The Hero Fighting Leprosy and Female Genital Mutilation –Biography of Ana Paula

——Dr. Jun Xu’s travel memoir in West Africa 2018

In March 2017, I went on my fourth service trip to Senegal, West Africa. During Since 2013, I got to know Ms. Ana Paula. She was only 5’5 and have a pair of smart and expressive eyes. For past 6 years, I visited the leprosy villages in Kedougou, Senegal, west Africa every year, but never even once had I think about who found the road in the thrones and bush to the leprosy village and who brought the light to the patients. Until this year when I volunteered in Senegal again with her, I knew that she was the first who brought her daughter to the leprosy village for more than ten years. She hugged the leprosy patients with her soft arms and let her only daughter Emily grow up with other kids in the village. She stood with many girls who would suffer from female genital mutilation roaring against the inhumane torture and tradition. She crossed the savanna with her bare foot many times to save many villages that had been abandoned by their government and society for more than ten centuries.

Since 2013, I got to know Ms. Ana Paula. She was only 5’5 and have a pair of smart and expressive eyes. For past 6 years, I visited the leprosy villages in Kedougou, Senegal, west Africa every year, but never even once had I think about who found the road in the thrones and bush to the leprosy village and who brought the light to the patients. Until this year when I volunteered in Senegal again with her, I knew that she was the first who brought her daughter to the leprosy village for more than ten years. She hugged the leprosy patients with her soft arms and let her only daughter Emily grow up with other kids in the village. She stood with many girls who would suffer from female genital mutilation roaring against the inhumane torture and tradition. She crossed the savanna with her bare foot many times to save many villages that had been abandoned by their government and society for more than ten centuries.
I have tried to talk to her many times, but she never wanted to tell me her story of suffering. After many times of requests, she slowly and unwillingly told me many stories of her past. Just these unfinished and unpolished stories set a fire in me that I feel obligated to share. If not, I would be burned by this fire in my heart.

Part 1: Hugging the leprosy patients

In mid-1997, just graduated from theology school, Ms. Ana Paula took the flight from Brazil to Dakar, the capital of Senegal. She was 27 at that year with many imaginations for her future. She didn’t know yet what challenges were waiting for her in Africa, the land of suffering for hundreds and thousands of years.
During three years in Dakar, Ana brought food, clothes and prayers to villages in the outskirt of Dakar, and learned French and five other local languages in six months. As a young, single lady, she soon found her partner, a local man from Dakar, but unchaste love would bring pain like heavy rain. His betrayal was wild wind that blew on her boat of life. (The story of Ana and her husband will be introduced in next article).
In May 2001, pastor Olive told Ana that at the east most of Senegal, there was a province called Kedougou that needed her service. Though Ana knew little about that place, she agreed to go immediately with her husband as well. They took a bus with little luggage for 26 hours until they arrived in Kedougou. They rented a small house with no windows. When they just opened the door, there were seven or eight bats flying out and not to say that there were countless mosquitos, flies and mice. All the unpleasant smells formed a strong repellant that tried to push them out of the house. On the second day, a dark-skinned middle-aged man knocked the door with a pair of scary eyes. He didn’t get into the house but stared at Ana and asked in French with thick dialect: “Are you missionaries?” He received yes.
“You’d better return now! In 1970s, a pair of American missionaries stayed for three years. When they went back to the US for vacation, their helicopter fell into the forest. Then here came a few missionaries, but no one could stay. If you don’t listen to my advice, you will die here. Go back!” He blackmailed with cruel face. Ana shivered, feeling strong coldness.
That night, pastor Ana prayed in front of Lord with tears. She asked Lord to give her courage. Since they didn’t know anyone, how could they start the service? On the morning of the second day, she walked to a village and saw many women draw water from a well. The thin rope scratched their hands. Ana immediately felt that this was the chance from God that the women were waiting for her by the well. She soon bought a thick rope from the market and made it public use. A woman, later known as Marian, happily drew some water with the new rope and carried it with Ana’s help to her hovel
“I am Ana. I want to learn the local language.” With gifted language ability, Ana thought learning language would be a good starting point.
Marian said: “No problem, my husband and I can teach you.” A man waved his hand at her. Ana immediately found that man didn’t have right palm and had flat nose with lumps on his face. Ana started to observe Marian and found that she didn’t have a few fingers on her left hand.
“What disease was this?” Ana asked with fear.
“Leprosy, we are leprosy patients. Our village is call Fatiga and we are surrounded by 8 leprosy villages. Here is where leprosy patients gathered.” Marian answered with a smile. Ana was shocked since she had never imagined to work with leprosy patients that showed on Bible several times. This was scary and we can’t stay in this place. Thinking of this, she ran away from Marian’s home with pale face.
Once arrived home, Ana talked to her husband: “Pack everything, we have to leave this place! We can’t stay here.” Ana was afraid of working with leprosy patients since she was extremely afraid of catching leprosy. Especially the leprosy man with broken nose and face like a lion scared her most.
“Ana, please take care of my sheep! I want you to shake their hands and hug them!” God’s words seemed to shake the land. Ana wept to leave but God chose her to come. She can’t run away from this mission. She cried over and argued with God. But over and over again, God’s word won over her fear and submission to God was her calling since born.
On the next day, she returned to Marian’s little hovel. From that day, she visited every family in Fatiga. She shook their broken hands, hugged them and made friends with them. Many leprosy patients touched with tears: “our family abandoned us here because they were afraid that we were contagious. They didn’t even want to touch us. You are a white woman and don’t know us, but you held our hands, hugged us and treated us as individuals. But why you are doing that?”

