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THE LOVE OF LIBERTY BROUGHT US HERE. CASES FROM LIBERIA BEN CONSTANCE, MD. Liberia. 1 USD = 72 LD. Early Tribes. West migration in 12 th century AD 16 distinct ethnic groups 1461 Portuguese explorers found pepper 1602 Dutch trading post at Grand Cape Mount 1663 British trading post.
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THE LOVE OF LIBERTY BROUGHT US HERE CASES FROM LIBERIA BEN CONSTANCE, MD
Liberia 1 USD = 72 LD
Early Tribes • West migration in 12th century AD • 16 distinct ethnic groups • 1461 Portuguese explorers found pepper • 1602 Dutch trading post at Grand Cape Mount • 1663 British trading post 1800 1850 1900 1950 2000 2011
Slave trade • 1800s – America grew intolerant of slave trade • 1821 American Colonization Society developed Liberia for settlement of freed slaves • 1847 Liberia declared an independent free nation 1800 1850 1900 1950 2000 2011
Americo-Liberia Settlers • Elite class Americo-Liberians ruled over the 95% indigenous majority • Separate culture, lighter skin, Western culture • 1878 True Whig Party rule until 1980 • 1912-1920 internal wars Joseph Roberts first president 1840-1850 1800 1850 1900 1950 2000 2011
Bloody Overthrow • 1926 Firestone 100 year contract granted • Foreign investors remove natural resources • 1980 indigenous Liberians overthrow government and create Redemption Council • Samuel K Doe executed president Tolbert and members of the cabinet 1800 1850 1900 1950 2000 2011
Charles Taylor • Tribes oppressed by Doe in the North • Critical aid cut off • Growing tensions • 1990 a militia under Charles Taylor lead to full tribal warfare 1800 1850 1900 1950 2000 2011
National Patriotic Front of Liberia (NPFL) • Thousands of Gio and Mano tribal soldiers joined Taylor • June 1990 invaded the capitol • December 1990 Doe assassinated 1800 1850 1900 1950 2000 2011
Civil War • 1993 United Nations enters Liberia • 1994 Peace agreement of Accra until 1996 • Taylor “won” presidential elections of 1997 1800 1850 1900 1950 2000 2011
Liberian United For Reconciliation and Democracy (LURD) • 1990s weapons & diamond trade with Sierra Leone • 1999 LURD in the North • April 2000 fighting starts • 2002 LURD supported by Guinea and Sierra Leone 1800 1850 1900 1950 2000 2011
Women’s Movement and Ceasefire • 2002 Women in Peace building Network (WIPNET) • Joint Muslim and Christian “Mass Action for Peace” • 2003 Women’s delegation to Ghana • Peace achieved after 14 years of civil war 1800 1850 1900 1950 2000 2011
Peace and Democracy • Aug 2003 – 2 year transitional government formed • Oct 2003 – UNMIL took over peacekeeping • 2004 – 100,000 ex-combatants disarmed • Oct 2005 – Ellen Johnson Sirleaf elected first female Liberian President 1800 1850 1900 1950 2000 2011
Race for Presidency 2011 • Sep 2011 referendum passed • Elections slated for Nov 2011 • Current race between UP and the CDC • Tensions again high 1800 1850 1900 1950 2000 2011
Health Statistics • (WHO) world’s highest infant mortality rate • 12.9% HIV prevalence rate among 15-25 y/o pregnant women • Malaria prevalence rate of 56.9% and mortality rate of 14.1% • Estimated only 40% TB cases diagnosed and treated
Health Statistics • 31% immunization rate • 30% all major hospitals reduced to clinics • 70% all major hospitals closed • 237 physicians pre-ward reduced to <50
HEARTT • Health Education and Relief Through Training • JFK teaching hospital in Monrovia • Fee for service model • Provision of healthcare, teaching, research & community outreach
JFK Medical Center • Largest hospital • Limited capacity • “ED”, medicine, peds, general surgery, OB/GYN • Fee-for-service model • Children <5 free • CBC, micro, UA, chemistry, basic XR • One ultrasound
Emergency Department • Medical & Surgical side • Open 24/7 • MD staffing 9 to 5 • HEARTT, interns, PAs • 26 medical beds • Urine dip, Upreg, RBS • Average LOS 3-5 days Written permission for photo use on file