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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.

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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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The New Debate Over Bed Nets

           

A mother and her 7-month-old daughter sit beneath a mosquito net at a hospital in Mogadishu, Somalia.  Roberto Schmidt /AFP/Getty Images

CLICK HERE - STUDY - Implications of insecticide resistance for malaria vector control (4 page .PDF file)

npr.org - by Jason Beaubien - November 22, 2016

. . . "there's growing evidence that mosquitoes are developing resistance to the insecticide used in the nets.

Now the World Health Organization has just completed a 5-year, 5-country study looking into whether nets might be becoming less effective."

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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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