Executive orders - Tom Clancy [6]
She knew what to be wary of. You could not be a health-care professional in Africa and not be careful if you wanted to live. Christianity had been trying to establish itself here for centuries, but while it had made some inroads, it might never make others. One of those problems was sexual promiscuity, a local proclivity that had horrified her on her arrival nearly two generations earlier, but was now just normal. But all too often lethally so. Fully a third of the patients in the hospital had what was known locally as the thin disease and elsewhere as AIDS. The precautions for that ailment were set in stone, and Sister Jean Baptiste had taught them in courses. The sad truth was that, as with the plagues of old, all that the medical professionals could really do with this modern curse was to protect themselves.
Fortunately with this patient, that was not a concern. The boy was only eight, too young to be sexually active. A handsome boy, well formed and bright, he'd been an honor student at the nearby Catholic school, and an acolyte. Perhaps he'd hear the call someday and become a priest-that was easier for the Africans than the Europeans, since the Church, in quiet deference to African customs, allowed priests down here to marry, a secret that was not widely known through the rest of the world. But the boy was ill. He'd come in only a few hours earlier, at midnight, driven in by his father, a fine man who was a senior official in the local government and had a car of his own. The doctor on call had diagnosed the boy with cerebral malaria, but the entry on the chart wasn't confirmed by the usual laboratory test. Perhaps the blood sample had gotten lost. Violent headaches, vomiting, shaking of the limbs, disorientation, spiking fever. Cerebral malaria. She hoped that wasn't going to break out again. It was treatable, but the problem was getting people to treatment.
The rest of the ward was quiet this late at-no, early in the morning, actually-a pleasant time in this part of the world. The air was as cool as it would get in any twenty-four-hour period, and still, and quiet-and so were the patients. The boy's biggest problem at the moment was the fever, and so she pulled back the sheet and sponged him down. It seemed to calm his restless young body, and she took the time to examine him for other symptoms. The doctors were doctors, and she but a nurse-even so, she'd been here for a very long time, and knew what to look for. There wasn't much really, except for an old bandage on his left hand. How had the doctor overlooked that? Sister Jean Baptiste walked back to the nurses' station, where her two aides were dozing. What she was about to do was properly their job, but there was no sense in waking them. She returned to the patient with fresh dressings and disinfectant. You had to be careful with infections down here. Carefully, slowly, she peeled off the bandage, herself blinking with fatigue. A bite, she saw, like one from a small dog or a monkey. That made her blink hard. Those could be dangerous. She ought to have walked back to the station and gotten rubber gloves, but it was forty meters away, and her legs were tired, and the patient was resting, the hand unmoving. She uncapped the disinfectant, then rotated the hand slowly and gently to fully expose the injury. When she shook the bottle with her other hand, a little escaped from around her thumb and it sprinkled on the patient's face. The head came up, and he sneezed in his sleep, the usual cloud of droplets ejected into the air. Sister Jean Baptiste was startled, but didn't stop; she poured the disinfectant on a cotton ball, and carefully swabbed the wound. Next she capped the bottle and set it down, applied the new bandage, and only then did she wipe her face with the back of her hand, without realizing that when her patient had sneezed, his wounded hand in hers had jerked, depositing blood there, and that