HAITI AFTER THE EARTHQUAKEHAITI AFTER THE EARTHQUAKE

PAUL FARMER, MD, PhDPAUL FARMER, MD, PhD

Harvard Medical SchoolHarvard Medical SchoolBrigham and Women’s HospitalBrigham and Women’s HospitalPartners In HealthPartners In Health

Miami Book Fair InternationalNovember 20, 2010

March 2003

September 2003, six months later

Public-private partnerships Lacolline, 2007-2008

Public-private partnershipsZL/PIH/MOH in Haiti

General Hospital (HUEH) nursing school collapse

Haiti’s earthquake in contextUn-natural disaster

Source: Cavallo E., A. Powell, and O. Becerra, “Estimating the Direct Economic Damage of the Earthquake in Haiti,” IDB Working Paper Series #IDB-WP-163, February 2010.

Haiti earthquake: acute response

Source: US Comfort image from Grant Traverse Herald Archives: archives.gtherald.com.

PIH/ZL/MOH sitePlanned teaching hospitalUniversity Hospital (HUEH)

Haiti earthquake: acute response

Diagnosis: acute-on-chronic

Source: AP

Diagnosis: acute-on-chronic250,000 cubic meters rubble removed: 2% of total

Diagnosis: acute-on-chronic

Over 2 million people affected by earthquake

1.3 million people in settlement sites

13,000 temporary shelters built; only 10% of the need

Source: OCHA, Haiti Situation Report, October 12.

Diagnosis: acute-on-chronic

Source: preliminary results of survey conducted by Dr. Louise Ivers using Household Food Insecurity Access Scale (HFIAS). Photo courtesy of: St. Felix Evens/Reuters.

Diagnosis: acute-on-chronic

Cholera in Haiti

Cholera confirmed Oct 22nd by Haitian Ministry of Health and CDC within 48 hrs of outbreak of acute watery diarrhea in the lower Artibonite

As of Nov 16th (per MSPP):

> 16,000 hospitalizations

> 1,000 deaths

Artibonite and Centre departments most heavily affected

Confirmed in PaP IDPs by Nov 8th

Source: OCHA, “Haiti Situation Report No. 18.” November 16, 2010.

Cholera in Haiti: ZL response

6 Cholera Treatment Centers Partners: MSF-Spain, MSF-Belgium,

Project Medishare, Cuban Delegation, MSPP, British Red Cross, J/PHRO

Community water filters permanently installed; water trucks for most-affected communities Partners: Operation Blessing, Yele

Haiti Community, school, radio education

campaigns Partner: MSPP

ORS & hygiene kits distributed in rural areas by CHWs; hospital referrals

1298 new CHWs trained in ORS & “community-level prevention”

Building back better

Nicholas Clark Architects

Mesi anpilThank you