We could be doing more to prevent vision loss for people with diabetes

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Clare Villalba, Queensland University of Technology; Anjali Jaiprakash, Queensland University of Technology, and Anthony Russell, The University of Queensland

Diabetes-related vision loss is the leading cause of blindness for working-aged Australians. Yet it’s almost entirely preventable.

A recent Australian study found only half of people with diabetes get the recommended annual eye checks.

We could be doing things better.

One of many complications

Around 1.7 million Australians have diabetes. Aboriginal and Torres Strait Islander people are three times more likely to develop diabetes than non-Indigenous Australians.

Diabetes occurs when glucose (sugar) in your blood is not converted into energy, so its level becomes too high. Blood glucose is our main source of energy and mostly comes from the food we eat.

Diabetes can be managed, for example through lifestyle modifications, medication, or insulin. Diabetes management will be a different experience for each person, and depend on the type of diabetes they have.

But the central aim is keeping blood sugar levels within a healthy range. When they’re not, people with diabetes are at higher risk of complications, which can affect all parts of the body.

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Read more:
A disease that breeds disease: why is type 2 diabetes linked to increased risk of cancer and dementia?

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The most common complication of diabetes — globally and for Australians — is eye disease.

Diabetes-related eye disease affects more than one in three people with diabetes. When left undiagnosed and untreated, it can cause vision loss and blindness.

What causes it?

Diabetes-related eye disease can occur when there is damage to the blood vessels on the retina, a thin layer at the back of the eye. This damage limits oxygen and other nutrients reaching the eye.

We need a healthy retina to be able to see.

Diabetes-related eye disease can occur when the blood vessels at the back of the eye become damaged.
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The chance of developing diabetes-related eye disease is higher for some people, including those who have high blood pressure, high cholesterol, or who have had diabetes for many years.

Worryingly, the study we mentioned above found people who had been living with diabetes for ten or more years were even less likely to get regular eye checks. Almost 80% of people in this group didn’t have the recommended annual eye check.

Prevention and treatment

When diabetes-related eye disease becomes more advanced, it can cause blurred or distorted vision and blindness. But we can prevent most diabetes-related vision loss before it reaches this stage.

Special cameras allow us to look at the retina and see if irregular spots or blood vessels are developing.

At this early stage the disease has no impact on a person’s vision. Once we detect it, we can provide timely treatment with laser therapy or injections.

But without regular eye checks, we might not know until it’s too late.

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Read more:
How Australians Die: cause #5 – diabetes

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We have made progress

Strong social impact work from the government, not-for-profits and local health services is already preventing diabetes-related eye disease from developing into vision loss and blindness in many people.

2020 Australian of the Year, ophthalmologist James Muecke, cofounded the not-for-profit Sight For All and has brought attention to the issue of preventable vision loss for people with diabetes.

The federal government is investing in a national diabetes eye screening program, as well as primary health-care technology and training to embed retinal care in 105 existing health services across Australia. But national programs can put a blanket solution over the population.

When one Aboriginal and Torres Strait Islander health-care service introduced cameras in 2008, they screened 93% of regular clients with diabetes for eye disease — a significant improvement on 16% the previous year. But we found these rates subsequently declined and by 2016, only 22% had an eye check.

We can see just having the technology in primary care is not enough. Ongoing quality improvement is integral to a successful service in the long term.

About 1.7 million Australians have diabetes.
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What else can we do?

In the case of diabetes-related eye disease, the science supporting early detection is advancing every day. But it’s not reaching those who need it the most, including Aboriginal and Torres Strait Islander people.

Having the technology, policy or medicine alone is not sufficient. We need to unlock the potential of communities, empowering everyone to have joint responsibility.

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Read more:
Words from Arnhem land: Aboriginal health messages need to be made with us rather than for us

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A model of person-centred eye care would involve:

• making screening and treatment easy to access for people with diabetes. This means addressing physical barriers, such as distance and cost, but also cultural, emotional and social barriers that might stop people from getting their eyes checked

• thinking about the screening experience, including:

  • before: how will we motivate people to get their eyes checked, especially if they’re not experiencing any problems with their vision?
  • during: how can eye checks be streamlined with regular diabetes care, and how can we make the process as seamless as possible for patients?
  • after: how do we ensure they come back every year?

• considering the experience of the diverse teams providing this care, including keeping staff well equipped, trained and motivated

• investing in researching, developing and testing the non-medical components of eye care services. For example, the reminder system, the workflow of each eye check, and how the results are delivered to patients.

We must pursue ongoing improvement of eye care that involves and empowers people with diabetes, their health teams and communities to develop services, systems, new technology and policies that meet their needs.

There is potential for us to prevent blindness in more people with diabetes.

