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This Version of the Haiti MPHISE Has Been Archived.

The New Version of the Haiti MPHISE can be accessed through the link below.

Areas reporting confirmed and/or suspected Cholera in Haiti

View Overall Haiti Cholera Epidemic Map in a larger map

(GRAHN) - "Haiti-Santé 2012" - October 1 - 6 ("Haiti-Health 2012")

submitted by Stuart Leiderman


Lancement de Haïti-Santé’ 2012


Port-au-Prince, Haïti

Le Groupe de Réflexion et d'Action pour une Haïti Nouvelle (GRAHN), la Croix-Rouge Canadienne (CRC) et la Croix-Rouge Haïtienne (CRH) se sont mis ensemble pour organiser, avec le Ministère de la Santé Publique et de la Population (MSPP), l'évènement Haiti-Sante'2012 qui se déroulera en Haïti du 1er au 6 octobre 2012.

Après le lancement de cet événement qui a eu lieu à Montréal le jeudi 14 juin dernier, c’est au tour d’Haïti de procéder au lancement de ce grand évènement, le jeudi 26 juillet de 10h à 11h, à la salle de conférence du Ministère de la santé publique et de la population (MSPP) sis à la rue Saint-Honoré, à Port-au-Prince.



CDC - Study - Chloroquine-Resistant Malaria in Travelers Returning from Haiti after 2010 Earthquake

Volume 18, Number 8—August 2012


We investigated chloroquine sensitivity to Plasmodium falciparum in travelers returning to France and Canada from Haiti during a 23-year period. Two of 19 isolates obtained after the 2010 earthquake showed mixed pfcrt 76K+T genotype and high 50% inhibitory concentration. Physicians treating malaria acquired in Haiti should be aware of possible chloroquine resistance.


Study - Chloroquine-Resistant Malaria in Travelers Returning from Haiti after 2010 Earthquake

Cholera Superbug Found

CDC - Emerging Infectious Diseases -August 2012
Volume 18, Number 8

Abstract - Study - Conclusions

Third-Generation Cephalosporin–Resistant Vibrio cholerae, India

Cholera Superbug Found

In a major cause for concern, a new strain of cholera bacterium resistant to third generation antibiotics has been found to be circulating in India.

This cholera bacterial strain contains two super bug genes, including the notorious New Delhi Metallo beta-lactamase-1 (blaNDM-1). The other super bug gene is plasmid-mediated beta-lactamase-1 (blaDHA-1).

Thanks to these two super bug genes, the new cholera bacterial strain (O1 El Tor Ogawa) has developed resistance to a majority of known antibiotics.


Third-Generation Cephalosporin–Resistant Vibrio cholerae, India

LOMA LINDA: University Begins New Program in Haiti

Two of Loma Linda Universitys new Haitian students (left) participate on their second day of school in a communication-building exercise with LLU students visiting from the home campus. - July 27, 2012

Loma Linda University has launched a program in Haiti dealing with one of the country’s most glaring needs — rehabilitation treatment for the disabled. The program is one of the first of its kind in the country.

Sixteen Haitians are now studying for a certificate that will allow them to serve as rehab technicians. After they graduate in February 2013, they will help their neighbors regain physical functionality that was lost in the 2010 earthquake or through other circumstances.


Loma Linda University responds to the earthquake in Haiti

Latrines with Walls: Preventing Cholera in Haiti


Health workers collaborate with rural communities to stop the spread of cholera by changing how people interact with water. It is no easy task. Image by Meghan Dhaliwal. Haiti, 2012. - by Jason Hayes - July 26, 2012


. . . "Almost two years after cholera erupted in Haiti, how do we stop people from getting sick?" . . .

. . . "In order to stop cholera, a water-borne illness, you need to change the ways people interact with water." . . .

. . . "70 percent of people infected by cholera can cause others to get sick, but they do not show symptoms." . . .

. . . "Many latrines sit unused, without walls and in plain sight (no one wants to use a latrine in plain sight)" . . .

. . . "It is a question of whether paying for the latrine wall is more important than paying for food, a child’s education, or other necessities.". . .


STUDY - Tuberculosis Treatment, Three-Drug Combination, Passes First-Stage Test

There haven't been new drugs to treat TB in four decades. ALAMY

(SEE LINKS TO STUDY AT THE BOTTOM OF THIS POST) - by Lauran Neergaard - Associated Press
July 23, 2012 - The Canadian Press

WASHINGTON - Scientists are hot on the trail of a new tuberculosis treatment that a small study suggests might one day offer an alternative to battle this deadly lung disease, even if it's resistant to today's two main drugs.

