Friday, June 8, 2007

Peru is just cool...

US scientists discover new, potentially deadly bacteria
Thu Jun 7, 1:13 AM ET

In a dramatic case of microbial sleuthing, US scientists said they have discovered a new, potentially deadly strain of bacteria previously unknown to medicine.
The bacteria was found in a 43-year-old American woman who had traveled across Peru for three weeks and suffered from symptoms similar to typhoid fever or malaria. The woman has since recovered.

Named Bartonella rochalimae, the new species is a close relative of a microbe that sickened thousands of soldiers during the First World War with what became known as trench fever, spread through body lice.

It is also related to a bacteria identified 10 years ago during the AIDS epidemic in San Francisco as the cause of cat scratch disease, which infects 25,000 people a year in the United States.
It was this previous work on cat scratch disease related to AIDS that helped experts at the University of California San Francisco (UCSF) and the US Centers for Disease Control and Prevention isolate the new bacteria found in the female traveler.

The findings are published in the New England Journal of Medicine.
Two weeks after returning to the United States from her trip to Peru, the woman experienced potentially life-threatening anemia, a rash, an enlarged spleen, insomnia and a high fever that lasted for several weeks.
Her traveling companion did not fall ill.

The Peruvian Andes is home to a related bacteria, spread by sand flies, and at first this was what experts thought was causing her illness.

Further investigation indicated the culprit was a new species altogether.

The new discovery is the sixth species identified that can infect humans, said Dr. Jane Koehler, professor of infectious diseases at UCSF and senior author of the paper.

In 1987, Koehler encountered her first patient infected with Bartonella at the AIDS Clinic at San Francisco General Hospital.

"The bacteria were eating away a bone in the arm of an AIDS patient - for
months," Koehler said. "They can cause extremely painful lesions and tumors of blood vessels on the skin of immunocompromised patients."

In 1997, her team discovered that the Bartonella henselae bacterium causes cat scratch disease. Symptoms include swollen lymph nodes and fever after a person is scratched by a cat.

The new bacterium is treated with a different antibiotic that those used for cat scratch disease.
"When a patient has a high and persistent fever, we need to come up with the correct diagnosis and treatment as soon as possible - particularly for those with a weakened immune system, who can die from the infection," Koehler said.

