Haitian Cholera Cases - page 2
More bad news for this troubled country, just awful. God help them. Cholera Outbreak | Haiti News | Epidemic (hat tip crofsblogs)... Read More
0Nov 17, '10 by indigo girlNightmare in Haiti
BBC News - Haiti protester shot dead by UN peacekeepers
Quote from www.bbc.co.ukCholera in PaP NPH Saint Damien Hospital HaitiUN peacekeepers in Cap Haitien and Hinche were the target of protesters wielding stones and in some cases - the UN says - guns.
Some Haitians have accused peacekeepers from Nepal of introducing cholera to Haiti for the first time in a century.
The UN says it has found no evidence to justify the accusation, but the cholera strain matches a South Asian one.
Quote from saintdamienhospital.nph.org(thanks to crofsblog for both links)Dear Friends
I worked all night at our cholera treatment area, and during the night I saw a comparison I never would have imagined. Stepping out of the tents for fresh air from time to time, I saw the pearly white crescent moon overhead, beautiful and calming. Inside the tents, also set against a deep darkness, the eyes of the most severe of the sick people have the same form. Eyes sunk deeply to that the whites of the eye stay below the upper eyelid, with the eye rolled upward toward the forehead. Two crescent moons. It is a scary sight to see the depth of the apathy and surrender, not an ounce of fight left. It is sadder still to see it in children.
The last time I wrote there were about 4,300 reported cases of cholera in Haiti. That number is climbing to 20,000 with 1000 deaths. I read reports that about 200,000 cases are anticipated before there is a decline. We are setting up two more tents of 16 cots each, which will put our small base at 100 beds. You can believe me that even 100 people represent enormous human suffering, as well as enormous devotion (and work!).
The public morgue will not accept bodies, for fear of cholera. You cannot even bring the garbage to the normal dump without getting stoned by the neighbours for fear of cholera. We are cremating our own dead. It is sobering to be the one to push the furnace button, after placing the child inside. All night I see how closely the parents cling to their children, accepting to sleep in the most difficult positions as they find the best way to hold their child. I watch them and admire them, but the in the case of the children I am sure will die, it seems so unfair that the children are slipping away from such tender arms. The last arms to hold them are mine, as I place them in the crematorium. The grief of the mothers is as difficult for us to take as the illness.
0Nov 17, '10 by indigo girlFlorida woman diagnosed with cholera after return from Haiti - Miami-Dade Breaking News - MiamiHerald.com
Quote from www.miamiherald.com(hat tip crofsblog)FTASKER@MIAMIHERALD.COM
A Collier County woman who traveled to visit family in Haiti's disease-stricken Artibonite Valley has become Florida's first local case of cholera transmitted from the beleaguered country, where the disease has killed nearly 1,000 and hospitalized more than 9,000.
``She's doing quite well,'' said Dr. Thomas Torok, a cholera expert in the Florida Department of Health's Bureau of Epidemiology. ``Additional cases are under investigation in several counties.''
Torok declined to identify the woman, except to say she does not work in a job that puts her in close contact with the public, so the chance that she might pass on the disease is very small. He said she returned from Haiti about a week ago showing cholera symptoms, and the Collier County Health Department confirmed the case and sent samples on to the U.S. Centers for Disease Control and Prevention in Atlanta for further testing.
Last week, the state health department issued an advisory requiring Florida doctors and hospitals to quickly test patients showing cholera symptoms -- primarily profuse, watery diarrhea, dehydration and fever -- to county health departments.
New cases are expected in Florida because the state has about 241,000 Haitian-born residents, many of whom travel back and forth frequently, particularly since the Jan. 12 earthquake.
1UN worries its troops caused cholera in Haiti
H5N1: UN worries its troops caused cholera in Haiti
What is there to say? Disastrous in so very many ways, and can it get any worse?
I do think that it is very interesting though that many diseases can be traced back to point of origin. Something to think about for the future if we refuse tx or vaccinations for causing illness in others? Maybe...
Can we be held accountable, legally for making others ill? Certainly there will be a
heavy price to pay for what is now happening in Haiti.
Quote from crofsblogs.typepad.comWhether or not the Nepalese brought cholera to Haiti, the UN has failed, on a surprisingly basic level, to deal with a serious public-relations problem.
