the laws on the books and also make helmets more available and affordable.  If change does not happen, then the D.R. will continue to loose the future leaders of the country to tragic and preventable accidents.

Health Care in the D.R.

Presentation at a rural clinic on dental care

An essential part of serving as a Peace Corps Volunteer is living with and like the locals. This means cooking with local foods (Examples: yucca, plantains,and auyama), taking part in community events (Examples: church celebrations, dominoes, and chair sitting), and getting used to not having certain amenities (Examples: running water, 24/7 electricity, and Krispy Creme). However, there are other aspects of life which Peace Corps Volunteers will never be able to truly integrate, such as how we take care of our health.

The disparity in the quality of health care I receive versus my neighbors has made me uncomfortable a times. As a volunteer I have access to three doctors, one of whom is always on-call, as well as free medicine and treatment. I never have to worry about the cost of a procedure, if I need it Peace Corps will pay. I probably have the best health care plan of my life right now. My neighbors are at the other end of the spectrum.

Preventive health care is essentially non-existant in my rural community. I do not know of anyone who goes to the doctor and dentist for yearly check-ups. There are no school nurses or yearly eye exams for students. It all costs too much. Aside from brushing ones teeth and eating a balanced diet not much else is done until someone gets sick (And many people do not brush their teeth and eat healthy).

When someone gets sick the first thing people do is wait to see if it gets worse. Have a toothache? Wait until you can't eat. It costs three times as much to get a filling as it does to get a tooth pulled (A cleaning can cost even more). Vision problems? Stand close to the chalkboard. I don't know of any kids of the 300+ I have worked with who wear glasses. When the Chikungunya virus was spreading around the country like crazy, no one went to see the doctor until the pain from their joints made it difficult for them to walk, and even then most of my neighbors didn't see a doctor. Again, seeing a doctor is expensive. Just going to and from town can be expensive for many Dominicans.

Probably in part because of the inaccessibility of doctors, most medicine can be bought without a doctor's prescription (including Prosaic and Viagra - the latter I have seen handed out to men at a bar in the capital). However, rural Dominicans often prefer local plant remedies. Tea made from the leaves of a cotton tree are said to be great for anemics. Alcohol is often also used as a substitute for pain medicine. It is not uncommon for teenage girls with menstrual cramps to take a couple swigs of Mama Juana, a rum-wine-plant root beverage.

When an illness or injury does become very serious Dominicans will go to the hospital, but the results are not always the best. As I mentioned a few weeks ago, sometimes the doctor needed will not be at the hospital and patients end up waiting hours to receive treatment. Once a patient has been admitted to the hospital they typically have to share a room with six to eight other individuals. There are no special wards for different types of injuries just one for men and another for women and children. There are better hospitals located in the capital - you know someone is really sick when they are sent to the capital.

Side note about babies: Due to the unavailability of doctors when it is time to give birth Dominicans with some money prefer to schedule caesarians instead of giving birth naturally, to ensure the doctor will be present for the entire birth. Also, many women go home with their babies the same day they are born, via motorcycles. There are not enough beds for women to stay more than one day, and there are no laws here saying you need a car-seat before you can leave the hospital. Would it even be possible to make one for a motorcycle?)

A lot of improvements are needed in the Dominican health care system. Thankfully, things are slowly headed in the right direction. All medical centers offer free HIV/AIDs testing, and many offer free birth control. This year many hospitals, including the two major hospitals on the Samaná peninsula, are being expanded and remodeled to provide more services and treat more patients. Also this year a national 9-1-1 system was launched. As its next step I would like to see the government begin to provide more health care services at schools. Ensuring kids know how to take care of their personal health from a young age will go a long way to ensuring healthy generations to come.

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Library Update: The library now has a cement floor! We plan to install the floor tiles and paint over the next two weeks. Tentative inauguration date for the end of November. - It is time to start planning the celebration party!

Now it's time to make it look pretty!