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A trek amidst tranquillity
Melanie Brehaut continues her travels into the remote Himalayas-this time through the barren, lunar-like landscape of Ladakh

Ladakh is a long way from anywhere by road -two days or 32 hours from Manali, 26 hours with an overnight stop from Jammu and 24 to 30 hours from Srinagar. By air it is less than one hour from Delhi.

Horses carrying equipment and supplies on a trekking expedition in the Nubra Valley

Distances aside, it feels quite different from other parts of India. In the province of Jammu and Kashmir, the region is often called "Little Tibet", referring to the people, their culture and religion. Its isolated location deep in the Himalaya makes Ladakh accessible by road from only June to September. The rest of the year it is covered by snow. The lunar-like landscape is stark and barren, but beautiful. Only four inches of rainfall a year makes it a harsh and severe environment to live in.

The mountains are the reason why most visitors come -to climb, to trek, or to simply admire. To trek in Ladakh is to be far away from everything. It is tranquil and calming. It is also invigorating and demanding. It is not like trekking in other popular trekking destinations where you may meet people of every nation. If you choose your route carefully it is possible that it will be so remote as to not see anyone apart from the friendly and at times, inquisitive, locals.

Our trek in the Nubra Valley is one such experience. Four people take part - myself and a friend, a local man who acts as our guide and cook, and another - the horseman, whom we call 'uncle'.

Buddhist flags feature on all monasteries, temples, schools and houses in Ladakh

There are four horses, one for riding, and three for carrying equipment - tents, sleeping bags, food, old kerosene cookers, and an array number of cooking pots - the Ladakhi tradition of kitchens with many pots and pans seems to extend to trekking expeditions as well. We start trekking at about 3,200 metres above sea level, climbing to 4,300 metres where we set up camp for the night. For those born and bred in these mountains walking at such high altitude is no problem. For visitors it is not easy and one's lungs work very hard to keep up. It is especially challenging on the two days when we cross passes of 5000m.

But it is the spectacle of the surrounding scenery that makes it all worthwhile. Imposing snow-capped mountains wherever you look; occasional glacial springs supporting small patches of greenery and beautiful alpine flowers. There are irrigation channels for summer barley crops, and deteriorating stupas, worn from weather and age. Majestic eagles glide effortlessly overhead, while cheeky marmots scurry from one burrow to another - they are tricky to spot, blending in with the rocks around them.

There is little noise, just the rhythmic ringing of the horse's bells and the soft chanting of Buddhist prayers by our guide and 'uncle' to keep us safe on our journey. It is as if we are in a far-flung valley, far from civilisation. Yet in the middle of seemingly nowhere, nearly always someone appears. A shepherd, taking animals home for the night, or a villager on his way from one place to the next.

One old man who has great pleasure in showing us that he has no teeth, sits to watch us prepare dinner and to chat with our guide and 'uncle'. He spins yak's wool by hand and has a woven basket on his back, carrying nothing but a small, used oil container full of chang. Chang is the local liquor of these parts, made from barley and drunk at any hour and at regular intervals during the day. 'Uncle' and some local men who come to help shoe the horses, have it for breakfast with leftover cold custard from the night before.

There are a few villages scattered in this valley, where people almost hibernate in winter to cope with the extreme cold and snowfall. In summer villagers collect animal dung to dry and use for fuel. Flowers are used for food and medicinal purposes. Spun yak's wool is made into blankets, full-length coats and other winter clothing. At this time, July, the days are hot, and at heights of between 3500m to almost 5000m we find the nights cold enough.

One morning we wake to lightly falling snow. We have no comprehension about what the conditions must be like in winter. The last day is long, after 10 hours walking we end in a small village called Saboo, close to the Ladakhi capital, Leh. In the evening we have dinner with the family who runs the village's only guest house. At their home we eat freshly made mutton momos - steamed dumplings, a salad chutney consisting of finely chopped tomatoes, onions, chilli and mint, as well as rice and curry.

The concise guide to the Anglo-Sri Lankan lexicon by Richard Boyle- Part 14
Tracing words of dreaded disease
Among the words that comprise the Anglo-Sri Lankan lexicon there are just two medical terms - both diseases - recorded in the second editions of the Oxford English Dictionary (OED2) and Hobson-Jobson (H-J2). Beriberi is remarkable because it is one of the five most common words of Sinhala origin or association to be found in concise English dictionaries - the other four being anaconda, bo-tree, tourmaline and wanderoo. These five words can be said to have attained international usage in the 19th and 20th centuries. The other disease to be featured in the OED2 and H-J2, parangi, is not so familiar internationally yet is remarkable because it is generally believed to have been imported by the Portuguese. Date of first use is provided in brackets.

beriberi (1703). According to the OED2 it is: "[A Sinhalese word, from beri weakness; the reduplication being intensive.] An acute disease generally presenting dropsical symptoms, with paralytic weakness and numbness of the legs, prevalent in many parts of India."

Beriberi is in fact endemic in East and South Asia. It is characterised by multiple inflammatory changes in the nerves caused by a dietary deficiency of thiamine (vitamin B1).

