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Sandy’s aftermath: Planning long-term relief in NYC, New Jersey

As big flakes of icy wet snow fell on streets still muddy from Hurricane Sandy’s devastating storm surge, Peter Vasquenz carried another black trash bag to the curb outside his mother’s home on Staten Island, N.Y. In it were pieces of ripped flooring and soggy drywall from the modest house that is decades old.

Remember and Honor By Serving Redux

by Maria Carroll - January 16, 2012


Pictured above, the crowded port at Pestel.

The Second Anniversary


The second anniversary of Haiti's earthquake is tomorrow January 12, 2012.


Two years ago tomorrow, just before 5 PM, one-hundred and forty thousand Haitians perished in less than one minute. However, the earthquake did not kill them. Bad building construction did. 


And for the last 16 months Haiti has been hammered with the largest cholera epidemic in the world. There are 7,000 documented Haitian deaths from this preventable and treatable disease.


I am four hours south of Pestel, Haiti tonight. I plan on making it there tomorrow morning.


Pestel is located on the northern coast of Haiti's southern peninsula. Pestel includes multiple communes and has about 50,000 people over 120 square miles. 


A recent outbreak of cholera is killing people in this area. A few hours ago I heard from a good source on the ground in Pestel that there are 55 recent cholera deaths in that area...and there could be even more because the entire area has not been canvassed yet. 


If there is an internet signal in Pestel, I will post what I find.


John A. Carroll, MD

AME-SADA Needs Your Help to Combat Cholera in Haiti

African Methodist Episcopal Church - - October 29, 2010


AS OF 21:00 Hrs  (9 p.m.), October 27, 2010.  The number of suspected cases of cholera is continuing to increase in parts of the Plateau Central, Artibonite and Western Departments in Haiti.  According to various reports about 3000 people are/have been treated and close to 300 have died. 

Final Resolution, International Forum on the Crisis of Housing in Haiti

May 30, 2011

We, organizations of survivors living in internally displaced persons’ [IDP] camps, as well as social and grassroots organizations, assembled for three days (May 19-21, 2011) at Fany Villa in Port-au-Prince to reflect on the problem of housing within Haiti’s longstanding crisis. Following an exchange around the theme “January 12: Nightmares, Reality and Dreams,” we state:

1. We commend the initiative taken by FRAKKA [the Force for Reflection and Action in Housing] and other partners to host this forum, which allowed us to hear the testimonies of many camp residents and to exchange views on housing and other issues being faced in the camps. This exchange allowed us to better understand the root of the problems we face and to issue resolutions and an action plan that will guide our efforts during 2011 - 2012.

"Dual Citizenship" for the Haitian Diaspora - message from

To all Haitian-Americans,
The 49th legislative body of the Haitian Government has just ratified the "Dual Citizenship" law making all of us, formerly known as Haitian expatriates, bona fide Haitians with all the rights and privileges afforded to the Haitian citizenry, including the right to run for political offices. Here is the official press release, just off the press:
DE L' ASSEMBLEE NATIONALE: La multiple nationalite vient d' etre admise en Haiti par la 49 e legislature avec la supression en bloc des articles ( de la constitution de '87). 12. 1, 12.2, 13 14 et 15 (ce dernier qui se lisait comme suit "La double Nationalité Haïtienne et Etrangère n'est admise dans aucun cas). Votes: 84 pour, 2 contre, 4 abstentions.

Un pas historique dans les relations Haiti-Diaspora.

Alas, our voices for change have been heard and our wish has finally become a palpable reality. It is now our turn to share with our motherland our talents, our "know-how", the greatest available resources from which she can thrive on for a sustainable development. We are indeed the ripest fruits of Haiti's huge historical tree. Let's together pollinate its vast fertile landscape for a bountiful harvest we can ultimately share in the future.

Haiti MPHISE Cite Soleil, La Saline Medical update: May 2-4th.

Per Aleda Frishman, We Advance, Haiti Director


Hundreds seen at Clinic over the last two days. Patients are very sick from drinking contaminated water, as heat swelters.  Even though the UN offers subsidised water truck, the trucks will only go to Cite Soleil if they are paid.  Most of the patients symptons are vomiting and diarrhea.  They come in very sick and most say they began feeling sick after drinking water.

Most of the patients seen at the We Advance clinic were Diarrheal Disease Patients, and not Cholera.

The Cholera patients have been quarantined in Sister Marcella's Cholera staging area one block down the street.


This is the current situation.

May 4th, Morning, Aleda quote: 

We were SLAMMED at the clinic this morning!!!

