Haiti

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For Article Click Here: http://www.cnn.com/2010/WORLD/americas/12/07/haiti.elections/index.html?eref=mrss_igoogle_world

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As we continue to follow the Cholera outbreak in Haiti:

“The UN has appealed for nearly $164m (£102m) to fight a cholera outbreak in Haiti which has now claimed 724 lives.

UN spokeswoman Elisabeth Byrs said that unless funds were provided, “all our efforts can be outrun by the epidemic”. (BBCNews)

For more on this follow the link: http://www.bbc.co.uk/news/world-latin-america-11743629

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BBC news reporting that while Haiti missed the brunt of the Hurricane Tomas storm, the flooding that followed the heavy rains has greatly increased the risk of a large cholera outbreak in the capital, with more than 70 cases reported in Port-au-Prince, and more than 540 people killed in the areas outside of the capital that were first affected.

http://www.bbc.co.uk/news/world-latin-america-11729665

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by Jonathan White

Our staff and friends in Haiti are all bracing for the heavy rains and wind later today and hoping that the massive tent camps don’t turn into a worse situation than they already are.  The Port-au-Prince area is already a very fragile situation with the recent Cholera outbreak and the continued lack of real development funding from the international community.  Most living in the tent camps are reluctant to leave the little they have as they are worried they won’t be able to return or will lose what little they have.  Little has changed for the Haitians since we marked the 6 month anniversary of the earthquake back in July.

Our initiative in Port au Prince is preparing for the aftermath of this storm and continues to work to find ways to build longer term sustainable efforts.

More about the storm

Hurricane Tomas is expected to pass near western Haiti later today Tomas will likely now maintain high end category one hurricane status as the storm center transits between Cuba and Haiti later this morning.

Sustained winds will be in the 80-90 mph range with mountain top gusts approaching 100 mph + (winds are always stronger higher up in the atmosphere).  Rain totals may approach locally 6″-12″ – flash flooding remains a big concern and wind gusts will be strong enough even though the center of the hurricane is expected to stay out over water —> to bring down weaker materials in the shelter zones.
Reports are this morning that despite warnings to leave – many chose not to citing the shelters are all they have left and don’t want to risk losing what little possessions that remain.  A truly awful and sad situation.
Here’s the latest path update from the National Hurricane Center:

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Storm track has been adjusted a little further west — and storm strength was lowered slightly prior to Tomas moving just west of Haiti early tomorrow morning.  However – its the right side or specifically the NE quadrant of hurricanes/tropical storms that are associated with the greatest lift/rain forcing and coastal storm surge as water will be moving onshore on the southern half of Haiti (maybe on the order of 2-5 feet near the beaches on the south coast). Flooding rain and winds gusting 50-65 mph will be the main impacts.

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Haiti is bracing itself for Tropical Storm Tomas and the heavy rains that are due to follow.  Refugees are being advised to leave the tent camps but have nowhere to go.

From BBC news:

Haiti has been placed on high alert as a powerful storm sweeps in, threatening thousands of earthquake survivors still living in camps.

http://www.bbc.co.uk/news/world-latin-america-11696626

UN OHCA group’s report below:

Emergency supplies and equipment are urgently needed in preparation for Tropical Storm Tomas.
  • WASH, shelter, logistics and communication clusters have identified requirements in terms of equipment and supplies that are immediately needed to augment response capacity.
  • Advocacy efforts will continue tomorrow to increase awareness amongst international partners and the media on the necessity to address these needs.
  • Today Groupe d’appui de la Communauté Internationale (GACI) was convened by the Prime Minister at the UN logistics base to discuss coordination for preparedness for the storm. The meeting was attended by DPC, bilateral donors, UN agencies, international NGOs and MINUSTAH.
  • Hurricane preparedness activities are prioritized in anticipation of heavy rainfall and flooding to occur within the next 48 hours.
  • As of 3 November, the Ministry of health (MSPP) reports 442 deaths and 6,742 hospitalized cases from cholera.

