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    IN June 2009, the adjutant generalof the Vermont National Guard satin a wood-paneled brieng room at

    Ramstein Air Force Base for an updateon the African nation of Senegal.

    Air Force Maj. Gen. MichaelDubie was making oce calls with staat U.S. Air Forces in Europe and 17thAir Force.

    For 14 years, the Vermont Na-tional Guard has been in the NationalGuards State Partnership Programwith the Balkan nation of Macedo-nia, part of the former Yugoslavia,and now Vermont also is partneredwith Senegal.

    USAFEs area of responsibilityincludes Macedonia, and 17th AirForce supports U.S. Africa Com-mand, which includes Senegal.

    Adjutant generals are increas-ingly looking to Africa as theNational Guards 16-year-old,62-nation State Partnership Pro-gram expands.

    Seven nations in Africa Commandspurview have partnerships and twomore are on the horizon.

    e seven include: California andNigeria, New York and South Af-rica, North Carolina and Botswana,North Dakota and Ghana, Utah andMorocco, Vermont and Senegal andWyoming and Tunisia.

    Partnerships with Liberia andKenya are expected to be announcedin the coming months, Guard ocials

    said.Adjutant generals view oce calls

    like the one Dubie made as mandatorystops as they pursue SPP activities withtheir partner nations. e NationalGuard is one part of a larger team benton improving partnership capacity.

    Were talking about the integra-tion between what their mission isin their area of responsibility and theState Partnership Program, Dubieexplained. e State Partnership

    Program is one of the tools in their toolkit to further their goaleither on abilateral or a multilateral basisandwe want to work on a collaborativebasis and be an asset for (combatantcommands) to accomplish whatever the(combatant commanders) goals are.

    Macedonia is within U.S. Euro-pean Command, which watched Africauntil it spawned the creation of AFRI-COM last year, a separate combatantcommand headed by Gen. William E.Ward, himself once EUCOMs deputycombatant commander.

    It was with EUCOM nations thatthe SPP started back in 1993, follow-ing the collapse of the Iron Curtain.State partnerships foster military-to-military, military-to-civilian and

    Guard partnershipsspread in Africa

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    ree years ago, Peter Kibet trans-ferred from the Kenyan health minis-try to the Walter Reed Project, whatUSAMRU-K is known as locally. Now,as Kerichos laboratory director, Kibet,35, oversees a variety of programs, toinclude a current study into HIV.

    e patients of interest are thosehighly at risk for acquiring HIV, com-mercial sex workers and truck drivers,Kibet said. Basically, were trying tobetter understand the science behindHIV at the early stages of infection.

    Young women, all volunteerparticipants, wait for the phlebotomist

    in a nearby tent. At rst a large bloodsample is drawn and tested, followedby twice-weekly small samples. isgives researchers the ability to captureHIV infection within a few days, Kibetsaid.

    Inside the blood-drawing tent,Janet, a 23-year-old woman from Keri-cho, wears a heated mitt that makes iteasier for phlebotomist David Wekuloto extract blood from veins in herhands. Wekulo, 34, from Kakamega,

    Kenya, joined WRP in 2009 after hear-ing of its successful research projects.When he and his colleagues in thenearby USAMRU-K laboratoryKe-nyas only clinical research lab certiedby the College of American Patholo-gistslearn that a volunteer is HIVpositive, its sad news, Wekulo said.

    Still, its good theynd out asearly as possible so there are ways to in-tervene, Wekulo said. Once enrolledin the study, they have access to medi-

    cal care and social services through theWalter Reed Project.

    In Kericho, USAMRU-Ks primaryobjective is evaluating HIV candidatevaccines to support the developmentof a globally eective HIV vaccinetoprotect U.S. military servicemembers,the local community and people world-wide, said Dr. Douglas Shaer, a U.S.Army civilian who serves as director inKericho.

    In recent years, the research wascoupled with comprehensive HIVcare and treatment, an USAMRU-Kinitiative funded the through the U.S.

    Presidents Emergency Plan for AIDSRelief. In 2003, Congress authorizedPEPFAR to provide millions of dollarsin the ght against HIV/AIDS, tuber-culosis and malaria. In 2008, Congressreauthorized the plan, providing $48billion over ve years.

    In Kericho, that meant increasingtheir ability to care for people infectedwith HIV. As recent as six years ago,HIV care in the South Rift Valleycould rarely be found. In fact, less than

    two dozen people in the Kericho areareceived anti-retroviral treatment forHIV in 2004. Now, with help fromUSAMRU-K and PEPFAR funds,more than 40,000 Kenyans receive careand treatment, Shaer said.

    Care is now oered at 13 primarysites, normally in district hospitals and36 satellite clinics set up in rural healthcenters. ere are also 242 centersfor expectant motherskey sites forwomen to learn their status and pre-

    vent transmission to their unborn childwith proper treatment, Shaer said.

