Dear Jim,

Thank you. I expect with 18 you should have all the windows open but maybe there will be enough people to be warmed by the crowd!

It is sad to see how the cases are so high in UK. Here we live in blessed ignorance because there is little testing. We test all the patients before admission to fistula centre and have had two positive out of about 30 tests done.

We have been gently ticking over here. Very busy with preparing five year plans for the next 5 year agreement with the government and now I have been appointed adviser to everything in the INF hospital so despite lack of experience I am advisor for the leprosy, rehabilitation and outreach work as well as fistula. All very challenging and I am learning fast.

Much love to all at All Saints and pray you will have a very happy, safe and blessed Christmas time

Shirley