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Areas reporting confirmed and/or suspected Cholera in Haiti


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Chikungunya Confirmed in Dominican Republic

                                 

promedmail.org - April 6, 2014

The Ministry of Public Health confirmed an outbreak of chikungunya virus [infection] in the Nigua municipality of San Cristobal province.

The Minister of Health, Dr. Freddy Hidalgo Nunez, stated that blood samples from people affected with fever and intensive joint pain were sent to the [USA] CDC and were positive for chikungunya virus. The official issued this information on Friday [4 Apr 2014] and said that Public Health sought laboratory assistance for virus diagnosis from the Centers for Disease Control in the United States in order to confirm the presence of the virus in the country.

Reporting on Public Health Progress in Haiti

 

Division of Epidemiology, Laboratory and Research (Direction d’Epidémiologie, de Laboratoire et de Recherches or DELR)

cdcfoundation.org - by Terri Heyns - March 28, 2014

Just over a year ago, I traveled to Haiti with the CDC Foundation to commemorate the completion of two new public health buildings supported through donations to the CDC Foundation, the central office of the Ministry of Public Health and Population (MSPP) and the headquarters of the Division of Epidemiology, Laboratory and Research (DELR). Both buildings marked a milestone in the country’s recovery and reconstruction since the earthquake.

Since that visit, Haiti’s health minister has moved into her new office and phase one of the new ministry compound, with space for roughly 250 employees, is operational.

(READ COMPLETE ARTICLE)

Social Suffering in Soleil

      

Baby Boy (Photo by John Carroll)

blogs.pjstar.com - by John A. Carroll, MD -  www.haitianhearts.org - February 13, 2014

. . So what happened here? Didn’t you hear that things are going much better in Haiti now? I read it in the news. . .

We won’t be able to go to Soleil tomorrow. Too much shooting. Gangs against gangs and then the police come and shoot too. My driver Djongo does not play. He grew up in Soleil.

That is what Djongo told me a few weeks ago. But the next morning I talked him into taking me into Soleil anyway.

There were no gunshots that fine morning as we coursed through the Soleil streets near the general market where MINUSTAH and the Haitian police are located. Everything seemed normal. But the general pediatric clinic in the back of Soleil was only one-quarter full and the starving-baby clinic was one-half full. My guess was that the mothers were too afraid to navigate the streets of the slum with their babies and toddlers. So they stayed closer to home. Food and illness and immunizations came in second to the threat of bullets.

Cholera Alert - Bon Samaritan Nursing Home in Ouanamithe

submitted by Albert Gomez

      

https://www.facebook.com/bill.waterman.10/posts/10202141413724766 - October 17, 2013

CHOLERA ALERT
We have had two cases of Cholera from the elderly at our nursing home Bon Samaritan. One passed away last night and the other is being treated at the cholera center. There has been at least 6 local cases I am told. Please keep all of us here in your prayers. I have had this once already and it is by far the worst you can have. We have lost four of our people in 10 days now, counting a grandchild of one of our staff. It has been a rough week for all of us.

Bon Samaritan De Ouanamithe
https://www.facebook.com/pages/Bon-Samaritain-De-Ouanaminthe/331388730236644

Rights Advocates Suing U.N. Over the Spread of Cholera in Haiti

Image: A cholera outbreak in Haiti that began in 2010 has killed 8,300 people and sickened 650,000. Damon Winter/The New York Times

Water and Sanitation in the Time of Cholera

Article cover image

csis.org - September 5th, 2013 - Katherine Bliss, Matt Fisher

In October 2010, just nine months after an earthquake devastated the capital city of Port-au-Prince and displaced an estimated 1.5 million people, Haiti’s Ministry of Public Health and Population reported a cholera outbreak in two of the country’s most impoverished regions. It was the first time cholera—a diarrheal disease associated with the consumption of food and water contaminated by feces infected with the bacterium vibrio cholerae—had been identified in the country in at least 100 years. Within a month of the initial report, cholera had spread not only to all regions of Haiti but also to the neighboring Dominican Republic.

(VIEW COMPLETE ARTICLE)

(READ REPORT [PDF DOWNLOAD])

Cholera Kills 1, Sickens 9 in Mexico

ap.org - September 27, 2013

MEXICO CITY (AP) — Mexico's health authorities say cholera has killed one person and sickened at least another nine in central Mexico.