Tuesday, June 5, 2007

The New York Times: The Other Macchu Pichu

The Other Machu Picchu
By ETHAN TODRAS-WHITEHILL


DAWN had just broken, and the lost city of the Incas lay empty — not a tourist in sight. From the priests’ district, the high point of the ruins, the bright green central plaza stretched along the narrow summit of a high ridge and dropped precipitously on both sides to a turquoise river thousands of feet below.
In a small chamber two feet from where I stood, the high priest had once meditated daily to seek guidance from his god. In the two-story peaked-roof structures downhill and to the left, workers had dropped off their tools at night — weary men stumbling in after a Sisyphean day of cutting and lugging stones. Beyond lay a panorama of jungle and 17,000-foot peaks. Around me was silence — and isolation.
This was Peru, but not the famous Machu Picchu. I was at Choquequirao, a sister city of similar significance built along similar lines, but harder to reach and, for the time being, still sufficiently free of tourists for a visitor to imagine, without much effort, the priests and builders, the supplicants and courtiers roaming its paths and plaza. Twenty-five years ago, Machu Picchu must have looked much like this.
Choquequirao’s builder, Topa Inca, chose his city’s site and design precisely because of the similarities to Machu Picchu, the city of his predecessor, Pachachuti, according to Gary Ziegler, an independent American archaeologist who worked on the first Choquequirao excavation. The two cities were about the same size and served the same religious, political and agricultural functions. But because archaeologists long underestimated the importance of Choquequirao, the city’s existence was known for almost 300 years before the first restoration was begun in 1993. It is still only 30 percent uncovered. The Peruvian government is just beginning to plan for large-scale tourism there.
In 2006 Choquequirao drew 6,800 visitors, according to Peru’s National Cultural Institute, more than double the total in 2003 but a little more than 1 percent of the number who went to Machu Picchu. For now, Choquequirao remains “an Inca site you can visit without a 60-person Japanese tour group and two tour guides with umbrellas and megaphones,” Mr. Ziegler had told me — a “journey for the savvy traveler.”
I was traveling with five companions: my girlfriend, an Israeli couple who were both Army veterans, a Dutch student and an Arizona bookkeeper turned vagabond. We had coalesced into a group while studying Spanish at a language school in Cuzco.
The first part of our journey to Choquequirao took us to Cachora, the nearest town. It has no direct bus service, so we went from Cuzco by cab — a beat-up station wagon that bumped and twisted over 100 miles of poorly paved road. When we arrived, well after sunset, the indigo sky was dotted with the last twinkles of alpenglow on the snow-covered Salkantay ridge, so impossibly high above us that it was easier to believe they were stars.
We dined at the Terrace of Choquequirao, a menuless two-table restaurant owned by Gilberto Medina, a thin, deferential man who talked to us over coca leaf tea. In the previous year, he told us, the town’s main road had been paved and two new restaurants had joined his. Hotels were under construction, and the first Internet cafe had opened.
In Cuzco before the trip, Pedro Tacca, the director of patrimony for the National Cultural Institute, had spoken to me about the importance of preserving communities like Cachora and the other towns near Choquequirao as tourism to the site grows. He said Peru is trying to control growth and access to Cachora to keep it from becoming another Aguas Calientes, the town closest to Machu Picchu, which is made up entirely of tourist shops, restaurants and hostels, with a railroad track — where the tourists arrive — instead of a main street. “It’s a community without personality,” he said, “horrible in contrast to majestic and beautiful Machu Picchu.”
For now, Cachora still belongs to its residents, farmers whose way of life has changed little in centuries. Invited by Mr. Medina, we went to the elementary school to see a celebration of the Festival of the Virgin Carmen. Children in flannel shirts, wide dresses and colorful mantas (blankets) performed traditional dances, sashaying, spinning and mugging for their doting parents. In the finale, a 25-foot bamboo tower of flammable pinwheels, linked by fuses made with newspaper, set off a shower of colorful sparks. The children tucked their shirts over their heads and ran back and forth under the fiery spray as if it were a playground sprinkler, shrieking with delight.
From Cachora, the trek to Choquequirao is 20 difficult miles in the mountains. Most visitors rent horses, but all of us were in our 20s, and we decided to hike, walking out of town the next morning with mules carrying our packs. The dusty road took us down a quilt of fields and mudstone houses stitched together by lines of outsize aloe plants and shimmery blue eucalyptus trees. Our legs followed the road along the winding cliffs over the Apurímac River, but our eyes stayed fixed on the Salkantay ridge to the north, now appearing in daylight like the snow-capped, protective plates of a massive stegosaurus.
After a knee-crushing 4,000-vertical-foot descent, we spent the second night at a campsite full of pleasant surprises like flush toilets, a shower and cold bottles of Coca-Cola from a woman whose family had trekked them in to sell to tourists. The next morning we embarked on the last and hardest part of the trail: eight miles and 5,000 vertical feet up.
Glad to rest, we stopped after two hours at a three-hut village called Santa Rosa, where in a thatch-roofed store Julian Covarrubias, a baby-faced 25-year-old with a faded Adidas hoodie and a neat goatee, told us he was seeing 15 to 20 tourists a day, and that was plenty for him. Five years ago only one or two a month came through. Sure, he said, he was selling more Cokes now, but his family had been on this land for over 100 years, growing sugar cane, avocados and papayas, had made it through occupation by Shining Path guerrillas in the ’80s, and didn’t want to leave to make way for government tourism projects.
We returned to the arduous trek (which government officials hope eventually to eliminate by building a funicular up the mountain) and at nightfall were setting up camp in the government campground just below the main plaza of Choquequirao. A man approached — 40 or so, with a thin brown ponytail and a button-down shirt left open above a black Tasmanian Devil T-shirt — and directed us to a different spot, saying with calm authority, “I decide who camps where.” He was Enrique Yábar, park chief of Choquequirao.
Mr. Yábar told me that if it were up to him and most of his 24 workers, Choquequirao would remain unknown until more work had been done to limit the effects of tourism. “All of us as inhabitants of the Andes,” he told me, “are directed by our gods, the mountains, and we have the mission to protect them.”
I couldn’t wait until morning to see the ruins, and neither could Avishai, the Israeli man. We hiked up and emerged out onto the open ridge top, a cold wind cutting through our fleece jackets. A wide-winged condor swung on a thermal a few hundred feet away and stopped dead, as if hanging from a mobile. We began climbing stone steps and ducking through ancient doorways like two toddlers on a jungle gym. For a precious few minutes, that ridge top, those 15,000-foot violet hills, those buildings so revered by an extinct civilization, were ours, and our sovereign desire was horseplay.
