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Eritreaa€™s history goes back to the days of the Pharaohs in Egypt, when they conducted trade with the chiefs of the Red Sea coasts. There are two, and more recently three, main waves of Eritrean refugees: those from the 1980s and 1990s and recent immigrants escaping mandatory national service that can go on indefinitely.
Cultural Orientation Resource Center (COR) reports in December 2010"The United States is currently in the process of resettling approximately 6,500 Eritrean refugees from the Shimelba Refugee Camp in northern Ethiopia. The traditional language for more than half the population of Eritrea, and now the official language of Eritrea, is Tigrinya (also spelled Tigrigna). Eritreans strongly believe that Eritreans understand one another and prefer not to be equated with Ethiopians, even though some Ethiopians speak Tigrinya.
Most Eritreans under the age of 50 will probably speak some English, as it is now being taught in Eritrean schools. Although some Eritreans speak English well, medical terminology may not be understood or be directly translatable. This language learning tool features videos of native speakers saying phrases of courtesy in nine languages, including Amharic and Tigrinya. Traditionally, the girls are taught to perform household tasks, but with family roles changing due to immigration, the boys in the family also help out with housecleaning and dishwashing.
Eritrean immigrants generally prefer that their children date and marry other Eritreans, because they feel that they will better understand each othera€™s culture. Traditionally, Eritreans care for elder family members at home and view this as an important duty. Sex education is becoming more prevalent in Eritrea, and students learn about birth control, STDs, and female circumcision. Eritrean women in Seattle seek prenatal care from community clinics and plan delivery in a hospital. Eritreans highly value breastfeeding and as a result, most Eritrean women breastfeed their babies.
There is often a push to introduce solid foods to infants at 4 months, which is a few months earlier than recommended by American pediatricians. For example, parents may not readily accept teens dating, nor do they discuss topics like relationships and sex with their children. The importance of parental guidance through constructive and open communication should be stressed to members of the Eritrean community. In Eritrea, being full-figured or even overweight is considered attractive and a sign of status. Culturally, it considered rude for guests to reject food when being hosted by another Eritrean, so they are obliged to eat food when ita€™s offered, even if they are not hungry.
These cultural practices regarding food and nutrition often translate to obesity and disease when Eritreans move to the United States.
On special occasions such as weddings, Eritreans may drink the traditional homemade alcoholic beverages, suwa and miyes. Alcohol abuse among adults is reported to be rare among members of the Seattle-area community. When someone is diagnosed with a life threatening illness or is dying, it is advisable to first tell a family member or next of kin. While traditionally the mourning period may last up to two weeks, modern mourning periods may last only a weekend due to practicality.
The mourning ritual includes wearing black garments and gathering at a central community location. If a spouse dies, Eritreans generally do not remarry; although they are more likely to if they did not have children from the marriage.
Eritreans believe in the healing powers of different plants, although they generally see a medical practitioner first. Another traditional practice in Eritrea is therapeutic burning, which is now illegal but may be evident in older generations.
See also EthnoMed article: Ethiopian Traditional and Herbal Medications and their Interactions with Conventional Drugs by A. When living in Eritrea, most Eritreans used hospitals in much the same way as here in the United States.
Eritreans generally try Western medicine first for treatment and believe that doctors in this country are able to help them.
Gender concordance between the health care provider and the patient is considered important by many Eritreans.
If an Eritrean is diagnosed with a life-threatening illness, they first follow the Western medical plan. If the patient is expected to die, it should be explained to the family that organs will not be harvested without consent. Chronic illnesses such as diabetes and hypertension are common in the elderly Eritrean population due to advancing age. Members of the Eritrean community in the Seattle-area primarily seek treatment at Harborview Medical Center even when having to travel a great distance. Many people do not understand the concept of depression but will see the doctor with complaints of physical symptoms that result from depression.

Some members of the community say that individuals will not be singled out for having the disease. Most Eritreans in Seattle came as refugees, but some originally came as students, applying for political asylum when their student visa expired. One of the many ways that the Eritrean community in Seattle differs from the Eritrean community in Africa is that Eritreans in the United States come together for mutual gain through networking as opposed to simply for celebrations. Eritreans generally come together at their church or community center for community- building activities.
There are currently 6,000 to 8,000 Eritreans living in the greater Seattle area, and this number continues to grow. The Eritrean community keeps itself quite separate from other Seattle-area communities and there is a fair amount of resistance to assimilate. Much of the older Eritrean generation had little access to education, as the state of education was poor during the war. In Seattle today, many Eritreans are enrolled in the community colleges to learn skills, so that they can get better jobs.
