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Medical Care - Haiti

Michael D. McDonald's picture

 

The mission of the Medical Care Working Group is to provide clinical care to sick individuals in Haiti.

Working Group email address:

medical_care@mphise.net

UN Rolls Out Aid Package for Cholera-Hit Haiti

submitted by Mike Perrett           

                      

Haiti's cholera epidemic started in 2010 and has and killed more than 10,000 people and affected 700,000.  AFP/File / by André VIOLLAZ

france24.com - AFP - by André VIOLLAZ - September 29, 2016

UNITED NATIONS (UNITED STATES) (AFP) - The United Nations will mobilize $181 million to shore up the emergency response to the cholera epidemic in Haiti and at least an equal amount for the victims and their families, a senior UN official says.

The financial package follows the United Nations's admission that it had a moral responsibility to help Haiti deal with the epidemic that broke out near a UN peacekeepers' base. . . .

. . . The new measures are on top of a bigger 10-year plan valued at $2.2 billion to help Haiti improve its sanitation infrastructure, which the United Nations launched with the Haitian government.

(READ COMPLETE ARTICLE)

As Microcephaly Rises in Haiti, Doctors Fear Zika Is A Sleeping Giant

      

Chinashama Sainvilus is one of three babies born with microcephaly at the Mirebalais Hospital in Haiti in July.
Jason Beaubien/NPR

npr.org - by Jason Beaubien - August 31, 2016

. . . Chinashama is one of three babies born with microcephaly at the Mirebalais Hospital in July. The Haitian Ministry of Health says there have been 11 others born nationwide over the last two months with this usually rare birth defect. But only one has been officially confirmed as a result of the Zika virus.

(READ COMPLETE ARTICLE)

The Horror of Zika in Haiti

Claudy (Photo by Karen Bultje)

blogs.pjstar.com - by John Carroll, MD - July 6, 2016

A wonderful friend of ours, Karen Bultje, who is a missionary in Haiti, has been caring for a young man named Claudy in her home for several days. Claudy lives in the Kenscoff mountains above Port-au-Prince. He recently became ill with a high fever, rash, and severe pain. He also began having weakness in his legs which prevented him from walking. His mother and family carried him down the mountains and he went by motorcycle taxi and tap-taps to Karen’s home in Port.

Karen and her nursing staff took Claudy to a local hospital where he was examined but he was sent back to Karen’s home. They said there was nothing they could do for Claudy. The family is not able to pay for care in any local private hospital in Port and the public hospitals are on strike.

Dirty and Dangerous: Strike Exposes Haiti's Crumbling Hospitals

           

Two months into a strike, Haiti's five public hospitals stand near-deserted, unable to provide emergency services (AFP Photo/Hector Retamal)

AFP - yahoo.com - by Amalie Baron - May 18, 2016

When a pregnant woman died outside one of Haiti's major public hospitals in Port-au-Prince last week, her family and neighbors lashed out in despair and anger.

The expectant mother was an indirect casualty of a two-month strike by doctors no longer willing to tolerate a chronic lack of basic supplies and unsafe work conditions which they say endanger their patients' lives.

(READ COMPLETE ARTICLE)

(ALSO SEE SAME ARTICLE HERE)

 

Cholera - Situation Report - Anse-a-Pitres - Haitian-Dominican Border

        

Refugee Camp–Anse-a-Pitres (Photo by John Carroll)

(SEE IMPORTANT LINKS TO HEALTH AND MIGRATION INFORMATION AT THE BOTTOM OF THIS POST)

blogs.pjstar.com - by John A. Carroll, MD - December 15, 2015

. . . During the last six weeks cholera HAS hit the camps in Anse-a-Pitres.  And cholera is crossing the border into the Dominican Republic once again.

Haitian doctors and nurses on the Haitian-Dominican border have recently complained that they do not have enough IV fluid to treat their cholera patients. And their patients are dying.

A liter of intravenous Ringer’s Lactate in the United States costs $1 US.

(CLICK HERE - READ COMPLETE ARTICLE)

Fearful, Haitian Migrants Flee Dominican Republic for Camps Along Border

             

In Anse-à-Pitres, Haiti, thousands reside in camps of tents, having left the Dominican Republic by force or by fear after its government began a crackdown on illegal migrants. Poor sanitation has led to a cholera outbreak. Credit Meridith Kohut for The New York Times

nytimes.com - by Azam Ahmed - December 12, 2015

PARC CADEAU 2, Haiti — Along this arid strip of borderland, the river brings life. Its languid waters are used to cook the food, quench the thirst and bathe the bodies of thousands of Haitian migrants who have poured onto its banks from the Dominican Republic, fleeing threats of violence and deportation.

