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Supply Chain - Haiti

The mission of this working group is to focus on ways to continuously maintain an adequate inventory of supplies.

Working Group email address:

supply_chain@mphise.net

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.

U.N. Struggles to Stem Haiti Cholera Epidemic

      

A young Haitian fishing in the Latem River, known to be contaminated. The country is still struggling to stem a cholera epidemic.  Ian Willms for The New York Times

nytimes.com - By RANDAL C. ARCHIBOLD and SOMINI SENGUPTA - April 19, 2014

CHAPOTEAU, Haiti — For three years, the United Nations has refused to address whether its peacekeepers brought a deadly strain of cholera to Haiti, insisting instead that it was more important to help the country stanch the disease once and for all.

But on that score, it is still very far behind. In some ways, Haiti is even less equipped to tackle cholera than it was three years ago.

(READ COMPLETE ARTICLE)

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

Request for cholera cots for Dr. Seneque

Request for Assistance

The HEAS / Haiti MPHISE (Medical and Public Health Information Sharing Environment) has received a request for cholera cots from Dr. Seneque.  He needs 20 cholera cots for Pestel, and 15 cholera cots for Tozia.  If anyone can assist with cholera cots for Dr. Seneque, please reply.

Thank you,

Kathy Gilbeaux

Haiti MPHISE
http://www.haiti.mphise.net/

https://twitter.com/haitimphise
https://www.facebook.com/HaitiMPHISE

Report from Direct Relief International (DRI) - Hurricane Sandy Floods Hospitals in Haiti

directrelief.org - by Andrew MacCalla - October 25, 2012

Staff and partners in Haiti are reporting  heavy rains, winds, and flooding as a result of Hurricane Sandy, which has reached Category 2 status. Direct Relief has reached out to its partners in the affected areas to offer medical assistance as needed.

All four partners in Haiti who received Direct Relief’s Hurricane Modules at the beginning of hurricane season (June 1) have been advised to use them as needed and two additional modules located in the Direct Relief warehouse on the ground in Haiti have been made available to any other affected partners. The modules contain enough medicine to support up to 5,000 people for one month. Recently arrived shipments to Haiti containing hundreds of liters of IV fluids are also available to anyone in need.

Tropical Storm Isaac Sparks Fears of More Cholera Deaths in Haiti

miamiherald.com - by Jacqueline Charles - September 5, 2012

Tropical Storm Isaac, which left 24 dead and 3 missing in Haiti, is reigniting fears of increased cholera deaths in Haiti.

The panic began to set in after Tropical Storm Isaac’s rains had subsided and the sun finally began to shine on this storm-damaged beachfront hamlet. Frantz Pierre-Louis, looking at the trail of fallen trees and flooded farms confronting him, had something much more pressing on his mind.

“We have to prevent a cholera outbreak,” Pierre-Louis, sitting in his pick-up truck, said, his voice filled with urgency.

(READ COMPLETE ARTICLE)

UN OCHA - Haiti Updated Post-Isaac, 28 August 2012

                                   

(Per Google Translate from French to English)

Overview:

     Cover humanitarian needs during

     Preparation of the response to the risk of cholera outbreaks

     Focus on the development of a food security response plan based on the findings of the rapid assessment investigated during

     Identification of capacity / gaps

Report - UN Office for the Coordination of Humanitarian Affairs

OCHA Haiti - Humanitarian Bulletin (July 2012)

                                    

Cholera Response

There is great concern about a possible upsurge in cholera due to contamination of water sources during heavy rains in enclaved areas.  MSPP expects an upsurge in new cholera cases with the onset of the second half of the rainy and cyclone seasons, which run from September to November.

Although Haiti experienced a general decline in new cholera cases during July, several alerts were reported in the West, South and Artibonite Departments. The commune of Carrefour in the West department was particularly affected, with up to 100 cases reported on average during a three-day period in the second week of July. The upsurge in infections was attributable to contamination of water sources in the area. There is a felt need for renewed sensitization on good sanitation practices in those communities where access to potable water remains a challenge.

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.

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

http://www.youtube.com/watch?v=Z59O_6WYfkg

Cholera Treatment Shipment Arrives in Haiti

AlertNet - May 11, 2012

A shipment of 100,000 liters of IV solutions - enough to treat 17,000 severe cholera patients - arrived in Haiti amid a worsening epidemic. The delivery will ensure the only treatment center in the impoverished community of Cite Soleil is stocked with enough lifesaving rehydration fluids to help the most seriously ill patients.

