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Miami Book Fair International November 20, 2010

Haiti after the earthquake Paul Farmer, MD, P h D Harvard Medical School Brigham and Women’s Hospital Partners In Health. Miami Book Fair International November 20, 2010. March 2003. September 2003, six months later. Public-private partnerships Lacolline, 2007-2008.

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Miami Book Fair International November 20, 2010

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  1. Haiti after the earthquakePaul Farmer, MD, PhDHarvard Medical SchoolBrigham and Women’s HospitalPartners In Health Miami Book Fair International November 20, 2010

  2. March 2003

  3. September 2003, six months later

  4. Public-private partnerships Lacolline, 2007-2008

  5. Public-private partnershipsZL/PIH/MOH in Haiti

  6. General Hospital (HUEH) nursing school collapse

  7. Haiti’s earthquake in contextUn-natural disaster Source: Cavallo E., A. Powell, and O. Becerra, “Estimating the Direct Economic Damage of the Earthquake in Haiti,” IDB Working Paper Series #IDB-WP-163, February 2010.

  8. Haiti earthquake: acute response Source: US Comfort image from Grant Traverse Herald Archives: archives.gtherald.com.

  9. PIH/ZL/MOH sitePlanned teaching hospitalUniversity Hospital (HUEH)

  10. Haiti earthquake: acute response

  11. Diagnosis: acute-on-chronic Source: AP

  12. Diagnosis: acute-on-chronic250,000 cubic meters rubble removed: 2% of total

  13. Diagnosis: acute-on-chronic • Over 2 million people affected by earthquake • 1.3 million people in settlement sites • 13,000 temporary shelters built; only 10% of the need Source: OCHA, Haiti Situation Report, October 12.

  14. Diagnosis: acute-on-chronic Source: preliminary results of survey conducted by Dr. Louise Ivers using Household Food Insecurity Access Scale (HFIAS). Photo courtesy of: St. Felix Evens/Reuters.

  15. Diagnosis: acute-on-chronic

  16. Cholera in Haiti • Cholera confirmed Oct 22nd by Haitian Ministry of Health and CDC within 48 hrs of outbreak of acute watery diarrhea in the lower Artibonite • As of Nov 16th (per MSPP): • > 16,000 hospitalizations • > 1,000 deaths • Artibonite and Centre departments most heavily affected • Confirmed in PaP IDPs by Nov 8th Source: OCHA, “Haiti Situation Report No. 18.” November 16, 2010.

  17. Cholera in Haiti: ZL response • 6 Cholera Treatment Centers • Partners: MSF-Spain, MSF-Belgium, Project Medishare, Cuban Delegation, MSPP, British Red Cross, J/PHRO • Community water filters permanently installed; water trucks for most-affected communities • Partners: Operation Blessing, Yele Haiti • Community, school, radio education campaigns • Partner: MSPP • ORS & hygiene kits distributed in rural areas by CHWs; hospital referrals • 1298 new CHWs trained in ORS & “community-level prevention”

  18. Building back better

  19. Nicholas Clark Architects

  20. MesianpilThank you

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