Situation Overview

As of 3 November, the Ministry of health (MSPP) reports 442 deaths and 6,742 hospitalized cases from cholera. Five departments have been directly affected by the cholera: Artibonite, Centre, Nord, Northwest and West. Departments which have not been directly affected are: Grand-Anse, Nippes, Nord-Est, Sud, Sud-Est. Based on the latest trajectory of Tropical Storm Tomas, the DPC has encouraged populations living in camps and low-lying coastal areas to seek alternative shelter, if possible, with family or friends.

The humanitarian community is continuing preparations for the storm. Evacuations of the most vulnerable camp residents in Port-au-Prince are currently ongoing to safe locations. Water is being delivered to populations most at-risk of a storm in Port-au-Prince and tarps and tents are in stock to cover the needs of 300,000 individuals. Food stocks are already in place and coordination of logistical assets and personnel is ongoing. Community promoters have reached 12,589 households today and 120,000 text messages were sent to camp residents.

For the cholera response, food distributions reached 1,785 beneficiaries in the Artibonite Department and sensitization campaigns continued for populations in the most affected areas. Training of medical staff andcommunity agents is ongoing, especially in places which have not yet been affected by cholera.

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I. HIGHLIGHTS/KEY PRIORITIES

  • According to the Civil Protection (DPC), Haiti is in the trajectory of Hurricane Tomas, which is expected to impact Haiti on Friday 5 November. In collaboration with the DPC, the UN and humanitarian community have activated contingency plans for hurricane response.
  • Planning figures of 100,000 families affected means 150,000 tarpaulins and 100,000 blankets will be needed in addition to contingency stock already in country.
  • The MSPP, UN and humanitarian community continue to respond to the cholera outbreak.
  • The health cluster reports five cholera treatment centres (CTCs) in Port-au-Prince are operational as well as three others in Arcahaie, St Marc and Léogane.

II. Situation Overview

In anticipation of Hurricane Tomas, the Civil Protection (DPC) is taking the lead and has activated its hurricane contingency plans nationwide. The DPC held a press conference on 31 October where delegates and magistrates have been asked to mobilize all resources and to raise awareness amongst the population. Key messages will be shared to urge the population to move into safe houses of friends and relatives. A meeting took place with the President, Prime Minister, the UN and other actors to look at different scenarios of the trajectory of the hurricane, which is expected to cause strong winds and rain nationwide for several days. The National Centre of Meteorology (CMN) is also emphasizing the risk of high tides up to 3 to 3.5 metres, specifically in Les Cayes and Gonaives. The Prime Minister has agreed to the United States mobilizing the USS Iwo Jima, which will augment already existing logistical capability from the logistics cluster and MINUSTAH. The Force Commander of MINUSTAH has been put on stand-by, as well as assets, logistics and engineering capacity. MINUSTAH has also been asked to provide military support in the southern departments. The President will travel to Les Cayes to meet with delegates from all southern departments on 1 November. The UN Humanitarian Coordinator will go to Jacmel, Jérémie, Les Cayes and Miragoane on 1 November to meet with humanitarian actors, the MINUSTAH staff contingence and local officials to discuss preparedness.

In coordination with the DPC, departmental level plans are operational and the humanitarian community is currently mobilizing contingency stocks and logistical assets. All personnel in the west and southern parts of Haiti are on stand by to respond the needs resulting from the hurricane. Additional shelter is being prepared and trucks filled with material are being sent to the coastal areas. Food has been prepositioned in key locations and a barge is available to move cargo along the coast if roads are rendered inaccessible. The Red Cross announced that it’s mobilizing 250 volunteers to perform evacuations, if needed, and the organisation is also contributing 10 million water purification tablets and 12 water treatment plants. An additional 5 million tablets are in reserve, if required.

The Ministry of Health (MSPP) did not release any new numbers of cholera cases today. The MSPP, WHO/PAHO, the UN and humanitarian partners continue to treat cholera cases while working to stop the spread of the disease. Health partners throughout Haiti are preparing for the impact of Hurricane Thomas. Health inventories of supplies that were part of the contingency plan are being replenished.