Clare Villalba, Service Designer and Researcher (PhD), Queensland University of Technology; Anjali Jaiprakash, Senior Research Fellow and Deputy Director, Centre for Biomedical Technologies, Queensland University of Technology, and Anthony Russell, Associate Professor, Faculty of Medicine, The University of Queensland

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Vision

Australia: Liberals Have No Online Vision

The link below is to an article I just have to link to – it looks at the lack of vision in the Liberal Party for online growth in Australia.

For more visit:
http://www.lifehacker.com.au/2013/04/coalition-nbn-policy-short-term-savings-but-no-long-term-vision/

China Keeps Church Leaders from Public Worship Attempt

Police put pastors under house arrest over weekend, before detaining at least 160 on Sunday.

DUBLIN, April 11 (CDN) — Police in China held “about two dozen” pastors and elders of Beijing’s Shouwang Church under house arrest or at police stations over the weekend to keep them from attending a Sunday worship service in a public location, according to Bob Fu of the China Aid Association.

Three top leaders of the church remain in jail and several others are under strict surveillance after  hundreds of Chinese police yesterday cordoned off the walkway to a third-floor outdoor meeting area adjacent to a property purchased by the church in Haidian district, Beijing, and arrested at least 160 members of the 1,000-strong church as they tried to assemble.

The church members were bundled into waiting vans and buses to prevent them from meeting as planned in the public space, Reuters and The Associated Press (AP) reported, and most had been released by today.

Church leaders claimed officials had pressured their landlords, forcing them out of both rented and purchased locations and leaving them no choice but to worship in the open.

“The government cornered them into making this decision,” Fu said, adding that the church had initially tried to register with the government. “They waited for two years, and when the government still denied them registration, they tried to keep a low profile before finally deciding to buy the Daheng New Epoch Technology building.”

Shouwang is a very unique church, he said.

“Most members are well-educated, and they include China’s top religious scholars and even former government officials, which may be a factor in the government’s response to them,” he said.

As one of the largest house churches in Beijing, Shouwang is unique in insisting on meeting together rather than splitting the congregation into smaller groups meeting in several locations, Fu said. Zion church, for example, may have more members than Shouwang, but members meet in smaller groups across the city.

“This is based on the founding fathers’ vision for Shouwang Church to be a ‘city on a hill,’” as stated in the Bible in Matthew chapter five, Fu explained. “So they’ve made a conscious decision not to go back to the small-group model. Either the government gives them the keys to their building or gives them written permission to worship in another location, or they will continue meeting in the open.”

Police arrested anyone who showed up to take part in the service, AP reported.

 

‘Most Basic Necessity’

Church leaders last week issued a statement to the congregation explaining their decision to meet outdoors.

“It may not be the best decision, but at this time it is an inevitable one,” the statement said, before reminding church members that the landlord of their premises at the time, the Old Story Club restaurant, had come under government pressure and repeatedly asked them to leave, while the previous owners of the Daheng New Epoch Technology building, purchased a year ago by the church for 27.5 million RMB (US$4.2 million), had refused to hand over the keys. (See, “Church in China to Risk Worshipping in Park,” April 7.)

The church had already met outdoors twice in November 2009 before officials gave tacit consent to move to the Old Story Club restaurant. Officials, however, again prevented Shouwang Church from meeting in May and August of last year.

Fu said it was common for government officials across China to pressure landlords into revoking leases for house church groups.

“For example, right now I know of at least two churches that were made ‘homeless’ in Guangzhou this week, including one church with at least 200 members,” he said.

Shouwang’s statement pointed to Article 36 of China’s Constitution, which grants every citizen freedom to worship, and the Universal Declaration of Human Rights, ratified by China, which states that every citizen has the right to observe his religion or belief “either alone or in community with others and in public or private.”

For this reason the church planned to meet outdoors until officials granted legal, written permission to worship in an approved location – preferably at the building purchased by the church.

The document also advised church members not to resist if they were held under house arrest or arrested at the Sunday venue.

“Objectively speaking, our outdoor worship must deliver this message to the various departments of our government: attending Sunday worship is the most basic necessity for Christians in their life of faith,” the statement concluded.

The number of Protestant house church Christians in China is estimated at between 45 and 60 million, according to Yu Jianrong, a professor at the Chinese Academy of Social Sciences Rural Development Institute, with a further 18 to 30 million people attending government-approved churches.

Report from Compass Direct News
http://www.compassdirect.org

Egyptian Convert Endures Life at a Standstill – on the Run

Daughter unable to attend school, church; acid thrown on her jacket.

