Nepal: “It Was Beyond My Expectations”

Anne Kluijtmans, a Doctors Without Borders/Médecins Sans Frontières (MSF) nurse from Holland, was on holiday in Nepal when the earthquake struck on Saturday, April 25. She quickly joined the MSF teams who had arrived in the country to respond.

I was in Lumbini, near the Indian border, when the earthquake hit. I felt like we were on a rocking boat. We asked people what was happening as we thought this was just a tremor. A few hours later we found out that it was a big earthquake, so I tried to find out whether MSF was coming. I called the MSF office in India and was advised by one of their staff to quickly move to Kathmandu as the teams would be coming there. After a day and half struggle to find a plane that would fly me out of Lumbini, I joined the team in Kathmandu and now I’m helping run mobile clinics via helicopter, trying to reach people in remote areas who have not received any assistance yet.

On the first day of the clinic we got up at 4:00 a.m., having already packed all our supplies the night before, and went to the airport. We had to wait because it was raining and we were unsure whether we would be able to fly. We managed to take off a few hours later and headed up into the mountains.

When I had arrived in Kathmandu I thought it would be completely flat. It is bad, but what I saw in the remote areas is much worse. When you get up in the air you see how devastated these areas are. Some villages are 80 to 100 percent destroyed. It was beyond my expectations.

We went first to Langtang National Park and flew over the main village. It was completely buried under an avalanche. People fled further up the mountain to the village of Kyanjin Gumba, which is at an altitude of around 3800 meters (approximately 2.4 miles) and gets very cold at night. The village is around 70 percent destroyed. They told us that more than 30 children have been orphaned. Their parents died not in the initial earthquake, but were buried by the avalanche that came the next day. They didn’t see it coming; they thought everything was okay and then this happened.

The most severely injured people were already evacuated, but the others who remained hadn’t received any health care. There were people with skin infections and small children with deep cuts. We did some dressings and found many people with infected wounds. We even saw some wounds that already had worms in them. We had to give out a lot of antibiotics so that the wounds don’t become septic, which could cause more deaths.

In Dozum village in Sindupalchowk district, I found an 85 year-old man who had been trapped under the rubble of his house, which was completely destroyed. His son was taking care of him and we checked that he was stable and gave him medication.

It was very tough before touching down each time, but I knew that people wouldn’t benefit from me being upset. So I tried not to show my emotions and let them show theirs. I’m in emergency mode right now and am only concerned about trying to reach people.

People are very scared that there will be another earthquake or landslide, or that they will run out of food. In Kyanjin Gumba village, there were people who were obviously traumatized and couldn’t talk to us. They just looked right through us. But there was also a woman who had started cooking for everyone. So people are coping in different ways. They’re very much in survival mode and mental health care is going to be crucial.

In one of the villages—Thulo Shyaphru, Rasuwa district—we found a young nurse named Dechen. Around 600 people are living there and all the buildings, including the clinic, have been destroyed. Dechen asked us for some supplies so she could continue treating people after we left. It was good to be able to do that, in case we couldn’t get back soon.

At MSF, we tried everything to reach these remote places as quickly as possible, but there were many constraints, mainly the very few available helicopters. At the moment we have helicopters to use for medical activities and for distributing blankets, food, and shelter kits. People tell us they want food, shelter, and of course health care. With the monsoon season coming and without proper shelter, people are going to be susceptible to pneumonia and health problems will generally increase.

When the earthquake happened, my family and friends were of course worried about whether I was safe. When I said I was going to Kathmandu to help, they initially said I was crazy, but they also know that I’m a nurse and working with MSF. If you’re in the country when something like this happens, you have to help. I have a lot of support from them and especially from the team.

If I had to describe the situation here in one word: devastating.

Both medical and non-medical MSF teams are assisting victims of the Nepal Earthquake, which shook the Kathmandu Valley before noon on April 25. There are currently approximately 120 MSF staff working in Nepal, and the organization has flown in more than 80 tonnes of supplies.

MSF teams are running mobile clinics by helicopter to remote villages in the mountains outside Kathmandu. Many villages have been completely or partially destroyed, and people are living under makeshift shelters. While the most critically injured people were evacuated in the days immediately after the earthquake, those remaining have been trapped in their villages as roads and walking tracks have been cut off by avalanches and landslides. The districts of Dhading, Gorkha, Rasuwa and Sindhupalchowk were hit hard on 25 April by a 7.8 magnitude earthquake, and little or no assistance has reached many villages. MSF medics are seeing people in need of basic healthcare, as well as a number of people presenting with wounds sustained in the earthquake that have now become infected.