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I met this little guy while taking an late afternoon (pre-curfew) walk through the fields next to the house. He was very excited to get his brothers involved in the picture-taking, and ran off to the mini-temple (the flash blinded it a bit, but that’s the inside shot) so I could take a picture of him and his brothers there as well.


I’d heard that there are more than 40,000 soldiers up on the peninsula; having been there, I have some sense of what many of them are doing: guarding and watching just about every square kilometer of the entire peninsula. The soldiers are all (or very nearly all) Sinhalese – though there are some Tamil soldiers, they very rarely if ever get posted to the peninsula. (This is possibly as much for their security as for other reasons: seems to me a Tamil soldier on the peninsula runs an above-average risk of becoming a target of LTTE hit squads.) Without having studied the issue, I’m guessing that the SLA (Sri Lankan Army) draws its enlisted recruits mostly from the ranks of the poor and opportunity-deprived, so here you’ve got a bunch of nice kids from the poorer neighborhoods in the Sinhala-majority south, just trying to find a way to pay the bills and make a living in a land where opportunities don’t grow on trees, squared off in uncomfortable proximity to an entirely-Tamil civilian population, most of whom no doubt resent the feeling of occupation and constant infringement on their daily lives. To us expats, everyone seems very nice and neutrality, for me, means we smile and wave at everyone – so a trip through the peninsula becomes a long smile-and-wave-fest. But in the back of your mind, you just know that some of the soldiers and civilians (or hidden LTTE cadres) that you’re seeing will end up killing each other, or simply being blown up in landimes or shellings. And it’s all very sad.


When I first went to the Peninsula in February, I saw tons of goats but not a lot of cattle. More recently, I saw lots of both. It’s a very agrarian area, and quite lovely.


Contrast that to my experience, one weekend in late February, when I escaped from Colombo for 24 hours to enjoy the beautiful southern beach town of Mirisa. There, for a glorious afternoon, evening and morning, I saw: no guns, no soldiers, no roadblocks, no military patrols…nothing, in fact, to remind me this is a country in some state of conflict or civil war or whatever you want to call it. I suddenly understood that for a tourist, who never really goes anywhere near the conflict zones and maybe even bypasses Colombo after landing at the airport outside town (a fine idea, if you’re a tourist), Sri Lanka can really be an island paradise, as long as you’re never in the wrong place at the wrong time or put yourself in the places where the conflict shoves itself up in your face. Add to that the differences in lifestyle: fisherfolk (well, I suspect here they really are all fishermen) in Mirisa get to use motors on their boats. They get to use boats with full hulls and enough hold space to actually store fish…not to mention that they get to go out to sea and really do some deep-sea fishing. Everywhere I went along the peninsula’s coastline, I saw little wooden oddities that resembled a cross between a surfboard and a dugout canoe: no hull, no hold, no place to hide weapons if you’re an LTTE cadre (or sympathizer) smuggling in weapons. Moreover, the fishers on the peninsula often aren’t allowed out at all; or when they are, they must almost always stay within a very narrow strip close to the coast and within binocular sight of the soldier-filled bunkers stationed every 100 meters along the coastline of the entire peninsula.


Yup, that’s what the Jaffna Peninsula fishermen fish from.

This is the Manthikai Base Hospital, site of our surgical & emergency medical work on the peninsula. The shot is taken from the office/house where people live, and work when not at the hospital or elsewhere on business.


I don’t mean to judge. Not my place. I try to observe and learn. This is truly a tragic situation in which many people I’ve come to care about are trapped. But it’s certainly easy to see how the civilians on the peninsula, deprived (for security reasons which I understand even if I might wish the forces and government could somehow be more creative and less restrictive in guarding security while trying to allow folks to pursue life, liberty and happiness) of most aspects of a “normal” life, could long for something, maybe even anything, that might change all that. One of the most common – often the most common patient presentations in our clinic is suicide attempts. This has been the case throughout the long years of MSF’s work here in Sri Lanka. I find it easy to understand why, and I’m deeply saddened and occasionally outraged that none of the (quite simple, compared to what will be needed now to resolve this conflict) things that could have been done between 1956 and about 1983 to prevent this ethnic conflict from escalating to where it is now were done. I could go on and on and on, but I’m going to let the pix speak for themselves and share my thoughts with you individually if you want. Bookshelves can be filled with writings on the origin and nature of this conflict, yet it remains one to which much of the world is blind. And I guess that makes me sad as well – that so many good people, trying to live normal lives, trying to pursue the goals we all pursue everywhere, die every day from abductions, suicide attacks, claymore mines, and standard-issue ground and air warfare…and most of the world barely bats an eye.


