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This Version of the Haiti MPHISE Has Been Archived.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 Alert - Bon Samaritan Nursing Home in Ouanamithe

submitted by Albert Gomez - October 17, 2013

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

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 - 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.



Cholera Kills 1, Sickens 9 in Mexico - 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.


Research - Clues to Cholera Resistance - Evidence that Genetic Changes May Offer Protection

CLICK HERE - RESEARCH - Natural Selection in a Bangladeshi Population from the Cholera-Endemic Ganges River Delta

(ALSO SEE RELATED LINKS BELOW) - by Peter Reuell - July 22, 2013

Researchers have long understood that genetics can play a role in susceptibility to cholera, but a team of Harvard scientists is now uncovering evidence of genetic changes that might also help protect some people from contracting the deadly disease.

Based on genetic data gathered from hundreds of people in Bangladesh, a research team made up of Harvard faculty and scientists from the Broad Institute and the Harvard-affiliated Massachusetts General Hospital (MGH) was able to identify a number of areas in the genome — some are responsible for certain immune system functions, others are connected to fluid loss — that appear to be related to cholera resistance. Later tests showed genetic differences between people who had contracted the disease and those who had been exposed, but never became ill. The results are described in a paper published this month in Science Translational Medicine.

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


The Link Between Saris and Cholera


Rita Colwell, shown here in the laboratory, helped discover that simple filtration can be a key to reducing cholera. - by Kelly Murray - June 5, 2013

Dr. Rita Colwell has studied cholera for nearly 50 years, and has written more than 700 publications and received at least 40 honorary degrees. The former director of the National Science Foundation and former president of the American Association for the Advancement of Science, Colwell is currently a distinguished professor at both the University of Maryland, College Park and Johns Hopkins University's Bloomberg School of Public Health.

CNN spoke with Colwell about her research and how she and her team helped develop an incredibly simple method to help the people of rural Bangladesh have cleaner, safer drinking water. The following is an edited portion of that interview.


International coaliton pledges* $28.1 million to fight cholera in Haiti and D.R.

An international coaliton pledges their support.

Image: An international coaliton pledges their support. - June 4th, 2013

An international coalition consisting of the World Bank, Pan American Health Organization and UNICEF has pledged* an accumulated $28.1 million [US] to fight cholera in Haiti and the Dominican Republic.

The pledged* support includes $20 million [US] from the World Bank, $5 million [US] from UNICEF and $3.1 million [US] from PAHO and the World Health Organization (WHO).

The International Federation of the Red Cross and Red Crescent Societies, which accumulated billions after the earthquake in Haiti, said it would launch a donation drive for funds.


UN Emergency Fund Allocates Extra $1.5 Million for Cholera Response in Haiti


At a camp for displaced persons in Port au Prince, Haiti, residents get bleach and water purification tablets which are used in cholera prevention. Photo: UN/MINUSTAH/Logan Abassi

18 July 2013 – The United Nations emergency relief fund will allocate an additional $1.5 million to the cholera response in Haiti, at a time when cases are set to rise due to the rainy season.

“Cholera has claimed over 8,100 lives and infected over 660,000 people since the outbreak began in Haiti in 2010,” said the Operations Director of the UN Office for the Coordination of Humanitarian Affairs (UNOCHA), John Ging.

“It is vital that we do not allow more lives to be lost.”

The latest allocation brings the total amount provided this year by the UN Central Emergency Response Fund (CERF) for emergency cholera response in Haiti to $4 million.

“The CERF contribution is greatly appreciated,” said acting Humanitarian Coordinator for Haiti Sophie de Caen, “but we cannot rely upon the CERF as a primary funding source. I urge donors to increase their support to these critical activities.”

Evolutionary Dynamics of Vibrio Cholerae O1 Following a Single-Source Introduction to Haiti - July 2, 2013


Prior to the epidemic that emerged in Haiti in October of 2010, cholera had not been documented in this country. After its introduction, a strain of Vibrio cholerae O1 spread rapidly throughout Haiti, where it caused over 600,000 cases of disease and >7,500 deaths in the first two years of the epidemic. We applied whole-genome sequencing to a temporal series of V. cholerae isolates from Haiti to gain insight into the mode and tempo of evolution in this isolated population of V. cholerae O1. Phylogenetic and Bayesian analyses supported the hypothesis that all isolates in the sample set diverged from a common ancestor within a time frame that is consistent with epidemiological observations. A pangenome analysis showed nearly homogeneous genomic content, with no evidence of gene acquisition among Haiti isolates.