There haven't been new medications to treat TB in four decades. But the experimental three-drug combination, revealed Monday at the International AIDS Conference, is one of a list of promising compounds under intense testing around the world.


14-day bactericidal activity of PA-824, bedaquiline, pyrazinamide, and moxifloxacin combinations: a randomised trial

Cholera Vaccination Test Reached Targets In Haiti

submitted by Ted Kaplan


A lone pig roots through trash dumped over the side of a sewage canal that runs from the center of Port au Prince through Cite de Dieu. During the rainy season, the canal overflows its banks and fills nearby houses with sewage, which can carry cholera.  John W. Poole /NPR - by Richard Knox - July 17, 2012

The results are in on this spring's high-visibility pilot project to vaccinate 100,000 Haitians against cholera.


How Doctors Without Borders is mapping the world’s epidemics

Cholera cases in MSF facilitiesImage: Cholera cases in MSF facilities - David Holmes - March 9th, 2012

Five years ago, Ivan Gayton would spend months at a time in the African bush with no connection to the outside world except for a satellite phone or a high-frequency radio.

But today, the head of Doctors Without Borders in Nigeria spends 75 percent of his time on a computer or a cell phone, even when working in rural Africa. And while the sense of adventure may be diminished, Gayton says the new technologies have had an “astonishing” effect on his organization’s effectiveness.


Red Cross - Long-term Health Solutions a Priority in Haiti

As earthquake recovery continues in the capital region, the American Red Cross expands health outreach in the North - by Tamara Braunstein

Monday, July 16, 2012 — Pétionville, Haiti — As earthquake recovery efforts show continued progress throughout the capital of Port-au-Prince and surrounding areas, American Red Cross activities in the Northern region of Haiti are showcasing new strides toward a broad  approach to comprehensive health outreach.

The American Red Cross was helping to establish long-term health and community improvements here before a massive earthquake rocked Haiti on January 12, 2010. Now, working with the Haitian Red Cross, the American Red Cross is working to evaluate and build community capacity to respond to threats like the 2010 cholera outbreak.

“We need a more responsible strategy – beyond just showing up, implementing programs and leaving,” said Borry Jatta, technical advisor for health programs for the American Red Cross in Haiti. “We need to ensure that local communities are able to continue our work on their own, and we need to determine what are the skills and competencies the community needs to do so.”

Cuba Ministry of Public Health Confirms the Presence of Enterotoxigenic Tor Vibrio Cholerae O1, Serotype Ogawa - July 14, 2012


Information note by the Ministry of Public Health

On 2 July, the Ministry of Public Health reported the presence of an outbreak of cholera in the municipality of Manzanillo, Granma province. Since then, through radio and television territory, maintaining the population informed on the evolution of the epidemiological situation and in particular, preventive measures and hygiene to comply.

So far, there are a total of 158 people from the clinical, epidemiological and laboratory culture, it has confirmed the presence of enterotoxigenic Tor Vibrio cholerae O1, serotype Ogawa. There have been no new deaths, keeping the number of three adults as reported.

The measures taken have allowed the waterborne outbreak, is declining, with no evidence of disease spread by food or other means.

As a result of the surveillance system on acute diarrheal diseases typical of summer, isolated cases have been diagnosed in other regions of the country of people who became infected in Manzanillo, and studied to be treated promptly, with no spread of this outbreak.

Cholera Reportedly Kills 15, Sickens Hundreds in Cuba

A physician starts an IV on a cholera patient. An outbreak of the disease in Cuba has reportedly killed at least 15 people.  By Jack Kurtz, The Arizona Republic

by Yamiche Alcindor - USA Today - July 7, 2012

A cholera outbreak in Cuba has killed at least 15 people and sent hundreds more to hospitals, El Nuevo Herald reports.

The island nation's first cholera outbreak in a century is jamming up area hospitals and creating chaos as the disease continues to spread, the paper reports.

Yoandris Montoya, who lives in Cuba, told El Nuevo Herald that there were "1,000-plus cases" in the country's southeastern province of Granma.

Montoya and others say security agents have locked down the city's hospitals to stop news of the outbreak from getting out.


Unofficial Report of Cholera in Eastern Cuba


July 2, 2012

HAVANA TIMES — Two people died and more than 50 remain hospitalized in the eastern city of Manzanillo, where an outbreak of cholera required authorities to set up a quarantine at the Celia Sanchez Manduley Provincial Surgical Clinic,” reported the Miami-based Café Fuerte website, though there has been no confirmation or denial of the incidents in the official state-run media.