    We couldnt do HIV researchwithout meeting the needs of thiscommunity. PEPFAR provided muchneeded funding, Shaer said. In-tegrating HIV research and oeringcomprehensive care meets our ethicalobligation to the local people and fromthat we have gained community trust.

    Connecting with Kenyans aectedby HIV also happens on a much morepersonal level. USAMRU-Ks HIV pro-gram extends to teens at the KerichoYouth Center, where adolescents learn

    about HIV infection and preventionthrough peer-to-peer education. ePEPFAR-funded program also reachesyoung people at the nearby Live WithHope Center, which helps orphans andother vulnerable children.

    During Walters visit, he alsostopped at the Agape Childrens Home,an orphanage where a couple dozenchildrenfrom toddlers to teenslive with HIV often contracted fromparents who succumbed to the disease.

    Inside, Walter met Grace Soi, a formerschool teacher who was grateful tomeet Shaer and other WRP stawhorecommend correct anti-retroviraltreatment for the kids. Soldiers alsobring them presents and milk fromcows kept near USAMRU-Ks Kerichoguesthouse, she said.

    ey dont directly fund usbutthey help morally and at times nan-cially though personal donations fromAmerican visitors Walter Reed brings

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    when they stop by, Soi said. eyvegiven me so much advice on how tocare for the children. ats been agreat help to Agape.

    Childrens covered coughs remindvisitors how their small charcoal rebarely heats the crowded room wherethey gather. Some kids get up andperform a song for Walter. Teenagegirls giggle amongst themselves. Tinyeyes from the smaller ones sparkle inamazement at the Soldier who sitsamong them.

    Talking later about the fate of theAgape children nearly brings Walter totears, no doubt in part because he hasfour kids of his own.

    Seeing orphans with HIV brings itall full circle. Were studying infectiousdisease; they are the reason we do whatwe do, Walter said. Its sad becausechildren suer from a disease we cantreat, but not yet cure. But, as a Soldierand a medical researcher, it rejuvenateswhy you serve. You want to tackle it,

    hit the bench again. Despite the longhours in the lab, youre motivated to xsomething, to nd a solution.

    USAMRU-K has a staof 10Soldiers, two Army civilians and morethan 400 Kenyan contractorsa mixof doctors, nurses, scientists and labo-ratory technicians, who work togetherto research, test and prevent disease.ey collaborate with Kenyan healthocials, U.S. civilian and militaryorganizations, private companies and

    universities, plus nongovernmentalorganizations and non-prot founda-tions. With the establishment of U.S.Army Africa, USAMRU-K is now co-ordinating its established missions withnew Army initiatives on the continent.

    U.S. Army ocers on tour in Ke-nya live in rented housing, often withtheir families. Oduty, they spendtime together. One night in Kericho,soccer fans gathered at Shaers houseto watch Liverpool beat ManchesterUnited over a Tusker beer and tradi-

    tional Kenyan ugali(boiled corn our).Some, like Maj. Eric Lee, 38, of

    Pocatello, Idaho, are on short tours tostudy a specic topic. In Lees case, itsdiarrhea. At the Kericho guesthouse,Lee updates Walter on his workaproject on surveillance of diarrhealpathogens throughout Kenya.

    If we have U.S. Soldiers come toan environment that their bodies arenot used to, then having a survey ofdiarrheal pathogens is extremely impor-

    tant, Lee said.Walters next stop is Kisumu, a

    90-minute drive from the highlandsnear Kericho to the shores of Lake Vic-toria. He parks in front of the Kisumueld station, adjacent to the Kon-dele Childrens Hospital, which wasdedicated in August 2006 by then-Sen.Barack Obama.

    Kisumu is the hub of Nyanzaprovince along Lake Victoria. e areais the heartland of the Luo people in

    Kenya. President Obamas father camefrom the area and some of his paternalfamily still lives nearby. In Kisumu,researchers are mainly focused on ma-laria, studying potential vaccines andthe ever-changing parasites that causethe disease. Currently, USAMRU-K istaking part in a vaccine trial that mayproduce the worlds rst malaria vac-cine for children.

    Maj. Charla Gaddy runs a labora-tory that processes blood, urine, stooland other samples from people taking

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    part in USAMRU-K researchup to100 tests a day. She and her Kenyancolleagues make an impact on the livesof research participantsvery youngchildren who receive free health carefor the duration of the three-year study,known to researchers at MAL-55.

    As a Soldier, a research scientistand a medical professional, I get to seethe impact that USAMRU-K is havingon the lives of people in western Ke-nya, Gaddy said. Medicine that thesekids dont normally get impacts their

    lives positively. Some of these kids aregoing to make it to adulthood becauseof the impacts of this study.