Mexico's Health Department says two cases were detected in Mexico City and the rest in the nearby state of Hidalgo, where one person died.

The department on Friday declared a health emergency for Hidalgo.

(READ COMPLETE ARTICLE)

Research - Clues to Cholera Resistance - Evidence that Genetic Changes May Offer Protection

CLICK HERE - RESEARCH - Natural Selection in a Bangladeshi Population from the Cholera-Endemic Ganges River Delta

(ALSO SEE RELATED LINKS BELOW)

news.harvard.edu - by Peter Reuell - July 22, 2013

Researchers have long understood that genetics can play a role in susceptibility to cholera, but a team of Harvard scientists is now uncovering evidence of genetic changes that might also help protect some people from contracting the deadly disease.

Based on genetic data gathered from hundreds of people in Bangladesh, a research team made up of Harvard faculty and scientists from the Broad Institute and the Harvard-affiliated Massachusetts General Hospital (MGH) was able to identify a number of areas in the genome — some are responsible for certain immune system functions, others are connected to fluid loss — that appear to be related to cholera resistance. Later tests showed genetic differences between people who had contracted the disease and those who had been exposed, but never became ill. The results are described in a paper published this month in Science Translational Medicine.

From IMAT - Cholera Statistics - Supplies Needed

                                              

Please see the cholera statistics below from our 3 facility locations. Any help with supplies would be greatly appreciated.

CLICK HERE - IMAT Facebook Page

Stats as of August 13:

60 in Fond Baptiste
13 in Petite Bois
48 in Williamson

ct

The Link Between Saris and Cholera

      

Rita Colwell, shown here in the laboratory, helped discover that simple filtration can be a key to reducing cholera.

cnn.com - by Kelly Murray - June 5, 2013

Dr. Rita Colwell has studied cholera for nearly 50 years, and has written more than 700 publications and received at least 40 honorary degrees. The former director of the National Science Foundation and former president of the American Association for the Advancement of Science, Colwell is currently a distinguished professor at both the University of Maryland, College Park and Johns Hopkins University's Bloomberg School of Public Health.

CNN spoke with Colwell about her research and how she and her team helped develop an incredibly simple method to help the people of rural Bangladesh have cleaner, safer drinking water. The following is an edited portion of that interview.

(READ COMPLETE ARTICLE)

International coaliton pledges* $28.1 million to fight cholera in Haiti and D.R.

An international coaliton pledges their support.

Image: An international coaliton pledges their support.

defend.ht - June 4th, 2013

An international coalition consisting of the World Bank, Pan American Health Organization and UNICEF has pledged* an accumulated $28.1 million [US] to fight cholera in Haiti and the Dominican Republic.

The pledged* support includes $20 million [US] from the World Bank, $5 million [US] from UNICEF and $3.1 million [US] from PAHO and the World Health Organization (WHO).

The International Federation of the Red Cross and Red Crescent Societies, which accumulated billions after the earthquake in Haiti, said it would launch a donation drive for funds.

(VIEW COMPLETE ARTICLE)


UN Emergency Fund Allocates Extra $1.5 Million for Cholera Response in Haiti

      

At a camp for displaced persons in Port au Prince, Haiti, residents get bleach and water purification tablets which are used in cholera prevention. Photo: UN/MINUSTAH/Logan Abassi

un.org

18 July 2013 – The United Nations emergency relief fund will allocate an additional $1.5 million to the cholera response in Haiti, at a time when cases are set to rise due to the rainy season.

“Cholera has claimed over 8,100 lives and infected over 660,000 people since the outbreak began in Haiti in 2010,” said the Operations Director of the UN Office for the Coordination of Humanitarian Affairs (UNOCHA), John Ging.

“It is vital that we do not allow more lives to be lost.”

The latest allocation brings the total amount provided this year by the UN Central Emergency Response Fund (CERF) for emergency cholera response in Haiti to $4 million.

“The CERF contribution is greatly appreciated,” said acting Humanitarian Coordinator for Haiti Sophie de Caen, “but we cannot rely upon the CERF as a primary funding source. I urge donors to increase their support to these critical activities.”