“The hospital can’t cope, the aisles are full of stretchers with patients…now with more than 50 people, including children and adults who are hospitalized as a result of the disease,” was a statement attributed to Manzanillo resident Misleidi Calvente Figueredo.

Calvente said several communities have been quarantined, while all Manzanillo health care workers have been mobilized.

Important Work of Access to Drinking Water in the Artibonite - July 15, 2012

To facilitate access to safe drinking water to a larger number of the population, particularly in rural areas, the National Directorate of Water Supply and Sanitation (DINEPA) performs important work in the department of Artibonite : installation of 3 Water Treatment Stations (WTS) type "hydro pur", he rehabilitation of 30 WTS and the establishment of 33 Water Point Committees (CPE).

50,000 people from 33 localities in five municipalities in the Artibonite Department, will benefit from this work aimed at improving access to safe water and sanitation.

Concerning the drinking water, the results are already highly appreciated. Three stations are installed and 27 others are now repaired and functional, thanks to funding from the Spanish Agency for International Development (AECI) and the Interamerican Development Bank (IDB).


New Partner Organizations Back Water and Sanitation Investments to Eliminate Cholera from Hispaniola                                    (CLICK HERE FOR PHOTOS FROM THE EVENT)

Washington, D.C., 29 June 2012 (PAHO/WHO) – Representatives of international and civil society organizations today agreed to promote major investments in water and sanitation infrastructure in Haiti and the Dominican Republic as the long-term solution to the cholera epidemic in those countries.

Loo turns poo into power - June 27, 2012

Scientists from Nanyang Technological University (NTU) have invented a new toilet system that will turn human waste into electricity and fertilizers and also reduce the amount of water needed for flushing by up to 90 percent compared to current toilet systems in Singapore.

Dubbed the No-Mix Vacuum Toilet, it has two chambers that separate the liquid and solid wastes.  Using vacuum suction technology, such as those used in aircraft lavatories, flushing liquids would now take only 0.2 liters of water while flushing solids require just one liter.


Red Cross Now Supporting the Need for Phase II Cholera Epidemic Management Initiative

International Federation of Red Cross and Red Crescent Societies (IFRC)
The Looming Threat - Advocacy Report on Cholera - June 2012

19 June 2012, Port-au-Prince - “There is a significant probability of a major cholera emergency in Haiti in the coming months but resources have been severely diminished”, urges the advocacy report launched today by the International Federation of Red Cross and Red Crescent in Haiti.

An increase in cholera cases has been reported in the Artibonite, Nord-Ouest, Nord-Est, and Ouest Departments, in the island of Gonave, as well as in displaced camps in the Port-au-Prince metropolitan area and surrounding communities. The Pan American Health Organization (PAHO) estimates that new cases diagnosed by the end of 2012 could reach 170,000.

Professor Virginia Cornish Chemically Engineers Yeast to Detect Cholera

Chemistry Professor Virginia Cornish - June 19, 2012

Modern science is immensely complex, but Professor Virginia Cornish had a simple idea for solving a big problem.

The problem was cholera, which infects about four million people annually and kills at least 100,000, most of them children under age 5. Inspired by a research proposal from one of her doctoral students, Cornish, the Helena Rubinstein Professor of Chemistry, has set her lab to engineering a simple yeast—not unlike the kind used to make beer or bread—to detect cholera-causing bacteria in water supplies and the feces of infected people.

“If we can buy Fleischmann’s Yeast in the grocery store, why not make a freeze-dried yeast available that can detect cholera?” asked Cornish. “We want to enable a nontechnical person, in the simplest setting, to be able to safely and easily use this—not in a lab but in their home.”

Haiti Lacks Funds to Fight Cholera, UN Says

submitted by Gigi Pomerantz - 2012

Port au Prince, Jun 8 (Prensa Latina) The cholera deaths in Haiti have increased in recent months because of lack of funds to fight the disease, said a UN official.

According to head of the UN Office for the Coordination of Humanitarian Affairs (OCHA), John Ging, Haiti urgently needs new donors to tackle the disease, which so far this year has left at least 132 dead and some 13,000 infected.

Ging described as unacceptable that lives are lost because of the lack of resources to prevent and treat the illness in the last few months, Radio Metropole reported.