These days, the river also brings death. Horrid sanitation has led to a cholera outbreak in the camps, infecting and killing people who spilled over the border in recent months in hopes of finding refuge here.

(READ COMPLETE ARTICLE)

More Than Two Dozen Cases of Cholera Recorded at Anse-à-Pitres Special

Site Overview Parc Cadeau II  Photo: Archive GARR

       

About 26 people from Anse-à-Pitres most of which comes from the Parc Cadeau I and II sites were infected with cholera. According to officials of the Cholera Treatment Centre (CTC) in this border town, the disease has already caused the death of 7 people.

garr-haiti.org - November 11, 2015

via: Google Translate

Cholera cases continue to increase in CTC of Anse-à-Pitres. This Wednesday, November 11, 2015, the center has 23 people infected with the virus Vibrio cholerae. 3 other people who were infected have already had their medical discharge.

"We get almost to cholera cases daily. Yesterday, the center had 19 cases. After only 24 hours, we went to 23. The situation may escalate because the CTC is not really equipped to accommodate large numbers of people. Furthermore, the means are very limited to prevent the disease is spreading in different localities of the city. "Says chief physician of the center.

According to the observations, infrastructure and equipment are lacking in the center. Not enough beds and oral serum is already out of stock.

Haiti - MSPP - List of Health Institutions in the Country - April 2015

Note: Abbreviations on page 9 (2)

Note: Legend on page 44 (37)

CLICK HERE - List of Health Institutions in the Country - April 2015 (105 page .PDF report)

Hands-on in Haiti - Shelly Chvotzkin, DO '02

pcom.edu - by Kathleen Louden
Spring 2015

On one of the many medical aid trips that Dr. Chvotzkin has made to Haiti, a seven months’ pregnant woman came to see her at the Haiti Clinic, where Dr. Chvotzkin volunteers. The Haitian woman reported she did not feel well. Then, to the surprise of Dr. Chvotzkin, an obstetrician-gynecologist at HealthPark Medical Center in Fort Myers, Florida, the woman suddenly suffered a seizure and became unresponsive.

Because the clinic, then located in Cité Soleil near Port-au-Prince, is not equipped to treat such emergencies, she accompanied the expectant mother to the local hospital. As they drove through dangerous, gang-ridden slums, Dr. Chvotzkin feared more for her patient’s life than her own safety.

(READ COMPLETE ARTICLE)

(ALSO SEE SAME ARTICLE AND ADDITIONAL PHOTOS HERE)

Haitian Baby Boy with Cholera and Hope

      

Baby Boy–April 2015 (Photo by John Carroll)

blogs.pjstar.com - 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.

(READ COMPLETE ARTICLE)

GHESKIO Opens New Tuberculosis Hospital in Haiti

A ribbon-cutting ceremony on March 23 commemorates the opening of GHESKIO's new tuberculosis hospital in Port-au-Prince, Haiti.

weill.cornell.edu - March 27, 2015

In a major advance in the fight against drug-resistant tuberculosis, the Haitian Study Group on Opportunistic Infections and Kaposi's Sarcoma, or GHESKIO, has opened a state-of-the-art hospital in Port-au-Prince, Haiti, to treat patients suffering from the disease.

The hospital's opening comes five years after a catastrophic earthquake crippled Haiti's infrastructure and destroyed the five major TB hospitals in the capital city, including the one run by GHESKIO. GHESKIO is a nongovernmental service, research and training center that operates in partnership with Weill Cornell Medical College and the Haitian Ministry of Health. It provides integrated primary care services, including HIV counseling, AIDS care, prenatal care and management of TB, cholera and other infectious diseases, as well as global health and educational services to more than 500,00 of the poorest Haitians. Since its inception in 1982, GHESKIO has become one of the largest AIDS and TB treatment centers in the Americas.

Haiti - Health : Status and Functioning of the Health System

                                              

haitilibre.com - July 9, 2014

Social Suffering in Soleil

      

Baby Boy (Photo by John Carroll)

blogs.pjstar.com - by John A. Carroll, MD -  www.haitianhearts.org - 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.

From IMAT - Cholera Statistics - Supplies Needed

                                              

Please see the cholera statistics below from our 3 facility locations. Any help with supplies would be greatly appreciated.

