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This Version of the Haiti MPHISE Has Been Archived.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

Haiti Tap Tap Map

Tap taps are gaily painted buses[1] or pick-up trucks[2] that serve as share taxis in Haiti. They may also be referred to as camionette.[3]

Cholera Surveillance during the Haiti Epidemic — The First 2 Years - by Ezra J. Barzilay, M.D., Nicolas Schaad, M.P.H., Roc Magloire, M.D., Kam S. Mung, M.D., Jacques Boncy, M.D., Georges A. Dahourou, Pharm.D., Eric D. Mintz, M.D., Maria W. Steenland, M.P.H., John F. Vertefeuille, Ph.D., and Jordan W. Tappero, M.D. - January 9, 2013

In October 2010, nearly 10 months after a devastating earthquake, Haiti was stricken by epidemic cholera. Within days after detection, the Ministry of Public Health and Population established a National Cholera Surveillance System (NCSS).

Within 29 days after the first report, cases of V. cholerae O1 (serotype Ogawa, biotype El Tor) were confirmed in all 10 administrative departments (similar to states or provinces) in Haiti.

Official Report of 01 Ogawa Cholera in Havana

Official Report of 01 Ogawa Cholera in Havana

Ministry of Public Health, Cuba - - January 16, 2013

Location: El Cerro, Havana
Cases: 51

The outbreak of cholera (01 Ogawa Vibrio cholerae) in Havana is now being reported as under control.  Cuba has a strong public health system, which has traced the cholera outbreak to a single asymptomatic food vender.  In addition to rigorous epidemiological measures, the Ministry of Health has also stepped up health communication regarding hand-washing, and the use of sanitary measures regarding clean water and the cooking of food.

Haiti: Hundreds of thousands of people affected by Hurricane Sandy

26 Oct, Haiti: Parts of Haiti affected by Hurricane Sandy which caused heavy rains and winds, overflowing rivers and flooding homes. About 60 people were killed and 1.8 million people have been affected. Credit: MINUSTAH/Logan Abassi Image: 26 Oct, Haiti: Parts of Haiti affected by Hurricane Sandy which caused heavy rains and winds, overflowing rivers and flooding homes. About 60 people were killed and 1.8 million people have been affected. Credit: MINUSTAH/Logan Abassi - November 2nd, 2012

Hurricane Sandy killed more than 50 people and affected hundreds of thousands of people when it swept through Haiti on 25 October. Heavy rains and wind caused rivers to overflow and flood neighbourhoods, damaging roads and buildings, including homes, schools and hospitals.

So far, more than 27,000 homes have been damaged or destroyed by floodwater.


Haiti faces hunger catastrophe after hurricane Sandy destroys harvests

A woman sells food in Port-au-Prince, Haiti, which is trying to recover from yet another natural disaster. Photograph: Orlando Barria/EPA

Image: A woman sells food in Port-au-Prince, Haiti, which is trying to recover from yet another natural disaster. Photograph: Orlando Barria/EPA - November 12th, 2012 - Mark Tran

Relief groups have launched fresh appeals for funds to feed over a million Haitians after hurricane Sandy devastated farmland, compounding agricultural damage from tropical storm Isaac which destroyed 40% of the harvest in August.

The UN Office for the Co-ordination of Humanitarian Affairs (Ocha) said up to 450,000 people, including at least 4,000 children under five, are at risk from severe acute malnutrition, a life-threatening condition that requires urgent treatment. With harvests destroyed in most of the country, Haiti's entire food security situation is threatened, it added.


First Case Of Cholera in the Bahamas Confirmed By Ministry

Cholera bacteria, image from WikipediaImage: Cholera bacteria, image from Wikipedia

submitted by Jenny Boyle - October 31st, 2012 - Maranda McBride, Lemuria Carter, Merrill Warkentin

Last night the Ministry of Health confirmed its first case of cholera. It said that although it continues to investigate, “there are no other reported cases of cholera in the Bahamas.”

The Ministry said that it “continues its heightened surveillance activities and other necessary precautions to identify cases and prevent the transmission of cholera in the Bahamas.”