I used to teach my first-year business-communications students how to handle a PR disaster: One of your whitewater-rafting customers drowns; what do you do? One of the toddlers in your daycare is injured; what do you do?
The answer: Tell the truth, tell it often, and tell it well. As soon as you try to spin the problem, you are throwing yourself into a world of hurt. The cover-up is always worse than the original mistake.
0Cholera Cases Near 50,000
CIDRAP >> Protests rattle Haiti as cholera cases near 50,000
Quote from www.cidrap.umn.edu(thanks to crofsblog for staying on top of this outbreak)Adding to suspicions that UN soldiers could have been the source of the cholera, a Swedish diplomat who was stationed in Haiti on Nov 18 claimed that Nepal was the source of Haiti's outbreak, the Himalayan Times reported yesterday. However, Nepal's UN mission based in New York rejected claims against the Nepalese soldiers as "baseless," Nepal News reported today.
Earlier tests on the strain of bacterium causing Haiti's cholera outbreak have shown that it came from south Asia, and health officials have said the exact source of the outbreak may never be known.
Yesterday the US Centers for Disease Control and Prevention (CDC) published an update in Morbidity and Mortality Weekly Report (MMWR) that said detailed laboratory analysis of 14 samples from patients in the Artibonite region, where the outbreak started, were indistinguishable. This finding suggests that a single strain was responsible for all of the illnesses.
The CDC said that, if the isolates represent the strain currently circulating in Haiti, it's likely that the Vibrio cholerae was introduced in one event. It said lab analysis on samples from people from other parts of Haiti is ongoing.
0ReliefWeb » Document » UN Facilities, Peacekeepers in Haiti Test Negative for Cholera
Quote from www.reliefweb.int(hat tip crofsblog)Some Haitians have blamed U.N. peacekeepers from Nepal for bringing the water-borne disease to their country. About 1,300 of the 12,000 peacekeepers in Haiti are from Nepal, where there has been an upsurge in cholera. But U.N. Peacekeeping spokesman Nick Birnback tells VOA there is no evidence to support such an accusation.
"According to the Nepalese battalions that are there, none of the soldiers have shown any symptoms of cholera. The tests of the premises and the outputs have consistently proven negative - there hasn't been a single positive test. So we think there is no conclusive evidence that shows that this contagion directly comes from this base," he said.
He said if a soldier or any other U.N personnel showed symptoms of cholera they would be quarantined and treated. "Were there to be a positive test by any of our blue helmets [ie, peacekeeper], or in fact anyone serving with United Nations in Haiti, that does not prove that they brought it in, it could mean that they got through the fact that they are living in an area that is afflicted by an epidemic," he said.
0Notes From The EpiCenter: We Are Out Of... Everything - Haiti: Operational Biosurveillance
This is a nightmare.
Quote from biosurveillance.typepad.com(hat tip crofsblog)
Notes From The EpiCenter: We Are Out Of... Everything
I am sad to report that things have worsened significantly and in 3 camps (St. Marc being the hardest hit that I have seen yet) have 76 known cholera deaths and 1,709 confirmed cases. The death toll of 76, I received yesterday from [REDACTED] was the count over approximately (the last) ten days in one camp. There are many more deaths from other camps and although some of us traveling to the rural areas are trying to remain in contact, it is nearly impossible. We are out of ORS - oral rehydration solution, pedialyte, IV fluids and tubing -- everything. The situation in the tent camps/cities is already full of unspeakable horrors and now for those with cholera the sight is just gruesome.
The rural camps, hardest hit by cholera are in the worst situation because there is NO relief aid presence and no UN presence. During this last trip it would take almost 5 hours to drive from St. Marc back to Port au Prince to try and secure supplies. We are purchasing ORS, water, and pedialyte (now absent from stores because we are buying so much of it). [REDACTED] gave me 10 cases of pedialyte and some other supplies, which is all they could afford because they feared an outbreak in Port au Prince. Finally, after running out of medications, fluids, etc. and being turned away from most all sources for medical supplies, including the UN, there was no way to help those suffering from cholera. It was simply too difficult to watch another baby die of dehydration and I came home to recover from the worst week I'd experienced in Haiti since the earthquake.
I have shared all my findings with the CDC in order to give them as much data as I can gather for their investigators. I have also given our findings to the MOH and OCHA - mainly for informational purposes because I've given up the hope of obtaining necessary supplies. I wish the news was better and sadly the deaths will continue because there is little to no support available for those providers in rural areas. There is very little available in the way of supplies even in the larger cities now facing patients with cholera. I am contacting organizations here at home to try and get the ORS, which comes in small packets, donated so I can take it back on my next trip.
