Read
this article about Living to 100
by Tony Deyal
It?s
no secret. You take fresh foods, clean water, pure air
and lots of exercise. You add low stress, a loving family
and strong belief in God. For Dominica?s centenarians,
it all adds up to a longer and healthier life.

Dominica?s centenarians include the world?s
oldest living person, Elizabeth "Ma Pampo" Israel,
pictured here two years ago when she was "only"
125. (Photo © Powys Dewhurst) |
If
Christopher Columbus ever returned to the Americas, the
only country he would likely recognize is the little Caribbean
island of Dominica. Given its inhabitants? reputation
for longevity, he might even remember some of the islanders
from his first visit. Out of a population of 70,000, 21
Dominicans are more than 100 years old.
Dominica?s
centenarians include the world?s oldest living human,
Elizabeth "Ma Pampo" Israel, profiled two years ago
(when she was "only" 125) in Time magazine. "The daughter
of a slave, she started working on a plantation at the
age of 25 and retired 79 years later," Time reported.
"She ascribes her longevity to her diet?including lots
of dumplings and bush tea."
Time
doesn?t mention it, but Ma Pampo married in 1922 and
had one son, who died at the age of 30. That was well
over half a century ago. She has one grandson, who is
alive and well somewhere in the United Kingdom.
Ma Pampo
herself is well cared for today, and her home in Glanvillia,
outside the town of Portsmouth, is clean and comfortable,
if small. During a recent visit, she confirmed how hard
she had to work as a child, picking coconuts and limes
for a starting salary of two cents per day.
Earlier
this year, because of an ingrown toenail that became
infected, Ma Pampo had her right leg amputated below
the knee. It healed easily and without further complications,
but the ordeal left her generally bedridden. At almost
the same time, her next-door neighbor and good friend
of many, many years, Rose Peters, died at the age of
118. Yet Ma Pampo refuses to give up. She remains curious,
lively and communicative, with a strong sense of humor.
Her zest for living is evident, as is the simplicity
of her life and her lack of interest in worldly goods.
Fluent
in the native Kwiyol (a French patois) and Kokoy (an
English-based pidgin), in addition to standard English,
Ma Pampo ascribes her long life to hard work and good
food. She shuns anything canned or processed. While
in the hospital earlier this year?one of only three
visits in her entire life to the Dominican capital of
Roseau?she threw away a peanut butter sandwich, saying
she would not eat anything that was not "natural." She
talks glowingly of the beneficial effects of dumplings
(seasoned boiled flour chunks flavored with broth);
river crayfish and crabs; tuna, mahi-mahi and mackerel
from the sea; and local tubers: cassava, dasheen, eddoes,
yams and tannia.
Ma Pampo
still loves to listen to the Kokoy programs on the radio
and the Franco-African rhythms and melodies that dominate
the airwaves. When I asked her what I could do to live
to be her age, she laughed heartily and thought for
a moment. Then she said that I should eat good food.
She added, however, that food is now so polluted with
fertilizer that it is difficult to trust. Then she commended
me to God.
An island
apart
The terrain,
flora and fauna of Dominica are unforgettable. Except
for the few villages that hug the coast and mountainsides,
the island has remained unspoiled and little changed
during the 500 years since Columbus first visited the
Caribbean. Twenty-nine miles long and 16 miles wide,
it is still a land of cloud-capped volcanic mountains
and lush tropical rainforests; steep valleys with tangled
lianas and tumbling, crystal-clear streams; rainbow-hued
flowers ranging from magenta ginger lilies to brilliant
orange heliconiae, bright pink antirrhinums to rich
purple orchids; iridescent butterflies that look like
flying bits of gemstone-studded brocade; and birds of
all sizes, colors and plumage that coo, squawk, shrill
and sing, including the national icon, the Sisserou
parrot, immortalized on the Dominican flag. The country
has 12 large waterfalls, six varieties of tropical rainforest
and more than 365 rivers, one for each day of the year.
There are hot sulfur springs and coldwater streams almost
side by side. It is said that you can catch a fish in
one river and cook it in the other.

Wigg John Francis, 103, attributes his long
life to ?good drink, good food? and God. (Photo
© Tony Deyal) |
Tourism
minister Charles Savarin attributes Dominicans? longevity
to the island?s pristine environment. "Many people still
drink water straight from the rivers," he says. "The water
is naturally filtered and entirely without chemicals.