AmeriCares responded to an urgent request by long-time partner, Saint Luc Foundation, after a noticeable rise in the number of cholera cases at their two treatment centers.

(READ COMPLETE ARTICLE)

Emergency Aid Shipment for Haiti Cholera Epidemic

                                          

Treatment supplies for 17,000 patients expected to arrive next week

Stamford, Conn. – May 2, 2012 – AmeriCares is rushing to deliver more than 100,000 liters of IV solutions for victims of the worsening cholera epidemic in Haiti. The emergency shipment contains enough IV fluids to treat at least 17,000 of the most seriously ill patients. Already more than 7,000 people have died since the outbreak began in October 2010 and reported cases have been on the rise again with the return of the rainy season.

Cholera Solutions for Haiti

submitted by Shelly Chvotzkin

Letter to the Editor - by Curt Welling - The New York Times - April 5, 2012

To the Editor:

Global Failures on a Haitian Epidemic” (front page, April 1) draws long-overdue attention to the health crisis in Haiti.

Eradicating cholera is a goal that requires a billion-dollar investment in water and sanitation. Until such an infrastructure can be built and managed, we must partner with Haitians to provide medicines and supplies needed to treat and prevent this devastating disease. Fighting cholera has been the top priority of AmeriCares in Haiti from the onset of the outbreak.

While some aid organizations were slow to respond or have scaled back their cholera programs, others — including AmeriCares — reacted quickly and have expanded efforts. We had cholera medicines and hygiene supplies in stock when the first case was confirmed, and within 24 hours an emergency shipment was en route to the hospital in St. Marc.

Cholera control may still be several years away in Haiti. In the meantime, we can reduce the suffering.

CURT WELLING
President and Chief Executive
AmeriCares
Stamford, Conn., April 2, 2012

Saving Lives in a Time of Cholera

A health worker was disinfected after bringing cholera victims to a grave near Port-au-Prince, Haiti, in November 2010.  Damon Winter/The New York Times

submitted by Tim Siftar

The New York Times - by Tina Rosenberg - April 7, 2012

A new partnership between two organizations that battle cholera will make it possible to get supplies and knowledge to cholera-stricken areas much faster. Early next month, AmeriCares, a United States-based aid group that specializes in airlifting medical supplies into disaster zones, will finish assembling a group of pallets containing everything necessary to treat 15,000 cases of cholera.

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.

  • (READ THE COMPLETE ARTICLE)
  • Global Failures on a Haitian Epidemic

          

    A child played and a woman washed clothes at the river tributary in Meille that is believed to be the source of the cholera epidemic.  Damon Winter / The New York Times

    by Deborah Sontag - The New York Times - March 31, 2012

    [The following quotes are excerpts from this important 9 page article.]

    . . . "And, as the deaths and continuing caseload indicate, the world’s response to this preventable, treatable scourge has proved inadequate. Cholera, never before recorded in Haiti, stayed one step ahead of the authorities as they shifted gears from the earthquake recovery. While eventually effective in reducing the fatality rate, the response was slow to get fully under way, conservative and insufficiently sustained." - [from page 1] . . .

    . . . Those who now find the official response sluggish — “daily” epidemic surveillance is posted after a delay of weeks — point to what happened recently in Pestel in southwest Haiti.

    On Dec. 10, a severely dehydrated man showed up at the cholera treatment unit. The man was too far gone to be resuscitated, said Dr. Seneque Philippe, the physician in charge.

    Cholera in Pestel – January 14, 2012

          

    Cholera Victim - Pestel, January 2012 - Photo by John Carroll MD

    by John Carroll MD - pjstar.com - January 14, 2012

    This is my narrative of the last four days in rural Haiti.

    I am going to try and not beat dead horses.

    I am going to try and not be too cynical or too sarcastic or too snarky. And I will not point fingers at the UN, at the Haitian government, at international governments, at the gran mange in PAP, at the billions of NGO’s in Haiti, at the “where did all the pledged money go questions”, at church leaders or the voodoo priests, at the adacemicians, the “do gooder” blan doctors, or at Catholic nuns or the little church lady Protestant missionaries who spend 30 years of their lives here doing as much good as they possibly can do.

    There is no time to criticize anyone right now.

    Cholera is infecting and killing many Haitians as I post this from Pestel, Haiti this afternoon– January 14, 2012.

    I feel very rushed to post this. My access to internet is almost absent. Electricity is never a guarantee.

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