She knew what to be wary of. You could not be a health-care professional in Africa and not be careful if you wanted to live. Christianity had been trying to establish itself here for centuries, but while it had made some inroads, it might never make others. One of those problems was sexual promiscuity, a local proclivity that had horrified her on her arrival nearly two generations earlier, but was now just… normal. But all too often lethally so. Fully a third of the patients in the hospital had what was known locally as "the thin disease" and elsewhere as AIDS. The precautions for that ailment were set in stone, and Sister Jean Baptiste had taught them in courses. The sad truth was that, as with the plagues of old, all that the medical professionals could really do with this modern curse was to protect themselves.
Fortunately with this patient, that was not a concern. The boy was only eight, too young to be sexually active. A handsome boy, well formed and bright, he'd been an honor student at the nearby Catholic school, and an acolyte. Perhaps he'd hear the call someday and become a priest—that was easier for the Africans than the Europeans, since the Church, in quiet deference to African customs, allowed priests down here to marry, a secret that was not widely known through the rest of the world. But the boy was ill. He'd come in only a few hours earlier, at midnight, driven in by his father, a fine man who was a senior official in the local government and had a car of his own. The doctor on call had diagnosed the boy with cerebral malaria, but the entry on the chart wasn't confirmed by the usual laboratory test. Perhaps the blood sample had gotten lost. Violent headaches, vomiting, shaking of the limbs, disorientation, spiking fever. Cerebral malaria. She hoped that wasn't going to break out again. It was treatable, but the problem was getting people to treatment.
The rest of the ward was quiet this late at—no, early in the morning, actually—a pleasant time in this part of the world. The air was as cool as it would get in any twenty-four-hour period, and still, and quiet—and so were the patients. The boy's biggest problem at the moment was the fever, and so she pulled back the sheet and sponged him down. It seemed to calm his restless young body, and she took the time to examine him for other symptoms. The doctors were doctors, and she but a nurse—even so, she'd been here for a very long time, and knew what to look for. There wasn't much really, except for an old bandage on his left hand. How had the doctor overlooked that? Sister Jean Baptiste walked back to the nurses' station, where her two aides were dozing. What she was about to do was properly their job, but there was no sense in waking them. She returned to the patient with fresh dressings and disinfectant. You had to be careful with infections down here. Carefully, slowly, she peeled off the bandage, herself blinking with fatigue. A bite, she saw, like one from a small dog… or a monkey. That made her blink hard. Those could be dangerous. She ought to have walked back to the station and gotten rubber gloves, but it was forty meters away, and her legs were tired, and the patient was resting, the hand unmoving. She uncapped the disinfectant, then rotated the hand slowly and gently to fully expose the injury. When she shook the bottle with her other hand, a little escaped from around her thumb and it sprinkled on the patient's face. The head came up, and he sneezed in his sleep, the usual cloud of droplets ejected into the air. Sister Jean Baptiste was startled, but didn't stop; she poured the disinfectant on a cotton ball, and carefully swabbed the wound. Next she capped the bottle and set it down, applied the new bandage, and only then did she wipe her face with the back of her hand, without realizing that when her patient had sneezed, his wounded hand in hers had jerked, depositing blood there, and that it had been on her hand as it had swept across her eyes. The gloves, therefore, might not have mattered at all, a fact that would have been of scant comfort even if she had remembered it, three days hence.
SHOULD HAVE STAYED put, Jack told himself. Two paramedics had guided him up a clear corridor on the east steps, along with the gaggle of Marines and agents, all moving upward with guns still out in a scene of grimly obscene humor, no one knowing quite what to do. They then had encountered a nearly solid line of firefighters and hoses, spraying their water, much of which blew back in everyone's faces in the sort of chill that ran straight into the bones. Here the fire had been smothered by the water fog, and though the hoses continued to wet things down, it was safe for rescue personnel from the ladder companies to creep into the remains of the chamber. One didn't have to be an expert to understand what they found. No lifted heads, no urgent gestures, no shouts. The men—and women, though one couldn't tell at this distance—picked their way carefully, more mindful of their own safety than anything else, because there was plainly no reason to risk one's life on behalf of the dead.
Dear God, he thought. People he knew were here. Not just Americans. Jack could see where a whole section of gallery had fallen down to the well of the chamber. The diplomatic gallery, if he remembered correctly. Various dignitaries and their families, many of whom he'd known, who had come to the Hill for the purpose of seeing him sworn. Did that make their deaths his fault?
He'd left the CNN building because of the need to do something, or that was what he'd told himself. Ryan wasn't so sure now. Just a change of scenery, perhaps? Or was he merely drawn to the scene the same way the people at the perimeter of the Capitol grounds were, standing silently as he was, just looking, as he was, and not doing anything, as he was. The numbness hadn't gone away. He'd come here expecting to find something to see and feel and then to do, but only discovered something else for his soul to shrink from.
"It's cold here, Mr. President. At least get out of this damned spray," Price urged.
"Okay." Ryan nodded and headed back down the steps. The coat, he found, wasn't all that warm. Ryan was shivering again, and he hoped it was merely from the cold.
The cameras had been slow setting up, but they were there now, Ryan saw. The little portable ones—Japanese made, all of them, he noted with a grunt—with their small, powerful lights. Somehow they'd managed to get past the police lines and the fire chiefs. Before each of them stood a reporter—the three he could see were all men—holding a microphone and trying to sound as though he knew more than anyone else did. Several lights were trained his own way, Jack noted. People all over the country and the world were watching him, expecting him to know what to do. How did such people ever adopt the illusion that senior government officials were any brighter than their family physician, or lawyer, or accountant? His mind trekked back to his first week as a second lieutenant in the Marine Corps, when the institution which he'd served then had similarly assumed that he knew how to command and lead a platoon—and when a sergeant ten years his senior had come to him with a family problem, expecting the "ell-tee," who lacked both a wife and children, to know what to say to a man who had trouble with both. Today, Jack reminded himself, such a situation was called a "leadership challenge," meaning that you didn't have a clue about what to do next. But there were the cameras, and he had to do something.
Except he still didn't have a clue. He'd come here hoping to find a catalyst for action, only to find increased feelings of helplessness. And maybe a question.
"Arnie van Damm?" He'd need Arnie, sure as hell.