There are no industrial plants emptying into the streams
and the sea. Most of the country is heavily forested so
that we may have more oxygen here than anywhere else."
He points
out that when today?s centenarians were growing up,
the island was without chemicals, fertilizers or motor
vehicles. People had to walk or row their small boats
long distances. Everyone had to work hard for a living,
sowing and reaping their own crops as well as working
on sugar plantations.
Until
two years ago, Wigg John Francis, who is officially
103, tended his garden and raked his own grass. He lives
in the agricultural community of Dublanc, on Dominica?s
west coast. He questions the official date of birth
derived from his baptismal records, saying he is really
107.
Francis
remembers being adopted as a boy by his aunt in the
capital. He never attended school; instead, he worked
as a farmer, fisherman and sometimes gravedigger. Until
two years ago, he actively supervised younger gravediggers,
showing them who was buried where and which plots were
still available. I asked him to what he owed his long
life, and he replied sharply in patois, "Ask God. It
is He who gives me sustenance." He then added, "Bien
bue, bien mange." Good drink. Good food. Natural and
without chemicals, a mixture of tubers and fish. Francis
was not averse to alcohol, and he smoked cigarettes,
although he quit some years ago. He was accustomed to
exertion, sometimes rowing the 30-mile round trip to
Roseau or the 10 miles to church and back with his family.
He believes in bush tea and bush medicine?holistic,
herbal healing. His biggest problem is "old age": His
eyesight is fading and his head hurts. Yet he walks
unaided, albeit slowly, and washes his own face.
Francis
says he has lived a good life "as God says." He is lovingly
and well cared for by his granddaughter, Theresa Jubenot,
and her husband Honor?. He is clean and clear-witted.
When I asked him what I could do to live to his age,
he looked me up and down and then laughed in my face.
In contrast,
Professor Gerald Grell, dean of the Portsmouth Campus
of Ross University, an offshore medical school based
in Dominica, took me quite seriously. He explained that
having so many centenarians (30 per 100,000, 66 percent
higher than the United States? rate of 18 per 100,000)
is highly unusual and that he is supervising a research
project to determine what the causes might be. While
he is not certain about the specific reasons for there
being more female (17) than male (four) centenarians
in Dominica, he notes that the evidence so far points
to the environment as the major factor in all cases.
None of the centenarians are directly related, so there
is no common genetic factor. They live in different
communities, so their longevity is not localized. He
believes that what the centenarians have in common is
that they all worked very hard during their lives, ate
the basic organic foods and fresh fish that abound in
Dominica, and breathed the oxygen-rich atmosphere that
encapsulates the country like a bubble of good health.
Grell
also points to three other important factors. The first
is that Dominicans live as extended families in small,
relatively isolated, semi-self-sufficient communities.
They share a strong respect for the elderly; people
are proud of their parents and grandparents and take
care of them when they are ill or need help. The second
factor is a deeply rooted belief in God found commonly
in Dominica?s almost universally Roman Catholic population.
Religion, not merely attendance at church on Sundays,
is a way of life. The third is that Dominicans live
relatively simple, stressfree lives.
Health
to the people
"This
is a country where we relax and where we are not afraid
to laugh at ourselves," says Minister of Health Herbert
Sabaroche, who hails from the small fishing village
of Bioche on the west coast and is related to Wigg John
Francis. "It is interesting that the 21 persons who
are over 100 years old are not restricted to any one
geographical area of Dominica but are spread throughout
the country.

Ma Daroux, 101, credits ?healthy food,? a loving
family and also God. (Photo © Tony Deyal) |
"This
means the whole of Dominica has an environment conducive
to long life. Fresh foods, clean water, pure air, a high
level of relaxation, good family support, belief in God,
low stress, and lots of exercise ?that is what life in
Dominica is all about."
He adds
one more element to the mix of contributing factors.
Sabaroche stresses health care in Dominica. "Our primary
health care system is one of the oldest in the region
and one of the best or most comprehensive," he says.
"It is decentralized, and instead of waiting for people
to come to us, we take health to them. We reach out
to the people."
One example
that stands out, and which is in its own way as significant
as Ma Pampo?s achievement, is the story of Augista Mathilde
Daroux, known as "Ma Daroux." Diagnosed with hypertension
in the early 1970s, she has survived and in fact thrived,
and now at 101 walks unaided, sleeps soundly and has
perfect bladder control. Grell describes this as unprecedented
and noteworthy as a health phenomenon.
