Haiti is facing a new crisis, with considerable illness and loss of life. An outbreak of cholera had been feared since the January earthquake. The cholera epidemic in the Artobinite and Central regions, first reported last Thursday, gives warning to the potential for similar epidemics elsewhere in Haiti, where dirty water and poor sanitary conditions and practices and crowding could spread the disease.
The United Nations Office for Coordination of Humanitarian Affairs is offering Situation Reports that update information on the governmental and NGO humanitarian response to the epidemic, and also what is needed. For up-to-date information, see: http://haiti.humanitarianresponse.info/
Situation reports are being issued frequently. Also, see this aerial photo of flooding from Tomas: http://www.navy.mil/view_single.asp?id=93701
The following link is for a video of the U.S. Strategy for addressing the cholera outbreak in Haiti. filmed on November 18, 2010. Included this is planning for delivering oral rehydration salts packets to delivery points throughout Haiti.
http://www.reliefweb.int/rw/dbc.nsf/doc104?OpenForm&rc=2&cc=HTI has various reports and updates on the cholera situation.
HIGHLIGHTS/KEY PRIORITIES as of December 28, 2010
- As of 18 December 2010 (possibly 28 December??), the Ministère de la santé publique et de la population (MSPP) has reported 2,761 deaths and 70,865 hospitalized cases due to the cholera outbreak.
- There is an increase of cholera cases and fatality rates in the South-East department.
- The major gaps and constraints identified by the Health Cluster include community mobilization for cholera prevention and prompt treatment; access to clean water and latrines; access to health care; and coordination.
HIGHLIGHTS/KEY PRIORITIES as of 24 December 2010
- The Ministère de la santé publique et de la population (MSPP) has not
reported any updated data n cholera cases since 17 December. The latest estimate available remains 2,591 deaths and
63,711 hospitalizations due to the cholera outbreak.
- In the Grande Anse department, more than 4,000 cases have been reported since 17 November, with mortality rates estimated by the MSPP at approximately 8.4% while local reports suggest much higher mortality rates in rural areas.
- A nationwide campaign to deal with the stigma associated with cholera is urgently needed as misconceptions about the disease are hampering management and treatment of cholera cases.
HIGHLIGHTS/KEY PRIORITIES as of December 17 (communiqué of December 22)
- The Ministère de la Santé Publique et de la Population (MSPP) has reported 2,591 deaths and 63,711 hospitalizations due to the cholera, as of 17 December.
- The case fatality rate nationwide (2.1%) and in most departments has decreased but remains high in some, including Nippes (14.5%).
- The establishment of new Cholera Treatment Centers and Cholera Treatment Units in rural and remote areas remains a priority.
HIGHLIGHTS/KEY PRIORITIES as of December 17 (communiqué of December 19)
- The Ministère de la santé publique et de la population (MSPP) has
reported 2,535 deaths and 58,190 hospitalization cases due to the cholera outbreak, as of 14 December. The overall case fatality rate is 2.2 per cent nationwide.
- An increase in cholera cases is reported in the Artibonite and the West
Departments where there is a noticeable lack of water, sanitation and
hygiene (WASH) actors present.
- There is an urgent need for ambulances in Grande Anse where only one is available to transport cholera patients for the entire Department.
- The security situation could still deteriorate in the upcoming days, with the announcement of final results of the first round presidential
elections. The impact on the humanitarian reponse to the cholera epidemic could be severe.
HIGHLIGHTS/KEY PRIORITIES as of December 14, 2010The Ministère de la Santé Publique et de la Population (MSPP) has reported 2,359 deaths, 52,033 hospitalized cases and 104,918 hospital visits due to cholera as of 10 December. The overall case
fatality rate is 2.2 per cent nationwide.
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- After almost a week of disruption of their activities, all clusters have resumed their activities. Thisweek, the situation has improved and most water, sanitation and hygiene (wash) cluster activities are back to normal.
- One of the main challenges for Water Sanitation and Hygiene (WASH) cluster activities remains the access to rural areas. The cluster reports that water trucking in urban and semi-urban areas is coping with most of the needs. However, more water purification tablets continue to be needed in IDP camps.
- Camp Coordination and Camp Management (CCCM) Cluster partners activities have gradually resumed in internally displaced persons (IDPs) camps and settlements in the affected areas.
- The education cluster reports that 2.2 million school-age children in over 20,000 schools nationwide need safe drinking water.