    In the long term, Gaddy hopes thereality of a potential malaria vaccinewill make a dierence for the peopleof Kenya and beyond. Not a day goesby that Gaddy and her colleagues dontsee and feel malarias eects, from aco-worker out sick with fever to a childdying, she said.

    If this vaccine works, it will ben-

    et not only the participants, but alsothe Kenyan people and people all overthe world, Gaddy said. Im proud tobe a part of Army research that mightaect so many.

    Before heading back to Nairobi,Walter talks with Maj. Eric Wagar,director of USAMRU-Ks MalariaDiagnostics and Control Center ofExcellence, about his recent trip toNigeria. Since 2004, the center hashosted more than 500 students from

    16 African countries in an outreach toimprove the technicians ability to readblood samples for malaria diagnosis.

    e program has expanded to oermalaria microscopy instructions andmentorship in Nigeria and Tanzania,Wagar said.

    Walter and Wagar head to thecantina, where they have lunch besidecolleagues from the U.S. Center forDisease Control and Prevention andKenya Medical Research Institute,who are integral partners for medical

    studies in Kenya. Catching up withthem is Capt. Jerey Clark, 34, freshfrom his entomology researchcatch-ing, growing and studying everythingfrom mosquitoes to sand ies. ePennsylvania-natives insect-bornedisease research helps the Army betterunderstand diseases like malaria.

    e best cure is prevention; thatsour motto in preventative medicine,Clark said. If we focus on controllingthe vector, we could get rid of malaria

    itself.Saying farewell to his colleagues,

    Walter heads eastward back to Nairobi.Along the way, hes reminded whySoldiers are hard at work combatingdiseases in East Africa. USAMRU-Kprojects are making an impactnotonly with U.S. military force healthprotection, but also with the Kenyanpeople, Walter said.

    You can walk into any one of ourclinics, any day, and be touched by

    what you see, Walter said at reallysticks with you. You go home, look atyourself in the mirror and say, I didthe military things, but I also made animpact on someones life. !

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    AS Yilma Belachew gazed upon memorial stones honoring fallen Ethiopiancomrades, his memories drifted back to bodies rolling down a hillside in

    Korea, where he fought alongside U.S. Soldiers.Belachew, then a 20-year-old captain with the Kagnew Battalion, was among

    United Nations troops who fought communist forces on the Korean peninsula.is year marks the 60th anniversary of the start of that conict.

    We went with Americans to the front line and fought together, Belachewsaid. From that, we helped a great nation, Korea, to survive.

    Minutes earlier, Belachew welcomed U.S. Army Africa ocers to the Ethiopi-ans Korea War Veterans Association museum and memorial, tucked within a parkin Addis Ababa, the Ethiopian capital. It was the rst time hed seen U.S. troops insix decades.

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    At 79, Belachews eyesight is fail-ing, yet his memories are sharp. Hepointed to a large battle map on themuseum wall as he told his story. I cansee all the events in Korea, Belachewsaid. I see everything clearly.

    In June 1950, when the KoreanWar began, the U.N. built a coalitionto ght against communist North Ko-rean and Chinese forces. Haile Selassie,then emperor of Ethiopia, formed theKagnew Battalions from his personal

    bodyguards, Belachew said. Duringthe war, three Kagnew battalions servedin Korea. Another arrived following thecessation of hostilities.

    Ethiopian troops sailed fromDjibouti, training shipboard duringthe three-week journey. At Pusan, theywere attached to the U.S. 7th Infan-try, working with the 32nd InfantryRegiment. en they marched intocombat, ghting alongside AmericanSoldiers, Belachew said.

    When we were in the frontline.I admired the American Army.eywere very good Soldiers, Belachewsaid. When theyght, theyght.When they enjoy, they enjoy. I likedthat.

    Belachew fondly remembers patrolswhen U.S. Soldiers brought dogs along.Other times, he and his fellow Ethio-pians relied upon U.S. tactics during

    operations, he said.When you went on patrol, you

    depended on (U.S.) support for artil-lery and air support, Belachew said.

    Embedded in Belachews memo-riesweeks oferce combat in late-1952, when U.N. forces came to deathgrips with the enemy on the steepslopes of Triangle Hill during Opera-tion Showdown.

    e longest ght I saw wasTriangle Hill, almost a month we were

    ghting on that one, you could seebodies rolling down to the bottom,Belachew said. A great ght was donethere. We fought continuously day andnight.

    One day during battle, a battalionoperations ocer visited Belachew,who was commanding a 75-mm recoil-less rie team, to discuss division ordersto muster an ambush patrol. A platoonleader fell ill and Belachew was askedto lead the Kagnew patrol into enemy

    territory, he said.So, I took 14 men with me and

    fought. I was successful, Belachewsaid. I met the Chinese and foughtthem without any of my Soldierswounded. We brought one body withweapons back to our front line.