Ana’s heart was like the sunshine at equator. Her answer was like spring that watered the abandoned field. She answered: “it was God who let me do this!”
The villagers in the leprosy villages cried and told each other: “God eventually sent someone to care for us!”
She carried an electricity generator on a donkey carriage, which gave villagers light at night. She helped to dig a well to let villagers drink fresh water. Every family received 50 kg of rice and oil, which gave them hope to live.
The modern civilization changed the material life of villagers. When Ana decided to build a new church, she got a curse from nine leaders of the leprosy villages: “Once the church was done, it will collapse. At the first mass, the roof will fall and crush all the people who come.”
But the roof of the church did not collapse. The messages of miracle and God was spread among leprosy villages. New lifestyle was welcomed and the hygiene condition changed greatly. Many leprosy villagers converted to Christianity. The light at the church guided the patients in leprosy villages to the road of truth.
After five years, Ana happily saw that God’s words rooted at leprosy villages and many families turned to God. Suddenly, she found that she was pregnant. She happily thought that the fight was over; she stayed here for five years and it was the time for resting. She could go back to Dakar.
“No, Ana, please take care of my sheep!” said the God that sounded like lightening. Ana was frightened. She argued with God again. In front of her house, there was a road full of deep holes. When the raining season came, the road became a river. Only trucks could ride on it. Kedougou didn’t have trash or sewage treatment system, so the upstream people would throw their trash in front of their door and after exposed under sunlight, it smelled. People couldn’t open their windows and mosquitos and flies prospered. She couldn’t imagine God let her raise her child under this environment. How could she guarantee the child live healthily under this condition?
Jesus said: “You feed my sheep. I would tell you the truth: when you were young, you could be free and go anywhere. But when you are older now, you should serve others and serve at places you don’t want to come.” God’s order made her clear of her mission and she accepted God’s plan.
Ana gave birth to a cute girl Emily. She showed up at leprosy villages after a month. Emily was the gift from God, and Ana put her in a basket and put the basket on the ground. Little Emily was not crying at all. In this way, Ana took her daughter to every family in Fatiga.

The photo below was the photo with leprosy villagers. Every villager had a smile. I was surprised to see that on this photo, a woman with leprosy holds Emily with her fingerless right hand. Ana told that her daughter grew up in leprosy village and made friends with the patients’ children. I asked if she was not afraid of Emily having leprosy. She pointed to the sky and said she believed in God.

Writing to this point, my eyes started to water. I couldn’t imagine someone devoted themselves to God like her who even devoted her child. In this place full of flies and mosquitos and contagious bacteria, a child can become friends with leprosy villages’ children. If she was a local’s child, then she had no option. But Ana was born and raised in St. Paul, the capital of Brazil. She knew the importance of hygiene and education to children. How could she allow her child to grow in places like this? To be honest, I can’t sacrifice myself like Pastor Ana Paula and not to say to let my children grow in Africa. After I got to know Ana’s story, every time when I talked to Ana, she was like a huge mountain that I can’t compare myself with.
In 2013, I had the honor meet Ana. In 2014, I am glad to get to know Pastor Olive and the Pastor Nelson. They all came along with me to Kedougou to discuss the plan of building a hospital. The agreement was that we provided money for hospital building and they would provide local doctors. However, in 2016, we successfully built the hospital but the new governor decided not to hire doctors. We could only find a nurse. This year, we went to the leprosy village again and with the help of many friends, a doctor dorm was built.
In a glance, Ana already lived in leprosy village for 10 years. In Fatiga, the church was the most beautiful building in the area. A hospital, a doctor dorm, a well and an electricity generator made a great change in Fatiga. Miracles also happened here. This year during our trip, we met a French epidemiologist. He researched 9 villages around the area, and found 72 new leprosy cases. However, he didn’t find a single new patient in Fatiga. This result means with the effort of Ana pastors and her team and the grace of God, at least in Fatiga, the leprosy was controlled. God was like a castle who protected Pastor Ana, Emily and us.

