Haiti

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NPR feature: Port-au-Prince is a city of millions and no sewer system

John W. Poole / NPR

A makeshift latrine hangs over the water at the edge of Cite de Dieu, a slum in Port-au-Prince, Haiti.

Port-au-Prince is about the size of Chicago. But it doesn’t have a sewer system. It’s one of the largest cities in the world without one.

That’s a big problem, but never more so than during a time of cholera.

Since cholera was introduced into Haiti 18 months ago – most likely by United Nations peacekeeping troops from Nepal, where the disease is endemic – more than a half-million people have gotten sick and at least 7,050 have died.

Public health authorities say cholera will stay in the environment for a long time, because Haiti has the worst sanitation in this hemisphere.

It’s hard for Americans to imagine what this means.

The cumulative sewage of 3 million people flows through open ditches. It mixes with ubiquitous piles of garbage. Each night an all-but-invisible army of workers called bayakou descend into man-sized holes with buckets to remove human waste from septic pits and latrines, then dump it into the canals that cut through the city.

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NPR: Update on Haiti’s battle against cholera

Two reports by NPR’s Richard Knox provide a great overview of the cholera outbreak in Haiti, beginning with coverage of the launch of a (much delayed and fairly small) vaccination campaign aimed not so much at stopping the outbreak as demonstrating vaccines — if more widely used — can stem the epidemic.

Despite yet another tiresome headline riff off Gabriel Garcia Marquez’ book Love in the Time of Cholera, the accompanying report by Knox examines what really drives the cholera explosion — poverty and lack of access to clean water.

 

Map of NGOs in Haiti

The organization Interaction, an alliance of U.S.-based international nongovernmental organizations (NGOs), has worked with a number of other groups including the U.S. Chamber of Commerce, to create a detailed interactive map of NGOs in Haiti (go to link, below is just a screen grab):

Haiti NGO Aid Map

The site can be browsed by location, sector, organization or project and features maps highlighting NGOs’ work on specific issues, such as the cholera outbreak.

The goal of such a map is to increase transparency, facilitate partnerships and improve coordination among those working in Haiti. Using data gathered from the field, this site will also help NGOs, donors and the public make more informed decisions about where to direct their resources.

Haiti Aid Map is part of NGO Aid Map, a broader mapping initiative to provide detailed information on the work of InterAction members around the world.

 

A few (sour) views on the NYT’s celebration of Sean Penn, Haiti relief worker

Flickr, danboarder

Sean Penn

For those of you who read the NYTimes magazine story about Sean Penn’s relief work in Haiti, here are a few thoughts on this high-profile DIY foreign aid operation from Tom Murphy at A View From The Cave:

It is good to hear Penn admit that he had no idea what he was doing for the first six months. However, that means that he could have been making things worse (emphasis on could)…. He was never going to work as a part of a traditional NGO and the article makes it seem that he would not have been effective if he had done so.

The NYTimes magazine claims that Penn’s operation is widely recognized as “one of the most efficient aid outfits working in Haiti today.” The article quotes a few key supporters, but I was left wondering if this was a characterization shared by the rest of the international relief community — or just the writer’s assessment.

I thought this little throw-away sentence interesting:

Penn sometimes carries a Glock, but the fire extinguisher, he claims, is a far more efficient tool for crowd control.

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Disaster in Japan … and Haiti, Pakistan, Congo, Ivory Coast, Niger, Mali

Flickr, doegox

We are all focused on the disaster in Japan right now, as we should be.

But what about the other, bigger disasters?

The massive earthquake, tsunami and current concern about damage to a Japanese nuclear power plant are the top news stories today. The quake was huge, the fifth largest in the last century. President Obama said today the U.S. is “marshaling forces” to help Japan deal with the catastrophe.

Local relief organizations like World Vision and Mercy Corps have put the Japanese quake-tsunami on the “front page” of their websites even though it is unlikely either organization will be doing much in response. I talked to both organizations and they are standing by ready to help, but both said it is possible they will not be needed.

Japan can largely take care of itself. World Vision and Mercy Corps take care of those who can’t. Continue reading

Will climate change bring malaria here?

The common refrain that climate change will bring malaria to U.S. shores again turns out to be cause for heated debate in scientific circles, according to Arthur Allen in the Washington Post:

The room where 10,000 Anopheles stephensi mosquitoes hatch each week is hot and humid and smells like the tropics – an appropriate surrogate for a warming world. The Johns Hopkins Malaria Research Institute in Baltimore, where the insects are raised, was created with a billionaire’s anonymous donation a decade ago, after a map printed in Scientific American suggested that by 2020 malaria could be breaking out in Baltimore, and across the eastern United States and Europe.

The idea that climate change will bring malaria and other tropical killers to our door turns out to be an extremely controversial one among ecologists, climatologists and biologists such as Marcelo Jacobs-Lorena, who runs the “insectary” at Johns Hopkins. “It’s a very complicated story,” says Jacobs-Lorena.

Allen reviews the evidence, and broad consensus, supporting the claim that climate change is expected to expand the range of the mosquitoes that carry malaria. But he quotes some experts who cite other factors causing the spread of disease, such as increased urbanization and poor insect control.

None of this is to say climate change never plays a role in disease. To emphasize the difficulty in establishing cause and effect in disease outbreaks, Allen notes that some high-profile scientists contend Haiti’s cholera outbreak is likely environmental in origin rather than due to human-to-human transmission. I’ve written about this hypothesis a few times on Humanosphere.

The gist of Allen’s article is that whatever climate change may be doing to patterns of disease spread, we don’t have to be helpless victims:

“Whether or not human engineering got us into this mess,” Allen writes, “perhaps it can get us out.”

Eight intriguing takes on Haiti’s quake anniversary

One year after Haiti’s devastating 7.0-magnitude earthquake, in which about 230,000 were killed, news organizations are marking the anniversary with smart retrospectives, visual updates and reports on what has changed — and what hasn’t. Here’s my collection of some of the best reports out there:

A year of NPR’s coverage of Haiti

NPR

NPR's multimedia report on Haiti

NPR has collected a year of coverage into this stunning package of photos, audio and written reports. Continue reading

No new evidence, but UN again blamed for Haiti cholera

UN

UN Peacekeeper, Haiti

Haiti is in crisis, in the middle of a muddled election for the next president of this devastated nation, and the media are doing their own muddling regarding the source of its ongoing cholera outbreak.

The epidemic has so far killed more than 2,100, sickened maybe 100,000 and is expected to continue spreading for months.

A Nepalese UN peacekeeping team was accused of bringing cholera with them and spreading it due to improper sanitation. This caused attacks on the UN peacekeepers, rioting and some deaths. Testing of the bacteria by the CDC identified it as a South Asian strain and many concluded the UN team were indeed the culprits.

But some top cholera experts, in fact, believe the outbreak is too big and widespread to have come from a single point source. I posted on this alternative view earlier and talked with one of the scientists, Rita Colwell, former head of the National Science Foundation. Colwell says of the idea that UN troops caused this:

“It’s almost certainly incorrect…. The pattern of distribution and rapid spread across a large area indicates it was already present.”

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