CAIRO, Egypt, May 25 (CDN) — From the mosque across the street, words blasting from minaret megaphones reverberate throughout the tiny apartment where Maher Ahmad El-Mo’otahssem Bellah El-Gohary is forced to hide. Immediately following afternoon prayers, the Friday sermon is, in part, on how to deal with Christians.

“Do not shake their hands. Do not go into their homes. Do not eat their food,” an imam shouts as El-Gohary, a convert to Christianity from Islam, looks through his window toward the mosque, shakes his head and grimaces.

“I hope one day to live in a place where there are no mosques,” he says. “How many megaphones do they need?”

For nearly two years, El-Gohary and his teenage daughter have been living in hiding because he abandoned Islam and embraced Christianity. During this time he has been beaten and forcibly detained, and his daughter has been attacked. He has had to endure death threats, poverty and crushing boredom.

Asked what gets him through the constant pressure of living on the run, El-Gohary said he wants to show the world how Christians are treated in Egypt.

“My main driving force is I want to prove to people the amount of persecution that Muslim converts and Christians face here, and that the persecution has been going on for 1,400 years,” he said.

When asked the same question, his 16-year-old daughter, Dina Maher Ahmad Mo’otahssem, pushed back tears and said one word.

“God.”

Hiding

El-Gohary, 57, and his daughter were forced into hiding shortly after August 2008, when he sued the national government to allow him to change the religion listed on his state-issued ID from Islam to Christianity.

El-Gohary followed in the footsteps of Mohammed Ahmed Hegazy, 27, also a convert from Islam, in filing an ID case because he didn’t want his daughter to be forced to take Islamic education classes or have her declared an “apostate” by Egyptian Islamic authorities if she decided to stay a Christian into adulthood. Dina is required by law to possess an ID card. The ID card is used for everything from opening a bank account to receiving medical care. The identification also determines whether Egyptians are subject to Islamic civil courts.

Dina is the daughter of El-Gohary and his first wife, who is a Muslim. El-Gohary said that before he got married, he told his future wife that one day he would be baptized as a Christian. He said he now thinks she was convinced that he would eventually turn back to Islam. Over time, she grew tired of his refusal go back on his faith and complained to El-Gohary’s family, demanding a divorce.

“She started crying. She went to my parents and my brother and said, ‘This is not going to work out, I thought that he was going to change his mind. I didn’t think he was that serious about it,’” El-Gohary said. “She started talking about it to other people to the point where they started calling me from the loudspeakers of the local mosque, asking me what I was doing and ordering me to come back and pray.”

Eventually El-Gohary married another Muslim, and over the years she became a Christian. She has fled Egypt and lives in the United States; El-Gohary hasn’t seen her since March 2009.

On April 11, 2009, El-Gohary’s lawyers presented a conversion certificate from the Coptic Church in court. He obtained the certificate under court directions after going to Cyprus, at great expense, to obtain a baptismal certificate. The next month, the State Council, a consultative body of Egypt’s Administrative Court, provided the court with a report stating that El-Gohary’s change of faith violated Islamic law. They instructed that he should be subject to the death penalty.

In February 2009, lawyers opposing El-Gohary’s case advocated that he be sentenced to death for apostasy. On June 13, 2009, a Cairo judge rejected El-Gohary’s suit.

On Sept. 17, 2009, authorities at Cairo International Airport seized his passport. He was trying to travel to China with the eventual hope of going to the United States. On March 9, 2010, the Egyptian State Council Court in Giza, an administrative court, refused to return his passport. He has another hearing about the passport on June 29.

“I think it’s a kind of punishment, to set an example to other Muslims who want to convert,” El-Gohary said. “They want me to stay here and suffer to show other converts to be afraid. They are also afraid that if they let me go, then I will get out and start talking about what is happening in Egypt about the persecution and the injustice. We are trapped in our own country without even the rights that animals have.”

Conditions

As recently as last week, El-Gohary and his daughter were living in a small, two-bedroom apartment across the street from a mosque on the outskirts of an undisclosed city in Egypt. The floor was littered with grime and bits of trash. Clumps of dust and used water bottles were everywhere.

El-Gohary had taped over the locks, as well as taped shut the inside of windows and doors, to guard against eavesdroppers and intruders. He had taped over all the drain holes of the sinks to keep anyone from pumping in natural gas at night.

Even the shower drain was taped over.

The yellow walls were faded, scuffed and barren, save for a single picture, a holographic portrait of Jesus, taped up in what qualified as a living room. El-Gohary motioned through a door to a porch outside. Rocks and pebbles thrown by area residents who recently learned that he lived there covered the porch.

“I would open the window, but I don’t want the rocks to start coming in,” he said.

El-Gohary has an old television set and a laptop with limited access to the Internet. Dina said she spends her time reading the Bible, talking to her father or drawing the occasional dress in preparation for obtaining her dream job, designing clothes.