Health: Tense Situation Between the Dominican Republic and Haiti - June 11, 2013

Monday, the Pan American Health Organization (PAHO), the Dominican Ministry of Public Health and the Directorate General of Livestock confirmed in a joint statement, that they they have not recorded a single case of bird flu or swine flu in the Dominican Republic.

For Freddy Hidalgo, the Dominican Minister of Public Health and Lilian Reneau, local representative of PAHO, there is "a confusion in the information on the presence of this virus in the Dominican Republic." Octavio de la Maza, the Deputy Director of Livestock in the Dominbican Republic attributed to "speculation" the allegations of the presence of the virus in the country.

For José Del Castillo Savinon, the Dominican Minister of Industry and Commerce it is clear that the Haitian authorities have confused the virus A / H1N1 human influenza (not transmitted to animals) with other strains, which relate to animals).


WHO - World Health Statistics 2013

World Health Statistics 2013 contains WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.

This year, it also includes highlight summaries on the topics of reducing the gaps between the world’s most-advantaged and least-advantaged countries, and on current trends in official development assistance (ODA) for health.

For additional information, see link below:

World Health Statistics 2013 - (Full Report - 172 page .PDF report)

Haiti Cholera Mutations Could Lead to More Severe Disease


submitted by Ted Kaplan - April 16, 2013
Analysis of Vibrio cholerae Genome Sequences Reveals Unique rtxA Variants in Environmental Strains and an rtxA-Null Mutation in Recent Altered El Tor Isolates - April 16, 2013

CHICAGO --- The cholera strain that transferred to Haiti in 2010 has multiple toxin gene mutations that may account for the severity of disease and is evolving to be more like an 1800s version of cholera, reports a new Northwestern Medicine study.

The strain, "altered El Tor," which emerged around 2000, is known to be more virulent and to cause more severe diarrhea and dehydration than earlier strains that had been circulating since the 1960s. This study reports the altered El Tor strain has acquired two additional signature mutations during the past decade that may further increase virulence.


PLOS - Spatio-Temporal Dynamics of Cholera during the First Year of the Epidemic in Haiti

In this paper, Dr. Jean Gaudart, et al. describe and analyze the spatio-temporal dynamics and underlying factors associated with the first year of the 2010 cholera epidemic in Haiti. Environmental factors, such as rivers and rice fields, appeared to play a role in disease dynamics exclusively during the beginning of the epidemic, but varied from place to place as time passed, suggesting the need for rapid and exhaustive case tracking.



In October 2010, cholera importation in Haiti triggered an epidemic that rapidly proved to be the world's largest epidemic of the seventh cholera pandemic. To establish effective control and elimination policies, strategies rely on the analysis of cholera dynamics. In this report, we describe the spatio-temporal dynamics of cholera and the associated environmental factors.

Methodology/Principal findings

UN - World Food Programme - Hunger Map - Haiti - Category 5

                                           (TO ENLARGE MAP - CLICK ON MAP IMAGE BELOW)


Haiti - Undernourished: 44.5% of population

Climate vulnerability index: very high - Category 5

The map shows the prevalence of undernourishment in the total population as of 2010 - 2012. The indicator is an estimate of the percentage of the population having access to an amount of energy from food insufficient to maintain a healthy life.

Pediatric Cardiac Surgery Saves Lives in Haiti

A surgical team, sponsored by the Marco Island Sunrise Rotary and partner organizations, performs open heart surgery March 20 as part of Rotary’s Gift of Life mission. Donations helped volunteer doctors and nurses perform 10 operations in seven days during a medical mission to Haiti. Cheryl Ferrara/Eagle Correspondent - by Cheryl Ferrara - March 28, 2013

In a week when the world celebrated the coming of spring, a team of doctors and nurses “sewed” seeds of hope into the hearts of 10 Haitian children.

During a medical mission last week, parents of children ages two to 13 saw hearts spring to normal. Their children received surgeries to correct defects that robbed them of vitality and starved their bodies of oxygen.


Gift of Life International - Haitian Pediatric Cardiac Project

The Marco Island Sunrise Rotary Club

A Community in Haiti Works to Protect Water Sources and Improve Sanitation

A child washes his hands at a fountain built by Haitian NGO Concert-Action in collaboration with the community and funded by UNICEF in Petit Bourg du Borgne. Petit Bourg du Borgne is a remote village in the mountainous Northern Department, Haiti.  UNICEF Haiti/2013/Dormino

PETIT BOURG DU BORGNE, Haiti, 21 March 2013 – Celianne Jean and her 5-year-old daughter Wislaine used to join others in the community every day at the local water source. The villagers would position their buckets to collect water from the source – a leaf someone had placed carefully to catch and funnel unprotected water trickling from down the mountain.