Political Street Art in Colombo

My friend Neal told me, in response to one of the private letters I sent out with updates on our status in the country last fall, that I was learning how it felt to be a political pawn. Understandably, the conflict is the predominant political issue here in Sri Lanka, though there are plenty of others large and small as well. There have been tons and tons of interesting political posters around Colombo while I’ve been here, pretty much always from the Sinhalese nationalist perspective (not so pro-peace process, let’s say). When I saw this lovely item on a street near City Hall, a place I’ve usually passed at least a few times each week, I decided the time had come to record some of the political expressions around town. Enjoy.
Above, a closeup of the president surrounded by soldiers; below, the same poster in its streetside context…complete with Lara Croft, tomb raider!

My work in Sri Lanka is now done – well, as I draft this in mid-March, I have 1-1/2 weeks of handover left with my replacement, before I hop on the plane to take me back to Paris for debriefing and what comes next. In any case, this being the day my replacement has arrived, I’m already feeling an absolutely glorious sense of release, even though I clearly still have responsibilities for the next 10 days or so: but each day, that load will lighten as my replacement settles into his post and takes on more and more. This is a new and delightful feeling for me, since I’ve never had the chance to hand over before: in China, I wrote a handover report, and left…then, several weeks later, my replacement arrived.


World cup of cricket…and politics. Very, very Sri Lanka.

Such would not be possible here. It seems my Head of Mission, for whom I have great respect as well as affection, thinks I’m a bit weak on stamina. Though I know he appreciates my work and wishes I could stay a bit longer, he thinks the work tires me out more than it should, and I’m not capable of the 12-hour seven-day weeks that are common in many missions. I have to agree that the work does wear me out. I’m realizing, now, that one reason for that is that there are always people pulling on me – problems that only I can really resolve, issues that no one other than me will take responsibility for. We’ve reached a stage where a strong team of national staff here have started being able to take on more and more responsibility, and I hope this bodes well for my replacement. The bottom line remains that I’ve been far more in demand here in SL than I ever was in China; and coming here after 17 months there meant I didn’t arrive as rested as I might have been. I hope this means Wolfgang is wrong, and I will be able to succeed in the 24/7 on-call adrenaline rush of the real emergency missions – in fact, I think he’s wrong, but only time will tell. Here, now, in this moment I have the blessed feeling that each of the next ten days, my load will lighten.


A Day in Mirissa

I’ve said it before and I’ll say it again…one of the most enjoyable aspects of my work in Sri Lanka has been the close collaboration and friendship with my MSFH and MSFE counterparts, Violet and Ulises. Violet and I dragged Ulises down to the south coast in mid-Feburary for a quick overnight at the tremendously beautiful, relaxed beach town of Mirisa. (Ulises has just begun his first vacation today, after six months in the country! Go Ulises!)







Fishing boats coming in at sunrise with the catch, the pickup cricket game (you see these all over Sri Lanka), and the mandatory self-portrait.



48 Hours in Ella

There are vertiginous drops all over the hill country. The pic below is on road downhill, south out of the hill country from Haputale. The one above is taken from Ella Rock, looking at the road down in the steep valley which leads to the southeastern coastal plain. It’s gorgeous, and you feel quite alive knowing the land has been sliding recently!




Tea Plantations, Jacaranda Trees & Produce Stands in the Hill Country



The Ella area seems richly productive, witness the gorgeous terraced rice fields (so very reminiscent, for me, of the Tiger Leaping Gorge hike w/Howard and Gene in January 2006 – go back and see those photos, if you like these!). This was the first chance I’d had to walk a tea planation since I was a college kid in Taiwan back in the 1980s. In the interim, I’d become confused by Jill & Chuck describing tea as growing on trees. It’s still confusing to me, but I’ve learned this much: here in Sri Lanka (and based on my experience in Taiwan, similar there as well), tea grows on shrubs which can grow fairly tall (I think it said 8 to 10 meters) but which are pruned back to the lovely glossy bushes you see here, the easier for the (all Tamil women) workforce to pick the little lovelies, after which they are partly dried and then broken and fermented or aged. Tea needs steep hillsides, and elevation; here in SL, it mostly grows above about 500 meters, I think, and different elevations give you different kinds of flavor. Who knew?! The tea fields in this part of Sri Lanka are really gorgeous.



Ondrej: hope you appreciate the increased incidence of photos, as you put it, of “Paul in xxxx,” or “Paul doing xxxx.” 🙂 And you maybe thought I didn’t pay attention to all those blog comments!





Do notice the costumed Cambodians posing with tourists here on the east entranceway to the Bayon.