Article
Belief
Care
Creed
4 min read

Understand what we thirst for

Whether for water or meaning, it’s a primal force.

Helen is a registered nurse and freelance writer, writing for audiences ranging from the general public to practitioners and scientists.

A child wearing a wool hat holds a glass and drink water from it.
Johnny McClung on Unsplash

Quenching thirst is a global problem. It can also be profoundly personal, impaired by illness. For nurses, it can be ethically and emotionally difficult, when treating dying patients. But is there ultimate relief? 

Thirst is the subjective sensation of a desire to drink something that cannot be ignored. The world is thirsty; globally, 703 million people lack access to clean water. That’s 1 in 10 people on the planet. 

Thirst is a life-saving warning system that tells your body to seek satisfaction through swallowing fluid. It works in partnership with other body processes - such as changes in blood pressure, heart rate and kidney function - to restore fluid, and salt, levels back to where they belong. Failure of any part of this beautifully balanced system leads to dehydration (or water intoxication), and perhaps to seizures, swelling of the brain, kidney failure, shock, coma and even death. 

Sometimes it’s difficult to quench thirst, because of problems with supply. According to the World Health Organization, at least 1.7 billion people used a drinking water source contaminated with faeces in 2022. Sometimes in war, water is weaponised, with systematic destruction of water sources and pipes. Water laced with rat fur, arsenic and copper has meanwhile been reported in prisons across the USA.  

At other times, there may be “water everywhere, but not a drop to drink” because of individual problems with swallowing. As a nurse, some of my most heartbreaking moments have been when I have been unable to fulfil a need as basic as a patient’s thirst; when even thickened fluids have led to intense coughing and distress, and a realisation that I can only moisten mouths and give so-called “taste for pleasure”: very small amounts of a favourite liquid or taste using a soft toothbrush, or a circular brush gently sweeping around the mouth and lips to release some of the liquid - even, and especially, at the end of life when the patient is unconscious. 

Difficulties in drinking are common in dementia when fluid can seem foreign and swallowing a surprise to the system. It’s thought that over 50 per cent of people in care homes have an impaired ability to eat or drink safely; 30 to 60 per cent  of people who have had a stroke and 50 per cent of those living with Parkinson’s may struggle to swallow. 

Other conditions that may affect swallowing include multiple sclerosis, cerebral palsy, and head and neck cancers. Diabetes is characterised by a raging thirst owing to problems with insulin (diabetes mellitus) or an imbalance in antidiuretic hormone levels (diabetes insipidus). In intensive care, patients are predisposed to thirst through mechanical ventilation, receiving nothing by mouth, and as a side effect of some medications. But thirst is a “neglected area” in healthcare, writes palliative care researcher Dr Maria Friedrichsen.  

“Knowledge of thirst and thirst relief are not expressed, seldom discussed, there are no policy documents nor is thirst documented in the patient’s record. There is a need for nurses to take the lead in changing nursing practice regarding thirst.” 

Is there another thirst that is also being missed in nursing, and in life in general – a spiritual thirst, beyond the physical desire to drink? In his book, Living in Wonder, writer Rod Dreher argues that humans are made to be spiritual, and that a critical sixth sense has been lost in a “society so hooked on science and reason”. We humans crave love in our deepest selves; we have an insatiable thirst for everything which lies within – and beyond – ourselves. Auschwitz survivor Viktor Frankl, who was later appointed professor of psychiatry at the University of Vienna, became convinced that human beings have a basic “will for meaning.” “The striving to find a meaning in one’s life,” he wrote, “is the primary motivational force in man.”  

In the harsh sun of a Middle East day, an ancient story of a man and a woman encountering each other at a water well illustrates this dual thirst for water and meaning. The man, Jesus, thankful for a drink of water given to him at the well by an outcast Samaritan woman, said that “Everyone who drinks this water will be thirsty again, but whoever drinks the water I give them will never thirst. Indeed, the water I give them will become in them a spring of water welling up to eternal life.” In that midday sun, such imagery made a powerful statement.  

Being mindful of spiritual thirst when drinking water is something also captured in a Ghanaian proverb and pictured perfectly in the many birds that drink by gravity, so tipping their heads back when they swallow.  