Evolutionary Dynamics of Vibrio Cholerae O1 Following a Single-Source Introduction to Haiti

 mbio.asm.org - July 2, 2013

Abstract

Prior to the epidemic that emerged in Haiti in October of 2010, cholera had not been documented in this country. After its introduction, a strain of Vibrio cholerae O1 spread rapidly throughout Haiti, where it caused over 600,000 cases of disease and >7,500 deaths in the first two years of the epidemic. We applied whole-genome sequencing to a temporal series of V. cholerae isolates from Haiti to gain insight into the mode and tempo of evolution in this isolated population of V. cholerae O1. Phylogenetic and Bayesian analyses supported the hypothesis that all isolates in the sample set diverged from a common ancestor within a time frame that is consistent with epidemiological observations. A pangenome analysis showed nearly homogeneous genomic content, with no evidence of gene acquisition among Haiti isolates.

Tropical Weather Outlook

Health: Tense Situation Between the Dominican Republic and Haiti

 

haitilibre.com - June 11, 2013

Monday, the Pan American Health Organization (PAHO), the Dominican Ministry of Public Health and the Directorate General of Livestock confirmed in a joint statement, that they they have not recorded a single case of bird flu or swine flu in the Dominican Republic.

For Freddy Hidalgo, the Dominican Minister of Public Health and Lilian Reneau, local representative of PAHO, there is "a confusion in the information on the presence of this virus in the Dominican Republic." Octavio de la Maza, the Deputy Director of Livestock in the Dominbican Republic attributed to "speculation" the allegations of the presence of the virus in the country.

For José Del Castillo Savinon, the Dominican Minister of Industry and Commerce it is clear that the Haitian authorities have confused the virus A / H1N1 human influenza (not transmitted to animals) with other strains, which relate to animals).

(READ COMPLETE ARTICLE)

WHO - World Health Statistics 2013

who.int

World Health Statistics 2013 contains WHO’s annual compilation of health-related data for its 194 Member States, and includes a summary of the progress made towards achieving the health-related Millennium Development Goals (MDGs) and associated targets.

This year, it also includes highlight summaries on the topics of reducing the gaps between the world’s most-advantaged and least-advantaged countries, and on current trends in official development assistance (ODA) for health.

For additional information, see link below:
http://who.int/gho/publications/world_health_statistics/2013/en/index.html

World Health Statistics 2013 - (Full Report - 172 page .PDF report)
http://apps.who.int/iris/bitstream/10665/81965/1/9789241564588_eng.pdf

Haiti Cholera Mutations Could Lead to More Severe Disease

                                                  

submitted by Ted Kaplan

mbio.asm.org - April 16, 2013
Analysis of Vibrio cholerae Genome Sequences Reveals Unique rtxA Variants in Environmental Strains and an rtxA-Null Mutation in Recent Altered El Tor Isolates

sciencecodex.com - April 16, 2013

CHICAGO --- The cholera strain that transferred to Haiti in 2010 has multiple toxin gene mutations that may account for the severity of disease and is evolving to be more like an 1800s version of cholera, reports a new Northwestern Medicine study.

The strain, "altered El Tor," which emerged around 2000, is known to be more virulent and to cause more severe diarrhea and dehydration than earlier strains that had been circulating since the 1960s. This study reports the altered El Tor strain has acquired two additional signature mutations during the past decade that may further increase virulence.

(READ COMPLETE ARTICLE)

PLOS - Spatio-Temporal Dynamics of Cholera during the First Year of the Epidemic in Haiti

In this paper, Dr. Jean Gaudart, et al. describe and analyze the spatio-temporal dynamics and underlying factors associated with the first year of the 2010 cholera epidemic in Haiti. Environmental factors, such as rivers and rice fields, appeared to play a role in disease dynamics exclusively during the beginning of the epidemic, but varied from place to place as time passed, suggesting the need for rapid and exhaustive case tracking.

http://www.plosntds.org/article/info%3Adoi%2F10.1371%2Fjournal.pntd.0002145

Abstract

Background

In October 2010, cholera importation in Haiti triggered an epidemic that rapidly proved to be the world's largest epidemic of the seventh cholera pandemic. To establish effective control and elimination policies, strategies rely on the analysis of cholera dynamics. In this report, we describe the spatio-temporal dynamics of cholera and the associated environmental factors.