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Just in case people have forgotten that very little has actually been done to resolve enormous tent city/homeless situation in Port au Prince, or the fact that the  $1 Billion the US promised has yet to materialize due to political games being played in the US Senate….the BBC has checked back in on the situation in Haiti and reviewed a recent report published by Refugees International and is not impressed, here is their not so uplifting update:

http://www.bbc.co.uk/news/world-latin-america-11491537

In addition to RMF supporting a team of nurses in one of the few remaining small hospitals in Port au Prince, we are continuing to push for a much larger scale health care capacity building project, but as with most initiatives down there dealing with immense funding challenges with very little promised money actually being delivered.

To contribute to our Haiti Earthquake Relief Efforts, please click the Donate button below or through our website at realmedicinefoundation.org.

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By Dr. Martina Fuchs

Information by OCHA (United Nations Office for the Coordination of Humanitarian Affairs)

At approximately 3pm local time on September 24th a storm with high winds and rain struck the Port-au-Prince metropolitan area for about 30 minutes. The storm was not predicted and no warnings were therefore issued. Thus far, five people were confirmed dead and there are several reports of injuries and people being trapped under fallen trees and collapsed shelters. The camp management and camp coordination cluster (CCCM) currently estimates 2,000 tents damaged or destroyed in camps across Port-au-Prince. Assessments of damage are ongoing and these numbers may well rise. The Direction de la Protection Civile (DPC) has requested the distribution of shelter materials (100 tarpaulins) to affected populations in three camps. Planning for this is under way. UNICEF has also mobilized 1,000 blankets for camps at Caradeux where 931 children were affected.

While four hospitals have reported flood and other damage, most are functioning and have increased staff to deal with the incoming injuries. The MSF Holland hospital is damaged but functioning; the MSF Belgium facility is fully functional and reports an influx of patients. One hospital (L’Hôpital de la Paix) has reported to be unable to function due to flooding. Clinic tents at Pétion-Ville Golf Club camp were blown down. The IFRC Hospital (L’Hôpital de la Fédération Internationale de la Croix-Rouge) in Carrefour reports no structural damage and has put extra staff on standby. Minor damage is being reported in Léogâne and Petit-Goâve where the bridge at the entrance to the city was affected, but the main area of concern is Port-au-Prince.

The UN and humanitarian partners has convened an emergency response taskforce at OCHA, with the main clusters represented to ensure full coordination of assessments and response. DPC has activated the Centre d’Opération d’Urgence Départemental to coordinate the response, and has activated their representatives at camp level. Priority areas for the response have been identified as shelter and mitigation work in camps where water is not draining away. All camp leaders are being called across the affected area to gather information about the damage and needs and to determine appropriate response. MINUSTAH (United Nations Stabilization Mission in Haiti) has deployed five battalions across town to assess camps and damage to the area. They have also responded to some reports of people trapped or medical emergencies. Multi-sectoral assessment teams are being assembled by CCCM/IOM and will begin assessments at first light including teams from WFP among other agencies. A minimum additional five IFRC teams will also deploy, in coordination with CCCM. These are rapid assessment teams and will trigger rapid distributions of assistance. An aerial assessment of the affected area will also be conducted on September 26th.

Update as of September 25th, 2010:

Information by OCHA (United Nations Office for the Coordination of Humanitarian Affairs)

Six deaths and 67 injuries have been reported by Direction de la Protection Civile (DPC). To date 172 camps have been assessed and 21 priority sites have been identified. The priority need is shelter, with no major food or medical needs reported as a result of this storm.  Shelter cluster partners are distributing 5,240 tarpaulins, 150 tents and 785 shelter kits to those affected by the storm. Shelter cluster reports that these distributions will meet half of shelter needs and rest will be met tomorrow with further mobilization of stockpiled resources. The Government of Haiti has 15,000 tents available for distribution from Monday, September 27th, and 600 mattresses.