“We had many problems with the water,” says Ms. Jean. “Cholera was hitting the area, and we were drinking any type of water without treating it. People were getting sick.”


Letter - Cholera in Haiti - March 22, 2013

Letter to the Editor - by Curt Welling, President and Chief Exec. - AmeriCares

A Worsening Haitian Tragedy” (editorial, March 18) points out the sad reality that cholera is now endemic in Haiti. But it gives the impression that most aid organizations are leaving the country at a time when thousands are dying from a preventable disease.

While some aid groups have indeed left the country or are scaling back programs, others have made fighting the epidemic their top priority.


Radiology Experts Travel to Haiti to Educate Local Radiologists and Pediatricians

American College of Radiology (ACR)

Radiology Education Days Part of Ongoing ACR Effort to Help Rebuild Haitian Medical Infrastructure

March 19, 2013

Expert radiologists and representatives from the American College of Radiology (ACR); the World Federation of Pediatric Imaging; the Society for Pediatric Radiology; the Society of Radiologists in Ultrasound; and the Society of Diagnostic Medical Sonographers will gather in Port-au-Prince, Haiti, March 25-26, to provide a series of didactic lectures and hands-on ultrasound training at “Radiology Education Days.”

Report - National Plan for the Elimination of Cholera in Haiti 2013-2022

Republic of Haiti
Ministry of Public Health and Population
National Directorate for Water Supply and Sanitation

National Plan for the Elimination of Cholera in Haiti 2013-2022 (114 page .PDF report)


In October 2010, a cholera epidemic, like that of the January 12 earthquake, unexpectedly struck our country. The general population was still recovering and bandaged from injuries inflicted by the earthquake. This epidemic brought to light all the weaknesses of the Haitian health system.

Lacking expertise and resources to fight major endemic diseases, this new cholera epidemic gave rise to widespread panic. Officials of all categories (political and technical) rapidly realized that they must roll up their sleeves and manage the situation in order to prevent a rampant increase in the number of deaths and allow the population to rebuild their health.

Once again the Friends of Haiti did not compete in this struggle. They rallied to help bridge the gap, while transferring their knowledge and expertise to Haitian technical staff.

A Worsening Haitian Tragedy - March 17, 2013

The aid group Doctors Without Borders said last Tuesday that the cholera crisis in Haiti was getting worse, for the most unnecessary and appalling of reasons: a lack of money and basic medical supplies.

. . . International efforts to defeat the epidemic include a 10-year, $2.2 billion plan for major investments in clean water, sanitation and medical infrastructure. But that is a project for the future, one that isn’t even funded yet. Doctors Without Borders says people are dying now, needlessly, because attention and money are running out.


Mobile Clinic in Côtes-de-Fer - March 19, 2013

Saturday 16 and Sunday 17 March, the First Lady of Haiti, Sophia Martelly, installed on the public square of Saint Joseph, a mobile clinic in Côtes-de-Fer, on the occasion of the St. Joseph, the patron saint of the town.

This mobile clinic, put at the service of the population cotiferoise, that mobilized two doctors and five nurses is installed in a fully equipped bus donated by the organization "Bus santé" (Health bus). This bus consists of two consultation rooms, a pharmacy and a waiting area, has allowed to 188 patients to receive free general consultation and medicines.






Ex-Jamaican Leader Blasts UN For Denying Haiti Cholera Claims - March 14, 2013

BRIDGETOWN, Barbados — Former Jamaican Prime Minister P. J. Patterson blasted the decision by the United Nations to invoke “legal immunity” for rejecting compensation claims by some 5,000 Haitian victims of cholera.

“It is simply appalling, a most reprehensible behavior… for the U.N. to claim such immunity,” Patterson told the Jamaica Observer in a telephone interview.

“The more so when scientific evidence substantiates that the cholera epidemic was originally introduced in Haiti at the time by peace-keeping soldiers (from Nepal) under U.N. command,” Patterson said.


PAHO/WHO to Support Haiti with $500,000 for Water and Sanitation Connections in Health Centers

Funds will help improve care for cholera patients following departure of international NGOs

Washington, D.C., 5 March 2013 (PAHO/WHO) — The Pan American Health Organization/World Health Organization (PAHO/WHO) will provide $500,000 from its technical cooperation resources to finance the installation of water and sanitation connections in primary healthcare centers in Haiti, under Haiti’s new National Plan for the Elimination of Cholera 2013-2022.