The next day, after my quiet moment at dawn, we all explored the ruins. Our mule driver knew a little about the site, but for the most part we guided ourselves. I had Spanish-language photocopies of government materials; the one book I had found in English was filled with beautiful photographs and too heavy to tote up the mountain. We saw only six other tourists.
Choquequirao, like all important Incan cities, is laid out in alignment with the movements of the sun and the stars. One building on the central plaza has nooks in which the mummies of important citizens were placed, and it is onto these nooks that the first rays of dawn fall each day.
The city’s central temple is a small rectangle on the other side of the plaza with evenly spaced depressions for altars and stone hooks where the priests hung their raiment. The most striking feature about the temple is how tiny it is; like those at Machu Picchu, it could fit perhaps 20 worshipers and had very little of the architectural grandeur of a mosque, a church or a synagogue. But then, an attempt at human grandeur here, in the shadow of the jagged jungle peak Corihuayrachina and facing arid, domelike mountains so gargantuan they make clouds look small, would seem redundant at best.
Although Choquequirao is more spread out than Machu Picchu, and therefore less photogenic, the promontory on which it lies reaches its zenith with a ceremonial hill behind the plaza, a smaller version of the rugged mountain seen in every photograph of Machu Picchu. The hike up takes just a few minutes but affords a 360-degree view of the ruins and the surrounding landscape. The curious feature of the hill is that it was scalped, flattened and denuded of vegetation by the Incas so their priests could perform rituals there.
On the other side of the plaza, the city climbs steadily uphill following a carved stone aqueduct where water will again flow in a few years as restoration progresses. It soon reaches a zigzag set of terraces resembling a giant’s staircase. Obsessed as they were with building cities on top of mountains, the Incas developed terraces like these to grow crops. Choquequirao has quite a few scattered about, long rice-paddy-like structures imposing angular order on the wild cliffs, but these narrower terraces were special. The priests probably used them to grew the special coca that figured heavily in their rituals. (Modern Andean peoples still use the coca leaf, not to make cocaine but for the mildly euphoric coca tea that appears to occupy the same space in their culture as our coffee, alcohol and aspirin wrapped into one.)
A path from the central plaza leads to the residential district, a complex of newly exposed simple four-walled houses that the jungle is already doing its best to reclaim. The place had a creepy “Indiana Jones and the Temple of Doom” vibe, heightened by the rustling of unknown animals in the brush. That glancing-over-your-shoulder fear, the sort of adrenaline rush you hope for at ancient ruins, is still attainable at Choquequirao.
My favorite structures were the peaked-roof houses between the central plaza and the priest’s section above. Missing only the straw thatch above to be livable (and perhaps a couch or two), they were the largest buildings in the site. Inside one, I lay on my back on the neatly trimmed grass floor and reveled in the interlocking Incan stonework — and the silence. All that day, my group saw only six other visitors at Choquequirao. I could have lain smack in the center of the central plaza, which at Machu Picchu is strictly off limits, and no one would have bothered me.
Choquequirao truly is the lost city of the Incas. In the days of the Spanish conquest, Choquequirao became the principal religious center for the last-gasp Inca state, but its name does not appear in any of the chronicles of the age. Mr. Ziegler theorizes that the Incas did not want the Spanish to know it existed; in fact, they never did find the city. When it was abandoned in the late 16th century, it just shut down, tools left in place for archaeologists like Mr. Ziegler to find hundreds of years later, “like someone just turned out the light and walked away overnight,” he said. The first Westerner to visit was Juan Arias Díaz, a Spanish explorer who arrived in 1710.
Later in the day, I saw a man in a denim shirt and a broad-brimmed hat studying some papers against the low stone wall. I asked him if he was an archaeologist. He shook his head and said something in Spanish that I didn’t catch, and then tried again, saying in heavily accented English, “You know: ladies and gentleman!”
His name was John Chavez, and he was an entertainer hired by the Peruvian government to greet tourists and show them the central plaza. But he was still learning the ropes. Every time I asked a question, he looked down at his notes, which were highlighted and annotated like a high school history textbook, and then gave me an answer that was muddled, incomplete or occasionally wrong.
I found his incompetence oddly thrilling. For all the stories I’ve heard from older travelers about how the great sites of the world felt before they became household names — Angkor Wat, Prague, Machu Picchu — I finally had one of my own: “I was at Choquequirao when even the tour guides didn’t know what they were doing.”
VISITOR INFORMATION
Flights to Cuzco generally involve a change in Lima. Early July flights on LAN Peru from Kennedy Airport in New York were recently available at about $1,110.
Several travel agencies in Cuzco organize tours to Choquequirao with pre-arranged accommodation, transportation, guides and mules or horses, typically for about $300 to $400. SAS Travel on the Plaza de Armas has a good reputation (51-84-255-205; www.sastravelperu.com).
To tour on your own, hire a taxi to Cachora from Cuzco ($40 to $50 one way), leaving early in the day (or the driver won’t want to take you). You can pre-arrange a return with your driver, but it’s not necessary.
In Cachora, stay at the Casa de Salcantay, a small new hostel in a Dutch climber’s highly aesthetic home, complete with tulips ($22 a person per night, including breakfast. www.salcantay.com). Jan Willem van Delft, the proprietor, speaks perfect English and will help you arrange mules and horses ($7 to $10 a day each) and a mule-driver.
Along the trail there are campsites every few hours, some government-run, others belonging to villagers, with very small or no fees. If you don’t like one site, you have to hike a few hours to the next. If you arrange your trip in Cachora, your mule driver will be an adequate guide.
ETHAN TODRAS-WHITEHILL’S last story for Travel was about New Age spirituality tours in Egypt.

Saturday, June 2, 2007

Carolina.......

Last weekend we headed down on Friday for the beach. We got a house for the beach the Monday before. All the roommates signed up, as did 4 guys from Langley Ward. Friday night the drive down I-95 went pretty well. We got there about midnight and went down to the beach to hang out. On Saturday we hung out with about 500 or so other Mormons. Sunday, Kell and I went to Hatteras. Monday, we went back to the beach and then drove on back. We saw dolphins, Sara saved a couple of skates, a few lighthouses, spent some time in the water, played on the beach, strained a foot muscle, got a little sun, played some games, talked, flirted, skimboarded and slept on the beach. All in all a great weekend.