It is important to keep in mind that there are often striking differences between the older and younger generations of Eritreans. Settled in Seattle, Eritreans hang onto a heritage that sustains them Article about the local Eritrean community published in The Seattle Times on July 6, 2008.
Eritrean hospitality: Family retains the roots of culturea€™s cooking in ColumbiaJanuary 19, 2009 article from the Columbia Tribune (Columbia, MO) about Eritrean food and culture.
Sure you probably have a flashlight, first-aid kit and some canned food, but what are you and your family going to do for food if the situation is really dire? Balanced with our rations to provide adequate hydration without over-burdening a carrier in case movement during a disaster is required, our Emergency Drinking Water is Coast Guard approved as sanitary and safe, unlike bottled water which is subject to absolutely no federal standards.
Case contains 64 individual water packets, to be consumed with meals, one packet four times a day. This pet survival kit sets the industry standard for pet preparedness and contains the most effective supplies for emergency preparedness including the emergency food, water, lighting, first-aid, sanitation, and shelter supplies to prepare your pets. But don't waste your time and money constantly replacing pet food and other supplies when you can get a Pet Survival Kit designed by emergency preparedness experts to last and be ready when you need it. It contains a 72-hour survival supply for 1 dog including 5-year shelf-life emergency dog food and water. If you find a kit of equal or greater value advertised for less, we will refund you the difference. Electricity may be out for weeks leaving you in the dark and causing water treatment plants to stop working. The following year, under Emperor Haile Selassie, Eritrea was annexed and not only was its flag discarded, but the people were forced to speak Amharic, the official language of Ethiopia. Most recent immigrants are young males because it is easier for them to physically leave the country.
The refugees are mostly ethnic Tigrinya and Kunama who cannot safely return to Eritrea or settle permanently in Ethiopia. However, since the end of the Ethiopian occupation, there is as strong a preference for a strictly Eritrean interpreter in the health care setting.
Consequently, it is important to use an interpreter when explaining technical medical information.
Phrases of greeting, introduction, acknowledgment, departure and for emergency situations in a clinical setting can be played at a normal speed and at a learning speed. As both spouses begin to work more outside the home, household duties are more frequently shared by men and women.
As time goes on there is more inter-cultural dating, although this is still generally discouraged.
Although birth control is not religiously acceptable and is a taboo topic, most couples practice it because they see the practicality of having smaller families. Although sexuality is often a taboo topic, the Eritrean community is becoming more open and informed on the subject. Women generally breastfeed for up to a year and may stay home for the first 3 to 6 months of their infantsa€™ lives in order to accommodate breastfeeding. Bowel training can be accomplished as early as 6 to 7 months and bladder training after one year. In the United States, it is common for Eritrean children to sleep in separate beds much earlier in life.
The ability to eat enough to be overweight is an indicator that a family is wealthy enough to afford excess and is therefore an aspiration for many Eritreans. The decrease in exercise and change in familiar foods leads to a rise in obesity, diabetes, high cholesterol, and high blood pressure. This person will be able to offer advice on how to approach the person, or may serve as the informant.
If Western medicine does not work, Eritreans may return home as a last resort to utilize natural native remedies. They may be concerned that too much blood is drawn for testing and would prefer to avoid this unless absolutely necessary.
Eritreans strongly wish that the family be informed first of a serious illness or poor prognosis rather then the patient, this way the family can inform the patient. Medication adherence for these conditions is often poor among the elderly, as most do not understand the purpose of supportive treatments like cholesterol-lowering drugs. Though some may not be aware that they can seek care at other medical centers or neighborhood clinics closer to home, others continue to travel to Harborview due to the comprehensive health services provided in one facility. Some may a€?doctor shopa€? to find a provider who can help with the physical symptoms but the depression is what needs attention. Members of the community may distance themselves socially from a person who is depressed or mentally ill though they will acknowledge that it is not the individuala€™s fault and will sympathize with them.
Eritreans have settled throughout the United States, though they are particularly concentrated on the East and West Coasts. Though this is a cultural shift, it allows Eritreans to share knowledge about jobs, health issues, and other practical matters. Immigrants generally live in concentrated groups when they first arrive and then disperse throughout the area.
There is a lot of pressure from elders for youth to adhere to cultural practices and participate in Eritrean traditions. The Emergency Food Kit holds 275 servings of complete vitamin and mineral fortified nutrition in a portable weather-proof bucket.

