The stage was already set in 1983. A young man coming to Sarawak for the first time as a practicing doctor in Miri, await for the events to unfold before him.
A hospital located in a scenic seaside environment across a river on a Peninsular strip; an isolated Miri town which was only accessible from nearby towns by dirt unsealed roads; the presence of air transfer that could only be afforded by a few.
In the 90s, Miri and its surroundings underwent a rapid urbanisation process. It saw the influx of local migrant workers from all over Sarawak. Squatters increased in numbers. Living conditions and sanitation were compromised. It was only a matter of time when diseases would emerge at alarming levels. Suddenly, cholera and dengue became the main threats to Miri and its outskirt. Malaria was rampant in the jungles. The El Nino of 1996-97 did the damage when practically all the rural areas were affected by cholera.
In the remote jungles where all the clinics are located, the health workers worked and lived in extreme conditions – humid environment, limited electricity times from generators, water supply from the hills, rain and river. Young enthusiastic Medical Assistants and Community Nurses are assigned to these places to learn the trade; they have to relearn the hardship of living which their parents went through. All was done for the sake of providing health to the local communities.
Other public health challenges emerged as Miri went beyond 2000.
All the events, experiences, and challenges that occurred are documented in this book.