It advised the public to use clean water, wash their hands regularly and otherwise maintain good hygienic practices to prevent cholera from developing and spreading.


Brazil invested $1 million to strengthen health in Haiti - October 11th, 2012

Friday, as part of Tripartite Project Brazil-Cuba-Haiti, for the strengthening of public health system in Haiti, Brazil announced that 13 Haitian professionals specialized in the prevention and control of communicable diseases were selected and hired. An investment of one million U.S. dollars in the project, in financial and material resources to enable the implementation and deployment of epidemiological surveillance in the 10 departments during the next 12 months.

In Brazil, the project is headed by the Ministry of Health and partners such as the Oswaldo Cruz Foundation and the Federal Universities of Rio Grande do Sul (UFRGS) and Santa Catarina (UFSC).


Martelly and Lamothe Met with Parliamentarians Yesterday - October 28, 2012

After his overflight assessment of the situation (by helicopter), the Prime Minister, Laurent Lamothe accompanied of President Michel Martelly, met Saturday the parliamentarians in Port-au-Prince, about the crisis that confronts Haiti after the passage of Sandy After this meeting, the Prime Minister at a press conference explained "[...] As you know, this morning I appealed to national solidarity because it is important that the powers are harmonized, to be able to manage the current crisis we are experiencing and that we will continue to live, because we have a provisional toll of 200,000 victims affected and 44 casualties and this is a record that will certainly increase.

We have several cities, which are cut off from the rest of the country, which are flooded, as Léogâne, Petit-Goâve and Grand-Goâve. There are many problems in Les Cayes where many gardens are lost, Côtes de Fer is under water, we are facing a major crisis.

Situation Report - Vodrey

submitted by Sabina Carlson - October 26, 2012


One of the houses washed away by the river (LOGIN TO SEE .PDF ATTACHMENT BELOW FOR ADDITIONAL PHOTOS)

Update on Damage in Vodrey: Post-Sandy

Vodrey is a community on the outskirts of Port au Prince which has upheld a commitment to organic agriculture for over 2 decades. A community of just over 1,000 people, the residents depend on cultivating and selling organic plantains, peas, corn, and other vegetables to local markets.  The community lies on the banks of the Riviere Grise, which in normal times is a blessing to the community, providing them with readily available water to irrigate their crops.

However, over the years, the river has been changing its course, coming closer to the community every yearas it eats away at its banks. There is nothing to protect the riverbank from erosion, although the community has tried to plant bamboo in an effort to preserve the bank.

EMERGENCY: Hurricane Sandy Damages Gran Sous Water Facility

submitted by Chad W. Bissonnette - October 26, 2012

HURRICANE SANDY has caused serious damage to the Gran Sous water facility, which captures and treats the largest water source on all of La Gonave (population 120,000). The facility, which was our first project ever, weathered the 2010 earthquake and other major hurricanes, but didn’t make it through this one and we need your help!

At the moment there is a single 18,000-liter tank full of treated water that will be rationed off to the community at one bucket per household. After that, it is unclear where the community will get their drinking water or even bathing water. Rain falling further up the mountain gathered volume and strength as it descended through the ravine leading up to the water facility in Gran Sous. The river of rainwater crashed over and around the protective wall, destroying the structure protecting the spring and dislodging some of the heavy iron piping.

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

Operation Blessing - Charity Producing Chlorine Around The Clock To Help Avert Cholera Outbreak

Port au Prince, Haiti (October 24, 2012) – With Tropical Storm Sandy expected to bring flooding rains to Haiti, the American humanitarian organization Operation Blessing International (OBI) has ramped up efforts to avert another cholera outbreak.

Haiti is currently home to the world's largest cholera epidemic, which has claimed over 7,000 lives in 24 months.

Operation Blessing International, which has been working in Haiti since before the 2010 earthquake, has increased its production of sodium hypochlorite (food-grade bleach), utilizing their ClorTec CT-75 generation system. This device has the capability to produce 1200 gallons of liquid sodium hypochlorite daily, enough chlorine to disinfect 3.6 million gallons of drinking water each day. OBI is distributing this chlorine to hospitals, cholera clinics, orphanages, and tent city locations for the disinfection of drinking water, the treatment of gray water, surface disinfection and for general sanitation purposes.

