Houston Chronicle

Army, A&M join to take health care to colonias

Army Reserve, Texas A&M begin partnershi­p that provides services to impoverish­ed areas

- By Aaron Nelsen SAN ANTONIO EXPRESS-NEWS

The Army Reserve is partnering with students from the Texas A&M system to provide health care and infrastruc­ture projects to thousands of people living in impoverish­ed areas known as colonias.

EL CENIZO — Jennifer Meadows twisted the knobs on a phoropter, zeroing in on Irma Sanchez’s ideal glasses prescripti­on. A few more twists and turns of the knobs, and Meadows, an optometris­t and major in the Army Reserve, had it pegged.

“She’s nearsighte­d,” Meadows said of her patient.

Despite worsening vision, Sanchez, 38, hadn’t visited an optometris­t in a decade. For that matter, years had passed since she last sat in a dentist’s chair or set foot in a doctor’s office.

“I needed new glasses,” Sanchez said. “This is great.”

Sanchez, who doesn’t have health insurance, is not alone.

Over a two-week period in late June, the Reserve partnered with students from across the Texas A&M System to provide health care and infrastruc­ture projects to thousands of people living in impoverish­ed neighborho­ods around Laredo known as colonias.

The mission, under the Innovative Readiness Training program, builds partnershi­ps between the Defense Department and underserve­d U.S. communitie­s. For the Army, it is a valuable opportunit­y to prepare its reservists for overseas deployment in underdevel­oped regions.

For Texas A&M’s Colonias Program, the Army’s need to train was its chance to bring much-needed services to the neighborho­ods.

“I know for sure that this exer-

cise has already saved one life,” said Oscar Muñoz, director of the colonias program. A physician detected a heart murmur in one resident and sent him to an area clinic for further examinatio­n. “It might not have had a happy ending if he hadn’t been treated here.”

Along the Texas-Mexico border, there are nearly 2,300 colonias, where an estimated 500,000 residents, about half of them younger than 18, live without one or more major infrastruc­ture basics, such as potable water, paved roads, sewage system, storm drainage and electricit­y.

The colonias program, founded in 1991 by the Legislatur­e, is designed to help colonia residents develop sustainabl­e solutions to their infrastruc­ture needs.

Program reaches Texas

About two years ago, during a quarterly meeting in San Antonio with other university department­s, Muñoz crossed paths with Olin Findley Brewster, an Army Reserve ambassador with A&M. Brewster asked if Muñoz had ever considered the IRT program.

“I told (Muñoz) ‘Hell, I think I can help,’ ” Brewster said. “He’d never heard of the program.”

The Army’s program had never come to Texas. Over the next 18 months the two programs got to work, marrying needs and services.

The Army deployed 122 health care profession­als to four colonias, two civil service units to survey economic and developmen­t opportunit­ies in seven colonias, and an engineerin­g unit to resurface 2 miles of unpaved road.

For its part, the A&M System brought dozens of nursing students from Corpus Christi and Round Rock to work alongside the reservists.

At the Larga Vista Community Center in Laredo, the line of patients began forming early in the morning. The site averaged 162 patients each day.

“Most of the men say they’ve never seen a doctor,” said Sgt. Cristine Martinez, a nurse in charge of the Larga Vista site. Most of the patients came for vision and dental care.

One older man put on glasses for the first time and “burst into tears,” Martinez said.

Public service, training

According to the 7458th Medical Backfill Battalion, the reservists from Fort Bragg, North Carolina, performed 963 medical exams, 889 dental exams and 1,184 optical exams. Capt. Daniel Wong, a physician, noted the prevalence of diabetes and hypertensi­on among his patients. In some areas along the border, 50 percent of adults are obese, and the rate of diabetes is as high as 30 percent among adults in some communitie­s.

“Unfortunat­ely, I had to scare some of them half to death,” Wong said.

After the residents had their medical checkups, Wong sent them to collect a month’s supply of medicine, then on to the Gateway Community Health Center, which receives funding from the U.S. Health and Human Services Department.

“From a military perspectiv­e, we’re here primarily to train our troops and prepare for their combat missions,” said Lt. Gen. Jeffrey S. Buchanan of Joint Base San Antonio-Fort Sam Houston. “Usually, we spend time around the world helping others, but we get an extra benefit here of helping Americans.”

“This is what public service is all about,” said A&M University System Chancellor John Sharp, who visited the sites around Laredo with Buchanan this week. “We’re able to step in for a brief while and change a bunch of lives, and maybe save a bunch of lives.”

Muñoz has submitted applicatio­ns for nine projects under the Army’s program. Four have been approved: a medical mission to El Paso, a civil affairs mission to Laredo, and medical and engineerin­g missions to Brownsvill­e.

“We were not only able to provide medical services, we’re also now ensuring that there is sustainabi­lity,” Muñoz said. “I’m looking forward to next year’s exercises.”

 ?? Bob Owen / San Antonio Express-News ?? Irma Sanchez, 38, of Laredo, has her eyes checked by Maj. Jennifer Meadows on Tuesday in a mobile clinic set up in the El Cenizo Community Center in El Cenizo. The Army and students from Texas A&M have been working together on health care training.
Bob Owen / San Antonio Express-News Irma Sanchez, 38, of Laredo, has her eyes checked by Maj. Jennifer Meadows on Tuesday in a mobile clinic set up in the El Cenizo Community Center in El Cenizo. The Army and students from Texas A&M have been working together on health care training.
 ?? San Antonio Express-News ?? Leonel Presas has his eyes checked by Brenda Amaya at a traveling clinic in El Cenizo.
San Antonio Express-News Leonel Presas has his eyes checked by Brenda Amaya at a traveling clinic in El Cenizo.
 ?? Bob Owen photos / San Antonio Express-News ?? Leonel Presas, right, has his eyes checked Tuesday by Brenda Amaya of the Texas A&M Health Science Center during a traveling clinic at the El Cenizo Community Center in El Cenizo.
Bob Owen photos / San Antonio Express-News Leonel Presas, right, has his eyes checked Tuesday by Brenda Amaya of the Texas A&M Health Science Center during a traveling clinic at the El Cenizo Community Center in El Cenizo.
 ??  ?? Dr. Mark Judson Burns makes notes Tuesday after fixing a denture for Horacio Gonzalez, 82, in a mobile dental clinic in the El Cenizo Community Center.
Dr. Mark Judson Burns makes notes Tuesday after fixing a denture for Horacio Gonzalez, 82, in a mobile dental clinic in the El Cenizo Community Center.

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