Methodology/Principal findings

UN - World Food Programme - Hunger Map - Haiti - Category 5

                                           (TO ENLARGE MAP - CLICK ON MAP IMAGE BELOW)

       

Haiti - Undernourished: 44.5% of population

Climate vulnerability index: very high - Category 5

The map shows the prevalence of undernourishment in the total population as of 2010 - 2012. The indicator is an estimate of the percentage of the population having access to an amount of energy from food insufficient to maintain a healthy life.

http://www.wfp.org/hunger/downloadmap

Pediatric Cardiac Surgery Saves Lives in Haiti


A surgical team, sponsored by the Marco Island Sunrise Rotary and partner organizations, performs open heart surgery March 20 as part of Rotary’s Gift of Life mission. Donations helped volunteer doctors and nurses perform 10 operations in seven days during a medical mission to Haiti. Cheryl Ferrara/Eagle Correspondent

marconews.com - by Cheryl Ferrara - March 28, 2013

In a week when the world celebrated the coming of spring, a team of doctors and nurses “sewed” seeds of hope into the hearts of 10 Haitian children.

During a medical mission last week, parents of children ages two to 13 saw hearts spring to normal. Their children received surgeries to correct defects that robbed them of vitality and starved their bodies of oxygen.

(READ COMPLETE ARTICLE)

Gift of Life International - Haitian Pediatric Cardiac Project
http://www.giftoflifeinternational.org/pages/haiti.php

The Marco Island Sunrise Rotary Club
http://www.marcosunriserotary.com/

A Community in Haiti Works to Protect Water Sources and Improve Sanitation

A child washes his hands at a fountain built by Haitian NGO Concert-Action in collaboration with the community and funded by UNICEF in Petit Bourg du Borgne. Petit Bourg du Borgne is a remote village in the mountainous Northern Department, Haiti.  UNICEF Haiti/2013/Dormino

unicef.org

PETIT BOURG DU BORGNE, Haiti, 21 March 2013 – Celianne Jean and her 5-year-old daughter Wislaine used to join others in the community every day at the local water source. The villagers would position their buckets to collect water from the source – a leaf someone had placed carefully to catch and funnel unprotected water trickling from down the mountain.

“We had many problems with the water,” says Ms. Jean. “Cholera was hitting the area, and we were drinking any type of water without treating it. People were getting sick.”

(READ COMPLETE ARTICLE)

Letter - Cholera in Haiti

nytimes.com - March 22, 2013

Letter to the Editor - by Curt Welling, President and Chief Exec. - AmeriCares

A Worsening Haitian Tragedy” (editorial, March 18) points out the sad reality that cholera is now endemic in Haiti. But it gives the impression that most aid organizations are leaving the country at a time when thousands are dying from a preventable disease.

While some aid groups have indeed left the country or are scaling back programs, others have made fighting the epidemic their top priority.

(READ COMPLETE LETTER)

Radiology Experts Travel to Haiti to Educate Local Radiologists and Pediatricians

American College of Radiology (ACR)
acr.org

Radiology Education Days Part of Ongoing ACR Effort to Help Rebuild Haitian Medical Infrastructure

March 19, 2013

Expert radiologists and representatives from the American College of Radiology (ACR); the World Federation of Pediatric Imaging; the Society for Pediatric Radiology; the Society of Radiologists in Ultrasound; and the Society of Diagnostic Medical Sonographers will gather in Port-au-Prince, Haiti, March 25-26, to provide a series of didactic lectures and hands-on ultrasound training at “Radiology Education Days.”

Report - National Plan for the Elimination of Cholera in Haiti 2013-2022

Republic of Haiti
Ministry of Public Health and Population
National Directorate for Water Supply and Sanitation

National Plan for the Elimination of Cholera in Haiti 2013-2022 (114 page .PDF report)

Preface

In October 2010, a cholera epidemic, like that of the January 12 earthquake, unexpectedly struck our country. The general population was still recovering and bandaged from injuries inflicted by the earthquake. This epidemic brought to light all the weaknesses of the Haitian health system.