0Nov 21, '10 by indigo girlHaitian cholera hospital counts its dead on the lawn
Quote from www.montrealgazette.comHaitians assault cholera body collectors - UPI.com"When the epidemic was just beginning, we reported only three new cases every day. Then their number jumped to 15 and then to 35. This morning we have already had 60."
Because the hospital has no access to the Internet, it has trouble reporting data to Port-au-Prince, the capital. However, it was visited Saturday by a group of French and Haitians doctors and epidemiologists, who were able to collect some information.
"We need chlorine, hydrating liquids, IV drips, antibiotics," added Soncon.
"We have some reserves, but the demand is so great that they will not last long."
Quote from www.upi.com(both links from crofsblog)Angry Haitians captured and beat a crew gathering the bodies of cholera victims, the team's leader said.
``I really thought they were going to kill me,'' Rochefort St.-Louis, head of a government body collection team, told The Miami Herald after he was eventually freed Saturday.
St.-Louis, 30, said he kept working after attack, taking 13 corpses to a mass grave near the city of Cabaret.
``I was afraid to lose the job,'' he said. ``This is my first job.''
0Nov 22, '10 by indigo girlHaiti's cholera epidemic caused by weather, say scientists | Environment | guardian.co.uk
Cholera already present, and conditions exacerbated spread. Interesting...
Quote from www.guardian.co.uk(hat tip crofsblog)
"Vibrio cholerae, the bacterium responsible for cholera, may have been dormant in water until weather-related conditions caused it to multiply enough to constitute an infective dose if ingested by humans," said David Sack, a cholera specialist at Johns Hopkins University Bloomberg School of Public Health in the US.
Colwell's research aims to predict cholera outbreaks by correlating disease occurrence with weather patterns, water surface temperatures and algal blooms (on which plankton that house the bacteria feed). She has found that the annual patterns of higher sea temperatures along the coast correlate with patterns of cholera cases in both Bangladesh and Peru, based on data from 1992-1995 and 1997-2000, respectively.
"Interestingly, the refugees got cholera first. If, as it is likely, cholera was already present in the Haitian coastal region, permanent residents exposed to low levels of the cholera bacterium for prolonged periods of time would logically have more immunity than refugees."
0Dominican Republic Closes Border to Haiti
H5N1: Haiti: DR closes border
Quote from crofsblogs.typepad.comWhile only 4 cases of cholera were confirmed and treated in recent days, Dominican Republic (no deaths), the authorities decided to close the border with Haiti where the disease has already made more than 2,000 dead.
"We must implement the government decision to close or reinforce the most vulnerable points of the border, where Haitians or other foreigners, healthy or sick can seep, we will suspend if necessary, the binational market, even if it means significant economic losses to both countries" made know the army chief.
Rivera Portes, arrived in Dajabón Thursday night at the head of a massive military convoy. A military cordon formed by more than 1,500 members of the army and hundreds of professionals and public health workers were deployed in the most vulnerable areas of the border with Haiti to prevent the spread of cholera. This device could be strengthened if necessary.
0UNICEF Urgently Needs Canadian French-Speaking Nurses to Combat Cholera Epidemic in Haiti
Quote from www.unicef.caToronto MP calls on doctors to help Haiti cholera victims - 680News
UNICEF Canada is issuing an urgent request to French-speaking registered nurses across Canada to immediately assist UNICEF in Haiti with its cholera epidemic response. Children are the most vulnerable during this crisis, representing more than half of Haiti's population.
While UNICEF is bringing in additional supplies and deploying more staff in the field, lack of partners and human resources including medical staff in an overstretched health system is a serious obstacle in the effort to contain the epidemic and reduce mortality.
UNICEF Canada is contacting the Canadian medical community directly for their assistance and is also continuing to gather further details from UNICEF in Haiti about their specific requirements from French-speaking Canadian registered nurses.
Quote from www.680news.com(both links from crofsblogs)Jim Karygiannis, Liberal MP for the Ontario riding of Scarborough-Agincourt, said the doctors will be hosted by Humanity First, a non-governmental organization offering assistance to the Haitian earthquake survivors.