The earliest reference in English given in the OED2 - a translation from the Dutch - dates back to 1703. Certainly the most curious quotation given is from Jacobi Bontius's Account of the Diseases of the East Indies (1769:1): "The inhabitants of the East Indies are much afflicted with a troublesome disease, which they call beriberii (a word signifying a sheep)." Bontius continues by suggesting that the disease is so called because those who are afflicted by it adopt the gait of a sheep. But why should he believe that the word beriberi signified this animal?

No illustrative quotations from English literature pertaining to Sri Lanka are given in the OED2. However, H-J2 has the following by Lord Valentia from Voyages and Travels to India, Ceylon, etc. (1809[1811]:273): "A complaint, as far as I have learnt, peculiar to the island (Ceylon), the berri-berri; it is in fact a dropsy that frequently destroys in a few days."

There are many references to this term in English literature pertaining to Sri Lanka. The earliest is by Robert Percival from An Account of the Island of Ceylon (1803:108-9), in which he describes a rather drastic cure: "This disorder is known by the name of the Berry berry: it is occasioned by the low diet and bad water, which the natives are accustomed to use; and in part, perhaps, by the dampness of the climate in the wet season. It swells the body and legs of the patient to an enormous size, and generally carries him off in twenty-four hours. The method employed for the cure, is to rub the patient over with cow-dung, oil, chinun (chunam), lime-juice, and other preparations from herbs; and then bury him up to the chin in hot sand."

A brace dating from the same period are to be found in 'The Extracts from the General Medical Report of the Troops Serving in Ceylon for the Month of April 1803,' as quoted by James Cordiner in A Description of Ceylon (1807[1983]:439). One reads: "The disease from which most of the men of the 19th have died has been Berry-berry, a species of dropsy combined with great debility." The other (Ibid. 447) reads: "In the year 1797, during which the troops suffered much from remittent fever and Berry-berry, the rains fell late in the season, and the monsoon changed early in April, so that there was much moisture in the jungle, and stagnant water on the ground when the south-west wind set in, and blowing over the land, carried the unwholesome vapours towards the Fort, and produced diseases similar in their nature, and almost equal in their malignity to those lately contracted in the Candian territory."

A reference by John Davy in An Account of the Interior of Ceylon (1821:495) is pertinent because the author was physician to the British troops stationed on the island. It demonstrates the confusion regarding the causes of this disease at the beginning of the 19th century: "Beri-beria, a disease almost peculiar to Ceylon, has been supposed to be owing to ordinary causes, as a moist atmosphere, great vicissitudes of temperature, bad food, intemperance, etc. But I am more disposed to refer it, like remittent fever and the cholera morbus, to some unusual state or condition of the atmosphere; or, to be more correct, to confess ignorance of its exciting cause."

Then there is Constance Gordon Cumming, who writes of the Dutch siege of Portuguese Colombo in Two Happy Years in Ceylon (1892[1901]:35): "Pestilence in the form of fever, dysentery, and a disease called beri-beri, of the nature of dropsy, broke out and thinned their ranks."

There is a corresponding entry in H-J2 that states: "The disease prevails endemically in Ceylon, and in Peninsular India in the coast-tracts, and up to 40 or 60 miles inland."

parangi (1821). "[Sinhalese parangi (lede) literally '(disease of) foreigners' i.e. the Portuguese.] The name given in Sri Lanka to a disease now known to be identical with yaws." The earliest illustrative quotations given in the OED2 are by Henry Marshall from Notes on Medical Topography in the Interior of Ceylon (1821:42): "There is a complaint mentioned in the Kandyan medical works called parangy lede (Parangy disease)," and (Ibid.) "Parangy lede seems to have been originally intended to denominate a new disease; . . . it may perhaps be inferred that the term meant Portuguese disease. There is, however, no tradition among the Kandyans respecting the importation of a disease," and (Ibid.44) "Many of the cutaneous affections which they denominate parangy, are evidently herpetic, and cannot be referred to a syphilitic origin."

There are of course other references from English literature pertaining to Sri Lanka, such as the following by Gordon Cumming (1892[1901]:258): "All the hopelessness had vanished, the skinny half-starved children were fat and healthy, the horrible parangi had almost disappeared, and the population had been increased by the return of many."

A further reference by Gordon Cumming (Ibid.262) is not so optimistic: "Foul water to drink and scanty unwholesome food, together with the unavoidable filth of having no water for bathing or for washing of clothes, and that in a fierce tropical heat, produced a renewed outbreak of the terrible disease parangi, which once again was seen on every side."

The most recent or postdating illustrative quotation given in the OED2 is from English literature pertaining to Sri Lanka - Leonard Woolf's The Village in the Jungle (1913:11): "There were few in the village without the filthy sores of parangi, their legs eaten out to the bone with the yellow sweating ulcers."

Michael Roberts, Ismeth Raheem, and Percy Colin-Thome write of the complexities of meaning of the word in People Inbetween (1989:xix): "As a Sinhala word, parangi refers to (i) the Portuguese, (ii) such diseases as yaws and syphilis, and (iii) the Burghers. The latter usage is now somewhat archaic, but it appears that in the 19th century Sinhala-speakers used it more widely to refer to the Burghers or the Portuguese Burghers."

The corresponding entry in H-J2 states: "An obstinate chronic disease endemic in Ceylon. It has a superficial resemblance to syphilis; the whole body being covered with ulcers, while the sufferer rapidly declines in strength."


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