Lacking expertise and resources to fight major endemic diseases, this new cholera epidemic gave rise to widespread panic. Officials of all categories (political and technical) rapidly realized that they must roll up their sleeves and manage the situation in order to prevent a rampant increase in the number of deaths and allow the population to rebuild their health.

Once again the Friends of Haiti did not compete in this struggle. They rallied to help bridge the gap, while transferring their knowledge and expertise to Haitian technical staff.

A Worsening Haitian Tragedy

nytimes.com - March 17, 2013

The aid group Doctors Without Borders said last Tuesday that the cholera crisis in Haiti was getting worse, for the most unnecessary and appalling of reasons: a lack of money and basic medical supplies.

. . . International efforts to defeat the epidemic include a 10-year, $2.2 billion plan for major investments in clean water, sanitation and medical infrastructure. But that is a project for the future, one that isn’t even funded yet. Doctors Without Borders says people are dying now, needlessly, because attention and money are running out.

(READ COMPLETE ARTICLE)

Mobile Clinic in Côtes-de-Fer

 

haitilibre.com - March 19, 2013

Saturday 16 and Sunday 17 March, the First Lady of Haiti, Sophia Martelly, installed on the public square of Saint Joseph, a mobile clinic in Côtes-de-Fer, on the occasion of the St. Joseph, the patron saint of the town.

This mobile clinic, put at the service of the population cotiferoise, that mobilized two doctors and five nurses is installed in a fully equipped bus donated by the organization "Bus santé" (Health bus). This bus consists of two consultation rooms, a pharmacy and a waiting area, has allowed to 188 patients to receive free general consultation and medicines.

(READ COMPLETE ARTICLE)

SantéBus
http://www.santebus.org/

info@SantéBus.org

 

info@SantéBus.or

Ex-Jamaican Leader Blasts UN For Denying Haiti Cholera Claims

atlantablackstar.com - March 14, 2013

BRIDGETOWN, Barbados — Former Jamaican Prime Minister P. J. Patterson blasted the decision by the United Nations to invoke “legal immunity” for rejecting compensation claims by some 5,000 Haitian victims of cholera.

“It is simply appalling, a most reprehensible behavior… for the U.N. to claim such immunity,” Patterson told the Jamaica Observer in a telephone interview.

“The more so when scientific evidence substantiates that the cholera epidemic was originally introduced in Haiti at the time by peace-keeping soldiers (from Nepal) under U.N. command,” Patterson said.

(READ COMPLETE ARTICLE)

PAHO/WHO to Support Haiti with $500,000 for Water and Sanitation Connections in Health Centers

new.paho.org

Funds will help improve care for cholera patients following departure of international NGOs

Washington, D.C., 5 March 2013 (PAHO/WHO) — The Pan American Health Organization/World Health Organization (PAHO/WHO) will provide $500,000 from its technical cooperation resources to finance the installation of water and sanitation connections in primary healthcare centers in Haiti, under Haiti’s new National Plan for the Elimination of Cholera 2013-2022.

PAHO Director Carissa F. Etienne announced the new funding during Haiti’s official launch of the plan last week. The plan outlines $2.2 billion in investments in water and sanitation infrastructure, epidemiological and microbiological surveillance, health-care management, and health promotion and hygiene over the next 10 years. It budgets $485.9 million in investments over the next two years (2013-2015).

Official Launch of Project Water Sanitation Hygiene in Jacmel

haitilibre.com - by Claudy Bélizaire - March 16, 2013

Friday, in the premises of College of Our Lady of Perpetual Help, the Humanitarian Organisation Save the Children, in partnership with the Center of research and training in economics and social development (CRESFED) has proceeded to the launch of project water sanitation hygiene in Jacmel.

The ceremony was attended by several dignitaries, including the engineer Frantz Pierre, Director of the National Directorate of Water Supply and Sanitation (DINEPA), Jean Michel Sabbat, Technical Coordinator of Civil Protection,Hoche Lariveau, Deputy Director of the Departmental Directorate of Education, Southeast and principals and school children beneficiaries.

This sanitation project implemented by Save the Children, of more than 2 million euro, funded by the European Commission, is part of the support of the European Union (EU) and aimed at achieving among others, the objectives of the Millennium Development Goals in the area of ​​water and sanitation through the implementation of a program of urban sanitation broad and adaptable to other regions of the country.

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