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Haiti: UN’s New Approach on Cholera Puts People at Heart of the Response

submitted by John Carroll

                                         

un.org

30 November 2016 – The response to cholera in Haiti will be a “long and thorough battle,” but the United Nations will stand by the Haitian people and authorities, Stéphane Dujarric, the Spokesman for the Secretary-General, on the eve of the launch of the Organization's new approach to tackling the epidemic in the country.

The new approach was announced last August and will be launched by Secretary-General Ban Ki-moon to the UN General Assembly on Thursday, 1 December. It includes rapid interventions in areas where cases are reported and the prevention of future high-risk public health crises.

The new approach on cholera also focuses on people and proposes the establishment of a program of material assistance and support to Haitians directly affected by the disease.

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Midwives saving lives in hurricane-devastated Haiti

The hospital in Beaumont was completely destroyed by Hurricane Matthew. Midwives have been deployed to serve women in areas where health systems have been devastated. © UNFPA/Eddie Wright

Image: The hospital in Beaumont was completely destroyed by Hurricane Matthew. Midwives have been deployed to serve women in areas where health systems have been devastated. © UNFPA/Eddie Wright

unfpa.org - November 28th 2016 - Vario Serant

"I was twisting in pain this Friday,” 31-year-old Emmanuella Jeanty told UNFPA, describing her labour pains. She was in Beaumont, a town in southwest Haiti where Hurricane Matthew had left a trail of devastation just one month earlier.

Life was already rough for women and their babies before the hurricane.

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David Nabarro: UN Fighting Cholera with 'Hands Tied Behind Our Backs'

           

David Nabarro, United Nations secretary-general’s special adviser leading the cholera response in Haiti.
Photo by: Cia Pak / U.N.

devex.com - by Amy Lieberman - October 26, 2016

As it scrambles to ensure cholera doesn’t surge in Haiti the aftermath of Hurricane Matthew, the United Nations is coming up short on funds.

A $120 million emergency flash appeal for relief and recovery work remains only 28 percent funded, now more than three weeks after the storm hit Haiti on Oct 4. Even more questions linger over how the U.N. will fund a planned $400 million Multi-Partner Trust Fund, half of which would go toward material compensation for victims of cholera and their communities. The fund is meant to complement U.N. Secretary-General Ban Ki-Moon’s acceptance of responsibility for bringing cholera to Haiti following an earthquake in 2010.

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Dispatches from Haiti - Southwest Haiti - October 27, 2016

           

Photo by John Carroll

blogs.pjstar.com - by John Carroll, MD - November 2, 2016

October 27, 2016

“The surest way to be caught flatfooted by disasters is to not know or understand, or else ignore, the value of the land and people who should have been protected, commensurate with the degree to which others depend on what they produce. This is the case with Haiti’s disregard for the values of the Greater South Region which is basically all that lies below and west of the crossroads of Leogane.”

Stuart Leiderman

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We left Cayes early this morning and headed south and west. And the further we traveled, Matthew’s wrath and destruction was even more horrific. Coconut and palm trees were snapped or uprooted everywhere. Houses were smashed. Roofs were missing. And debris littered the beach down the entire coast. Police stations, courthouses, and churches were destroyed everywhere.

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Situation Reports via John A. Carroll MD - HaitianHearts.org

by John A. Carroll, MD - www.haitianhearts.org

October 29, 2016

Family from Chantal just told me that a zone called LaCotte has much cholera. Five people in same house died. Unable to give exact date.

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October 29, 2016

Port Salut hospital served by two Cuban docs--very nice. Fidel and his brother also supplied the Ringers Lactate for the hospital . . .

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October 29, 2016

On Thursday spent day on Southern coast--Cayes, Torbeck, Port Salut, Coteaux, Damassin, Port a Pigment, Kalapa, Chardonnieres. We were fording some small creeks/rivers in the truck, but Les Anglais River too deep and wide so we stopped. The trucks were very few here cause road in South so horrible. I would imagine Hiroshima like this. Port Salut CTC had 30 patients according to nurse last week but only 3 when I was there. Port Salut is a MSPP hospital and made of cement and seemed structurally sound even though it was right on beach. 

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October 29, 2016

The biggest problems I see are lack of food and water for almost 4 weeks now. The roofs are getting patched with tarp or corrugated metal ("toll"). Groups of kids run after the vehicle looking for food.

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October 29, 2016

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Haiti: UN Special Adviser Calls for ‘Robust’ Hurricane Response to Tackle ‘Extremely Difficult’ Situation

           

United Nations Special Adviser David Nabarro meeting and supporting people in Jeremie, Haiti, which was severely affected by Hurricane Matthew. Photo: UN Haiti

un.org

18 October 2016 – Hurricane Matthew, which ripped through Haiti 13 days ago, has left more than 700,000 people in an “extremely difficult situation,” United Nations Special Adviser David Nabarro said today, and while steady progress is being made, led by Haitians themselves, the response must be accelerated as the needs are still great, frustrations are high, and access to hard-hit areas remains tough.

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Update: Cholera Cases in Haiti

           

crofsblogs.typepad.com - by Crawford Killian (Crof) - October 19, 2016

I just asked my new friends on WhatsApp for any news they might have on new cholera numbers. Almost before I'd posted my question, the answer came back from Kevin with dazzling speed in the form of five photos. Here are three of them, with my rough translation:

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Flood - Les Cayes, Haiti

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WHO Sending 1 Million Cholera Vaccine Doses to Haiti

           

Haitians wash clothes in a stream in Port-au-Prince. The widespread use of rivers has been linked to the country's deadly cholera outbreak.

cnn.com - by Ivan Watson, Tim Hume and Karla Pequenino - October 11, 2016

Jeremie, Haiti (CNN) - The World Health Organization is sending a million cholera vaccine doses to Haiti, it announced Tuesday, amid concerns over the rising number of cases in the aftermath of Hurricane Matthew.

WHO cholera expert Dominique Legros told reporters in Geneva that the UN's global public health body had decided Monday to send the vaccines to the hurricane-ravaged Caribbean nation, to attempt to prevent an outbreak of the waterborne disease.

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ALSO SEE RELATED ARTICLE HERE - WHO sending 1 million cholera vaccine doses to Haiti

 

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