A Canadian entrepreneur has offered assistance to help with airfare, he said.
He hopes some doctors from his riding can take a week to 10 days out of their schedules to help out in Haiti.
Dozens of medical camps are being run by local Humanity First doctors, particularly in Gilgit and the North-West, and in Sindh and Southern Punjab. So far, over 16,000 patients have been treated.
0U.S. Response to Cholera Outbreak in Haiti
Quote from www.america.govOFDA [Office of Foreign Disaster Assistance of USAID] has provided about $9 million, committed about $9 million so far.
CDC also has a long history of working on cholera outbreaks in Asia, Africa, and in Latin America. And there's really five areas that we would want to focus on and have continued to focus on while in Haiti.
One is we want to focus on patients who make it to the hospital to reduce the case fatality rate. In order to do that, we're working with clinicians to educate them through a training-the-trainer program. Clinicians in Haiti, as was mentioned, aren't used to seeing patients with cholera. It's not reported to have been there in this generation, likely in past generations as well, so the education and training on how to diagnose and manage a patient with cholera is not present. And so we have a training system which will reach both the departmental hospitals and reach its way to the community as well, to community health workers.
Two, work with patients in the community who are sick who require ORS by providing health education and advising them, as Mark had mentioned, on the proper use of oral rehydration salts and, importantly, advising patients once they have acute watery diarrhea to seek healthcare.
Three is prevention, again, as was mentioned, via improved access to safe drinking water and education on improved hygiene, sanitation, and food preparation practices.
Four, working on surveillance, both laboratory surveillance and epidemiological surveillance to monitor the spread of disease and provide timely, detailed information about infections, death, and the fatality rate. And this information can be used to direct public health resources and support to the areas where it's most needed.
And five, to continue to work on the science to adjust interventions, as necessary. Each cholera outbreak, the vehicle of transmission, the knowledge and attitude and practices of the local population may be slightly different. In Haiti, where cholera wasn't present, again, the knowledge of cholera, the way it's transmitted, the way to use oral rehydration salts, may not be the same as it is in other parts of the world where the disease is endemic.
And so working on those five aspects, we feel like we can help support Haiti and work on reducing the burden of disease.
0Nov 30, '10 by indigo girlChlolera Reaches Port Au Prince as Victims Left in Mass Graves
Cholera Reaches Port-au-Prince as Victims Are Left In Mass Graves On the Goat Path
Unbelieveable but likely to be the truth...
Quote from goatpath.wordpress.comFighting fear and tears in Haiti...there was a Cholera Treatment Center just 200 feet from where this man was dying, so we ran to the center and asked the staff to come and help this man who was fighting for his life. They delayed, and by the time they came to check on the man he had died. The mother wailed, stomping her feet and crying into her hands, and then a large truck with an open back pulled up carrying men draped in yellow rain coats and facemasks. They jumped off the truck and began spraying the body with a bleach-water mixture to disinfect the body and the surrounding area (including the mother)
The team wrapped the body in a white body bag and put it into the bed of the truck they had arrived in. They got back in the truck, drove to the cholera treatment center 200 feet away, picked up another 7 bodies, and then headed out. They told us they were heading to a mass grave that had been prepared, somewhere out in the mountains, and that we should follow. "You need to see how many bodies we have," explained one of them.
The numbers are grossly under-reported, as the number of deaths that the Ministry of Health announces every day is only including those who died in a hospital, or were brought there after they died. Hundreds, if not thousands of people are dying in their homes, or out in the countryside, because they didn't get a chance to make it to the hospital. While it's just an estimate, I would say that that number is probably only a 10th of the real number of deaths. Even the team that was collecting bodies admitted that they didn't provide their data to anyone.
Quote from www.ottawacitizen.com(Both links gathered by crofsblog)When Louise Noel closes her eyes, she sees eight-year-old Angeline Sérat lying in a hospital bed, sick with cholera and asking if she's going to die.
"I told her no, I didn't think it was serious. But when I went back to the hospital, she had passed away," Louise said in French by telephone from Gonaïves, a city on the west coast of Haiti's northern peninsula. "It's very hard. I can't sleep, because every time I try, I see that little girl."
Louise noticed some children were coming down with diarrhea. Ismorin shuttled them to a nearby clinic run by Médicins Sans Frontières while Louise stayed at the orphanage to look after the rest, with six children falling ill in total.