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Areas reporting confirmed and/or suspected Cholera in Haiti


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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.

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U.N. Admits Role in Cholera Epidemic in Haiti

       

Julener Buisserette sanitizes a tent with cholera patients in Port-Au-Prince, Haiti, in November 2010. (Nikki Kahn/The Washington Post)

nytimes.com - by Jonathan M. Katz - August 17, 2016

For the first time since a cholera epidemic believed to be imported by United Nations peacekeepers began killing thousands of Haitians nearly six years ago, the office of Secretary General Ban Ki-moon has acknowledged that the United Nations played a role in the initial outbreak and that a “significant new set of U.N. actions” will be needed to respond to the crisis.

The deputy spokesman for the secretary general, Farhan Haq, said in an email this week that “over the past year, the U.N. has become convinced that it needs to do much more regarding its own involvement in the initial outbreak and the suffering of those affected by cholera.” He added that a “new response will be presented publicly within the next two months, once it has been fully elaborated, agreed with the Haitian authorities and discussed with member states.”

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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.

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(ALSO SEE SAME ARTICLE HERE)

 

Study Finds Multiple Problems In Fetuses Exposed To Zika Virus

submitted by John Carroll

            

A woman who is six months pregnant shows a photo of her ultrasound at the IMIP hospital in Recife, Pernambuco state, Brazil, on Wednesday. Scientists are trying to figure out how Zika virus may be affecting fetuses.  Felipe Dana/AP

CLICK HERE - NEJM - Zika Virus Infection in Pregnant Women in Rio de Janeiro — Preliminary Report

npr.com - by Rob Stein - March 4, 2016

The Zika virus has sparked international alarm largely because of fears that the pathogen is causing microcephaly, a condition in which babies are born with unusually small heads and damaged brains.

But the preliminary results of a study released Friday suggest Zika can also cause other potentially grave complications for fetuses carried by women who get infected while they are pregnant.

"There seems to be a whole spectrum of conditions that are related to this — not only microcephaly," says Karin Nielsen-Saines, a professor of clinical pediatrics at the David Geffen School of Medicine at UCLA who led the study.

Haiti Reports Its First Cases of Mosquito-Borne Zika

Aedes aegypti is a vector transmitting the Zika virus

CLICK HERE - reliefweb - Haiti hit with Zika virus outbreak: official

CLICK HERE - WHO - Zika virus infection – Haiti

CLICK HERE - The Lancet - Anticipating the international spread of Zika virus from Brazil

washingtonpost.com - by Associated Press - January 15, 2016

PORT-AU-PRINCE, Haiti — Haiti is reporting its first cases of a mosquito-borne virus that is rapidly spreading in the Americas and is suspected of causing over 3,500 birth defects in Brazil.

Public Health Minister Florence Duperval Guillaume announced Friday that there have been five confirmed cases of the Zika virus in Haiti. She says they are all in the area of Port-au-Prince, the overcrowded capital.

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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.

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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.

Cholera Outbreak: 15 Communes on Red Alert

                                   

reliefweb.int - CLICK HERE - Haiti Humanitarian bulletin - Issue 55, October 2015 (6 page .PDF file)

HIGHLIGHTS

Major outbreaks of cholera recorded in several communes of the country. About 15 communes are on red alert;

Sporadic floods were recorded across the country, during October, affecting over 300 families and causing extensive damage to the agricultural sector;

Bi-national crisis: the humanitarian community pursues to collect information and the humanitarian surveillance;

The drought has caused acute food crisis in 37 communes.

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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)

UN - Cholera Surge Has Put Haiti on Course for Crisis

unmultimedia.org - May 14, 2015

A "surge" in the number of new cholera cases in Haiti has created the risk of a humanitarian crisis, the UN expert in charge of fighting the disease said Thursday.

Assistant Secretary-General and Senior Coordinator for Cholera Response in Haiti Pedro Medrano Rojas said that the last three months have seen more than 12,000 new cases of the disease and that the struggling Caribbean country is on course for 50,000 cases this year.

Mr Rojas called for help from the international community, telling Daniel Johnson that Haiti will continue to need outside help for many years after the devastating 2010 earthquake.

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CLICK HERE - RELATED ADDITIONAL INFORMATION

Tropical Weather Outlook

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.

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(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.

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Haiti: Cholera Cases Double from Previous Year

      

A father looks over his young girl as she receives an IV at a Red Cross [file]

CLICK HERE - PAHO - WHO - Epidemiological Update - Cholera in the Americas - March 3, 2015 (2 page .PDF report)

CLICK HERE - PAHO - WHO - Cholera

CLICK HERE - MSPP (MINISTERE DE LA SANTE PUBLIQUE ET DE LA POPULATION) - Cholera - Case Reports

CLICK HERE - MSPP (MINISTERE DE LA SANTE PUBLIQUE ET DE LA POPULATION)

sentinel.ht - by Samuel Maxime - March 30, 2015

PORT-AU-PRINCE, Haiti- Experts say Cholera will continue to kill and infect citizens as long as they lack access to clean water and sanitation. This information comes as suspected cases and deaths have doubled in January and February compared to the year prior and twenty of the nation's communes are on red alert.