Part 2: Roar to protect women

Pastor Ana slowly adapted to leprosy villages life. However, she faced bigger challenges now. One day, a girl secretly told her that she had to do female genital mutilation and invited Ana to her ceremony.
Female genital mutilation was a deadly tradition in Africa for thousand years; to keep the purity of women since a girl is born for a week, people shave her hair and leave scars on her head every few years. Until puberty, there is a ceremony that can only be attended by women. Adult women, wearing mask and singing old songs, held down the girl’s hand and feet. Then, an old woman with no medical training cut off girl’s labia and even clitoris without any anesthesia nor sterile procedure. Lastly, she sutures the vaginal and only left a small opening for blood. Therefore, many women after procedure couldn’t pee and had vesicovaginal fistula. They could have inflammation and fever and bear high death rate.
Ana asked closely about this ceremony and can’t help saying to this girl: “You can’t go to do this procedure!”
The girl was very scared too. She teared up and sobbed and said: “My mom, my sister, my grandmothers, and all the women in my village did this procedure. If I don’t do it, they would admit that I am a girl and I can’t marry in the future. If I get pregnant, no one will help me deliver.”
Ana was very angry: “I will go! I will go to protest!” Ana held Emily to the ceremony. She discovered surprisingly that there were some Christian sisters there. They saw Ana silently and shook their heads. Ana stood with other women and argued loudly. But one person’s power was too small to beat the hundreds and thousands of years of tradition. In the deadly screaming and crying, Ana’s voice was so insignificant. The poor girl became a new sacrifice for the old tradition.

The Somalian female poet Dahabo Musa wrote a poem in 1988. She described the pain of female genital mutilation as “three feminine sorrows”: the procedure itself, the wedding night when the woman is cut open, then childbirth when she is cut again.
The poet didn’t say the fourth sorrow was that if the husband needed to leave home for an extended amount of time, other female members in the family will closed his wife’s vagina until the husband came back. The poor wife needed to repeated the sorrow above.
Ana went home with a heavy heart. She prayed to the God: “Load, please help those poor girls!” “I should build school and church!” She suddenly realized. In Fatiga, 100% of adult women went through this procedure. She couldn’t stop them, but she can prevent young girls got into this tragedy again. She tried her best to teach women and her church in Fatiga became more and more popular. Since there were more and more children, she decided to teach those children God’s words to prevent them from this inhumane torture.

Recently, the international community also started to realize the problem of female genital mutilation. Malian singer Inna Modja was one of victims. On Feb. 8th 2016, she testified at the United Nation and requested to ban this procedure worldwide. Until today, according to UNICEF’s report, there have been 30 countries and more than 2 billion women who went through this torture. （https://www.unicef.org/media/files/FGMC_2016_brochure_final_UNICEF_SPREAD.pdf）
The United Nation proposed to eradicated this procedure by 2030. However, this is too late. According to pastor Ana’s investigation, in Fatiga area, 100% of adult women have been through this procedure. When we saw those innocent girls in Fatiga, I promised in my heart that I would like the world know this tradition and let many fellow Chinese and pastor Ana work together to at least save girls in Fatiga areas from this inhumane torture. We may not be able to save all the girls, but from today, we could change this girl’s life completely if we can save even one girl.

Part 3: Find the village abandoned by civilization

The scorching sun baked every tree in the savanna in Kedougou. In this province, some villages have never had any contact with modern civilization. They were relying on the nature and dying out quietly. People living in those villages didn’t know the change of dynasties, let alone cars or phones.
In 2002, pastor Ana heard about a village called Jingjing where people need to be taken care of. She had a strong feeling that she had to get in to visit them. After knowing the rough location of the village, she drove towards the village Jing jing with an old Toyota. After left the main road for less than a mile, there were no road in front of her but endless jungle with only a small trail extending.
What should I do? Go forward or back out? Ana was thinking. Looking at her one bottle of water and two pieces of bread, Ana was aware that if she lost her direction in the jungle, she would likely die from thirst and hunger. But if she didn’t go, those people might never get into contact with the outside world. She silently prayed for power from God and dropped the car at the side of the road and started walking. Under 140 F, she could feel the burn from heart to skin. In the jungles on her side, monkeys and hog sometimes ran by. The vulture chirped in the background. Ana was extremely nervous, afraid of a lion attack.
After only two miles, she was breathing heavily and wanted to go back; this was too scary. “No, but I can’t go back. I have many people’s life in my hand! If I am going to die, I would rather die on the road where I am going forward!” She prayed and trekked forward under the scorching sun.
For the entire 10 miles, she sweated terribly. When she was almost going to fall on the road, she saw small thatched hovel next to a mango tree like little mushroom. “I am eventually here!” She cheerfully yelled once and failed at the side of the road and breath heavily.
A group of villagers with shabby clothes walked towards her. A thin and tall middle-aged man, wearing yellow robe and a round hat, stood next to her with a serious face. His facial expression clearly told Ana: This is my territory, who are you and why you are here uninvited?
Although Ana could speak 5,6 local languages, but she couldn’t speak the language villagers talked to each other. She was in a hurry explained with gestures, trying to show them why she was here. But no one could understand. At this time, the leader-looking person started to speak another language. Thank God, Ana could understand this one.
From that day on, the modern civilization rooted here. Ana invited the government officers to come to register villagers. Now everyone has their birth certificate and ID. If they don’t have name, they are given ones right at the spot. If they only remembered their approximate age, the government would give them birth dates. If the villagers got married, the government can issue a certificate. Then they have official family. I went to Jing jing this year, many villagers proudly showed us their ID and they could be documented citizens.

