Problem solving a pandemic: a B.C. man on working for Doctors Without Borders in Pakistan

People receive food boxes and a traditional sweet drink distributed by volunteers for breaking their fast, in Rawalpindi, Pakistan, on May 3. Photo: AP Photo/Anjum NaveedPeople receive food boxes and a traditional sweet drink distributed by volunteers for breaking their fast, in Rawalpindi, Pakistan, on May 3. Photo: AP Photo/Anjum Naveed
Nelson’s Paul Caney is currently working for Doctors Without Borders in Pakistan, an Islamic republic torn over how to safely mark Ramadan during the pandemic. Photo submittedNelson’s Paul Caney is currently working for Doctors Without Borders in Pakistan, an Islamic republic torn over how to safely mark Ramadan during the pandemic. Photo submitted

The second of a two-part series on how COVID-19 has affected Ramadan. Read the first part here.

Paul Caney has made a career helping others by knowing a lot about everything, but not so much about any one thing.

In 1994, he was recruited by Médecins Sans Frontières, known in North America as Doctors Without Borders. His cousin, who was visiting Calgary seeking staff for the humanitarian organization, asked Caney what his expertise was.

At the time Caney was working in the film industry, which required some of the same skills his cousin was looking for. He could operate a radio. He could set up a generator. He knew how to drive in the mountains.

“Anyway, they asked me if I was interested,” he says now. “I sort of thought they were a little flaky and said yeah, sure.”

Three weeks later he flew to The Netherlands for training. Then it was on to Sarajevo — in the middle of the Bosnian War.

“It doesn’t work like that any more. It’s much more professional, you have many more mentors and work up to that kind of role nowadays.”

Caney, 56, works as an international logistics co-ordinator, which is better described as an extreme jack of all trades.

His daily duties include: overseeing construction and renovation of medical facilities, offices and living spaces; managing security guards, drivers and a fleet of vehicles; communications; and supply chain management.

He’s also the tech guy.

“It’s by far the most interesting job I’ve ever had, bar none,” he says.

Caney, who lives in Nelson when he’s in Canada, is currently stationed in Pakistan’s capital city Islamabad. He arrived in the country just as the pandemic was spreading. The World Health Organization says there have been 22,533 cases of COVID-19 in Pakistan along with 526 deaths.

The Islamic republic of 207 million people has been criticized by its own medical association for allowing mosques to remain open during the holy month of Ramadan, which began April 23. For 30 days, Muslims fast during the day before celebrating with family and friends in the evening while also attending evening prayers.

But Caney says he’s observed empty streets, closed tourism areas and clerics telling people to stay home.

“We have a tendency in Western cultures and Western media to group Islam as a single theological idea, which is of course not the case,” says Caney.

“There are moderates and there are fundamentalists just as there are in Christianity. So I think it’s very much a freedom to choose. I don’t think anybody is being incentivized or pushed toward gathering at risk to their faith. I think every single person in Pakistan is aware of what is going on.”

Related: Ramadan in a pandemic: How COVID-19 is affecting Islam’s holy month in B.C

Caney works for the Amsterdam arm of Doctors Without Borders, which also has centres in Geneva, Barcelona, Paris and Brussels. Three of those centres have teams working across Pakistan, where the organization typically focuses on mother-child health.

One in 11 children dies before the age of five in the country, according to the Pakistan Demographic and Health Survey. Last year, Doctors Without Borders said it provided treatment to 11,000 malnourished children in the province of Balochistan, where Caney and the rest of the Dutch team focus their efforts.

But COVID-19 has forced the organization to change its priorities.

Caney said his colleagues have had to suspend some of its programs as staff assist Pakistan’s health ministry in COVID-19 screenings.

“I really hope, I think we all do, that we’re not overwhelmed in our medical facilities by coronavirus, so we can keep supporting the women who are having complicated pregnancies and really need our facilities,” says Caney.

“We’re the only game in town in some of these places in terms of access to obstetric health care. I think we all have a back-of-our-mind concern that coronavirus might just overtake our normal lifesaving programs.”

Acquiring supplies for front-line staff has become Caney’s biggest challenge during the pandemic.

Personal protective equipment is difficult to come by in Pakistan, where domestic flights are grounded and the European supply chains once relied on by Doctors Without Borders are closed.

“That puts you in a position where you have to purchase things locally that normally you would never do on the basis of quality, availability and price,” says Caney.

