They also never cover their mouths when coughing or sneezing, so you can really get sprayed in a crowded place like the market. In addition, everybody shakes hands here to greet each other, multiplying the possibilities of transferring germs. Colds can be more serious than you might think, however, since they may lead to ear infections. Several of the local workers at the site are deaf, so I asked the doctor how that happens. He said that many people don't realize how serious ear infections can be and don't seek treatment.
Partial deafness can result.
For big medical problems, including surgery, people have to go to regional hospitals. The campaign against AIDS has just started in this region and so the effects of the campaign are less apparent than in the United States.