“Even the chicken, when it drinks, 

Lifts its head to heaven to thank God for the water”. 

Unsatisfied thirst is part of the human condition, we long for something more; it’s living proof of our immortality, says French poet Charles Baudelaire. Despite his Olympic success, athlete Adam Peaty said that society didn’t have the answers he was seeking, and that a gold medal was the coldest thing to wear. He “discovered something that was missing” when attending church for the first time, and now has a cross with the words “Into the Light” tattooed across his abdomen, symbolizing his spiritual awakening. We are more than mechanical machines with physical needs. We are rather gardens to tend in a dry and thirsty land, with souls in need of intensive care.   

Article
Coptic Church
Creed
Egypt
Identity
Middle East
11 min read

God in the garbage: Egypt's unlikely megachurch

Cairo's Church of the Zabballeen is the largest Church, and one of the most unusual in the Middle East. Graham Tomlin tells its story and that of the remarkable priest who inspired it.

Graham is the Director of the Centre for Cultural Witness and a former Bishop of Kensington.

a view from the bottom of a huge cave to the sky, up row upon row of seating tiers.

To drive through Iz-Zurrayyeb, a poor area on the outskirts of Cairo is to enter a maelstrom of noise, garbage, dust and dirt. At first glance, it looks a grim place to live. There is rubbish everywhere. Cans, plastic bottles, cardboard, wood, rags, tins. Much of the refuse of the city of Cairo – about 3000 tons every day - ends up here.  

Yet the most surprising thing is what you find when you reach the heart of this community, one of the poorest in Egypt – an enormous 20,000 seater Church, the largest church in the Middle East – built into a cave in a sheer rock face.  

The story of this community goes back to the 1940s, when groups of Coptic Christian rural dwellers from Upper Egypt started migrating to the city of Cairo when life on their land became more and more difficult. These immigrants initially continued pig-farming, buying the city’s waste to feed their pigs, until they found a more lucrative way to live: by collecting the waste of the city’s residents, sorting it carefully and salvaging things of value to be sold. Feeding waste to their pigs and processing the pork to sell to the Christian population of Cairo also brought in some much-needed income.

Around 1970, some of the Zabballeen (or ‘garbage collectors’) as they were called, were evicted from the parts of Cairo where they were scattered, and moved together to an abandoned quarry on the outskirts of the city. As a result, they settled in Iz-Zurrayyeb, under the cliffs of Mokattam mountain and started establishing what is sometimes called Garbage City. They built a shanty-town there, with rudimentary dwellings, keeping pigs and eking out a living recycling refuse.  

The Zabballeen recycle about 80% of the waste they collect, an astonishing result when you consider most western cities which struggle to reach 25%.  It is a remarkably efficient system. At night the men (mostly) go out into the city streets, collecting as much garbage as they can. Each family co-operative has a particular area of the city where they are entitled to collect waste.  

There is some competition to get the wealthier areas – as is true anywhere in the world, rich people’s garbage offers better pickings than those of the poorer areas. Rather than being paid to collect the waste, the Zabballeen pay a fee to the Wahiya, a group of Muslim migrants to Cairo who arrived before the Christian Zabballeen, and who own the rights to much of city’s the garbage. 

They then take it back to their neighbourhood, packed tightly into large parcels, tied together with rope, precariously perched on the top of motorised bikes, carts or lorries. The rubbish is then deposited in the front entrance yard of the house, and sorted, usually by the women and young girls.  

The sorting is fiercely well-organised. Cans, plastic bottles, cardboard, food waste are all separated. The food waste is fed to the pigs (the Zabballeen, being almost entirely Christians, are happy to keep pigs, unlike their Muslim neighbours). Cans and bottles are packed tightly together by locally made crushing machines into neat, easily transported bales to be sold to firms that can reuse the material. Rags and paper are put aside for reuse in local craft production. Some within the community reprocess waste and produce sellable items themselves - especially in the plastics recycling business - running big recycling units, producing coat hangers, plastic bags and other goods.  

