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Ken Goldstein: Three Thousand Ears in Cape Town
Updated: Mar 29, 2023
You're probably thinking there is a typo in that headline. Nope. It's correct. Not years. Ears.
This is a story about service. This is a story about choices and not enough choices. This is a story about experiential learning and tangible human impact, one small moment at a time.
Three thousand is an estimate of how many children's ears were recently screened in Philippi Township, Cape Town, Western Cape, South Africa. At best count and two ears per young child, a volunteer team screened about 1500 children for otherwise undetected ear infections. If left untreated, this preventable and correctable condition could easily have left many of these children permanently deaf. About ten required immediate surgery. Six had cysts that could have resulted in meningitis or death.
A project of this scope had never been attempted. The average number of children screened by public health services in the township for ear care is 150-200 per year, largely based on referrals. The team we assembled, working hand in hand with local clinicians familiar with medical infrastructure in the township, took on more than that each day. Once this model partnership committed to the challenge, there was nothing stopping them from achieving a new record they can't wait to break or see broken.
The ear clinic was only one of many innovative projects our group of volunteers tackled earlier this month near the far-away Cape of Good Hope. One team worked on AIDS prevention and education in a place where HIV remains epidemic, potentially impacting the vitality of an entire emerging generation. A construction team built bookshelves for public schools across the township. Another team focused on robotics learning, with young children lighting up as their minds opened to the basics of computer programming.
We also ran a dance program led by a former champion from television's Dance Fever. We engaged a team of professional journalists to start a school newspaper. We organized a series of open discussions on women's health and personal well-being. We developed a peer-to-peer math mentoring program for high school students.
My own team focused on business consulting with micro-entrepreneurs, working with an NGO called Business Activator to help bolster start-up companies. We were based in a unique business park created from the remnants of an old cement factory, with stacked shipping containers creating storefronts along a makeshift plaza.
So what's the buzz? Why were we in Cape Town? Why take this on in lieu of a leisurely vacation?
It was all about service—an alumni project organized by my college. This time a hundred volunteers descended on Cape Town, a highly unusual metropolis of contrasts and contradictions. You may remember that I wrote about a similar project a year ago at the Fort Mojave Indian Reservation. Indeed, this is the tenth anniversary of the Yale Alumni Service Corps, harnessing the passion of individuals from all walks of life to immerse themselves in unfamiliar cultures and spend a week helping to ignite a spark in the lives of others that will be embraced, measurable, and lasting.
If you've ever dedicated any amount of time to volunteer service, you know the cliché is apt that you take away much more in your heart than you can ever give of your time. A visit to a place as complicated and torn as Cape Town can change your life if you let it. At the very least it can change your perspective on what you thought you knew about a subject as harrowing and sadly unresolved as apartheid.
I thought I understood the plague of apartheid from reading about it in newspapers and history books. I thought I understood the plight of institutionalized racial oppression from seeing the struggles on television and internet video. I thought I understood the meaning of healing through Mandela's Long Walk to Freedom.
The little I understood was academic. I didn't know it until I was in Cape Town, but I needed to be in the townships to even start to internalize what apartheid was and what of it remains. Apartheid may officially be dead, but its pervasive toxins leave long, lingering trenches of decay.
Now I have seen this. I also see the corollaries to many of the deepest problems in our own backyards. A simple service project made this possible.
Service isn't just about doing good deeds. Service is about cultural immersion. Service is about lifelong learning. Service is about coming to terms with empathy for distant problems that on closer examination are wildly close to home.
On the second day of our trip, my direct observations on an extended bus ride through the townships almost stopped my breathing. I had never before seen systemic, uncontrolled poverty on that scale. As much as I thought I knew what economic inequality meant, nothing prepared me for seeing the ruins brought on by apartheid sprawling without containment almost a quarter-century after the election of Nelson Mandela.
Service let me see this. Service opened my eyes to the impact of history and the seemingly immovable obstacles of current events.