Even the simple task of leaving El-Gohary’s apartment is fraught with risk. Every time he leaves, he places a padlock on the door, wraps it with a small plastic bag and melts the bag to the lock with a match.

El-Gohary cannot work and has to rely on the kindness of other Christians. People bring him food and water and the occasional donation. When the food runs out, he has to brave going outside.

“Our life is extremely, extremely hard. It’s hard for us to attend a church more than once because people will know it is us,” he said. “We can’t go to a supermarket more than once because we are going to be killed.”

Girl, Interrupted

Possibly the worst part for El-Gohary is watching his daughter suffer. A reflective youth with a gentle demeanor, Dina is quick to smile. But at a time when her life should be filled with friends, freedom and self-discovery, she is instead confined between four walls.

Even going to school, normally a simple thing, is fraught with dangerous possibilities. Dina hasn’t gone to school in about a year. She said that the last time she did, other students ridiculed her mercilessly, and a teacher hit her when she tried to attend religious classes for Christians instead of Muslims.

Now she and her father fear she could be beaten, kidnapped and forcibly converted, or simply killed. She can’t even go to church, she said.

“I don’t understand why I am being treated this way,” she said. “I believe in something, Christianity – I chose the religion because I love it. So why should I be treated this way?”

Dina was a little girl when she starting hearing about Jesus. Her father used to sit with her and tell her stories from the Bible, and he also told her about his conversion experience. Like her father, she cites a supernatural experience as a defining event in her faith.

One night, she said, she had a dream in which an enormous image of Jesus smiling appeared in a garden. She said the image became bigger and bigger until it touched the ground and became a golden church. She told her father about the dream, and since then she has believed in Christ.

Under Islamic law, Dina is considered a Muslim because her father was born as one. Because, like her father, Dina has decided to follow Christ, she is considered an “apostate” under most interpretations of Islamic law.

She gained national prominence in November 2009, when she wrote a letter, through a Coptic website, to U.S. President Barack Obama. She told the president that Muslims in the United States are treated much better than Copts in Egypt and asked why this was the case. She hopes the president will pressure the Egyptian government to ensure religious rights or let her and her father immigrate to the United States.

One afternoon last month, Dina was walking to a market with her father. As the two walked, El-Gohary noticed smoke and vapors coming off Dina’s jacket. The canvas was sizzling and dissolving. Someone had poured acid over the jacket. El-Gohary ripped it off her and threw it away.

“I asked people if they saw what happened and everyone said, ‘No, we didn’t see anything,’” El-Gohary said.

Luckily, Dina was not physically injured in the attack, but since then she has been terrified to go outside.

“I am very, very scared,” she said. “I haven’t gone outside since the attack happened.”

Change of Faith

El-Gohary, also known as Peter Athanasius, became a Christian 36 years ago while attending an academy for police trainees. During his second year of school, he became good friends with his roommate, a Copt and the only Christian in the academy. After watching cadets harass his roommate for praying, El-Gohary asked him why the others had ridiculed him.

“For me, it was the first time I had heard something like that,” El-Gohary said. “I didn’t have any Christian friends before, and I didn’t know about the level of persecution that takes place against Christians.”

Eventually, El-Gohary asked his friend for a Bible and took it home. His family tried to dissuade him from reading it.

“No, you can’t read the Bible,” his father told him. “It’s a really bad book.”

Undeterred, El-Gohary began reading the Bible in the privacy of his room. In the beginning, he said, the Bible was difficult to understand. But El-Gohary concentrated his efforts on the New Testament, and for the first time in his life, he said, he felt like God was speaking to him.

El-Gohary read the account of Jesus meeting the woman caught committing adultery, and the level of mercy that Jesus showed her transformed him, he said.

“Jesus said, ‘If anyone among you is without sin, then let him throw the first stone.’ The amount of forgiveness and love in this story really opened my eyes to the nature of Christianity,” El-Gohary said. “The main law that Jesus talked about was loving God ‘with all your heart, soul and mind.’ The basis of Christianity is love and forgiveness, unlike Islam, where it is based on revenge, fighting and war.”

Also, El-Gohary said, when he compared the two religions’ versions of heaven, he found that the Islamic version was about physical pleasure, whereas for Christians it was about being released from the physical world to be with God.

El-Gohary said his decision to follow Christ was final after he had a brilliant vision of light in his bedroom at his parents’ home, accompanied by the presence of “the peace of God.” El-Gohary said at first he thought he was seeing things, but then his father knocked on the door and demanded to know why the light was on. He told his father he was looking for something.

