This year the rains were abnormally abundant in the Sahel, especially in August and September, which has extended the malaria season.  With the cold setting in, and the dust increasing, colds and other respiratory ailments affect many people. Due to this year’s famine, many people are malnourished and anemic. When malaria arrives, the consequences are serious. Many people cannot afford medication. Animist beliefs and traditions, as well as the fact that health spending is not a priority, are major obstacles, often with disastrous consequences. During the month of October, the community health worker and I made many trips to the clinics and the hospital in town, to help sick people receive care. All had to be transfused with blood. We also lost a child just as we entered the hospital courtyard. At home too, people come one after the other to look for medicine. Lord, have mercy.