The leader of the village used to be a witch doctor who could decide people’s life easily. Pastor Ana prayed with him faithfully and he abandoned the old faith and became God’s son. Under his leadership, the entire village believed in God. A church was built and a team of pastor Ana was sent to stay in village Jingjing.
Soon, a school was built and there were children reading books in the thousand-year-old forest. The electricity generator allowed them to farewell the darkness. Soon, the telephone line was installed and doctors came. Some infectious diseases got controlled. Hundreds of villagers were saved from it.
Since 2013, we took cargo truck to Jingjing five times. This year I tried to record the process of getting into the village, but my photo showed a notification that the temperature was so high that the phone stopped. I could only dial 911. I couldn’t imagine how could pastor Ana risked her life alone with just a bottle of water and trekked through this savanna. I deeply believe that this is faith. The faith made her willing to sacrifice her life to saving others.

Jingjing is one the progressive villages that pastor Ana changed. In Kedougou, there are many unknown villages and some of them rejected any outsiders. They usually killed anyone who got into their territory. Pastor Ana sometimes risked her life to enter a few of the villages but they didn’t allow her to practice here. Pastor Ana could give up her life to love those people who denied the modern civilization. To help them in contact with God, pastor Ana went to tens of these villages and saved countless lives.

Part 4: In honor of pastor Ana

人的一生，如果能做到上面三件事之中的一件，就会是非常伟大和满足的一生。安娜牧师却以自己柔弱的双肩，挑起了男子汉也承受不起的重担，以一己之力，做了上面的全部，用自己的十年青春点燃了许多人的生命之火。 每次我站在她身旁，我都感觉到一股能量从她的身上传到我的心灵。我不得不承认，安娜牧师就是我心目中的一位真正的英雄。
Throughout the span of human life, if one can achieve any of the three things above, that would be a great deed of life. Pastor Ana carried the burden with her soft shoulders and achieved all these above. She burned more than ten years of her youth and ignited many people’s fire of lives. Every time I stood next to her, I could feel the energy from her to my heart. I have to admit that pastor Ana was a true hero in my heart.

I felt deeply that the life needs resurrection. The meaning of it is to use your light of your life to ignite others’ soul. A person can be small and vulnerable, but if one can have love, he or she can deliver the light of love to ignite others’ fates. Love is life. Love is resurrection. Resurrection is life. The resurrected life was from the Lord who created the universe. Pastor Ana used her 10 years in leprosy villages and her life to show the meaning of life and how to enjoy it. She had nothing in material life but she has the vast amount of love like a mountain and sea. Let us learn from Ana and sacrifice our life to others. My dear brothers and sisters, as long as we started from ourselves and started with a little love. One day, we can be a hero like pastor Ana.
All pastor Ana wished was to build the school and clinic in Jingjing and allow girls to have education and not to suffer from female genital mutilation. We started to work together since 2013 and made a lot of progress since then. But it is far from enough. My dear readers, if you are touched by pastor Ana and are willing to support our work in Africa, please donate to our organization Africa Cries Out, to Jun Xu MD, MD, 1171 E Putnam Avenue, Riverside, CT06878, USA. We can provide the receipt of tax exemption from IRS. Please also visit our website: www.africacriesout.org, and my email address is iloverehabmed@hotmail.com, Wechat account is jun9174343767. Please feel free to contact me.
From my description, people must think that pastor Ana is a persistent person with a mind of steel. However, she is like you and me who is real person, who has happiness and pain. In my next report, I will write about who pastor Ana went through the ten years in leprosy villages.

Dr. Jun Xu, in New York

Apr. 30th 2018, Monday