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Cite Soleil Health Capacity Zone

Michael D. McDonald's picture

The mission of this working group is to focus on discussions about the Cite Soleil Health Capacity Zone.

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Haitian Baby Boy with Cholera and Hope


Baby Boy–April 2015 (Photo by John Carroll) - by John Carroll - April 26, 2015

Several mornings ago a young mother carried her 12 month old baby boy into the pediatric clinic in Cite Soleil. (I will refer to him as “Baby Boy”). The mom and Baby Boy had been triaged to a wooden bench surrounded by about 25 other very pathetic slum babies and mothers who had made it that far in the process. However, one glance at Baby Boy was all one needed to know he was sick and that he needed to be evaluated right away. His eyes were sunk, his lips were dry, and except for quiet respirations, he wasn’t moving.

His mother stated that she recently had him in the only functioning Cholera Treatment Center (CTC) in Soleil for four days in a hospital called St.Luc’s which is about a mile from our pediatric clinic.


Social Suffering in Soleil


Baby Boy (Photo by John Carroll) - by John A. Carroll, MD - - February 13, 2014

. . So what happened here? Didn’t you hear that things are going much better in Haiti now? I read it in the news. . .

We won’t be able to go to Soleil tomorrow. Too much shooting. Gangs against gangs and then the police come and shoot too. My driver Djongo does not play. He grew up in Soleil.

That is what Djongo told me a few weeks ago. But the next morning I talked him into taking me into Soleil anyway.

There were no gunshots that fine morning as we coursed through the Soleil streets near the general market where MINUSTAH and the Haitian police are located. Everything seemed normal. But the general pediatric clinic in the back of Soleil was only one-quarter full and the starving-baby clinic was one-half full. My guess was that the mothers were too afraid to navigate the streets of the slum with their babies and toddlers. So they stayed closer to home. Food and illness and immunizations came in second to the threat of bullets.

Current Scene at the Main Ocean Outlet Canal in La Saline / Cite Soleil, Haiti

submitted by Albert Gomez - September 14, 2012



AWEARNESS, The Kenneth Cole Foundation, Announces Opening Of The Kenneth Cole Haiti Health Center - source: Kenneth Cole

NEW YORK, Sept. 7, 2012 /PRNewswire/ -- AWEARNESS, The Kenneth Cole Foundation, announces the opening of the Kenneth Cole Haiti Health Center (KCHHC) at St. Mary's Hospital in Cite Soleil, Haiti—one of the most challenging and underserved areas in the Western Hemisphere. The KCHHC will provide disease prevention, treatment, and education by empowering and supplying local Haitian leaders with the tools necessary to sustain a healthy community.


Video - Laurent Lamothe Meets the American Red Cross to Engage Pledged Moneys in Benefiting the Haitian People Now

See video

"There are two objectives for meeting the Red Cross.  The first objective is to thank the Red Cross for all the efforts deployed in Haiti during the earthquake.  The second objective is that the Red Cross collected more than 1.13 billion dollars for Haiti and there are still several hundred million left.  So we came here with our team to discuss our priorities and where we would like the Red Cross to allocate these funds that they have for Haiti according to the priorities of the Haitian government and the Haitian people.  We came to talk to them, work alongside with them according to the priorities of the Haitian people."

youtube - June 13, 2012

Cité Soleil Project - Interuniversity Institute for Research and Development (INURED)

submitted by Albert Gomez

Cité Soleil Project - Interuniversity Institute for Research and Development (INURED)
(57 page .PDF file in attachment below)

Official Presentation of Results
Principal Investigator: Louis Herns Marcelin, Ph.D.,
InterUniversity Institute for Research and Development and University of Miami
Co‐Investigators: John Bryan Page, Ph.D., INURED and University of Miami
Merrill Singer, Ph.D., INURED and University of Connecticut
Field Coordinators:Ricar Laurore , BA, (INURED), Noelsaint Dieufait, Ernst Saintil, Adelson Jean, Eric Galeus, Marlene Jean Pierre, Israel, Jean Dilhomme, Steeve Michel Petit Homme,
Data Analysts: Ajay Panickar, Ph.D., INURED, Canada;
Sudarshana Bardoloi, PhD Candidate, York University, Toronto and INURED;
Alpen Sheth, MA., INURED and University of Miami
Validation team: Federico Neiburg, Ph.D., Federal University, Rio de Janeiro, Brazil, and INURED
Natacha Nicaise, Ph.D., Interuniversity Institute for Research and Development
Logistic support: Quisqueya International Organization for Freedom & Development –MOU‐IC001‐CS
Funding provided by: The Embassy of the United States of America, Public Affairs Section, Port‐au‐Prince, Haiti. Grant number: S‐HA700‐07‐GR‐014

Sarah in Soleil


Sarah - by John Carroll - May 3, 2012

Yesterday morning in the pediatric clinic a mother came into my office and sat down with her baby wrapped in a blanket. She had not checked the baby in at the front desk and offered no dossier for me to look at. The dossier is the medical chart that is supposed to transmit information from one visit to another. 


This was a "red flag" to me right away. And there were three Haitian pediatricians seeing patients in their offices. Why did mom pick me?


Mother quickly uncovered the baby before I could tell her the important need to "make a dossier".  She showed me her six week old baby girl Sarah. The baby's skin was hanging off her and she had the shrivelled little old person look due to severe malnutrition called marasmus. And she was also eaten up with scabies.


I weighed Sarah.  Five pounds.