“The heavy rains that are expected to begin in the next 24 to 36 hours will cause flooding and will spread cholera again,” said Bill Horan, president of Operation Blessing International. “Since Haiti has no effective water disposal system, it is imperative that we deliver as much chlorine as possible to avert this silent killer.”

Situation Report - Visitation Hospital - Petite Riviere de Nippes

submitted by Art Judy - October 26, 2012

 . . . the upper part of Visitation Clinic's road is washed out and impassable for 4-wheel vehicles.  Our latest email brings this:  "Flooding increase in town and access to the clinic becomes worse. Despite of that, we are open to receive emergency patients and we received this morning a baby of 4 months who was really bad and couldn't breath, we did the best for him and he's feeling better now but we do keep him for a while and will tranfer him later" . . .


Visitation Hospital -

Sandy - First Impacts - Haiti - Tropical Weather - October 25, 2012

First impacts

Department of South heavy rains and winds on all municipalities, the General Hospital in Les Cayes was flooded. On the night of October 23 to 24, a woman in her forties, drowned while trying to cross a river in flood at Camp Perrin, one also reported a loss of life in Côteaux. The section of road between Les Cayes and Jérémie is cut.

Nippes Department the river Duverger is in flood (4th communal section Fond des Nègres), the winds destroyed the tents of health center of Baradères, the CTU is in trouble and the town flooded, he Department of Health, South, PAHO, Handicap et Solidarité support the center for the care of 39 patients. Increase in level of the river Aux Pins.

Department of Southeast winds and sea agitated. The civil protection agents found an early flood to Carrefour Marin.

Department of Grand'Anse heavy rains, moderate winds except to Beaumont where the winds are strong, the rivers Glace, Grand Anse, Dame Marie and Voldrogue are flooding. In Jérémie two houses were washed away, ten to Lady Mary as well as heads of cattle.

Healthcare Response Improving In Haiti


Ten teachers from urban and rural areas in Carrefour, Haiti, a poor district in the Ouest Department of Port-au-Prince, were trained to use the Safe Haiti interface, designed for satellite and smartphones that walks a user through a series of steps to send data as SMS messages via satellite or a ground-based system, if available. This information is then accessed by local and national health systems via an Internet portal. - October 24, 2012

Earthquakes, tsunamis and hurricanes have taken their toll on many parts of the world. Communities struggle for years to rebuild without immediate access to basic necessities like proper healthcare. Satellites are helping to make this transition easier.

A new system designed by The Institute for Space Medicine (MEDES) in France and Local Insight Global Impact (LIGI) in Portugal, and supported by ESA through its integrated Applications programme, provides access to healthcare using satellite telephones and satellite navigation.


Tropical Weather Outlook - 11:00 PM EDT WEDNESDAY OCTOBER 24, 2012

Tropical Weather Outlook - 11:00 PM EDT WEDNESDAY OCTOBER 24, 2012




140 MILES...220 KM







1100 PM EDT WED OCT 24 2012







Fight Against Cholera in Grand-Goâve and Petit-Goâve - October 21, 2012

A team from the Ministry of Health, composed of Dr. Pierre Laurent Julnor, Coordinator of the project of fight against cholera and of Alexandre Saverty, responsible of Sanitation to the Health Directorate of West, has begun Thursday, October 18, a supervisory visit and of coordination in Grand-Goâve and Petit-Goâve to inquire about the possible resurgence of the cholera epidemic, distribute chlorine, Aquatabs, and awareness the population on the precautions to be taken.

Saturday, during a conference in the premises of the Communale Health Unit Goâvienne, Dr. Laurent Pierre Julnor and M. Alexandre Saverty, presented a review of their activities and the epidemiological status of cholera in the goâvienne region "We visited many localities in the two communes, we opened an Oral Rehydration Point (PRO) in Vialet, which serves the first plain and other surrounding areas, we conducted home visits (door to door) ; we made decontamination operations ; we awareness the population on the precautions to be taken," summarized Dr. Laurent, which confirmed "to have found a significant decrease in cholera cases in the 4th section Mousambe, Petit Paradis of Grand-Goâve and the first plain of Petit-Goâve."