    In 1952, 21-year-old MelesseTessema shipped out for a year-longcombat tour in Korea. Six decades have

    Kagnew veteransshare memories of

    Korean Warpassed and the names of Americansthat Tessema served with are lost. Butmemories of comradeship remain.

    e American battalion was verybrave, Tessema said. I admired them.

    During the ghting, 122 Ethiopiantroops were killed, 526 were wounded,said Tessema, who now serves as chair-man of the Ethiopian Korean WarVeterans Association.

    We knew there was going to besacrice. But this sacrice was not for

    nothing. It was for peaceand liberty, Tessema said.My friends, they gavetheir lives for historyand for the freedomof human beings.

    Over theyears, Tessemavisited the Statesseveral times,where he hasmet U.S. vet-

    erans of Korea.Like manyaging veteransof conicts past,Tessema worriesthat the sacriceshis comrades madefor liberty will beforgotten if the storiesof their bravery

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    U.S. experiences.In October 2009, USARAF began

    oversight of the partnership program.e course sets a strong example forfuture engagements on the conti-nentsmall teams working low-cost,high-impact missions, allowing partnernations to grow in their own way anddevelop programs that work for them,Torno said.

    USARAF now augments the teamseorts as part of ongoing guest lecture

    series. Guest speakersArmy ocersfrom both active-duty and reserveunitshave oered insight into key

    topics senior leaders face, from legal is-sues and public aairs, to civil-militaryrelations and counterinsurgency opera-tions.

    During a recent stop in the Ethio-pian capital to meet with senior U.S.embassy and Ethiopian leaders, Maj.Gen. William B. Garrett III, com-mander of USARAF, visited the school,taking part in a class and chatting withEthiopian instructors and students.

    He oered his knowledge and ex-

    pertise as a combat brigade commanderand an Army service-componentcommander to classes on air power and

    tactical logistics, Torno said. Sincethen, dozens of students ask when hescoming back, as they have more ques-tions for him.

    Ethiopia faces modern securityissues, within the region and as a partof a larger partnership of African andinternational nations, Torno said.

    Were impacting the next twogenerations of Ethiopias senior militaryleadership, Torno said. Plus, wecreate a common language for future

    military cooperation with Ethiopia andstrengthen their ability to work as aregional partner."!

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    WHEN 1st Lt. VictoriaLynn Watson deployed toUganda for Natural Fire 10,

    she never imagined using her labor anddelivery nursing skillsbut she did,twice.

    When a Ugandan woman, Linda,arrived in labor at Pajimo medical clin-ic, where the Army Reserve's 7225thMedical Support Unit was partner-ing with East African medics to oer

    health care to the Kitgum community,

    Watson sprang into action.During the 10-day exercise, Army

    medics ran a daily clinictreatingmore than 700 Ugandans for ailmentssuch as arthritis, minor wounds, skininfections, as well as providing dentaland optometry care. Soldiers fromUganda, Rwanda, Tanzania, Kenya andBurundi worked alongside U.S. troopsat the clinic.

    She checked her watch. It wasnearly 2:30 p.m. when medics hurried

    the 19-year-old expectant mother from

    the clinic gates, where hundreds hadgathered to receive care.

    While delivering a baby was notplanned, the Pajimo clinic stas a mid-wife and Watson was eager to assist.

    "is is what I do. I'm a laborand delivery nurse in my civilian job,"Watson, an Abiline, Texas, native, said,hurrying past Ugandan families clutch-ing medicines and awaiting dentalcheck-ups. "is is what I live for."

    Once in the clinics maternity

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    of any pain medicine. Sweat beaded

    on her face, veins throbbed along herneck. She would lay calm, then moansoftly and slap the nearby wall. Hindsgrabbed a cloth, patted her face andheld her hands through contractions.

    "Most girls in the States would beyelling and hollering by now," Watsonsaid.

    Unlike in the States, the clinic hadno monitors, electrical gadgetry or airconditioning. It did have clean water,sterilized equipment and a trained mid-

    wife, plus her U.S. counterparts.

    It was around 4 p.m., when themother groaned and slapped the wallagain.

    "She's in second stage," Watsonsaid. "All she has to do now is push."

    A few minutes passed, the motherbegan to pushHinds held her handand continued to comfort her.encame a loud cry from a healthy babyboy. It was 4:30 p.m.

    Watson wiped him down. Hewaved his tiny hands and stared

    around the room with large, alert eyes.

    Lamono tied up the stump of theumbilical cord.

    "You delivered the baby, what namedid you pick for a baby boy, Lamonosaid, reminding Watson.

    Cage," Watson replied. "But Ican't name her baby. It's her baby!"

    Hinds placed the infant into hismother's arms. e new mom smiled.

    "What is she going to name him?"Watson asked. Lamono translated. emother answered, and Lamono began

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    #

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