He stressed the need for a new approach in the fight against cholera by international agencies and authorities, and the need for greater social engagement.

According to research from the U.S. Centers for Disease Control and Prevention, currently, the cholera strain mutates into a new strain.

This condition leads to cholera becoming endemic, that is as common as a cold, which would make any vaccination project fail.

More than 7,000 people died here in 2011 because of this and other 520,000, more than five percent of the population, got sick in the same period.

Calculations of the Pan American Health Organization estimate that about 200,000 Haitians may be infected this year.

Oxfam Temporarily Stops Its Operations to Corail - June1, 2012

Following two demonstrations on 25 April and 30 May 2012 before its premises in Petion-ville by a group of people from the camp Corail, the international organization Oxfam announced that it stops momentarily its water and sanitation operations in this IDP camp pending clarification of the situation. The organization regrets that the demonstrators had proffered unfounded charges against the organisation despite the transparency that has always marked its relations with the general population and in particular with the beneficiaries of its various projects in the camp.

Oxfam operates in Corail since April 2010 in the activities of water and sanitation as well as in economic empowerment of the beneficiaries.


Haïti: MSF préoccupée par l'absence de réponse à l'épidémie de choléra

(The English translation in this post has been updated - translation by Dominique Martin)


PORT-AU-PRINCE — L'organisation Médecins sans frontières (MSF) s'est dite préoccupée jeudi par l'absence de réponse et le manque de moyens pour faire face à l'épidémie de choléra qui sévit encore en Haïti près de deux ans après l'apparition de la maladie dans ce pays.

"Nous sommes préoccupés par le manque de soutien de la communauté internationale et le manque d'action des autorités sanitaires d'Haïti", a déclaré jeudi à l'AFP Thierry Goffeau, chef de mission de MSF en Haïti.

M. Goffeau a noté le départ depuis 2011 de nombreux acteurs internationaux et déploré le dysfonctionnement du système de surveillance épidémiologique alors que le choléra continue à faire des victimes.

Depuis le début de l'année, 9.800 patients ont été soignés dans les centres de traitement du choléra tenus par MSF, dont 72% des cas dans la région de Port-au-Prince, la capitale.

Au moins 40 personnes sont décédées de la maladie en 2012, alors que 7.500 Haïtiens ont été tués depuis l'apparition de l'épidémie en octobre 2010.

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

Rise in Cholera Cases in Haiti

AlertNet - - Plan U.K. - June 13, 2012


Children’s charity Plan International is scaling up its work in Haiti as fears grow over an outbreak of deadly cholera following an increase in reported cases.

Aid workers for Plan have launched an awareness campaign in schools and local communities in effort to prevent an outbreak.

Young volunteers and teachers are being trained in hygiene and sanitation alongside the distribution of cholera prevention and hygiene kits.

Plan is also working to facilitate Cholera Treatment Units.

Plan workers are reporting the need for disinfectant, oral rehydration and water treatment materials, and access to potable water and sanitation kits.


Plan U.K. -

Décès de deux personnes ayant consommé de l’eau contaminée a Carrefour

(This post has been updated to include the English translation - translation by Dominique Martin) - May 31, 2012

Les autorités locales de Carrefour sont préoccupées par le décès de deux personnes ayant consommé de l’eau contaminée distribuée sur le réseau de la Dinepa. Plusieurs responsables d’organismes nationaux dont ceux de la Direction Nationale de l’Eau et de l’Assainissement (DINEPA) ont diligenté une enquête afin de faire la lumière sur ce dossier.

L’agent exécutif intérimaire de Carrefour, Yvon Jérôme, indique que selon les premiers éléments de l’enquête des prises clandestines sur le réseau seraient à l’origine de la contamination.

Le réseau aurait été contaminé par le vibrio Cholérae dans le quartier d’Arcachon 32, explique M. Jérôme. Des bactéries et virus ont pu s’infiltrer dans les tuyaux de la Dinepa entrainant une contamination dans le périmètre d’Arcachon 32 insiste t-il.


Haiti Agriculture Embargo Raises Costs Five' Times - by Neil Hartnell - June 11, 2012

THE Bahamas has been urged to end its embargo on direct agriculture imports from Haiti, with the current system thought to quintuple produce costs via Florida-based middlemen as it transits through the US.

Speaking to Tribune Business ahead of the proposed Bahamas Chamber of Commerce and Employers Confederation's (BCCEC) likely trade mission to Haiti in September this year, Chester Cooper, the organisation's chairman, said the current health-related barrier to direct imports from the Bahamas' southern neighbour "stifles trade" and drives up costs for consumers in this nation.

