The girl was writhing in the spasm of an agony that centred on her stomach. She clutched at her belly and curled up in a ball, only to fling her arms and legs outward in a back-arching convulsion. Her temperature was very high. She was slippery with sweat. The smells of diarrhoea and vomit were so strong in the deserted chai shop that the girl's parents and sister held cloths to their mouths and noses. Parvati's parents, Kumar and Nandita Patak, were trying to cope with the illness, but their expressions were equally helpless and defeated. It was a measure of their despondency and their fear that dread had banished modesty, and they allowed the girl to be examined in a flimsy undergarment that revealed her shoulders and most of one breast.
Terror filled the eyes of Parvati's sister, Sita. She hunched in a corner of the hut, her pretty face pinched and cramped by the horror she felt. It wasn't an ordinary sickness, and she knew it.
Johnny Cigar spoke to the girl in Hindi. His tone was harsh, almost brutal. He warned her that her sister's life was in her hands, and he admonished her for her cowardice. Moment by moment, his voice guided her out of the forest of her black fear. At last she looked up and into his eyes, as if seeing him for the first time. She shook herself, and then crawled across the floor to wipe her sister's mouth with a piece of wet towelling. With that call to arms from Johnny Cigar, and the simple, solicitous gesture from Sita, the battle began.
Cholera. By nightfall there were ten serious cases, and a dozen more possible. By dawn the next day there were sixty advanced cases, and as many as a hundred with some symptoms. By noon, on that day, the first of the victims died. It was Radha, my next door neighbour.
The official from the Bombay Municipal Corporation's Department of Health was a tired, astute, condolent man in his early forties named Sandeep Jyoti. His compassionate eyes were almost the same shade of dark tan as his glistening, sweat-oily skin. His hair was unkempt, and he pushed it back frequently with the long fingers of his right hand. Around his neck there was a mask, which he lifted to his mouth whenever he entered a hut or encountered one of the victims of the illness. He stood together with Doctor Hamid, Qasim Ali Hussein, Prabaker, and me near my hut after making his first examination of the slum.
"We'll take these samples and have them analysed," he said, nodding to an assistant who filed blood, sputum, and stool samples in a metal carry case. "But I'm sure you're right, Hamid.
There are twelve other cholera outbreaks, between here and Kandivli. They're small, mostly. But there's a bad one in Thane- more than a hundred new cases every day. All the local hospitals are overcrowded. But this is not bad, really, for the monsoon. We hope we can keep a cap on it at fifteen or twenty infection sites."
I waited for one of the others to speak, but they simply nodded their heads gravely.
"We've got to get these people to hospital," I said at last.
"Look," he replied, glancing around him and drawing a deep breath, "we can take some of the critical cases. I'll arrange it.
But it's just not possible to take everyone. I'm not going to tell you any lies. It's the same in ten other hutments. I've been to them all, and the message is the same. You have to fight it out here, on your own. You have to get through it." "Are you out of your fucking mind?" I snarled at him, feeling the fear prowl in my gut. "We already lost my neighbour Radha this morning. There's thirty thousand people here. It's ridiculous to say we have to fight it out ourselves. You're the health department, for God's sake!"
Sandeep Jyoti watched his assistant close and secure the sample cases. When he turned back to me, I saw that his bloodshot eyes were angry. He resented the indignant tone, especially coming from a foreigner, and was embarrassed that his department couldn't do more for the slum-dwellers. If it hadn't been so obvious to him that I lived and worked in the slum, and that the people liked me as much as they relied on me, he would've told me to go to hell. I watched all those thoughts shift across his tired, handsome face and then I saw the patient, resigned, almost affectionate smile that replaced them as he ran a hand through his untidy hair.
"Look, I really don't need a lecture from a foreigner, from a rich country, about how badly we look after our own people, or the value of a human life. I know you're upset, and Hamid tells me you do a good job here, but I deal with this situation every day, all over the state. There are a hundred million people in Maharashtra, and we value them all. We do our best."
"Sure you do," I sighed in return, reaching out to touch his arm.
"I'm sorry. I didn't mean to take it out on you. I'm just... I'm way out of my depth here and... I guess I'm scared."
"Why do you stay here, when you can leave?"
It was an abrupt question, under the circumstances, and almost rude. I couldn't answer it.