HIGHLIGHTS/KEY PRIORITIES as of December 10, 2010
- The Ministry of Health (MSPP) has reported 2,193 deaths and 46,749
hospitalised cases of cholera since the beginning of the outbreak. The
overall case mortality rate is 2.2 percent nationwide.
- Cholera response activities have been greatly affected and disrupted by the ongoing political crisis, due to the contested release of the first
round presidential election results. The stabilization of the security
situation has allowed some actors to resume cholera response activities after several days of disruption but there are still considerable gaps and problems.
- Lack of partners for WASH as well as for other clusters is reported as
one of the major constraints to implementing cholera response activities in many parts of the country including the North West and Centre Departments.
HIGHLIGHTS/KEY PRIORITIES as of December 7, 2010
- The Ministry of Health (MSPP) has reported 2,120 deaths and 44,157 hospitalized cases of cholera since 20 October. The overall fatality rate is 2.2 percent nationwide.
- WASH actors are urgently needed in the North West and Centre Departments, where significant gaps have been reported.
- Lack of medical personnel and supplies in health centres especially in remote/mountainous areas is one of the main challenges facing the cholera response in Cap Haitien. OCHA has sent a mission to the area to reinforce existing coordination mechanisms and ensure information flow between partners.
- Increased tensions around the release of the presidential election results and Public Holiday on Thursday 9th December 2010 are expected to interrupt cholera response activities.
HIGHLIGHTS/KEY PRIORITIES as of 11/30/2010
- The Ministry of Health (MSPP) has reported 1,751 deaths and 34,248 hospitalized cases. The overall case mortality rate which includes deaths outside hospitals is 2.3 per cent.
- Standardization of chlorination levels, management of dead bodies and disposal of excreta remain key issues.
- Security restrictions around elections have impaired cholera response in some areas, although they have now largely been lifted and the situation is returning to normal.
- New customs clearance procedures for non-registered organizations involved in the cholera response have been published on the logistics cluster website.
HIGHLIGHTS/KEY PRIORITIES as of 11/23/10
- The Ministry of Health (MSPP) has reported 1,415 deaths and 25,248 hospitalised cases of cholera since 20 October.
- WHO/PAHO estimate that the cholera outbreak could affect up to 400,000 people.
- A new phone service, accessible when dialling *300, has been established by MSPP for information and for management of corpses.
- PAHO/WHO, in coordination with the MSPP and WFP, have distributed 87 tons of essential medicines and supplies which will cover one third of patient caseload over the coming months.
- The Emergency Relief Coordinator, Ms Valerie Amos, who arrived in Haiti today has stressed the need to scale-up the humanitarian response to the cholera epidemic, particularly in the regions.
HIGHLIGHTS/KEY PRIORITIES as at 11/19/10
- The Ministry of Health (MSPP) has reported 1,186 deaths and 19,646 cases. Overall the MSPP reports that 49,418 people have sought medical attention since the epidemic was declared.
- 40 tonnes of medical supplies and sensitization material were distributed today as part of a three-day distribution by the MSPP and health and logistics clusters.
- Civil unrest in Cap Haitien continues to inhibit the humanitarian response to cholera in the surrounding area. The UN and humanitarian partners have called for calm in order to resume activities.
HIGHLIGHTS/KEY PRIORITIES as at 11/16/10
- The Ministry of Health reports 1,039 dead and 16,799 hospitalised cases of cholera.
- Some 30 cholera treatment centres with a capacity of at least 1,600 beds have been established. Nine CTCs are operating in Port-au-Prince.
- Violence in Cap Haitian has affected humanitarian response causing WASH partners to suspend activities and the UN to cancel flights carrying supplies.
- Material and personnel gaps have been reported in the North and Northwest departments.
HIGHLIGHTS/KEY PRIORITIES as at 11/10/10
- The Ministry of Health reports 643 deaths and 9,971 hospitalized cases.
- The lack of implementing partners for both WASH and health in upper Artibonite is reported as a serious problem.
- The President indicates that information is the primordial tool to stop the spread of cholera in Haiti.
HIGHLIGHTS/KEY PRIORITIES as at 11/8/10
- 8,138 hospitalised cases of cholera and 544 deaths reported by the government to date.
- A Standard Operation Procedure for reporting new cases or resurgences of water-borne disease such as cholera has been developed to support the Ministry of Health and humanitarian partners’ response to the epidemic.
- Hurricane Tomas has caused 21 deaths and destroyed 1,004 homes, as reported by the Civil Protection (DPC).
- The DPC reports that the Centre, Northwest, North and Nippes departments have experienced severe losses in the agricultural sector. FAO has initiated assessments today.