Persecution Begins

As a budding Christian convert, El-Gohary went back to the police academy and learned as much as he could about Christ and the Bible from his roommate. Persecution wasn’t long in coming.

One day an upperclassman spotted El-Gohary absent-mindedly drawing a cross on a notebook. The cadet sent El-Gohary to a superior for questioning.

El-Gohary avoided telling academy officials that his roommate had taught him about Christianity, but a captain at the school was able to piece together the evidence. The captain called El-Gohary’s father, a high-ranking officer at the academy, who in turn told the captain to make the young convert’s life “hell.”

Officials were imaginative in their attempts to break El-Gohary. He had to wake up before all the other students. He was ordered to carry his mattress around buildings and up and down flights of stairs. They exercised El-Gohary until he was about to pass out. Then they forced him to clean bathroom facilities with a toothbrush.

El-Gohary was not swayed from Christ, but he decided he couldn’t stay in what he said is the agency that “is the center of persecution against Christians” in Egypt. He tried numerous times to resign, but officials wouldn’t let him. Then he tried to get kicked out. Eventually, officials suspended the police cadet and sent him home for two weeks. At home, his family had a surprise waiting; they had hired an Islamic scholar to bring him back to Islam.

The scholar started by yelling Islamic teachings into El-Gohary’s ears, then moved on to write Quranic verses on his arms. El-Gohary remained seated and bore the humiliation in silence. Suddenly El-Gohary stood up, pinned the man against a wall and started yelling at him; the convert had caught the distinct smell of burning flesh – when he looked down at his arms, El-Gohary saw the scholar burning his hands with thin, smoldering iron rods.

“I said, ‘Enough! I have tolerated all of your talk. I have listened to all you have said, but this has gone too far,’” El-Gohary recalled. “The man said I had a ‘Christian demon’ inside me.”

Hope

As bad as things have been for El-Gohary and his daughter, their dedication seems rock-solid. They said they have never regretted their decisions to become Christians.

El-Gohary said that eventually, he will triumph.

“By law, my circumstance will have to change,” he said. “I have done nothing illegal.”

Dina is not so sure; she said she doesn’t feel like she has a future in Egypt, and she hopes to move to a place where she can get an education.

Whatever happens, both El-Gohary and his daughter said they are prepared to live in hiding indefinitely.

“There are days that I break down and cry, but I am not giving up,” Dina said. “I am still not going back to Islam.”

Report from Compass Direct News 

Anti-Christian Sentiment Marks Journey for Bhutan’s Exiles

Forced from Buddhist homeland, dangers arise in Hindu-majority Nepal.

KATHMANDU, Nepal, February 23 (CDN) — Thrust from their homes in Bhutan after Buddhist rulers embarked on an ethnic and religious purge, Christian refugees in Nepal face hostilities from Hindus and others.

In Sunsari district in southeastern Nepal, a country that is more than 80 percent Hindu, residents from the uneducated segments of society are especially apt to attack Christians, said Purna Kumal, district coordinator for Awana Clubs International, which runs 41 clubs in refugee camps to educate girls about the Bible.

“In Itahari, Christians face serious trouble during burials,” Kumal told Compass. “Last month, a burial party was attacked by locals who dug up the grave and desecrated it.”

Earlier this month, he added, a family in the area expelled one of its members from their home because he became a Christian.

Bhutan began expelling almost one-eighth of its citizens for being of Nepali origin or practicing faiths other than Buddhism in the 1980s. The purge lasted into the 1990s.

“Christians, like Hindus and others, were told to leave either their faith or the country,” said Gopi Chandra Silwal, who pastors a tiny church for Bhutanese refugees in a refugee camp in Sanischare, a small village in eastern Nepal’s Morang district. “Many chose to leave their homeland.”

Persecution in Bhutan led to the spread of Christianity in refugee camps in Nepal. Though exact figures are not available, refugee Simon Gazmer estimates there are about 7,000-8,000 Christians in the camps – out of a total refugee population of about 85,000 – with many others having left for other countries. There are 18 churches of various faiths in the camps, he said.

“Faith-healing was an important factor in the spread of Christianity in the camps,” said Gazmer, who belongs to Believers’ Church and is awaiting his turn to follow five members of his family to Queensland, Australia. “A second reason is the high density in the camps.”

Each refugee family lives in a single-room hut, with one outdoor toilet for every two families. The Nepalese government forbids them to work for fear it will create unemployment for local residents.

Life was even harder for them before 2006, when Nepal was a Hindu kingdom where conversions were a punishable offence.

“When I began preaching in 2000, I had to do it secretly,” said Pastor Silwal of Morang district. “We could meet only surreptitiously in small groups. I used my hut as a make-shift church while many other groups were forced to rent out rooms outside the camp.”