He suggested that by creating a Bahamian inspection station in Haiti, so that this nation's officials could examine inspect agricultural produce for health and safety issues before they were imported here, direct trade between the two nations would increase to such an extent that it would open up new shipping routes.


International Partners Back Investment in Water and Sanitation to Eliminate Cholera From the Island of Hispaniola


Salvador, Bahia, 7 June 2012 (PAHO/WHO) - Representatives of several international organizations pledged this week to promote investments in water and sanitation infrastructure as key steps toward the elimination of cholera from Haiti and the Dominican Republic. The pledges were made during the launch of a new Regional Coalition on Water and Sanitation for the Elimination of Cholera in the Island of Hispaniola, on June 4 in Salvador, Bahia, Brazil.

Orthopedic surgeon sends equipment from closed Middletown and Goshen hospitals to Haiti - by Nathan Brown - June 5, 2012

GOSHEN — Some of the old equipment from Horton and Arden Hill hospitals is going to be used to rebuild orthopedic surgery in an earthquake-devastated country with a desperate need for it. 

A barge full of equipment and supplies — enough for a fully equipped orthopedic suite at l’Hopital de l’Université d’Etat d’Haïti in Port-au-Prince — is in Haiti now, and will go to the hospital after it clears customs, said Dr. Ron Israelski, a local orthopedic surgeon who has been heavily involved with helping the people of Haiti since the 2010 quake and who got the shipment together. HUEH is the country’s largest hospital, and the center of medical education in the country.


Cholera Response - OCHA - Humanitarian Bulletin - June 1, 2012


Excerpt from OCHA - Humanitarian Bulletin - June 1, 2012 (pages 2-3, of 6 page .PDF file)

Multiplication of cholera alerts

Four of the 10 departments - Artibonite, Nord-Est, Nord-Ouest and Ouest - have reported cholera alerts in May. The island of Gonave, IDP camps in Martissant and Carrefour in the Port-au-Prince metropolitan area, as well as surrounding communities, also indicated an increase in new cases.

The Artibonite department is particularly affected because of its many cholera hotspots, including in remote areas, the lack of protection of water sources and poor hygiene practices. The Health Cluster indicates that 20 per cent of the cases and 17 per cent of the deaths nationwide come from the department. On the other hand, the number of partners has gradually decreased from 20 to 7 due to funding constraints.

Howard University Hospital & U.S.-Based Haitians Responding to Haiti’s Continuing Struggle


(Courtesy Image/ - by AFRO Staff - June 2, 2012

Doctors, Health Care Resources Still Scarce Two Years After Earthquake

Haiti, still struggling two years after a devastating earthquake, is getting needed health care assistance from Howard University and U.S.-based Haitian immigrants, the university medical school announced June 1.

A team of 25 physicians, dentists and medical students and 75 non-physician volunteers are heading to the island nation to provide medical care and clinical training later this month, according to a news release from school.

The effort is being organized by Howard University Hospital (HUH), the New York chapter of the National Organization for the Advancement of Haitians (NOAH) and the Haitian Healthcare Alliance, Howard officials announced.


50-Year Cholera Mystery Solved by Scientists at The University of Texas at Austin - May 29, 2012

AUSTIN, Texas — For 50 years scientists have been unsure how the bacteria that gives humans cholera manages to resist one of our basic innate immune responses. That mystery has now been solved, thanks to research from biologists at The University of Texas at Austin.

The answers may help clear the way for a new class of antibiotics that don’t directly shut down pathogenic bacteria such as V. cholerae, but instead disable their defenses so that our own immune systems can do the killing.

Every year cholera afflicts millions of people and kills hundreds of thousands, predominantly in the developing world. The infection causes profuse diarrhea and vomiting. Death comes from severe dehydration.

“If you understand the mechanism, the bacterial target, you’re more likely to be able to design an effective antibiotic,” says Stephen Trent, associate professor of molecular genetics and microbiology and lead researcher on the study.

OCHA’s Operations Director Raises Cholera Alarm in Haiti; Calls for Innovative and Sustainable Solutions


UN Office for the Coordination of Humanitarian Affairs (OCHA)

(Port-au-Prince, Haiti, 24 May 2012): OCHA’s Director of Operations, John Ging, has ended a three-day visit to Haiti where he took stock of the humanitarian challenges, particularly the cholera epidemic and preparedness in the run-up to the hurricane season.

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