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The container stores safely anywhere inside or outside your home and can be used along with the included water purification tablets to purify water for safe consumption. Italy lost the colony to the British in 1941 and after World War II, the United Nations made Eritrea an autonomous region of Ethiopia.
Many went first to refugee camps in neighboring countries such as Sudan and Zaire (now the Republic of Congo). With easing tensions between the Ethiopian and Eritrean population, an Ethiopian interpreter who speaks Tigrinya is an acceptable option for non-English speakers. The goal of this tool is to provide a jumping-off point for developing rapport in the interpreted health encounter.
As the Eritrean community ages, there is debate about the need for an Eritrean retirement home.
There is a current push to retrain midwives to include modern sterile techniques in their practices. This is done by the mother and requires close attention to the child's elimination patterns. Eritrean parents in Seattle generally have concerns about raising their children in American society.
However, the ability to control the amount and quality of food is often dependent on a persona€™s level of education and socioeconomic status.
It is made of barley, finger millet, or sorghum (whatever is most available) and hops is added for fermentation.
There are two Eritrean Orthodox churches in Seattle: Debre Genet Kisdisti Sellasie Eritrean Orthodox Church and Eritrean Kidisti Selassie Orthodox Tewahedo Church.
Eritreans may not realize that large quantities of some plants may interact with pharmaceutical drugs and therefore it should be explained that although herbs may not seem like medication to the patient, doctors should be informed if the patient is using them. They may be resistant to blood transfusions but also understand that if absolutely necessary they will comply.
Eritrean women strongly wish to be cared for by female providers and if an interpreter is needed, a female is preferred. They do not understand the purpose of taking medication for conditions that do not present symptoms. Family members of a depressed or mentally ill person will usually recognize the problem and are supportive in helping the patient seek treatment. Some particularly concentrated areas are Northgate, West Seattle, Burien, Lynnwood, and Renton. There needs to be more of a focus on financial management, an area where positive mentorship could be very helpful. Although many have come to the United States as refugees and do not plan to return, they have strong pride in their homeland. As the Eritrean population continues to grow in Seattle, there is increasing stress over whether to comply with local practices, or those of Eritrea.
This food kit has an amazing 20 year shelf life and uses convenient 5 serving packages that are pre-mixed and seasoned and easy to prepare. You and your dog may need to take up shelter outdoors while possibly enduring extreme weather conditions.
The region is dominated by a south-central highland with an average elevation of 2,100 meters. Health conditions in the refugee camps were terrible and many suffered from hunger and disease. Children, both male and female, are given their father's first name as their surname and will keep this name throughout their life. The community feels strongly that a facility where Tigrinya is spoken is essential to caring well for elders. There may be a lack of understanding regarding the positive aspects of sun exposure, such as the absorption of vitamin D, and the negative aspects of overdressing and infant. It should not be assumed that everyone has a good understanding of a€?healthya€? American eating habits.
Miyes is considered to be higher class of drink, as its ingredients, which include honey and spices, are more expensive. As visitors leave, they may express their condolences to the family and offer money to help defray burial costs.
The trend of sending the deceased back to Eritrea is slowly fading due to financial constraints, increasing acculturation, and immigration (fewer elders remain in Eritrea and since the deceased are generally returned to Eritrea in order for elders to have closure, this is no longer necessary).
If blood is being drawn, providers should explain exactly what the purpose is and what tests are being done on the blood.
Simply boil water, add package ingredients, simmer for 20 minutes and, voila, instant gourmet survival meal. Your cat may suffer injuries and need immediate medical treatment at a time when there might not be medical attention available.
From the refugee camps, some Eritreans went to countries such as Germany, Sweden, Italy, the United States, and Canada.
Immigrant Eritreans may have little knowledge about healthy diet and exercise because weight related health issues were not a problem in Eritrea.
Often one visitor will cry loudly in order to spark emotional responses from others and move the grieving process along.
It should also be explained that blood tests do not necessarily provide a total medical overview and sometimes blood tests are looking for one specific variable. It's the perfect solution for those unexpected pesky tornadoes, hurricanes, earthquakes or just easy to prepare quick meals while on hunting and camping trips. For many Eritreans in Seattle, the United States is their second, third, or even fourth home.
Traditionally men do not enter the birthing room, and only the female family members are present. There is a slow shift towards the husband being present, but this varies greatly from family to family depending on their level of education.

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