Borneo, Malaysia; Nature nuggets; Addiction in SE Asia; Travel tips; Culture

savvy

• Borneo is the world’s third largest island and is home to three countries: Malaysian Borneo, Brunei, and Indonesia.
• Malaysia is located in Southeast Asia and is made up of 13 states and 3 federal territories. It is a country with two regions separated by the South China Sea: Peninsular Malaysia (West Malaysia) and Malaysian Borneo (East Malaysia).
• Peninsular Malaysia shares a land and maritime border with Thailand and maritime borders with Singapore, Vietnam and Indonesia.
• Malaysian Borneo is made up of two states: Sarawak and Sabah.
• The capital of Sabah is Kota Kinabalu, the international gateway to Sabah.
• Sabah and its main city, Sandakan, is where you can experience some of the richest wildlife areas found anywhere in Southeast Asia.

• We had an unusual and spontaneous treat. A 5 year old orangutan curiously explored contact with tourists and come out to the Sepilok entrance to take a look at all of us who were looking at him! Then he scurried up a tree right near the entrance.  We witnessed something that can’t be planned.

• The Centre’s keepers teach the young ones many of the skills they need to survive in the jungle on their own. But what we saw was something keepers can’t teach; he must have learned from watching an adult.
• Once he reached a comfortable height in the tree, he bent a branch into a semicircle arc. Then he started breaking off other branches, laying them in the leafy bent branches building himself a little temporary bed.
• My guide said he would relax there for a few hours until it got cooler.  Then he would hunt for food.  Sure enough when we returned he was gone, having had a nice afternoon snooze.

• The long nose seems to be more of a sex symbol – males who have the longer nose are more attractive to females.

• Males have longer noses than females; and adult males have longer noses than young guys.

• In times of danger, blood rushes to the nose and alters the resonance of the monkey’s calls of danger, which makes the warning calls more effective and more attractive to female proboscis monkeys.
• Proboscis monkeys can swim and are pretty good at it. So a long nose helps breathing when jumping in the river to escape predators like the Clouded Leopard.
• On our jungle river rides searching for birds, monkeys and crocodiles in the evening, we saw scores of proboscis monkeys finding their ideal sleeping spot high up in the trees nearest to the river.  This gives them an escape route should a leopard climb the tree in hot pursuit. The proboscis monkeys just jump into the river and swim away.

• The high rubber boots were a must in the muddy jungle floor of rain forests where it can rain at a minute’s notice. In fact we had to cut one walk short as our guides could hear the spray of rain increasingly and quickly moving in our direction.
• As the sound of rain grew stronger, they said: “That’s it. We have to go.” We had to run ahead of the sound to make it back just before being totally drenched.
• But when we weren’t slipping and sliding or dodging torrential downpours, we were seeing multicolored, beautiful birds sleeping on tree branches just a few inches from our eyes and camera.  Keep quiet -and they’ll continue sleeping while you watch.
• Four-legged animals are easier to spot at night. Just swing a flashlight around and look for glistening eyes.

• Upon arrival on the island, you see a field of little green circle mini-fences protecting each mother turtle’s 80-90 eggs which have been replanted here. This gives the hatchlings a chance to survive predators.

• The reservation rangers are dedicated to protecting the turtles.  At night, they check the beach for the first arrival onshore.  This can be anything from 9 PM to midnight or later depending on how bright the moon is, and how high the tide is.
• We all waited with anticipation for the first call of “Turtle time!” We then rushed to see the first mother lying in a big sandy pit she had dug out; she was ready to start dropping ping pong ball- sized eggs in the deep hole she had prepared.

• Watching her lay her eggs is the first of three parts of the turtle island experience.
• We were lucky- the conditions were ideal to come ashore- a dim moon and a high tide.  The female turtle came in early so we didn’t have to wait up until midnight.
• The second part of the experience was to see the 90 eggs we just saw laid transplanted into a new deep, man-made sand “nest”

• As we all scurry to the water’s edge, the ranger passes around the basket

of newly hatched baby

turtles. We marvel as he gently tips the basket to release them to the sea.

• You’ve probably seen video of hundreds of hatchlings race as fast as they can to splash for the first time into the water.
• Sadly, only about I in 1,000 will survive to adulthood.

• Several tourist brochures carried this Advisory in a bold red text box:
  “In Malaysia, the Possession and Trafficking of Illegal Drugs carry the Death Penalty.”
• Psychiatric patients, I was told, suffer almost equal discrimination and in treatment settings are called “inmates” and are “released” from hospital – not “patients” to be “discharged” or “transferred”.
• Addiction “patients” do two years or longer in residential treatment – first offense, six months; second 6 – 24 months; third offense – years and maybe the key is thrown away.
• We in the USA may think we face a workforce problem, but these Southeast Asian countries have very few counselors or “allied health professionals” as they call them. The need is great, but helpers are few.
• We still struggle here with parity for addiction and mental health treatment, but addiction treatment is hardly on the healthcare menu screen of services in many places.
• I met many dedicated local and ex-pat professionals from the USA, UK, and Australia doing their best to influence attitudes, raise consciousness, educate about addiction and mental health and develop staff and services.
• My admiration goes to them acting as “missionaries” in the best sense of the word, not literally in the jungles, but certainly in the jungles of sparse healthcare resources and negative and cultural attitudes about addiction and mental health.