Doctors Without Borders Doing the Heavy Lifting for Cholera in Port-au-Prince



Doctors Without Borders-Drouillard Hospital in LaPlaine

This Cholera Treatment Center is located two miles north of Cite Soleil - April 29, 2012 (Photo by John Carroll)


Doctors Without Borders in Haiti is directing and staffing Cholera Treatment Centers (CTC) in the Port-au-Prince area. During this rainy season, the number of cholera cases increased and sick people need a place to go very quickly for IV hydration. From what I have seen here in Port, Doctors Without Borders is doing the heavy lifting regarding cholera. (I realize there are many more organizations involved in fighting cholera, but it seems like MSF is always "bailing me out" when I have a sick patient.)


The Lady in the Wheelbarrow


Lucy in Front of St. Catherine's Hospital, Cite Soleil  (Photo by John Carroll) - by John Carroll - April 28, 2012

As I left St. Catherine’s Hospital several days ago, there was a distraught sweaty man standing a few in front of me. He was next to an unconscious lady in a wheelbarrow. 


I was not startled because this is a common way of transporting sick people in Cite Soleil. 


I reached for her neck to see if she had a carotid pulse. It was weak...but it was there. 


I asked the man what was wrong. He told me that the lady had a sudden and constant onset of diarrhea and vomiting the day before. She had been "bien prop" (very well) the day before that. 


She had cholera.


A Sign in Haiti

Claudia at St. Catherine's Hospital Cite Soleil--April 26, 2012 (Photo by John Carroll) - by John Carroll - April 27, 2012

We lost our beautiful mother two years ago today. The last two years I have lived with a deep ache in my chest. 

My mom meant everything to me.

As I prepared for pediatric clinic in Cite Soleil today, I asked my mom to send me a good strong sign that she is ok.

And for some reason before I left for clinic today, I threw one sterile Vidacare intraosseous needle (IO) into my beat-up doctor bag. Vidacare Corporation generously donated many intraosseous needles for me to use to treat cholera patients.  IO needles are put directly into the marrow space in the bone for people who are in shock and have collapsed veins. The marrow contains a great plexus of venous channels that will accept iv fluid very quickly.

On this trip I have never packed an IO needle because we are not seeing much cholera in Soleil, and the Haitian nurses I work with are excellent at starting IV’s in the usual fashion. But today I packed the needle... 

Video - Water In The Time Of Cholera: Haiti's Most Urgent Health Problem

Credit: John Poole, Richard Knox, Jane Greenhalgh

submitted by Anwar Huq

NPR - by Richard Knox

In the teeming city of Port-au-Prince, Haiti, millions of people have no reliable water supply.

Many of the underground pipes that did exist were ruptured by the 2010 earthquake. Many public water kiosks are dry.

So life for most people is a constant struggle for water. And now that cholera has invaded Haiti, safe drinking water has become Haiti's most urgent public health problem.

  • International Water Resources


    We are a group of concerned scientists, hydrogeologists, geologists, engineers, GIS programmers and mappers, geomatic engineers, database programmers, project managers and technical writers who want to make a difference in today's struggling world. We feel called to help improve the horrible water conditions we have seen first-hand throughout the world. Starting in 2010 we decided to put our skills together and being fueled by our passion we made our first trip together to Haiti. We realized there were many relief efforts of every type there are, and we questioned "why aren't things getting better"? We soon realized technical data was not available in Haiti and many non-government organizations (NGOs) that don't have the knowledge or experience to pull existing information together and to use it to their advantage. Thus spending more money than previously thought causing budgets and results to rapidly diminish their returns on their investments.

    We started IWR to not begin a new effort, rather we want to partner with established organizations who are in need of technical support.


    Water in Cite Soleil

    February 27, 2012

    Dear Dr. Carroll:  Many years ago I was involved in the drilling and construction of several large diameter wells to supply the city of Port au Prince. At the time they were the largest in the country and supplied several thousand gallons/minute.  I am not certain that these wells are still in operation nor if it is these same wells that supply the water to Cite Soleil. I am graduate of Purdue University in Geology, and have spent my life working in water supply and sanitation all over the world.  Am currently involved extensively in Haiti and years ago 3 adopted Haitian children that live in Haiti (my oldest, Pierre Louis is and MD). My Kreyol is fair, and Haiti captured my heart years ago.  Your article on Cite Soleil was EXCELLENT!!!

    C’est la Vie in Soleil

    by John Carroll, MD - - February 26, 2012


    Photo by John Carroll - Cite Soleil

    The following post is a description of two interviews I had today with young ladies that live in Cite Soleil in Port-au-Prince. My main questions for them revolved around cholera.

    But first of all, I want to give a very brief summary of where I think the public water comes from in Soleil. These few sentences will be boring, but they are important. Water engineers and smart people out there, please help me if this is incorrect in any way, and I will correct my mistakes. More than ever in Soleil, access to good water can mean the difference between life and death.

    The water that is pumped to Soleil is from a water reservoir in LaPlaine which comes from the water table (anba woch) and this water is pumped underground by pipes to the large imposing water tower sitting at the entrance to Soleil off of Route National 1.

    Video - TEDxTalks - David Damberger: What Happens When an NGO Admits Failure

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    submitted by Florence Gibert

    People from Engineers Without Borders found that the same mistake was happening again and again: the maintenance and repair costs are never provided for, leading water pumps and other devices to have a length of life of only over a year.

    They thought they could at least value this experience and therefore they created a website : Admitting Failure

    Test 1 - Mailhandler - cite_soleil_hcz

    This is a test.

    Mailhandler - cite_soleil_hcz

    Video - Waste as a Commodity - TEDxYYC 2011 - The World's Best Recyclers Are Not Environmentalists

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    submitted by Florence Gibert

    Waste management is more successful in third world countries due to their vision of waste as a commodity.

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