You would have thought the government might have been delighted at a system of waste disposal with these spectacular recycling results. Yet the city authorities seem to make life hard for the Zabballeen at every point. They used to carry the rubbish back to the neighbourhood by donkey and cart, but the authorities thought these were unsightly, didn’t project a modern image of the city and left donkey poo on the streets, so in the late 1980s, banned them.  

The Zabballeen were compelled to sell what land they still owned, or take out loans to small lorries and motorised trucks to ferry the waste instead. The problem is that the streets of Garbage City, running between the high blocks of flats that the residents live in, are too narrow. They were built for donkeys and carts, and so at rush hour, the place becomes like a parking lot, a nightmare of honking horns, vehicles inching slowly past each other with millimetres to spare on either side. 

Then there was swine flu. When the pandemic hit the world in 2009, despite the fact that no pig in Egypt ever caught the disease, the government ordered every pig in the country to be slaughtered. This was a disaster for the Zabballeen. Their whole carefully crafted system for dealing with garbage depended on pigs eating the food waste. They could no longer bring the waste back to the city as the rotting food would make the place unbearable. As a result, rubbish began to pile up in the streets of Cairo until the Zabballeen were able to restore their stock of pigs and start again.   

The Zabballeen’s way of life is threatened even now. In 2003, the Egyptian government entered into multi-million dollar contracts with international companies to collect Cairo’s waste, presumably because they would do it in a tidier and less obtrusive way, despite the fact that these companies are only required to recycle 20% of the waste - the remaining 80% gets dumped into landfills. Many Cairo residents still prefer the old system run by the Zabballeen, as the new companies charge them more, and fail to offer the personalised door-to-door collection that the Zabballeen did.  

In the 1960s, alcoholism, violence and drug use were rife in Iz-Zurrayyeb, as in many areas of extreme poverty across the world. Yet in the early 1970s, something began to stir.   

Ferahat Ibrahim was a young Christian printer living in Cairo, a passionate evangelist, part of an independent Coptic group that ministered among the poor of Egypt. He got to know Qidees, the man who collected rubbish in the neighbourhood where he lived, and spoke to him about faith in Jesus Christ. Qidees urged him to come to speak to his family and friends in the community at Mokattam mountain.  

Reluctantly, Ferahat agreed to do so. One day, while praying there, a storm blew up, and from among the mass of paper swirling in the wind, a single leaf torn from a book drifted from one of the piles of rubbish to land at his feet. It was a page from the Bible in Arabic – Acts chapter 18, to be exact. Picking it up, he read some words originally addressed by God to St Paul: “Do not be afraid; keep on speaking, do not be silent. For I am with you, and no one is going to attack and harm you, because I have many people in this city.” 

Taking this as a divine calling, he began to go from house to house, preaching a simple message that  God loved everyone without exception - including garbage collectors, the possibility of a new beginning and a call for people to repent, to change their ways in response to the love of God revealed in Jesus. Although he was not ordained, Ferahat never questioned the Coptic Orthodox baptism of these Christians, though recognised that in many cases their faith was no more than nominal and needed reviving. He would pray for people’s healing, or where he suspected something darker at work, would engage in the exorcism of evil spirits. Gradually, more and more people began to meet, looking for places to gather. 

Being Coptic Orthodox by origin, as the church grew, they decided they wanted a priest, but not just any priest. They wanted Ferahat. So in 1978, with the support of the Coptic Pope Shenouda, he became Abuna Sima’an - an ordained priest of the Orthodox Church. He also began to recruit others from within the community as fellow workers in this fast-growing church. He remained ministering among the Zabballeen until he died just last year, in October 2023. 40,000 people turned up for his funeral. 

Gradually, more and more people joined the fledgling church. Over time the whole neighbourhood changed. As drug and alcohol use diminished, money was freed up to be spent on healthcare and strengthening family life, education and a thriving children's centre. One of the first buildings that went up was a new Church to meet in. Inspired by the sight of a proper solid building among their flimsy dwellings, shacks and tents were replaced with brick-built apartment blocks that enabled the sorting to happen on the ground floor while families lived in cleaner apartments above.  

