Posts Tagged ‘Port-au-Prince’

Time to postpone Haitian elections?: UN cholera “unusual, swift and severe”

November 21, 2010

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Upplopp i Port-au-Prince under fredagen.

Protests in Port-au-Prince on Friday 19th November: image Svenska Dagbladet

The cholera in Haiti has spread to the prison in Port-au-Prince. Of the 2000 prisoners over 30 have shown signs of infection and 13 have died. The official death toll in Haiti is now over 1200 and the official number of those infected is over 20,000. The actual number infected is probably approaching 100,000.

AFP reports that:

Haiti is facing an “unusual” cholera epidemic that could be more severe than figures suggest, according to a French cholera expert who is advising Haitian health authorities. And determining who is to blame for bringing the disease here won’t help solve the crisis, he added.

The outbreak, which threatens to overwhelm Haiti as it struggles to recover from January’s cataclysmic earthquake, has left nearly 1,200 dead and prompted riots in several cities including the capital as citizens accuse the United Nations of importing the cholera.

But Doctor Gerard Chevallier, who is advising Haiti’s Health Ministry, warned that the country needs to focus on trying to halt the spread of the disease detected in Haiti one month ago.

“The mechanics of the epidemic are unusual, swift and severe,” Chevallier told AFP in an interview. “The whole country is not affected, but the epidemic will spread.” Chevallier noted that in such epidemics, especially in impoverished nations like Haiti, the toll is “under-assessed” and almost always higher than the official figure. “Reports are imperfect. There are areas where people die and nobody knows,” Chevallier said. “Two thirds of the territory is accessible only on foot.”

Chevallier is working with a French team seeking to provide Haitian authorities with tools that allow for a more complete and reliable picture of the epidemic.

To merely ignore or deny the cause of the outbreak because containing it is now the highest priority does not address the emotions in the local population which are running very high. In the local population fear is exacerbated by anger that the UN which is virtually running the country is not owning upto its responsibilities.  After a hundred years without cholera Haiti is now condemned to many decades of having the disease and the UN cannot continue in denial.

It is not the fault of the Nepalese troops who were the carriers of the disease but it is a terrible indictment of sloppy UN processes which allowed them into the country without testing and without adequate precautions.

It is time for the elections due to be held on 28th November to be postponed. Trying to pack people into polling booths while the epidemic is raging seems to be the height of stupidity. AFP also reports that four Haitian presidential candidates have called for postponing elections set for Nov 28 as the country struggles with a cholera epidemic that has claimed nearly 1,200 lives amid protests targeting UN peacekeepers.

 

UN cholera and protests against UN reach Port-au-Prince

November 19, 2010
Map of Haiti

Haiti: image via Wikipedia

With its official population of 1 million and its estimated population of perhaps 3.5 million with many in refugee camps, Port-au-Prince is particularly susceptible to a cholera epidemic. The hope of containing the outbreak of UN cholera and preventing it from getting established in the capital are fading as more cases appear. Yesterday the protests against the UN also spread to the capital. So far 3 protesters and over 1100 cholera victims have been killed, directly or indirectly, by the UN. The number of infected is officially said to be over 18,000 but in reality may be as many as 100,000.

The BBC reports:

Protests linked to the outbreak of cholera in Haiti have spread to parts of the capital, Port-au-Prince.

Police fired tear gas as demonstrators set up barricades and threw rocks at United Nations vehicles. On Monday, clashes between residents and UN troops in the north had left two people dead. Some Haitians blame UN peacekeepers from Nepal for bringing cholera to the country – a claim denied by the UN. Sporadic gunfire could be heard on Thursday as protesters took to the streets of Port-au-Prince, which was devastated by a massive earthquake in January.

In its latest update, the Atlanta-based Centers for Disease Control (CDC) said the course of the disease was “difficult to predict” as it was the first cholera outbreak in Haiti for more than a century.  “The Haitian population has no pre-existing immunity to cholera, and environmental conditions in Haiti are favourable for its continued spread,” it said. The CDC said about 1.3m Haitians remained in camps following the earthquake and the camps’ “ability to provide centrally treated drinking water, adequate sanitation, handwashing facilities, and health care varies”. Just 17% of Haitians had access to adequate sanitation before the quake, the CDC said, adding that the situation had considerably worsened since then. US health experts say Haiti is vulnerable to further outbreaks.

It is thought that the cholera originated from septic tanks at a base for UN peacekeepers from Nepal. While the UN denies this and undercounts the number of cases in a totally misguided public relations exercise, the Swedish sources (Ambassador Claes Hammar and Svenska Dagbladet) are adamant about the UN being the source. Over 80% of people who carry the bacteria show no symptoms and since cholera is endemic in Nepal it is very likely that the troops from Nepal exhibited no symptoms but it is apparent that the UN did not test them to ensure that they were not carriers.

Elections in Haiti are due on November 28th and the UN’s communications “experts” seem to be incompetent. Spinning the truth to under-play the extent of the disease and and to deny responsibility is a fundamental PR mistake.