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Dominican Republic: Cholera Outbreak Emergency Plan of Action (EPoA)

submitted by John Carroll

reliefweb.int - September 21, 2018

A. Situation analysis

Description of the disaster

During Epidemiological Week (EW) 28, the Ministry of Public Health and Epidemiology reported that the Los Pinos Health Center (La Descubierta, municipality) saw an increase in the number of patients with acute diarrhoeal diseases from surrounding communities, which were suspected to be cases of cholera.

In EW 32, the Ministry of Health reported that Vibrio cholerae had been identified in samples collected from residents of La Descubierta municipality in the National Public Health Laboratory. The same report also stated that three confirmed cases of cholera in the municipality had been identified.

Since the outbreak began in EW 28 and up to EW 34, 4 confirmed cases of cholera and 91 suspected cases have been identified in the municipality (please see Figure 1 below), in residents of Los Pinos del Edén, Ángel Feliz, urban area of La Descubierta and Los Bolos.

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Zika Could End Up Costing Latin America and the Caribbean Up To $18 Billion, UN Reports Finds

                           

CLICK HERE - REPORT - A Socio-economic Impact Assessment of the Zika Virus in Latin America and the Caribbean: with a focus on Brazil, Colombia and Suriname

un.org

6 April 2017 – In addition to the impact on public health, the tangible impact of the Zika outbreak, such as on gross domestic product (GDP), could cost the Latin American and the Caribbean region as much as $18 billion between 2015 and 2017, a new United Nations report has revealed.

The report Socio-economic impact assessment of Zika virus in Latin America and the Caribbean, prepared by the UN Development Programme (UNDP) in partnership with the International Federation of Red Cross and Red Crescent Societies (IFRC), has a particular focus on Brazil, Colombia and Suriname – countries that first reported the outbreak in October-November 2015.

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After Bringing Cholera to Haiti, U.N. Can’t Raise Money to Fight It

           

A clinic in Rendel, Haiti, was overflowing with cholera patients in October. The disease has killed nearly 10,000 people in Haiti since it was introduced there in 2010 by a United Nations peacekeeping force. Credit Meridith Kohut for The New York Times

nytimes.com - by Rick Gladstone - March 19, 2017

When the leader of the United Nations apologized to Haitians for the cholera epidemic that has ravaged their country for more than six years — caused by infected peacekeepers sent to protect them — he proclaimed a “moral responsibility” to make things right.

The apology, announced in December along with a $400 million strategy to combat the epidemic and “provide material assistance and support” for victims, amounted to a rare public act of contrition by the United Nations. Under its secretary general at the time, Ban Ki-moon, the organization had resisted any acceptance of blame for the epidemic, one of the worst cholera outbreaks in modern times.

Since then, however, the United Nations’ strategy to fight the epidemic, which it calls the “New Approach,” has failed to gain traction.

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A Direct Relief Story Map - Cholera in Haiti: The Crisis After the Storm

A Direct Relief Story Map - Cholera in Haiti: The Crisis After the Storm

How Hurricane Matthew may be exacerbating outbreaks of the deadly disease.

https://directrelief.maps.arcgis.com/apps/Cascade/index.html?appid=16e76d04d1e44f75b33fc15deb097a9e

OR

http://arcg.is/2dTwrNH

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Turning the Tide Against Cholera

Map of the Sundarbans, part of the Ganges River Delta, where Cholera first emerged. Source: World Wildlife Fund

Image: Map of the Sundarbans, part of the Ganges River Delta, where Cholera first emerged. Source: World Wildlife Fund

nytimes.com - February 6th 2017 - Donald G. McNeil Jr.

Two hundred years ago, the first cholera pandemic emerged from these tiger-infested mangrove swamps.

It began in 1817, after the British East India Company sent thousands of workers deep into the remote Sundarbans, part of the Ganges River Delta, to log the jungles and plant rice. These brackish waters are the cradle of Vibrio cholerae, a bacterium that clings to human intestines and emits a toxin so virulent that the body will pour all of its fluids into the gut to flush it out.

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Haiti: Hurricane Matthew - Situation Report No. 33 (25 January 2017)

reliefweb.int - January 25th 2017

Main Points

Humanitarian interventions are taking places in hard-to-reach areas in line with a plan to access remote locations using various means of transportation.

The recently released Real Time Evaluation (RTE) report of the international response to Hurricane Matthew recommends adjustment to the ongoing humanitarian response alongside with measures to strengthen resilience and disaster risk management in Haiti and long-term changes concerning the humanitarian system.

An increasing number of bloody diarrhea cases have been reported in Sud and Grand’Anse regions raising concern among Health actors.

(VIEW COMPLETE ARTICLE)

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MASS design group's haiti cholera treatment center profiled in new documentary

Video: design that heals: documentary trailer video courtesy of MASS design group

designboom.com - 21 September 2016 - Philip Stevens

In the wake of the devastating earthquake that hit haiti in 2010, MASS design group partnered with a leading health care provider to design a state-of-the-art healthcare facility for cholera. The disease, which had not existed in haiti for more than a century, quickly became a huge problem following the disaster, with patients treated in temporary tents that became hot and difficult to keep sanitary. 

Working alongside les centres GHESKIO, MASS design group not only built the treatment center, but incorporated an on-site wastewater treatment facility to thwart the re-contamination of water and consequent spread of disease.

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Informal briefing by the Secretary-General on the United Nations' New Approach to Cholera in Haiti

webtv.un.org - 1 Dec 2016

United Nations Secretary-General Ban Ki-moon today apologized to the people of Haiti, expressing deep regret for the loss of life and suffering caused by the country’s cholera epidemic, and outlined the way forward including immediate steps to stem the outbreak and long-term support for those affected – while also highlighting the need for adequate funding of the proposal.

CLICK HERE - United Nations News Centre - UN’s Ban apologizes to people of Haiti, outlines new plan to fight cholera epidemic and help communities

CLICK HERE - Secretary-General's remarks to the General Assembly on a New Approach to Address Cholera in Haiti [Trilingual version, as delivered] [scroll down for English]

CLICK HERE - United Nations General Assembly - A new approach to cholera in Haiti - Report by the Secretary-General (16 page .PDF report)

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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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