The community persuaded the government to connect water, electricity and sewage facilities. Fr Sima’an’s wife Souad Hanna started a school that has in time become a launchpad for further teachers in the area. A centre began to provide for people with disabilities, rather than leaving them begging on the streets.  

Sorting rubbish with no gloves leads to regular bouts of tetanus, and rates of sickness in the city are high. Nothing if not inventive, they built their own hospital. Pooling money raised from their work, and with the aid of a Finnish foundation, they built a state-of-the-art facility. Unlike the streets of the neighbourhood, the hospital is clean, modern, efficient and is as good as hospitals you’d find in any modern city. 

The rocky area in which they live contains a number of caves. As the church building became too small, some of these began to be used as meeting places for worship. One cave filled with large rocks was painstakingly cleared, and hollowed out further by the residents to provide a 5000 seat auditorium for public worship. As more and more people came to church, even this was just not big enough, so they started to work on proper seating in another cave. This one now has seating for 20,000 people. It is the largest church building in the middle east. 

Unlike most megachurches of this size, it is not Pentecostal but Coptic. The ancient Coptic church in Egypt, which claims its origin in St Mark’s visit to Egypt to preach the gospel after the Resurrection of Jesus, went through a revival in the 1960s which still carries on today. Monasteries which had been reduced to a few old monks living an austere life in ramshackle monastic houses, much like many such communities in the west today, suddenly found young men applying to be members of these ancient communities, many of which go back to the fourth century.  

The walls of the Zabballeen cave churches have lovingly sculpted reliefs of biblical stories, usually relating to the need for repentance, or Jesus’ miracles relating to the poor – healing blind men, the paralysed or the woman whose period would never stop.  

The streets of the neighbourhood are festooned with posters of Jesus, the Virgin Mary, the Coptic Pope Tawadros, and Abuna Sima’an (the unlikely equivalent is an English low-income area festooned with pictures of the local vicar!). The Coptic community in Egypt has been through troubled times. In the mid-2010s, a wave of bombings by Islamic fundamentalist groups killed and injured many Christians. 5% of the population of Egypt are Christian, yet the Zabballeen wear their faith on their sleeves. Their Christianity is not hidden. It is out on display. Presumably because it makes the difference between hope and despair.  

In an election year in the UK, political parties will offer their solutions for urban regeneration, and how to address areas where levels of crime, alcohol and drug abuse and the related mental health issues are rife. The story of the Zabballeen doesn't provide easy answers but it does suggest that there is a deeply spiritual dimension to these problems and that a revival of the faith that western culture has gradually been shedding for the last few hundred years might actually be a key to community transformation.  

When people have a bigger reason to live, something deeper than just getting richer, something that gives them a purpose for building family life, investing in healthcare, education and the things that build good community, then things begin to change. Deep transformation of this kind needs a transcendent purpose, not just social programmes dreamed up by politicians. 

We hear much these days about the demise of the church in the Middle East. And much of that is true – in many places, the Christian church has been harried down to much smaller numbers through the pressure of intimidation and the possibility of emigration. Yet that’s not the whole story. Here is a church thriving in the most poverty-stricken and unlikely of circumstances. 

In the west we tend to think of Christianity as a western religion and one for the respectable and relatively well-off.  The story of the Zabballeen tells a very different story, one that is much more representative of the church across the world. Dynamic Christianity thrives not in places where people have everything they need, but in places where they know they need help. Here is Christianity in the raw, thriving among people who have few possessions and who seem to be, in language that St Paul used to describe himself ‘the scum of the earth’.  

Their story is a powerful reminder of the ingenuity of locally based initiatives rather than corporate imposed solutions. It also says something about the transforming power of Christianity in places of great poverty and need. Walk around areas of desperate poverty in western cities and you often find people beaten down by life. Despair hangs in the air when a community struggles with problems of debt, alcohol and drug abuse.  

There is very little of that on Mokattam mountain. There is an energy, vibrancy and purpose about the place, despite the grim living conditions. A friend who lived for a number of years in Garbage City tells me he loved living there because of the warmth of the friendships and the spirit of the place. That may be partly due to the sheer industry and ingenuity of these people, but not just that. It seems to rise up from a faith that gives hope and purpose in a place where you’d least expect to find it.