Online Magazine Blog, Defend Haiti, calls out the UN,"UN Responsible for 5,000 Deaths, 300,000 Illnesses, Still Denying Blame"

Read the entire article and related linked videos here:


The United Nations has published a report that builds a case against itself for the cholera outbreak that has killed 5,000 Haitians, but then, in a questionable reversal, exonerates its own self of the responsibility.

The panel of four experts compiled the report in a span of time that took 6 months. Most would agree that the facts contained in the report are not new but the efforts of the panel and the U.N. to downplay them is concerning.


Upon the release of this report it was a questionable act in which the report had to pass through the hands of Secretary General Ban Ki-Moon and then through the Haitian government before being made public.

This is questionable because an independent report, by competent experts, such as, Dr. Alejando Cravioto of the International Center for Diarrhoeal Diseas Research, should not need the approval of the likes of Ban Ki-Moon and President Rene Preval to be made public; especially if it is to be claimed independent.

75 Cholera Cases Reported in La Saline, Cite Soleil, Clinic, April 24-27.

Message from:  Albert Gomez, MPHISE Contributor

Verified by:  Alison Thompson, We Advance, US Director.  She is located in La Saline, Yellow Clinic.  It is show on the MAP JPEG attached.,-72.336408&sspn=0.169305...

Here is a BBC piece at Sister Marcella's clinic.

HTML Link to map:
<iframe width="425" height="350" frameborder="0" scrolling="no" marginheight="0" marginwidth="0" src=";sll=18.539269,-72.336408&amp;sspn=0.169305,0.256119&amp;ie=UTF8&amp;ll=18.566924,-72.350367&amp;spn=0.001414,0.004195&amp;t=h&amp;z=18&amp;output=embed"></iframe><br /><small><a href=";sll=18.539269,-72.336408&amp;sspn=0.169305,0.256119&amp;ie=UTF8&amp;ll=18.566924,-72.350367&amp;spn=0.001414,0.004195&amp;t=h&amp;z=18&amp;source=embed" style="color:#0000FF;text-align:left">View Larger Map</a></small>

Disaster Football - When GO's and NGO's Play "Disaster Soccer" - Who Loses Wins

submitted by Stuart Leiderman

here's the article, "disaster football," that I wrote recently with Dr. Castor,
and then we gave it to Le Nouvelliste newspaper for publication. French first,
then the English. surprisingly, they accepted it, and it appeared on the 11th.
we're starting to get responses, and he intends to use it in conversations with
the new administration about how to improve relations between government and the
NGO community. we'll see where it leads.

also attaching my original NGO newsletter from Oct'10 that's due for a second
edition, especially now with so many new characters on stage. you might have
some ideas for themes/topics. or an idea for an MPHISE Phase I or Phase II
report. power of the press, and all that...



(see attachments below)

Remarks by Ambassador David Dunn, U.S. Alternate Representative for Special Political Affairs, at the UN Security Council Open D



Remarks by Ambassador David Dunn, U.S. Alternate Representative for Special Political Affairs, at the United Nations Security Council Open Debate on Haiti

David B. Dunn
Acting  U.S. Ambassador and Alternate Representative for Special Political Affairs 
U.S. Mission to the United Nations 

New York, NY
April 6, 2011


Tsunami hits Japan after 8.8 magnitude earthquake

An earthquake measuring 8.8 struck off the northeast coast of Japan on Friday, shaking buildings in the capital Tokyo, causing "many injuries", major tsunami damage and at least one fire.
Fisherman Masakatsu Sakabe inspects the damage of a road following a 6.5-magnitude earthquake at a Makinohara port, Shizuoka Prefecture, Japan
Damage from a 2009 earthquake in Makinohara, Japan. The latest quake in the country was measured at magnitude 7.9 and triggered a tsunami warning

The Japanese public broadcaster NHK showed cars, trucks, houses and buildings being swept away by tsunami in Onahama city in Fukushima prefecture. Black smoke was seen billowing from a building in Odaiba, a Tokyo suburb, and bullet trains to the north of the country were halted.

Television showed cars bobbing in water along side fishing boats. A 50 cm tsunami hit Japan's northern coast.

"The building shook for what seemed a long time and many people in the newsroom grabbed their helmets and some got under their desks," Reuters correspondent Linda Sieg said.

"It was probably the worst I have felt since I came to Japan more than 20 years ago."

US officials said the 8.8-magnitude quake struck about 250 miles (400km) from Tokyo at a depth of 20 miles. The stock market extended its losses after the quake was announced.

New Zealand earthquake: Christchurch ONCE again

Wednesday 23 February 2011

A magnitude 6.3 earthquake occurred 10km south-east of Christchurch at 12:51, February 22, 2011. Depth (focal depth): 5km. The National Crisis Management Centre has been activated.