A fact-finding mission in 2004 by Brussels-based Human Rights Without Frontiers found that police pulled down a church structure built by Pentecostal Christians in the Beldangi camp by orders of Nepal’s home ministry. The rights group also reported that Hindu refugees ostracized the Christians, who had proceeded to rent a room outside the camp to meet three times a week for worship services and Bible study.

When the Jesus Loves Gospel Ministries (JLGM) organization sent officials from India to the Pathri camp in Morang in 2006, they found that local residents resentful of the refugees had taken note of a baptism service at a pond in a nearby jungle.

“In August, we were planning another baptism program,” JLGM director Robert Singh reported. “But the villagers put deadly poisonous chemicals in the water … Some of the young people went to take a bath ahead of our next baptism program. They found some fish floating on the water and, being very hungry – the refugees only get a very small ration, barely enough to survive on – they took some of the fish and ate them. Three of them died instantly.”

Singh also stated that poisoned sweets were left on the premises of the refugee school in the camp. They were discovered in time to avert another tragedy.

Life for Christian refugees improved after Nepal saw a pro-democracy movement in 2006 that caused the army-backed government of Hindu king Gyanendra Bir Bikram Shah to collapse. The king was forced to reinstate parliament, and lawmakers sought to curb his powers by declaring Nepal a secular state.

Though Christian refugees are now allowed to run churches openly in the camps, ill will toward them has yet to end. When Pastor Silwal asked camp authorities to allow him to open a church in 2006, Hindu neighbors protested, saying it would cause disturbances. Camp authorities allowed him to open a tiny church in a separate room on the condition that its activities would not disturb neighbors.

Earlier in his life in Bhutan, said the 40-year-old Pastor Silwal, he had been a stern Hindu who rebuked his two sisters mercilessly for becoming Christians. He forbade them to visit their church, which gathered in secret due to the ban on non-Buddhist religions in place at the time. They were also forbidden to bring the Bible inside their house in Geylegphug, a district in southern Bhutan close to the Indian border.

“I became a believer in 1988 after a near-death experience,” Pastor Silwal told Compass. “I contracted malaria and was on the verge of death since no one could diagnose it. All the priests and shamans consulted by my Hindu family failed to cure me. One day, when I thought I was going to die I had a vision.”

The pastor said he saw a white-robed figure holding a Bible in one hand and beckoning to him with the other. “Have faith in me,” the figure told him. “I will cure you.”

When he woke from his trance, Silwal asked his sisters to fetch him a copy of the Bible. They were alarmed at first, thinking he was going to beat them. But at his insistence, they nervously fetched the book from the thatched roof of the cow shed where they had kept it hidden. Pastor Silwal said he tried to read the Bible but was blinded by his fever and lost consciousness.

When he awoke, to his amazement and joy, the fever that had racked him for nearly five months was gone.

Pastor Silwal lost his home in 1990 to the ethnic and religious purge that forced him to flee along with thousands of others. It wasn’t until 1998, he said, that he and his family formally converted to Christianity after seven years of grueling hardship in the refugee camp, where he saw “people dying like flies due to illness, lack of food and the cold.”

“My little son too fell ill and I thought he would die,” Silwal said. “But he was cured; we decided to embrace Christianity formally.”

Homeless

In 2001, Bhutan4Christ reported the number of Bhutanese Christians to be around 19,000, with the bulk of them – more than 10,500 – living in Nepal.

When persecution by the Bhutanese government began, frightened families raced towards towns in India across the border. Alarmed by the influx of Bhutanese refugees, Indian security forces packed them into trucks and dumped them in southern Nepal.

Later, when the homesick refugees tried to return home, Indian security forces blocked the way. There were several rounds of scuffles, resulting in police killing at least three refugees.

Simon Gazmer was seven when his family landed at the bank of the Mai river in Jhapa district in southeastern Nepal. Now 24, he still remembers the desolation that reigned in the barren land, where mists and chilly winds rose from the river, affecting the morale and health of the refugees. They lived in bamboo shacks with thin plastic sheets serving as roofs; they had little food or medicine.

“My uncle Padam Bahadur had tuberculosis, and we thought he would die,” said Gazmer, who lives in Beldangi II, the largest of seven refugee camps. “His recovery made us realize the grace of God, and our family became Christians.”

The plight of the refugees improved after the U.N. High Commissioner for Refugees (UNHCR) stepped in, receiving permission from the government of Nepal to run the refugee camps. According to the UNHCR, there were 111,631 registered refugees in seven camps run in the two districts of Jhapa and Morang.