“There are some things manufactured here in Pakistan, and that’s why I say I’m much luckier than some of my colleagues in less-developed countries. You’re at the mercy of opportunistic businessmen at times and that’s the same for everybody.”

Caney’s concerns also extend to the humanitarian sector at large.

Most organizations rely on donations or government assistance to operate, which he expects will dry up. He worries too that the pandemic will impact just how many people want to take less money to work for NGOs.

“We’ll see how it all plays out. I don’t know, but I think already within the health care industry, many [current or future] health care workers are seeing very real consequences of the job, especially when we are working in a highly infectious viral emergency.”

But for now, he isn’t seeing anyone on the front lines himself. Caney has stayed put in a house in Islamabad, where he’s visited by staff and struggles to find supplies for Doctors Without Borders’ medical personnel.

Like everyone he works with, Caney worries about his own health. When he’s stressed, he tries to make use of the home’s gym equipment. He’s been using it a lot.

“If anything,” he says, “I’m healthier than when I arrived.”

@tyler_harper | tyler.harper@nelsonstar.com

Like us on Facebook and follow us on Twitter.

Want to support local journalism during the pandemic? Make a donation here.

CoronavirusRamadan

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

RCMP crest. (Black Press Media files)
Head-on collision Jan. 14 claims one life west of Fort St. James

Jenkins said alcohol, as well as road surface conditions, have been ruled out as factors

Nechako River, Vanderhoof, B.C. (Aman Parhar/Omineca Express)
Officials keeping close tabs on Nechako River after ice jam causes area flooding

District of Vanderhoof Mayor Gerry Thiessen, though, said water levels have gone down, for now

Vanderhoof home sees water from the Nechako move up into the yard, and within hours, water was seen up to the deck. Ken Young, Vanderhoof councillor posted this photo on social media.
Mayor concerned about ice jams in the Nechako river

“We have never lived with a frozen river at this magnitude during our time in council,” mayor said.

A scene from “Canada and the Gulf War: In their own words,” a video by The Memory Project, a program of Historica Canada, is shown in this undated illustration. THE CANADIAN PRESS/HO - Historica Canada
New video marks Canada’s contributions to first Gulf War on 30th anniversary

Veterans Affairs Canada says around 4,500 Canadian military personnel served during the war

Canada released proposed regulations Jan. 2 for the fisheries minister to maintain Canada’s major fish stocks at sustainable levels and recover those at risk. (File photo)
New laws would cement DFO accountability to depleted fish stocks

Three B.C. salmon stocks first in line for priority attention under proposed regulations

Trees destroyed a Shoreacres home during a wind storm Jan. 13, 2021. Photo: Submitted
Kootenay woman flees just before tree crushes house

Pamala DeRosa is thankful to be alive

Gin, one of the Kantymirs’ two sheep. (Martha Wickett-Salmon Arm Observer)
Sheep start up ATV, sit in cars and go for walks in Salmon Arm

Until they bought two sheep, Ken and Karleen Kantymir didin’t realize just how social the animals are

Heather Lucier, a pastor at Kelowna Harvest Fellowship, speaks to an RCMP officer outside of Harvest Ministries on Sunday, Jan. 10. (Michael Rodriguez - Capital News)
Kelowna church fined 2nd time for violating public health order

Harvest Ministries in Kelowna has previously said they will fight the tickets in court

Powell River-Sunshine Coast MLA Nicholas Simons was appointed to the NDP cabinet as minister of social development and poverty reduction after the October 2020 B.C. election. (Hansard TV)
B.C. job training fund increased for developmentally disabled

COVID-19 has affected 1,100 ‘precariously employed’ people

B.C. driver’s licence and identity cards incorporate medical services, but the passport option for land crossings is being phased out. (B.C. government)
B.C. abandons border ID cards built into driver’s licence

$35 option costing ICBC millions as demand dwindles

sdf
2nd in-school violence incident in Mission, B.C, ends in arrest

RCMP notified of local Instagram page with videos (now deleted) showing student assaults, bullying

BC Emergency Health Services has deployed the Major Incident Response Team (MIRRT) as COVID-19 positive cases rise in the Williams Lake region. (Monica Lamb-Yorski photo - Williams Lake Tribune)
B.C.’s rapid response paramedics deployed to Williams Lake as COVID-19 cases climb

BC Emergency Health Services has sent a Major Incident Rapid Response Team to the lakecity

Most Read