A speedboat roars across the ripples of a brownish river, under the protection of dense trees. Every morning, at around 8am, Dr Wishnu Aditya, 28, accompanied by a staff from the community health center (puskesmas) from Sawaerma village, Sawaerma district, Asmat, goes on patrol to one village in the district. The four-hour routine is actually a death-defying journey. "If the driver is sleepy-and this is very normal under such conditions-the boat c