Op-Ed: What Role Did the Environment Play in Haiti’s Cholera Epidemic? - by Renaud Piarroux - October 17, 2012

". . . if the environment actually was an auxiliary at the onset of this epidemic, it would seem to be not permissive enough to sustainably host a large amount of the epidemic strain that was imported in 2010.

This enhances our hope of getting rid of cholera in Haiti, if increasing pressure is applied on current outbreaks, particularly on the often neglected outbreaks affecting inhabitants living in remote villages.

Haiti is not the first island territory to have been affected by cholera epidemic; others, like Madagascar, got rid of cholera after experiencing severe outbreaks in the early 21st century.

Hopefully everything will be done in order for this to happen in Haiti as well."


Tropical Weather Outlook

Cholera Discovery Could Revolutionize Antibiotic Delivery - October 19, 2012 - (SEE LINK TO RESEARCH PAPER BELOW)

Three Simon Fraser University scientists are among six researchers who've made a discovery that could help revolutionize antibiotic treatment of deadly bacteria.

Lisa Craig, Christopher Ford and Subramaniapillai Kolappan, SFU researchers in molecular biology and biochemistry, have explained how Vibrio cholerae became a deadly pathogen thousands of years ago.

Two genes within V. cholerae's genome make it toxic and deadly. The bacterium acquired these genes when a bacterial virus or bacteriophage called CTX-phi infected it.

The SFU researchers and their colleagues at the University of Oslo and Harvard Medical School propose that a Trojan horse-like mechanism within V. cholerae enabled CTX-phi to invade it.

The CTX-phi latches onto a long, hair-like pilus filament floating on the surface of V. cholerae. The filament then retracts, pulling the toxin-gene-carrying CTX-phi inside the bacterium where it binds to TolA, a protein in the bacterial wall.

The process transforms V. cholerae into a deadly human pathogen.


Haiti - Health : Quality Control of Food Products - October 13, 2012

Quality control of foodstuffs, whether import or export is a priority of the government, to this end, the Ministry of Commerce and Industry (MCI), Thursday organized a workshop on laboratory accreditation in Haiti, in order to ensure to the consumers, the quality control of food products consumed locally or for export.

Mr. Luc Espéca, Director General of MCI explained "[...] Haiti needs to establish an infrastructure of quality control. An infrastructure of quality has laboratories, it is necessary to certify and accredit them.


October 2012 Newsletter: With Love from Port-au-Prince

SOIL household toilet construction in full swing!

Image: SOIL household toilet construction in full swing! - October 12th, 2012 - Sasha Kramer

Dear Friends,

Another month has passed and thanks to your ongoing support SOIL has remained as active and dedicated as ever. We are most grateful to our friends and supporters for helping us to ensure that our emergency toilets in Port-au-Prince stay open. As the rainy season begins the threat of cholera is ever greater for the hundreds of thousands people still living under tarps in the capital Port-au-Prince.


In Rural Haiti, Looking for a Way to Make Clean Water Sustainable


Dieu Nalio Chery/AP - Outside Port-au-Prince, Haiti, a woman arrives at Wharf Jeremie in August to fill her two containers with water that she will use to wash her dishes.

The Washington Post - by David Brown - October 9, 2012

CAVAILLON, Haiti — Marc Antoine Castel spends five hours a day, and often weekends and holidays, at the office of the town water system, which he runs. He does it for love, although he hopes one day to do it for money, too.

“If someone is a professional water operator with no other activities, he will be broke,” Castel, 37, said glumly of the current arrangement. He makes his living as a high school teacher and a lawyer.


Dominican Republic, Haiti Plan 10-Year Fight Against Deadly Cholera

The Washington Post - by Associated Press - October 8, 2012

SANTO DOMINGO, Dominican Republic — Officials in Haiti and the Dominican Republic are preparing for a long campaign against cholera, the water-borne disease that has sickened tens of thousands of people in the two neighboring Caribbean countries.

Dominican Deputy Minister of Public Health Rafael Schiffino says the two governments are working on a project to wipe out the disease on Hispaniola by 2022. The plan will include substantial spending on clean water and sanitation.


