Unprecedented Times

This summer I am working as a program intern for the North Carolina Institute for Public Health (NCIPH). The primary aim of the NCIPH is to promote collaborative based solutions to population health issues within North Carolina and beyond. As a response to the COVID-19 pandemic, the NCIPH is developing a curation project, Behind the Numbers, which focuses on the documentation and analysis of the lived experiences of frontline healthcare workers. The Behind the Numbers project serves to deviate from quantitative approaches and relies on qualitative techniques to effectively collect the stories and feelings from those affected by this unprecedented time.

Ironically, this specific practicum experience would fail to exist without the surge of this pandemic. I would have never guessed my practicum would be linked to the one of the most extraordinary and defining moments in modern human history. I am absolutely honored to be a part of an organization that recognizes this impact and chooses to center itself on a humanity focus. The objective and numerical data will always be there. However, if we do not capture the stories and collective feelings of those most affected, then we lose the spirit of public health: to improve the health and lives of people.

During one of my walks through Carrboro, I encountered a BLM poster. As a Black man, the Black liberation movement has always served as a central focus in almost every aspect of my life. I thought it would be important to share this as constant reminder of the appreciation and preservation of Black lives.
During one of my walks through Carrboro, I encountered a BLM poster. As a Black man, the Black liberation movement has always served as a central focus in almost every aspect of my life. I thought it would be important to share this as constant reminder of the appreciation and preservation of Black lives.

A typical day involves researching various hotspots in the United States with a relatively high number of COVID-19 cases. Once I pinpoint my desired location, I peruse social media and any relevant articles that detail the stories and accounts of frontline workers in healthcare settings (i.e physicians, physician assistants, nurses, surgeons, etc…).  Aside from my practicum responsibilities, I try to keep myself occupied in this new social distancing reality by checking in with family & friends (virtually of course), going for walks, binge-watching my favorite shows on at least four different streaming platforms, and meditating. As an introvert who prefers their own company, this quarantine has forced me to embrace the power, comfort, and necessity of community. Although this is such a destructive and unpredictable time, one can still seek the light of positivity in times of darkness.

Brandon

On the Flip Side…

Right before spring break, my practicum plans fell through, so I rode the wave of disappointment earlier than everybody else and for reasons unrelated to the virus. With the possibilities for practica suddenly narrowed down, finding a position became a somewhat simpler task.

A forest floor covered in bärlauch, wild garlic that leaves a pungent scent in the air in the summer.
A forest floor covered in bärlauch, wild garlic that leaves a pungent scent in the air in the summer.

An opportunity matching my interests soon presented itself in the form of a collaborative project between Gillings and Chronic Care International, a non-profit based in Omaha, Nebraska, to assist in designing an evaluation for a diabetes peer support program in the Dominican Republic. I am currently working from home in Basel, Switzerland to develop a literature review describing the evidence base for the program and to compile a list of instruments that have been used to evaluate similar programs in the past. For now, I am mostly working independently, apart from a weekly afternoon meeting with my preceptor, so the time change has had minimal impact on my experience. I am learning to grapple with the unpredictability that seems common in low-resource settings. In the grand scheme of things during these tumultuous times, it is much easier for me to be relaxed when dealing with these manageable ambiguities as they present themselves.

A field of poppies overlooking Basel.
A field of poppies overlooking Basel.

For me, the pandemic has produced some positives. I had assumed that my practicum plans would inevitably conflict with my ability to spend the summer in my hometown with my family, which I try to weave into my summer plans as much as possible. When not working, I spend my time reading, exploring the hills on my bike, playing intense ping pong matches with my mom, taking walks through the forests and fields with my family, catching up with friends from home, and making the most of having an easily accessible piano to play (a true luxury!). I am grateful for the extra time I get to spend here in Basel, a place that I know I will not have the privilege of calling my home forever.

Marlena

Different Set of Skills

When I connected with my practicum preceptor in December, I was elated to have found an opportunity to gain field experience in the field of infectious disease prevention. Naya had set me up with a meeting with Dr. Ross Boyce, a researcher and infectious disease physician here at UNC-Chapel Hill. I would have had the opportunity to travel to Uganda to meet his collaborators in Bugoye and conduct my own research project on the ground. As I began preliminary research for the project, I was reminded of my passion for treating infectious disease spread through basic medical support and low-tech solutions such as bed nets.

When the global COVID tides began turning in February, we were able to have a discussion about what to do in case of restricted travel. I was lucky enough to be able to easily transition to a backup plan working with a different data set collected by the Bugoye team. My project is now working with data from a household survey investigating bed net use by children and their malaria status from over 2000 households in 36 villages across 6 parishes. So far, I have conducted an informal literature review to bring me up to speed on bed net use in Sub-Saharan Africa and have begun the basics of working with the data. I will soon be beginning work with Dr. Boyce’s colleagues in Health Geography who will aid me in developing a statistical analysis that incorporates proximity to health centers and map-making using GIS.

My home workspace.
My home workspace.

I am very disappointed that I am unable to travel to Bugoye myself. I was drawn to UNC largely because of the opportunity to pursue a hands-on practicum where I got to meet and work with public health researchers from different countries. However, work from home has forced me to learn an entirely different set of skills than I would not have learned spending the summer on field work. Working from home has forced me to teach myself all sorts of data handling skills that are all the more useful because I had to learn them on my own. I am also looking forward to working with researchers in geography and exploring geography as a public health tool.

In the meantime, my roommate and I have been quarantining in our home in Carrboro. We’ve been taking turns making meals and I have taken the time to practice baking. (I’m 100% that annoying friend who got way too into making sourdough.) My favorite thing I’ve made so far might be sourdough crêpes, which was a great way to use discard from the starter. Other quarantine hobbies have been biking, birdwatching, and growing tomatoes and herbs on my deck. (Seriously though, reach out if you’re into birds). I’ve also been able to explore the Carolina North Forest. It has been a great opportunity to get to know my immediate community better without the pressures of the semester timetable.

Rachel and Hannah from Global Health checking in families receiving free food at PORCH.
Rachel and Hannah from Global Health checking in families receiving free food at PORCH.

The highlight of my week is volunteering with the food relief organization PORCH Chapel Hill distributing food to nearly 500 Orange county families every Wednesday morning. I’ve even got a number of other Global Health classmates to join me. As the weather has gotten hotter it’s been even more difficult to wear a mask, but I hope we can all stay committed to preventing the spread of COVID even as states try to open up prematurely.

Filling up food boxes at PORCH at the Chapel Hill Public Library.
Filling up food boxes at PORCH at the Chapel Hill Public Library.

Stay Safe,

Claire