The DPC has reported 8,432 shelters damaged or destroyed. Approximately half of shelter needs have been met through the distribution of 5,240 tarpaulins, 150 tents and 785 shelter kits to those affected. In Corail camp, IOM relocated 111 families to transitional shelters constructed ahead of schedule. Assessment teams in Cité de Soleil reported that some houses had sustained damage and required tarpaulins as a form of emergency repair to reduce exposure to rain.

20 MINUSTAH soldiers are currently providing escorts for tarpaulin distributions in some affected camps. Security issues may remain a challenge for further distributions. The security situation remains calm. MINUSTAH UNPOL and Formed Police Unit (FPU) officers have been assigned to secure IDP camps are continuing their patrols to assess and report on the situation while ensuring security. This includes 559 UNPOL and FPU officers that have a permanent presence in six main IDP camps as well as 312 UNPOL and FPU officers patrolling other camps.

An increase of 250 MINUSTAH soldiers has been made to the 550 already permanently stationed in IDP camps: there are now 800 soldiers securing camps. Since the storm MINUSTAH provided immediate first aid, facilitated the transfer of the most critically injured to hospitals – a task shared with UNPOL officers – and assisted NGOs to move IDPs to safer grounds during the first hours.

No further increase in health issues as a result of this emergency has been reported. L’Hôpital de la Paix is operational. At the Pétion-Ville Golf Camp their field hospital was destroyed but the tent has been replaced by UNICEF and the facility is now functioning.

Map: Priority camps for assistance due to September 24th Storm

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By Kevin Connell and Jonathan White

This series of video clips was shot by RMF’s Kevin Connell in the St. Pierre Square tent camp in Petionville, an upper-class neighborhood of Port-au-Prince.  This is a small tent camp set up in a public square but one of the largest tent camps in the city is located on a nearby golf course with an estimated 50,000 people occupying.  Voluntary settlements like these were setup in virtually every square or open space in the city after the disaster.  These clips gives you a little more insight into the living conditions that most of the Haitians displaced by the earthquake are still dealing with.  Little has been done to create any longer term housing solutions, but as you can see from these video clips the Haitian’s are still making the best of a very tough situation.

http://www.realmedicinefoundation.org/video/interview-with-evens

http://www.realmedicinefoundation.org/video/can-i-see-your-place

http://www.realmedicinefoundation.org/video/on-the-way-to-evens-home

http://vimeo.com/12389131

The man being interviewed is Edwin, he’s in his early 20’s, originally from Carrefour, which is a poorer neighborhood nearer to the coast, but had moved to Petionville when he was younger.  Edwin has finished high school where he learned English (spoke fluently) and had done apprenticeship training to be a mechanic.  He said he wasn’t working because there were no jobs available if you don’t know someone or aren’t connected to someone in a position to hire you – kind of the extreme of our unemployment situation here in the US.

Edwin said his time is now focused on taking care of his family, with 6 brothers and sisters.  They all live in the tent shown in the final clip, which is small to say the least.  He didn’t mention how many family members had died in the disaster, but did say that his entire extended family was living in the tents and therefore homeless: aunts, uncles, cousins, etc.  As you can hear in the clips, he references the government as the source of most of the problems, and does not hold out much hope for their ability to lead in the reconstruction.  One surprising thing was that he didn’t seem to hold any complaints for the international community, which was found to be pretty common.  When Kevin asked him what he would say to America, he simply thanked the US for our support.

Life in the community

All the people were very welcoming and friendly, which was a little surprising, given their predicament.  The community had truly carved out a life in that square and things appeared “normal” for them, which really highlighted their adversity/resourcefulness, but also their general acceptance of the dire situation around them.  They were mostly busy doing laundry or taking care of their kids.  Many of the kids were studying out of textbooks.  They all lit up when Kevin said he was from America – they apparently have high hopes for our role in the reconstruction.

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