CLICK HERE - IMAT Facebook Page

Stats as of August 13:

60 in Fond Baptiste
13 in Petite Bois
48 in Williamson

ct

International coaliton pledges* $28.1 million to fight cholera in Haiti and D.R.

An international coaliton pledges their support.

Image: An international coaliton pledges their support.

defend.ht - June 4th, 2013

An international coalition consisting of the World Bank, Pan American Health Organization and UNICEF has pledged* an accumulated $28.1 million [US] to fight cholera in Haiti and the Dominican Republic.

The pledged* support includes $20 million [US] from the World Bank, $5 million [US] from UNICEF and $3.1 million [US] from PAHO and the World Health Organization (WHO).

The International Federation of the Red Cross and Red Crescent Societies, which accumulated billions after the earthquake in Haiti, said it would launch a donation drive for funds.

(VIEW COMPLETE ARTICLE)


Pediatric Cardiac Surgery Saves Lives in Haiti


A surgical team, sponsored by the Marco Island Sunrise Rotary and partner organizations, performs open heart surgery March 20 as part of Rotary’s Gift of Life mission. Donations helped volunteer doctors and nurses perform 10 operations in seven days during a medical mission to Haiti. Cheryl Ferrara/Eagle Correspondent

marconews.com - by Cheryl Ferrara - March 28, 2013

In a week when the world celebrated the coming of spring, a team of doctors and nurses “sewed” seeds of hope into the hearts of 10 Haitian children.

During a medical mission last week, parents of children ages two to 13 saw hearts spring to normal. Their children received surgeries to correct defects that robbed them of vitality and starved their bodies of oxygen.

(READ COMPLETE ARTICLE)

Gift of Life International - Haitian Pediatric Cardiac Project
http://www.giftoflifeinternational.org/pages/haiti.php

The Marco Island Sunrise Rotary Club
http://www.marcosunriserotary.com/

Letter - Cholera in Haiti

nytimes.com - March 22, 2013

Letter to the Editor - by Curt Welling, President and Chief Exec. - AmeriCares

A Worsening Haitian Tragedy” (editorial, March 18) points out the sad reality that cholera is now endemic in Haiti. But it gives the impression that most aid organizations are leaving the country at a time when thousands are dying from a preventable disease.

While some aid groups have indeed left the country or are scaling back programs, others have made fighting the epidemic their top priority.

(READ COMPLETE LETTER)

Radiology Experts Travel to Haiti to Educate Local Radiologists and Pediatricians

American College of Radiology (ACR)
acr.org

Radiology Education Days Part of Ongoing ACR Effort to Help Rebuild Haitian Medical Infrastructure

March 19, 2013

Expert radiologists and representatives from the American College of Radiology (ACR); the World Federation of Pediatric Imaging; the Society for Pediatric Radiology; the Society of Radiologists in Ultrasound; and the Society of Diagnostic Medical Sonographers will gather in Port-au-Prince, Haiti, March 25-26, to provide a series of didactic lectures and hands-on ultrasound training at “Radiology Education Days.”

Report - National Plan for the Elimination of Cholera in Haiti 2013-2022

Republic of Haiti
Ministry of Public Health and Population
National Directorate for Water Supply and Sanitation

National Plan for the Elimination of Cholera in Haiti 2013-2022 (114 page .PDF report)

Preface

In October 2010, a cholera epidemic, like that of the January 12 earthquake, unexpectedly struck our country. The general population was still recovering and bandaged from injuries inflicted by the earthquake. This epidemic brought to light all the weaknesses of the Haitian health system.

Lacking expertise and resources to fight major endemic diseases, this new cholera epidemic gave rise to widespread panic. Officials of all categories (political and technical) rapidly realized that they must roll up their sleeves and manage the situation in order to prevent a rampant increase in the number of deaths and allow the population to rebuild their health.

Once again the Friends of Haiti did not compete in this struggle. They rallied to help bridge the gap, while transferring their knowledge and expertise to Haitian technical staff.

A Worsening Haitian Tragedy

nytimes.com - March 17, 2013

The aid group Doctors Without Borders said last Tuesday that the cholera crisis in Haiti was getting worse, for the most unnecessary and appalling of reasons: a lack of money and basic medical supplies.

. . . International efforts to defeat the epidemic include a 10-year, $2.2 billion plan for major investments in clean water, sanitation and medical infrastructure. But that is a project for the future, one that isn’t even funded yet. Doctors Without Borders says people are dying now, needlessly, because attention and money are running out.

(READ COMPLETE ARTICLE)

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