Considerable damage has been reported in the Christchurch Central Business District and in Lyttelton. There is a cordon around the central business district. Damage assessment is ongoing and over time, will present a better understanding of the extent of damage. Rescue work is likely to take days to complete.

As at 1700 23 February, there have been 37 aftershocks with a magnitude between 4 and 6, and many smaller ones. GNS Science advises that there may be more magnitude 5 or greater aftershocks in the next few days. Aftershocks are expected to to continue and this could lead to further building damage or collapse, as well as continued distruption to power, telecommunications and essential services.

Queensland,Australia facing Highest strenght Cyclone Yasi



Severe Tropical Cyclone Yasi

Issued at 3:56 pm EST Wednesday 2 February 2011. Refer to Tropical Cyclone Advice Number 16.


Haiti one year on: Rape crisis festers on

Twelve months after the quake wrecked 350,000 homes and left at least 1.5 million people homeless, 87 per cent of the survivors are still living in dangerous tented camps.

Dozens of rapes are committed every day, and so much rubble is uncleared that what remains on the ground, clogging any serious reconstruction, would fill trucks which would stretch halfway round the world. All this in a country which, staggeringly, hosts tourists from cruise ships.

A new report published by ActionAid says: "In the capital Port-au-Prince, between 1.3 and 1.7 million people continue to live in increasingly squalid tents with little hope of moving to transitional shelters. Less than 30,000 of those displaced have found permanent homes. There is no strategic plan for shelter, land disputes are widespread and tonnes of rubble needs clearing, much of which is thought to contain human remains."

It added that "until the Government frees up the land needed, we are forced to spend donations on replacing tents and other piecemeal measures designed to help people get by in overcrowded camps".

Important: New England Journal of Medicine December 9th

The Origin of the Haitian Cholera Outbreak Strain
Chin CS, Sorenson J, Harris JB, Robins WP, Charles RC, Jean-Charles RR, Bullard J, Webster DR, Kasarskis A, Peluso P, Paxinos EE, Yamaichi Y, Calderwood SB, Mekalanos JJ, Schadt EE, y Waldor MK. NEJM December9th, 2010

A National Cholera Vaccine Stockpile — A New Humanitarian and Diplomatic Resource
Matthew K. Waldor, M.D., Ph.D., Peter J. Hotez, M.D., Ph.D., and John D. Clemens, M.D.

2010 Dec 07 Logistics Minutes and Situation Report

AlMac99's picture

Here I share highlights which I think may be of interest to MPHISE.  I encourage you to download your own copy of the PDF since there’s lots more content there.

Virulent Strain: Genome Analysis Suggests


"The analysis also suggests that the Asian strain that hit Haiti is especially virulent and raises the risk that it may supplant other strains circulating in Latin America and spread there, Waldor said. There is a need to increase the production of cholera vaccines, which are now in short supply, he said.

After the Haitian earthquake in January, the U.S. Centers for Disease Control and Prevention concluded that even with the extensive damage to the country’s poor sanitation system, there was not a great risk of a cholera outbreak because the disease hadn’t been seen there in so long, Waldor said.

“That was wrong,” he said. “They didn’t consider global movement of human beings.”

As a public health measure, people who travel from areas that have high cholera rates should be screened before traveling to regions where conditions could allow an epidemic to spread rapidly, he said."



Cholera in Haiti Came From South Asia, Genome Analysis Suggests

Dec. 9 (Bloomberg) -- The cholera epidemic that has killed 2,120 people and hospitalized 44,000 in Haiti probably was carried there by people who brought it from South Asia, according to an analysis of the bacteria’s genome.

Using tissue samples from patients in Haiti, scientists at Menlo Park-based Pacific Biosciences of California Inc. took only two days to map the pathogen’s genome, the set of genes that makes any organism unique. The Haitian strain is almost identical to types found in South Asia and differs greatly from those circulating in nearby Latin America, according to the analysis published today in the New England Journal of Medicine.

This suggests humans carried the Asian strain into the country, which hadn’t had a cholera outbreak in more than 100 years even with its desperate poverty and lack of sanitation, said Matthew Waldor, an author of the study. Better screening is needed of people traveling from areas with endemic cholera to regions where conditions could lead to an outbreak, he said.

“This strongly argues that cholera was introduced to Haiti not on an ocean current from Latin America but by human activities,” said Waldor, an infectious disease specialist at Harvard Medical School in Boston. “It also suggests we can prevent future Haitis by altering some policies.”

News in the Region: Jamaica...(Is this our true focus today???)

