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This Version of the Haiti MPHISE Has Been Archived.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

Cholera's Nano-Dagger

See video

Harvard Medical School - February 27, 2012

Using imaging techniques, researchers observe how cholera decimates competing bacteria and human cells

Bacteria live in a state of perpetual warfare, with different species battling for dominion over their competitors and when pathogen, over their infected host. New research suggests that the human pathogen Vibrio cholerae, which causes the disease cholera, kills off its microbial rivals by jabbing them with a spring-loaded poison dagger. Were it not for that defense, called the Type 6 secretion system (T6SS), V. cholerae might not out-compete its neighbors to sicken millions of people every year.

The results were published online February 26 in Nature.


Type VI secretion requires a dynamic contractile phage tail-like structure

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.

An Urgent Message from Dr. Paul Farmer

PIH co-founder Paul Farmer

submitted by Albert Gomez

Partners in Health - February 23, 2012

In a matter of weeks, Haiti's cholera epidemic, which has already killed some 7,000 people and sickened more than half a million, will surge -- causing thousands of new cases and claiming many lives.

That's not a guess. It's a predictable outcome: April marks the beginning of Haiti's rainy season. Daily downpours create conditions in which cholera can tear through destitute communities without access to clean water.


Cholera and Social Media - JAMA

Photo of Dr. Megan Coffee

Researchers used Twitter and a public health Internet tool called HealthMap to gather informal reports that help them in tracking the 2010 cholera outbreak in Haiti.

(Photo credit: Paul Sebring/MMRC Global)

The Journal of the American Medical Association

After cholera spread across Haiti months after a massive earthquake in January 2010, the researchers used a public health Internet tool called HealthMap to capture references to cholera in news media and discussion groups from October 20, 2010, to January 28, 2011. The investigators also probed Twitter posts during this time to find mentions of cholera. The Haitian Ministry of Public Health tracked the epidemic using standard tools.


New Study: Cholera in Haiti Tracked More Rapidly By Social Media Than Traditional Methods

 - January 9, 2012

Internet-based news and Twitter feeds were faster than traditional sources at detecting the onset and progression of the cholera epidemic in post-earthquake Haiti that has already killed more than 6500 people and sickened almost half a million, according to a new study published in the January issue of the American Journal of Tropical Medicine and Hygiene.

The study is the first to demonstrate the use of data from "informal" media sources in monitoring an outbreak of a neglected in a resource-limited setting, and shows that these sources can yield reliable decision-making data during deadly disease outbreaks almost in real-time, often far earlier than traditional surveillance methods that include surveys of hospitals and . The research was conducted by scientists at Children's Hospital Boston and Harvard Medical School.

Six Key Solutions for Pro-Poor WASH Financing

submitted by Gigi Pomerantz

by gbastinwsup - Sanitation Updates - February 20, 2012

Financing water and sanitation improvements for the very poor remains a major challenge over large areas of the globe.

In the lead-up to World Water Forum 2012, sector specialists throughout the world have been asked to report specific solutions for addressing this challenge. Based on these concrete examples, IRC and WSUP today propose six key solutions for pro-poor WASH finance.


OCHA Haiti - Humanitarian Bulletin (January 2012)


                    (CLICK HERE FOR THE OCHA Haiti - Monthly Humanitarian Bulletin - January 2012)

                                                                  (7 page .PDF file)

MSPP - PAHO / WHO - Haiti Health Cluster Bulletin #30 - December 21, 2011


       (CLICK HERE FOR THE MSPP - PAHO / WHO  - Haiti Health Cluster Bulletin #30 - December 21, 2011)

Hydrowell Village Water purification system

See video

Low cost, clean water filtration system for small villages.  No energy/power required.  Supplies 250-300 gallons per day. 

Haiti - Health : Beginning of a Pilot Program of Vaccination Against Cholera - February 4, 2012

Dr. Gabriel Thimoté, Director General of the Ministry of Public Health and Population has announced a pilot experience of vaccination against cholera, on a small number of people, should begin in Haiti during the month of February.

" the beginning the Ministry had reticence about the vaccination against cholera due to lack of vaccine availability and also because of the fact that the vaccine that had been chosen, [the Shanchol], had not yet pre-qualification of the World Health Organization (WHO). But after contacts, meetings with experts, both Haitian and foreign, and especially, after approval by the WHOof vaccine Shanchol, which is an oral vaccine that does not require major conservation measures, the Ministry opted for vaccination against cholera in Haiti.