Though Nepal held 15 rounds of bilateral talks with Bhutan for the repatriation of the refugees, the Buddhist government dragged its feet, eventually breaking off talks. Meantime, international donors assisting the refugee camps began to grow weary, resulting in the slashing of aid and food. Finally, seven western governments – Canada, Norway, Denmark, New Zealand, Australia, the United States and the Netherlands – persuaded Nepal to allow the refugees to resettle in third countries.

The exodus of the refugees started in 2007. Today, according to the UNHCR, more than 26,000 have left for other countries, mostly the United States. A substantial number of the nearly 85,000 people left in the camps are ready to follow suit.

Although they now have a new life to look forward to, many of Bhutan’s Christian refugees are saddened by the knowledge that their homeland still remains barred to them. So some are looking at the next best thing: a return to Nepal, now that it is secular, where they will feel more at home than in the West.

“I don’t have grand dreams,” said Pastor Silwal. “In Australia I want to enroll in a Bible college and become a qualified preacher. Then I want to return to Nepal to spread the word of God.”  

Report from Compass Direct News 

Muslim Relatives of Sudanese Christian Woman Pursue Her, Son

Native of Khartoum lives in seclusion in Egypt as brother, ex-husband hunt for her.

NAIROBI, Kenya, December 10 (CDN) — A Sudanese woman who fled to Egypt after converting from Islam to Christianity is living in secluded isolation as her angry family members try to track her down.

Howida Ali’s Muslim brother and her ex-husband began searching for her in Cairo earlier this year after a relative there reported her whereabouts to them. While there, her brother and ex-husband tried to seize her 10-year-old son from school.

“I’m afraid of my brother finding us,” said the 38-year-old Ali, who has moved to another area. “Their aim is to take us back to Sudan, and there they will force us to return to the Islamic faith or sentence us to death according to Islamic law.”

Ali said she divorced her husband, Esam El deen Ali, because of his drug addiction in 2001, before she converted to Christianity. She was living with her parents in Khartoum when she began seeing visions of Christ, she said.

“In 2004, I started to see a vision of Christ speaking to me,” she told Compass. “When I shared it with my friend, who is a Muslim, she said that she used to hear these things from Christians.”

This comment spurred her to seek out a Christian friend from southern Sudan, who told her about Jesus Christ and prayed with her.

“After that time, I begun to see more visions from Christ saying, ‘He is Christ the Good Shepherd,” she said.

Fearing that relatives might discover she was a Christian, in 2007 she escaped with her then-8-year-old son. Previously the family had tried to stop her from leaving on grounds that she should not travel unescorted by an adult male relative, and because they disapproved of her divorce.

“They destroyed my passport, but through the assistance of a Christian friend, I acquired a new passport and secretly left,” she told Compass by e-mail.

Her peace in Egypt was short-lived; earlier this year, while Ali secretly attended church as she stayed with a Muslim relative in Cairo, the relative found out about her conversion to Christianity and notified her brother and ex-husband in Sudan.

They arrived in Cairo in July. She had found lodging at All Saints’ Cathedral, an Episcopal church in Cairo that houses a refugee ministry, but as it became clear that her brother and ex-husband were searching for her, refugee ministry officials moved her and her son to an apartment.

Ali said her brother and ex-husband sought to kill her for apostasy, or leaving Islam – with the support of relatives back in Sudan and others in the community, members of the Shaingia tribe who practice a strict form of Islam.

“Life became very difficult for me,” she said.

The Rev. Emmanuel S. Bennsion of All Saints’ Cathedral confirmed that Ali’s ex-husband and brother were acting on a tip from one of Ali’s relatives when they came searching for her in Cairo. They went to her son’s school to take him back to Sudan. It was a Christian school, and the director refused to hand the boy over to them, Bennsion said.

“Since that time, she has started hiding and become afraid,” Bennsion told Compass.

Ali had received financial support from family in Sudan through the relative in Cairo who notified her family of her conversion; that support has since vanished.

Fearing forcible repatriation to Sudan, Ali tried to go to Israel; Egyptian authorities arrested her at the border and jailed her for two months. During that time, she said, her son was put in an Islamic children’s home. A Muslim family had adopted him, but she was able to win back custody after leaving jail in October.

“We have stopped going out of the apartment or even going to church,” she said. “My son can no longer go to school daily as before. We cannot live our lives as before. I cannot now participate in the Bible study or fellowships – I’m now depending only on myself for growing spiritually, and for prayer and Bible study.”

She said her only hope for living her faith openly in Christian community is to secure asylum to another country that guarantees religious freedom.

Report from Compass Direct News 

Massive Dust Storm

I was moving all of my gear out of storage today and found myself immersed in dust and in the midst of a howling gale. It was ferocious to say the least.

The video below is vision of the storm system hitting Broken Hill in the east of New South Wales.