Water, Sanitation, and Hygiene (WASH) Interventions for Eliminating Cholera on Hispaniola


Water, Sanitation, and Hygiene (WASH) Interventions for Eliminating Cholera on Hispaniola

Monday, October 15th
3:00 - 5:00pm (EST)
B1 Conference Room
Center for Strategic and International Studies
1800 K Street NW, Washington, D.C.

Please RSVP at:

Haiti Takes on Dreaded Disease Elephantiasis One Mouth at a Time

submitted by Ted Kaplan


“Mass drug administration” is easy if your target is elementary school students. It’s harder when you want to reach nearly everyone else in a country of 10 million people.

That is the goal Haiti set this year in its campaign against a parasitic infection called lymphatic filariasis that is present in 80 percent of the country.


Cuba - Cholera - Unconfirmed Reports of New Cases Popping Up in Two Small Towns

Cuban government stays mum on new cholera reports - The Miami Herald - by Juan O. Tamayo - September 25, 2012

Four weeks after the Cuban government announced that an outbreak of cholera in the eastern part of the island was over, there are unconfirmed reports of new cases popping up in two small towns.

Twenty-seven cases were reported in the municipality of San Luis, in the eastern province of Santiago de Cuba, and 19 more in the Bahia Honda municipality 35 miles west of Havana.

Roberto Gonzalez, a dissident living in San Luis, said that area public health workers and residents have told him of the more than two dozen confirmed cases and 102 suspected cases of cholera in the municipality over the past two weeks.


Cholera Returns with Force

submitted by Leslie Teltoe via Père Joseph Francis

----- Forwarded Message -----
From: Paroisse Sainte Elisabeth
To: Leslie Teltoe
Sent: Thursday, September 20, 2012 8:15 AM
Subject: Cholera returns with force.

Hello my dear friends

I would like to announce that the cholera raged in Trou-du-Nord, Caracol and Terrier Rouge. These centers have been several cases. The nurse received cholera. As a saying goes: "Better late than never," we are not yet arrived in rainy periods, there are many areas of sun-city, however, we found cases of cholera. What do we do in the coming days as it will be the rainy season? We solicit the help of everyone to resume campaigns in neighborhoods, towns, schools and health center. The center of Trou-du-Nord, Caracol terrier red and need chlorine to reduce the scourge or other medications that can help ....

Thank you for your understanding and your cooperation !

Père Joseph Francis DUVILLAGE,CSC
Curé de la paroisse Sainte Élisabeth de Caracol

Women’s Earth and Climate Caucus (WECC) - Resilient Communities - Women and Water – From Watersheds to Grey-Water Systems


November 2 - 4, 2012

November 2, 7:00pm - 9:30pm
Location: Corte Madera Town Center Community Room in Corte Madera in the three story office building at the southern end of the Town Center shopping mall.
770 Tamalpais Drive, Suite 201 Corte Madera, CA 94925

November 3, 10 am - 5:30 pm
Location: Meet at 10:00am Corte Madera Town Center Community Room, then journey to the Mt. Tamalpais Watershed.
Day ends at 5:30pm. Pack a lunch, snacks and water.

November 4, 9 am - 4:30 pm
Location: Meet at 9:00 am Corte Madera Town Center Community Room to carpool to Regenerative Design Institute in Bolinas for water training.
Day ends at 4:30pm. Pack a lunch.

Seminar/training fee: $145.00
For more information or Partial Scholarship or Work Study request, contact Wyolah Garden 415-722-2083 or


Haiti: Isaac Leaves Cholera Behind It

AlertNet - - September 12, 2012

The toll of the storm Isaac that beat down on Haiti is a heavy one, and even more worrying is the fact that the higher water level has given rise to new flare-ups of cholera. The torrential rain and flooding has caused the death of 20 people, partial or total destruction of over 3,500 homes, and damaged hundreds of farms. Tdh is concerned about the increase in cases of cholera. In the areas of its intervention in Grand Goave, 50 people have become infected in less than five days, and two of them have died.


Terre des hommes (Tdh)

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