USD Nursing Students in Haiti

submitted by Janine Rees

Big Data, Big Impact: New Possibilities for International Development

submitted by John Wysham

Mobilising Data to Deal with an

"In the wake of Haiti‟s devastating 2010
earthquake, researchers at the Karolinska
Institute and Columbia University
demonstrated that mobile data patterns
could be used to understand the movement
of refugees and the consequent health risks
posed by these movements. Researchers
from the two organisations obtained data on
the outflow of people from Port-au-Prince
following the earthquake by tracking the
movement of nearly two million SIM cards in
the country. They were able to accurately
analyse the destination of over 600,000
people displaced from Port-au-Prince, and
they made this information available to
government and humanitarian organisations
dealing with the crisis. Later that year, a
cholera outbreak struck the country and the
same team used mobile data to track the
movement of people from affected zones.
Aid organisations used this data to prepare
for new outbreaks. The example from Haiti
demonstrates how mobile data analysis
could revolutionise disaster and emergency

Scientists Reveal How Cholera Bacterium Gains a Foothold in the Gut - January 27, 2012

A team of biologists at the University of York has made an important advance in our understanding of the way cholera attacks the body.

The discovery could help scientists target treatments for the globally significant intestinal disease which kills more than 100,000 people every year.


The Journal of Biological Chemistry - The membrane proteins, SiaQ and SiaM, form an essential stoichiometric complex in the sialic acid TRAP transporter SiaPQM (VC1777-1779) from Vibrio cholerae

Congresswoman Waters to Host Briefing on Who Runs Haiti?


submitted by Kathleen Sengstock

PRESS ADVISORY January 24, 2012                                          

Contact: Mikael Moore - For Immediate Release                                                                    

Phone: (202) 225-2201 

Congresswoman Waters to Host Briefing on Who Runs Haiti? 

The New Mobile Giver and the Story Behind Millions in Donations by Text for Haiti

submitted by Albert Gomez - January 12, 2012 - By Lee Rainie, Director, Pew Research Center’s Internet & American Life Project

A new kind of charitable giver is emerging in the mobile age. 

A report underwritten by the John S. and James L. Knight Foundation has found that this donor is younger and more likely to be African-American or Latino than traditional donors. Moreover, new donors often use their mobile phones to make contributions through text messaging that is inspired by moving and sometimes distressing stories about people in crisis.


Real Time Charitable Giving - Why mobile phone users texted millions of dollars in aid to Haiti earthquake relief and how they got their friends to do the same

More than Cholera in the Mountains of Pestel

       WARNING - This article contains a link to a graphic medical image depicting a female patient suffering from advanced breast cancer . . . VIEWER DISCRETION IS ADVISED


                     (Photo by John Carroll, MD) - Breast Cancer in Mountains of Pestel - January 17, 2012

by John Carroll, MD - - January 17, 2012

I hiked up the mountains today south of the village of Pestel.

With the help of a guide I passed through the tiny village of Casavon and followed water pipes that led us to the spring at La Matin.

Remember and Honor By Serving Redux

by Maria Carroll - January 16, 2012


Pictured above, the crowded port at Pestel.

PAHO/WHO Report - Health Response to the Earthquake in Haiti: January 2010 - Lessons to be learned for the next massive sudden-onset disaster

PAHO/WHO - - January 14, 2012

Haiti Quake Efforts Were Hampered by Poor Information Sharing

Foreign responders often ignored guidance and authority of Haitian government, says new PAHO/WHO report

Washington, D.C., January 13, 2012 (PAHO/WHO) — The massive humanitarian response that followed Haiti’s January 2010 earthquake was less effective than it could have been due to poor coordination and information sharing and widespread disregard among international groups for the authority of the Haitian government, according to a new report from the Pan American Health Organization/World Health Organization (PAHO/WHO).

To improve future relief efforts in low-income countries, the international community should help strengthen government capacity for coordination as part of support for risk reduction and disaster preparedness, the report concludes.

The new study, Health response to the earthquake in Haiti: Lessons to be learned for the next massive sudden-onset disaster, examines the health effects of the quake and the effectiveness of national and international health relief efforts. It was released on the second anniversary of the Jan. 12, 2010, quake.

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