- UNICEF continues to support 15 experts at the water and sanitation directorate, DINEPA, who conduct tests of chlorine levels and bacteria presence in water networks and kiosks.
HIGHLIGHTS/KEY PRIORITIES as at 11/6/2010
- The DPC reports 6 deaths and over 18,000 people who evacuated their homes preemptively, including over 14,000 who evacuated to hurricane shelters as of yesterday evening.
- Initial assessments suggest that the agriculture sector is the most severely affected by Hurricane Tomas, with flooded fields, loss of livestock and crops.
- Populations who evacuated to safer shelters or temporary shelters are reportedly returning to their homes.
- The humanitarian community is concerned about the implications which flooding and population movements may have for the spread of cholera.
HIGHLIGHTS/KEY PRIORITIES as of 11/5/10
- Two deaths and two people missing have been reported due to Hurricane Tomas.
- The DPC estimates 10,000 people have voluntarily evacuated their shelters since 4 November.
- In upper Artibonite, heavy rains since 17:30 P.M. are accumulating, causing flooding in areas in and around Gonaives with 25 to 35 centimeters of standing water reported by MINUSTAH.
- The South and Centre departments of Haiti are not impacted by the hurricane anymore while the North-West of Haiti continues to be affected until night hours.
- Hospitals in Léogane and Les Cayes, as well as Saint Louis Hospital in Delmas (Port au Prince), have been evacuated
- There are approximately 120,832 tarps and 4,268 tents in the country to provide assistance to over 300,000 individuals. Over 60 per cent of the shelter needs can be covered with available in country stocks. Assessments are ongoing.
HIGHLIGHTS/KEY PRIORITIES as at 11/2/10
- 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 logbase 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.
HIGHLIGHTS/KEY PRIORITIES as of 11/1/10
- Haiti remains at high alert in preparation for tropical storm “Tomas”, according to the Civil Protection (DPC). The UN and humanitarian community continue to support the DPC contingency plan by pre-positioning shelter, health, food and water supplies across Haiti.
- Humanitarian partners estimate that 150,000 tarpaulins are required to meet shelter needs following tropical storm “Tomas”.
- World Food Programme distributed 2.1 million water purification tablets to Gonaives in Artibonite to be distributed in schools in the affected areas as part of their cholera prevention initiative.
HIGHLIGHTS/KEY PRIORITIES as of October 31
- 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 (500,000 people) 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 centers (CTCs) in Port-au-Prince are operational as well as three others in Arcahaie, St Marc and Léogane.
HIGHLIGHTS/KEY PRIORITIES as of October 30
- The Ministry of Health reports 337 deaths and 4,764 hospitalized cases of cholera as of 10:00 A.M.
- Water purification materials, in particular that which are used to treat water with sediment, are urgently needed. Additional stocks of water purification tablets and soap also need urgent replenishing.
- Preparations begin for Hurricane Tomas which has a likelihood of impacting Haiti early next week.
- UNICEF has made 100 megaphones and 800 batteries available to the departmental health authorities of St Marc and Gonaives to conduct sensitization on cholera prevention and treatment.
HIGHLIGHTS/KEY PRIORITIES as of October 29
- The Ministry of Health has confirmed 4,714 hospitalized cases and 330 deaths from cholera.
- OCHA will facilitate cholera response related projects to be added to the existing 2010 appeal. The projects will cover needs in the areas of WASH, health, camp management, communications, logistics and education.
- UNICEF is procuring 600,000 bars of soap from within Haiti, and has placed international orders for 100,000,000 water purification tablets for delivery within the next week.
- From 23 to 27 October DINEPA has measured chlorine levels in 430 water distribution points and households in the West department and in Artibonite.
- The WASH cluster reports that hygiene promotion messages have been disseminated in at least 432 IDP camps in and around Port-au-Prince.
HIGHLIGHTS/KEY PRIORITIES as of October 28
- The Ministry of Health has confirmed 4,649 hospitalizations and 305 deaths from cholera according to data from 20 to 27 October recorded by the government.
- Viva Rio reports supporting teams who disseminate prevention information while distributing oral rehydration salts in communities with a population of 50,000 people. The organisation will focus in particular on engaging with pregnant women, children, the elderly and handicapped.
- The WASH cluster reports almost two thirds of communities in the 15 communal sections at the epicenter of the outbreak have received water purification tablets and supplies in the past five days.
- The logistics cluster reports available air, road and sea transportation capacity. Read more…