PAHO Director Carissa F. Etienne announced the new funding during Haiti’s official launch of the plan last week. The plan outlines $2.2 billion in investments in water and sanitation infrastructure, epidemiological and microbiological surveillance, health-care management, and health promotion and hygiene over the next 10 years. It budgets $485.9 million in investments over the next two years (2013-2015).

Official Launch of Project Water Sanitation Hygiene in Jacmel - by Claudy Bélizaire - March 16, 2013

Friday, in the premises of College of Our Lady of Perpetual Help, the Humanitarian Organisation Save the Children, in partnership with the Center of research and training in economics and social development (CRESFED) has proceeded to the launch of project water sanitation hygiene in Jacmel.

The ceremony was attended by several dignitaries, including the engineer Frantz Pierre, Director of the National Directorate of Water Supply and Sanitation (DINEPA), Jean Michel Sabbat, Technical Coordinator of Civil Protection,Hoche Lariveau, Deputy Director of the Departmental Directorate of Education, Southeast and principals and school children beneficiaries.

This sanitation project implemented by Save the Children, of more than 2 million euro, funded by the European Commission, is part of the support of the European Union (EU) and aimed at achieving among others, the objectives of the Millennium Development Goals in the area of ​​water and sanitation through the implementation of a program of urban sanitation broad and adaptable to other regions of the country.

MSF - Haiti: Deplorable Conditions for Cholera Patients


A young cholera patient at an MSF facility.  Haiti 2012 © Emilie Régnier

PORT-AU-PRINCE, HAITI, MARCH 12, 2013—A lack of funds and supplies has crippled cholera treatment programs in Haiti, leading to unnecessary deaths and increasing the risk of greater outbreaks during the upcoming rainy season, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) said today.

In recent evaluations of public health facilities in four Haitian departments—Artibonite, Nippes, Southeast, and North—MSF found that the quality of cholera treatment declined significantly in the last year due to funding shortfalls.


U.S. and Haitian Governments Inaugurate Two New Public Health Buildings

New Public Health building - February 26, 2013

On Monday, February 25, U.S. Ambassador to Haiti Pamela A. White, CDC Director Tom Frieden, Haitian Minister of Public Health and Population, Dr. Florence D. Guillaume, representatives from donor partners as well as other U.S. and Haitian officials attended the inauguration of two new public health buildings in Port-au-Prince.  These buildings were supported through a partnership between CDC, CDC Foundation, Kaiser Permanente, Robert Wood Johnson Foundation, Proteus On-Demand and the medical technology company BD (Becton, Dickinson and Company).

Rebati Sante Mentale - 2nd Haitian Mental Health Summit - Call for Abstract and Template

submitted by Michele Rigaud

Restoring The Haitian Psyche:
Mapping Mental Health Programs in Haiti

Summit Organized by
Rebati Sante Mentale Inc,
in collaboration with
University of Miami, School of Education and Human Development, Coral Gables
American Psychiatric Association (OMNA) on Tour

June 7-8, 2013

The Summit will take place on Friday, June 7, 2013, at The University of Miami, Coral Gables. Attendees of the summit will have the opportunity to attend OMNA on tour program on June 8, 2013.

There is no charge for the Summit. Summit materials, continental breakfast and lunch will be provided.


A Chance to Right a Wrong in Haiti - February 22nd, 2013 - Louise C. Ivers

On Thursday, the United Nations secretary general, Ban Ki-moon, rejected a legal claim for compensation filed in 2011 on behalf of cholera victims in Haiti. Through a spokesperson, Mr. Ban said the claims, brought by a nongovernmental organization, were “not receivable” because of the United Nations’ diplomatic immunity.

Regardless of the merits of this argument, the United Nations has a moral, if not legal, obligation to help solve a crisis it inadvertently helped start.


Michael D. McDonald's picture

Health Care Lags In Haiti's Post-Earthquake Rebuilding Efforts


Chatuley Hospital in Léogâne.  Haiti 2012 © Emilie Régnier - January 8, 2013

In this article, MSF (Doctors Without Borders) gives a short overview of the current status of health care in Haiti three years after the earthquake.  

"Three years after a massive earthquake battered the island nation of Haiti on January 12, 2010, the Haitian health care system remains mired in a state of devastation. Doctors Without Borders/Médecins Sans Frontières (MSF), which was present in the country before the earthquake and responded with its largest-ever emergency relief effort, continues to manage four hospitals that were built to replace temporary structures the organization set up immediately after the initial disaster, which destroyed most of the existing health structures in the impact zone."

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