 

And the footage below is what it was like near where I live. The footage does not show how strong the gale was at its peak.

 

Hindu radicals threaten persecution; Christians start radio program

Hindu extremists in Nepal have threatened to use 1 million bombs against Christians in the country unless they stop sharing the Gospel and leave, Compass Direct reports.

The Nepal Defense Army’s statement, released shortly after the bombing of Nepal’s largest Roman Catholic church, gave “Nepal’s 1 million Christians a month’s time to stop their activities and leave the country,” reports MNN.

Most recent estimates by Voice of the Martyrs indicate that the number of Christians in the country may be closer to 500,000, or 1.89 percent of the population. These Christians are excited about significant movement toward democracy and more religious freedom in the last few years.

Ty Stakes with HCJB Global visited Nepal a month ago and said the Christians are standing firm.

“They’re very grateful for all that God has done over recent years to bring about a climate where there is a real push forward for freedom, where there is some religious liberty in the country,” he said. “So I don’t think anybody there is going to give up very easily. These are people who have been tried and tested and have learned to keep walking forward. God is doing some really big some stuff in Nepal, and the church is growing. People are really attracted to the Gospel.”

Christians in Nepal are establishing FM radio stations in two different towns — one near Kathmandu, the nation’s capital; and the other in a town in the center of the country. The idea for the stations was born around the year 2006 when the government began allowing private operation of radio stations.

“God had given some of our partners vision to do radio in the country, and they understood in their own hearts how great an impact could be made through it,” Stakes said.

Currently, the stations are test broadcasting for three hours a day. The community is already responding.

“I’m getting reports now from Nepal that folks are responding, that folks are saying ‘Hey, we’re interested in the new station; we want to know more about what you’re doing,'” Stakes related.

Christians will not be able to evangelize overtly on the air, but they will use the stations to plant churches.

“The climate in the area is such that you can’t be extremely bold and direct on the radio. You have to be wise,” Stakes said. “So most of our partners…are really church planters who are using radio as a way to create in the community an identity and to present a mechanism where they can serve the community.”

The stations air Christian music, secular music, and community service programming. The goal is to challenge and impact the community’s perception of Christians, presenting “an identity that shows perhaps that what you’ve heard about Christianity is not true. Maybe these Christians do care about people, and maybe they really do have something relevant to say,” Stakes explained.

Evangelism occurs off the airwaves, when people in churches and in church-planting follow up with those who respond to the radio broadcasts. Stakes asked for prayer as Nepalese Christians fine-tune the new radio stations.

“You can pray…that God would give these folks real wisdom in how to fine-tune their strategy in establishing their identity in the community,” Stakes said. “It’s a real delicate balance that they need to strike, and they need real wisdom from the Lord in order to effectively speak to the community and present their identity so that people will be attracted to the message of the cross.”

Report from the Christian Telegraph

BAD EXAMPLES DO NOT INVALIDATE THE VALUE OF PRIESTLY CELIBACY

Bishop Juan Ruben Martinez of Posadas in Argentina said celibacy cannot be reduced to a “mere imposition of the Church” and that “bad examples and even our own limitations do not invalidate the contribution of so many who, in the past and today, give their lives for others,” reports Catholic News Agency.

Bishop Martinez said that a “materialistic vision” of man that is based solely on “instinct and the physiological” makes it difficult to these values as a “gift of God” and an “instrument of service to humanity and to the common good.” He recognized that “from materialistic anthropology, celibacy and monogamous marriage tend to be considered as something unnatural.” However, he warned, “To reduce celibacy to a mere imposition of the Church is in fact to insult our intelligence and Christ himself who was ‘the eternal high priest,’ ‘celibate,’ and gave his life for all of us, and he himself recommended it. It is to insult the biblical texts which show great respect for celibacy and chastity for the sake of the Kingdom of Heaven, and it insults the Fathers, doctors and pastors of the Church from apostolic times to the present.”

“Uniting celibacy with the priestly ministry is a more radical Gospel choice made by the Church based on her authority and supported by the Word of God and the testimony of the saints and of so many men and women who, throughout history, strove and strive through this gift and even through their own frailties to give everything exclusively to God and his people. Bad examples and even our own limitations do not invalidate the contribution of so many who, in the past and today, give their lives for others,” the bishop said.

He went on to note that only on the basis of faith can we have “a profound understanding of issues such as life, the family, marriage, the Church and her mission, the priesthood and celibacy.”

Bishop Martinez encouraged Catholics to pray for vocations to the priesthood and religious life, “trusting in the initiative of God and man’s response,” and he thanked God, who continues to call young people to consecrate themselves to God and their brothers and sisters. “They respond to the call because they believe in love,” he said.

Report from the Christian Telegraph