There is no way words can adequately describe the inequality in Cape Town. The city center is picturesque and opulent, with cascading views of the gorgeous waterfront. Quaint streets reflecting British influence and signage wind past towering universities, luxury-car dealerships, and New World wine-tasting rooms.
Fifteen minutes down the road are the townships originally created by apartheid, still standing—expanding actually—with millions living in abject poverty. Many live ten or more in tiny corrugated metal shacks, if they have an overhead shelter at all. There is minimal plumbing, shared toilet structures, electricity pirated from public lines tempting common incidents of fire. School dropout rates approach 80%. Unemployment stands near 25% with utter confusion among the suffering how America is not stuck in the same recession.
It all seems apocalyptic. We aren't talking a few blocks or a few streets of urban decay. We're talking mile after mile of human beings on top of each other trying to survive, source decent food, tote clean water, find a way out.
Remember, this is more than 25 years after the end of apartheid, which astonishingly lasted as law into the early 1990s! I was shocked to hear several young people actually speak ill of Mandela. To some he has become more myth than legend, and they question why his promises haven't panned out for their prosperity. Many have become cynical, wondering why his vision was never realized, whether he compromised too easily and sold out their future. It is common to hear the electorate speak openly of parliament as corrupt and self-serving. They ask if the ANC can once again become their champions.
In service we seek to offer hope, and while there were glimmers of resilience in each of our day's work, the scale of oppression remains impossible to talk past. All of this is the long tail of apartheid, a system so vicious and deeply embedded in societal ills it is difficult to decipher how many generations it will take to overcome. I was left thinking of the United States after our Civil War, how long it took for any kind of normalcy to prevail, where even today we can't seem to get past racial hatred. I wondered how in the embers of Nazi defeat at the end of World War II, with the Nuremberg Trials in the headlines, it was possible for apartheid come to power with the National Party in 1948. The irony of 1948 is impossible to escape. That was the founding of Israel.
Our work in Cape Town was facilitated by a dynamic NGO known as Amandla Development, whose mission is to "empower children to succeed from cradle to career." One of the sheer joys of being in Cape Town was getting to know the local staff of Amandla, to spend time with people who grew up in the townships and are now determined to reverse the course of history by touching the lives of children one at a time. This is how hope becomes action—not with epic commitments of resources in attempts to shatter daunting obstructions, but in finding one or two individuals open to the idea of collaboration and helping them improve their lives.
Our volunteers in journalism reported that many of the students in their program seldom interact at all with white people. They simply don't have the occasion or opportunity, another awful remnant of apartheid. One student wrote that she never thought she would develop a friendship with a white person. That friend became the person who encouraged her to publish her first story.
All that brings me back to the 3000 ears in Cape Town. Perhaps on equal footing with ensuring quality hearing for these 1500 children was the opportunity to let each one of them know that we care about them. Our volunteers didn't just process them through a waiting line. These were very young children, most of whom don't begin learning English until the third grade. Of course they wondered why we were there. Our loving colleagues went to their classrooms and explained through a translator what we were doing, that they would be in no discomfort, and that we truly were friends from abroad.
Raising awareness of the scourge of hearing related diseases was as important a part of the mission as the specific medical attention offered. Adroitly changing the perception of these maladies from endemic to treatable afforded our educators an enormous creative window. While the children were waiting to see the doctors, our volunteers played games, sang songs, and worked on art projects with them to reinforce this learning. I can't help hoping that some of these children will remember these joyful moments of sharing as they become adults. I know our volunteers will never forget them.
Perhaps the Cape of Good Hope is well named. I won't forget any of it. Not apartheid, not the townships, not the children, not the entrepreneurs in their offices anticipating a brighter future.
That is the nature of service. I'm pretty sure we can't fix this rotten, broken, unjust world. I'm completely certain we can always help one or two strangers if we care to make that choice.
About the Author...
Ken Goldstein is the author of three books, This is Rage: A Novel of Silicon Valley and Other Madness; Endless Encores: Repeating Success through People, Products, and Profits; and From Nothing: A Novel of Technology, Bar Music, and Redemption, all published by The Story Plant.