PORT-AU-PRINCE, Haiti – A French disease expert says there is strong evidence linking United Nations peacekeepers to a cholera outbreak in Haiti that has killed more than 2,000 people.

Renaud Piarroux says in a report that the most likely explanation for the outbreak is that Haiti's Artibonite river was contaminated by a base of UN troops from Nepal.

The scientist conducted his research on behalf of the French and Haitian governments. The Associated Press obtained the report today.

Cholera had not been detected in Haiti until late October. Nearly 100,000 people have been infected so far. The UN has denied that its peacekeepers were to blame for the outbreak.

Read more:

Haiti and D.R. Presidents will meet on December 14th to join efforts

Haiti President Rene Preval will meet with Dominican Republic President Leonel Fernandez on December 14th to "join' efforts

On Tuesday, December 7, it was announced that President Leonel Fernandez of the DR and Haitian President, Rene Preval, will next week will hold a meeting of the Haitian-Dominican mixed commission, whose theme will be a joint struggle and fight against epidemic of cholera.

Haiti Prime Minister, Jean Max Bellerive, said the they want to join the Dominican Government’s efforts to control the increase of cholera, in addition to evaluating all actions adopted to control the disease and the health ministries of both countries will work together to see how both nations can combine their efforts to protect their people.

Bellerive noted that this disease was imported to Haiti, now Haiti doesn’t want to re-export it to other nations and on both sides of the Haitian-Dominican border opened up cholera treatment centers.

According to recent reports, the cholera epidemic in Haiti has killed 2,120 people, and more than 93,000 have been infected.

2010 Nov 30 Logistics Minutes and Sitrep

AlMac99's picture

Sitrep = Situation Report

• Sitrep 2010 Nov 30 Logistics Minutes PDF
o Here I share highlights for MPHISE. I encourage you to download your own copy of the PDF since there’s lots more content there.
o As usual there are many actors in the medical rescue area who have supplies to bring into Haiti, and some of those actors are new to the topic of navigating what may be the most difficult border in the world to transport cargo across. The logistics cluster focuses on helping NGOs deal with that topic, also other transportation, security, warehousing. However, I believe that managing cargo across international borders is a job for professionals in that area.
o I advise all volunteer organizations, which are working in Haiti, to make sure they are registered with the relevant UN clusters, and ALSO connected to the relevant professional associations. Relevant to their areas of operation, professions, etc. A huge problem, with Haiti rescue relief recovery, has been an army of well-meaning groups working in almost total isolation from one another.

Notice that there are several ways to bring cargo into Haiti. If your medical supplies have to pay huge import fees to get in, it means your relevant professionals are not using the Logistics Cluster info effectively.

Jamaica, Cuba, the UK sending medical teams

The big news of the week is FINALLY the world appears to be taking notice that cholera is rampaging through Haiti, and direct, hands-on, medical help is needed. While significant money has been pledged to Haiti, the direct funding and deployment of organized medical teams into Haiti to respond to the cholera outbreak has been lacking. This is beginning to change. On Monday, Jamaica announced they are standing up and deploying a medical team and support into Haiti. On Saturday Fidel Castro announced Cuba will be sending another 300 to increase their medical brigade to nearly1300 in Haiti. Also on Saturday, the UK has pledged support for 1775 people (115 doctors, 920 nurses and 740 support staff), and supplies, funded by UK taxpayers, to combat cholera in Haiti.

Nov 28 election opportunity to pass out cholera prevention aids

AlMac99's picture

Thanks to: United Nations Development Programme (UNDP)

When millions of Haitians head to the polls to vote in this Sunday 28 November election, they will also be handed bars of soap and will have access to information on cholera prevention.

Haiti's Provisional Electoral Council (CEP) asked the United Nations to help purchase bars of soap to be distributed at the polling stations. In a joint effort, in two days UNDP helped purchase over 2 million bars of soap, and Pan American Health Organization (PAHO) produced 24,000 posters on cholera prevention to be placed by the United Nations Stabilization Mission in Haiti (MINUSTAH) at polling stations throughout the country.

More info in Relief Web.

Cholera Peaks ?????

AlMac99's picture

via e-mail to HEAS

Tests of UN personnel for cholera, so far finds none

AlMac99's picture

How reliable are the tests, of a person who does not show the symptoms, to find out if they have cholera?

What would be the expense of giving those tests to everyone who crosses a border?

How long does it take to get back the test results?

UN claims raise some other questions.

Sitrep 2010 Nov 19 Cholera PAHO WHO 03 PDF

AlMac99's picture

Here's what I got out of this report, which I think may be of interest to the medical volunteers community:

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