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

Chikungunya Cases Confirmed in Haiti

PORT-AU-PRINCE, Haiti May 7, 2014 (AP) - ABC News

A mosquito-borne virus that has spread rapidly through the Caribbean since it was documented in the region for the first time in December has been confirmed in Haiti, a government official said Tuesday.

Authorities have confirmed 14 cases of the chikungunya virus in Haiti, Health Minister Florence Guillaume Duperval said.

Duperval said in an interview with Radio Metropole that the government would soon begin airing public health advisories on the radio to alert people to the symptoms, which can include a sharp fever, headache and joint pain.

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CLICK HERE - CDC - Chikungunya in the Caribbean

Haiti in the Shadow of Cholera

nytimes.com - April 23, 2014

The problem of ending Haiti’s cholera epidemic does not stem from an absence of planning. There is a 10-year plan to eradicate cholera from Hispaniola, the island Haiti shares with the Dominican Republic, by 2022. Within the 10-year plan is a two-year plan to get the 10-year plan up and running.

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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.

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Chikungunya Confirmed in Dominican Republic

                                 

promedmail.org - April 6, 2014

The Ministry of Public Health confirmed an outbreak of chikungunya virus [infection] in the Nigua municipality of San Cristobal province.

The Minister of Health, Dr. Freddy Hidalgo Nunez, stated that blood samples from people affected with fever and intensive joint pain were sent to the [USA] CDC and were positive for chikungunya virus. The official issued this information on Friday [4 Apr 2014] and said that Public Health sought laboratory assistance for virus diagnosis from the Centers for Disease Control in the United States in order to confirm the presence of the virus in the country.

Reporting on Public Health Progress in Haiti

 

Division of Epidemiology, Laboratory and Research (Direction d’Epidémiologie, de Laboratoire et de Recherches or DELR)

cdcfoundation.org - by Terri Heyns - March 28, 2014

Just over a year ago, I traveled to Haiti with the CDC Foundation to commemorate the completion of two new public health buildings supported through donations to the CDC Foundation, the central office of the Ministry of Public Health and Population (MSPP) and the headquarters of the Division of Epidemiology, Laboratory and Research (DELR). Both buildings marked a milestone in the country’s recovery and reconstruction since the earthquake.

Since that visit, Haiti’s health minister has moved into her new office and phase one of the new ministry compound, with space for roughly 250 employees, is operational.

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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.

Cholera Alert - Bon Samaritan Nursing Home in Ouanamithe

submitted by Albert Gomez

      

https://www.facebook.com/bill.waterman.10/posts/10202141413724766 - October 17, 2013

CHOLERA ALERT
We have had two cases of Cholera from the elderly at our nursing home Bon Samaritan. One passed away last night and the other is being treated at the cholera center. There has been at least 6 local cases I am told. Please keep all of us here in your prayers. I have had this once already and it is by far the worst you can have. We have lost four of our people in 10 days now, counting a grandchild of one of our staff. It has been a rough week for all of us.

Bon Samaritan De Ouanamithe
https://www.facebook.com/pages/Bon-Samaritain-De-Ouanaminthe/331388730236644

Rights Advocates Suing U.N. Over the Spread of Cholera in Haiti

Image: A cholera outbreak in Haiti that began in 2010 has killed 8,300 people and sickened 650,000. Damon Winter/The New York Times

Water and Sanitation in the Time of Cholera

Article cover image

csis.org - September 5th, 2013 - Katherine Bliss, Matt Fisher

In October 2010, just nine months after an earthquake devastated the capital city of Port-au-Prince and displaced an estimated 1.5 million people, Haiti’s Ministry of Public Health and Population reported a cholera outbreak in two of the country’s most impoverished regions. It was the first time cholera—a diarrheal disease associated with the consumption of food and water contaminated by feces infected with the bacterium vibrio cholerae—had been identified in the country in at least 100 years. Within a month of the initial report, cholera had spread not only to all regions of Haiti but also to the neighboring Dominican Republic.

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Cholera Kills 1, Sickens 9 in Mexico

ap.org - September 27, 2013

MEXICO CITY (AP) — Mexico's health authorities say cholera has killed one person and sickened at least another nine in central Mexico.

Mexico's Health Department says two cases were detected in Mexico City and the rest in the nearby state of Hidalgo, where one person died.

The department on Friday declared a health emergency for Hidalgo.

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