skills

• Find a bank or investment institution that allows you to draw out cash in local currency from most bank ATMs , ones using the current currency exchange rates with no commission or bank ATM fees. I have successfully used a Schwab High Yield Investor Checking Account. (This is not a paid endorsement; there probably are other competitors I haven’t researched.)
• Figure out ahead of time the money conversion math so you are prepared to do quick arithmetic and roughly know what something costs.  I had it easy in Borneo;  a quick division by 4 converted 100 Malaysian Ringgits into 25 US dollars equivalent. 1 Ringgit equaled about 25 US cents.
• You can avoid the mental math method by simply using a currency conversion app on your smartphone. But that leads to my next tip:

• Use a reputable digital network company so your phone will likely work even in more remote areas of the country.
• Having a local SIM card means you avoid the roaming feature of your home mobile phone network, which is much more expensive than a local SIM card and network.
• Do you have the Skype app on your phone?  It is an inexpensive way to make international calls to family and work back home.
• Better still for calling home, check if your hotel has free Wi-Fi service (most do these days); then call home using Skype on your laptop computer.  That makes communication (computer-to-computer) free, rather than incurring expensive roaming fees or long distance telephone charges.

• Don’t assume you should use the same percentage formulas you use in the USA. Many countries don’t even have tipping as a general custom; or expect tips only in certain situations.
• If you obtain foreign currency from a local bank ATM, they will be in large denomination bills. Change that into smaller coins or notes to be prepared with tip money, if needed.
• Keep some tip money loose in your pocket or outer pocket of your handbag.  Avoid pulling out your wallet or purse displaying a wad of big denomination bills. Locals, especially unsavory characters looking to relieve you of your wallet, know what color notes are worth what amounts. At first you are oblivious just acquainting yourself with the coins and notes.  You may not initially realize the wad of green or blue notes represents quite a lot of money.

• You can buy an adapter plug at airport shops before you leave or when you get there.  But I like to be prepared and buy ahead of time – and it’s less expensive on the internet.
• Remember that whatever adapter plug you insert into the electrical outlet in the foreign country is not an electrical transformer that can convert your 110 volt hairdryer into the 220 or 240 volt system in the new country. All you’ll end up with is a fried hairdryer if it doesn’t say that your hairdryer works for a range of voltage systems from 110-240 volts.
• If you are using a computer or other device that clearly indicates that it has a range from 110 to 240 volts, then you can safely just use the electrical outlet plug adaptor without concern of harming your laptop or another device.

• The USA also still thinks of residential levels first. As States react to the opioid crisis in the USA, the cry goes out for more beds, when we really need more community outreach, recovery supports, living environments, intensive care management and assertive community treatment for addiction just as is available more for severe mental illness.
• Still too often, residential treatment is considered primary care and outpatient services just aftercare or continuing maintenance care.  As these countries design services from the ground up, I recommended they consider all levels of care important but if anything, put more emphasis on building community supports and services than large residential facilities.

• Just as we have historically had long lengths of stay (LOS) in residential levels in the USA, these countries would do well to not repeat our mistakes.
• I encouraged them to focus on a broad, flexible continuum of outpatient and residential levels of care and to move clients through that disease management according to progress and outcomes.
• Unlike our USA history of treatment, I recommended they plan for no fixed lengths of stay in any one level of care; and manage people in a broad continuum of services with variable LOS.

• I recommended they notice how they already are predisposed to keep alcohol and other drug problems separate. In China, for example, people with alcohol problems are treated under the Department of Health. But those with other drug problems are treated under the jurisdiction of the police and criminal justice.
• Decreasing stigma and discrimination about addiction has been hard enough in the USA. However in Malaysia, Singapore, Vietnam and other Southeast Asia countries, reducing stigma and discrimination has even a greater uphill battle when drug use alone has such severe legal and incarceration “treatment” consequences.

soul

• In the villages, the main activity at the end of the day is a gathering of the families and friends to enjoy music on their guitars; and drink alcohol served from large jars on the ground circling the happy group.
• Just about everyone in the village learns early on how to distill their own alcohol (e.g., home-made rice wine) so they are not dependent on spending huge sums of money, or having to travel to the local liquor store, which is not local anyway.
• Alcohol is embedded in the social fabric of daily life. That can happen in our culture too, but when there aren’t a lot of options for activities in the village, music and alcohol rise to the top.
• Conference presenters explained that teaching and expecting abstinence in the village is futile and naïve. They had to think what would be first steps that would work to start to change the culture and practices of everyone.
• They started engaging the mothers and other women in an educational and change process. Women are the ones who traditionally draw from the large jars of alcohol and keep everyone’s cup full.
• Once the women were engaged to make some changes, the first strategy was to move the jars away from the circle of music, laughter and drinking. The alcohol was then placed on a table away from the socializing, which meant, no more refills right where you sat. Want a refill? Sorry, you have to get up and go get it.
• This small but significant change has started to shift the culture of drinking.

• Harnessing the passion of the Chinese, Malay, Indian and other diverse ethnicities in the recovery community, they started mutual help groups much more inviting to local people.
• Building on that growing community, more outpatient resources have blossomed to balance the government’s predominantly punitive and “lock them up” approach in Singapore and in the other Southeast Asian countries.