"Normally
people with hypertension are not expected to live so
long. However, Ma Daroux has been faithfully taking
her prescribed medication, and the combination of hard
work, good food, clean air and a supportive environment
has contributed to her being so fit mentally and physically
at the age of 101."
Ma Daroux
lives on a hilltop overlooking the coastal village of
Petit Savane. Next to her house is a spring used by
villagers for washing. Her small and neatly kept home
is fenced by bay trees, whose exotic fragrance mixes
with that of the flowers she has planted in her garden.
Born on New Year?s Day, 1901, she went to school at
the age of 12. Her parents paid her teacher with vegetables
and fish. She left school early and went to work. She
had eight children. She attributes her long life to
healthy food: lots of cane juice, honey, arrowroot,
fish, river crabs, prawns and crayfish. She is cared
for by her children, who speak of her with love and
pride.
Perhaps
because she is not of the television generation, Ma
Daroux goes to sleep early and wakes early, as do other
centenarians. She also drinks herbal tea and is convinced
of the virtue of bush medicine for routine ailments.
She also is very religious.
As is
Louisa Joseph, 103, whom I visited at Vielle Case, high
in the mountains, where at some points the road is level
with the housetops. Joseph was half-asleep, clutching
her chaplet (rosary beads) when I arrived at her home.
Clean, tidy and smiling, she attributed her long life
to hard work and good food. She spoke of having a good
marriage and sharing with her neighbors. She said quietly,
"I lived like God says. Whatever I had, everybody got."
When I asked her what I should do to reach her age,
she too laughed.
Elizah
"Ma Bradley" Phillip, 114, of the village of Wesley
on the east coast, has lost most of her hearing so was
unable to address the same question. However, her 87-year-old
daughter and caretaker did the laughing for her.
Antonia
Fevrier, 104, of the village of Grandbay at the southernmost
point of the island, was having breakfast when I arrived.
She likes malted drinks and sweet biscuits. She ignored
my question, perhaps deeming it either unanswerable
or irrelevant.
But Ma
Daroux was different. When I asked her what to do to
live as long as she has, she said, "Eat lots of callaloo"?a
spinach-based soup common in the Caribbean. Deep green
in color, it has an unprepossessing appearance that
contrasts strongly with its scrumptious taste. It is
made from the leaves of the dasheen plant, seasoned
with garlic and onions, and contains black pepper leaves
together with crab, fish or salted meat.
Other
people have laughingly suggested that I use crapaud
water, a soup made from frog meat that is an island
delicacy and, together with fried frogs? legs, part
of the island?s French culinary heritage. I have passed
the message on to my wife, who has a vested interest
in my longevity. Now I plan to drink my callaloo and
crapaud water, and on my 100th birthday to go to Dominica
and wait for Columbus to return?or, for those who believe
in reincarnation, perhaps to return myself as Columbus.
Tony
Deyal, a former consultant to the Pan American Health
Organization and now a newspaper columnist, was last seen
in Dominica toasting PAHO?s centennial with a glass of
cane juice.
Have
bounty, will share
Tourism
is the fastest-growing industry in the world, and the
most important in most of the Caribbean, particularly
now that the banana industry has gone into decline.
Dominica, which has been pursuing ecotourism, is working
to develop a health tourism project in collaboration
with the Pan American Health Organization (PAHO), which
has spearheaded a Tourism and Health Project in the
Caribbean region.
Both
health minister Herbert Sabaroche and tourism minister
Charles Savarin of Dominica are optimistic about the
success of such an approach. Says Sabaroche: "Health
tourism is a challenge for the future. We see it as
a unique opportunity to capitalize on our natural resources
and to ensure that we retain and maintain those resources,
the most important of which are our people and our unique
way of life. We have no objections to sharing these
with other people and to allowing those whose health
can benefit from being here in Dominica to use the services
and to contribute to their improvement."
Savarin
has pointed out one practical difficulty that tourism
faces in Dominica. "Many people mistake us for the Dominican
Republic," he says. "This creates a marketing problem.
I would like people to remember that Dominica is the
world?s healthiest island and that we are well served
with good connections by airlines?.With PAHO?s help,
and with our already established health care system,
we are well placed to merge health and tourism for the
benefit of our country and our visitors."
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