Rush of Medical Aid to Haiti Follows History of Suffering.

Andrew Schneider
Senior Public Health Correspondent, aol

Washington (Jan. 15) — Along with all the horrors it wrought, Tuesday’s
earthquake brought a bitter irony to Haiti: The crumbled, chaotic
country will soon have more physicians, medics and operating hospitals
than ever in its tormented history.

But while the medical teams from around the world will close wounds
and set shattered bones, there will be less they can do to stem the
preventable deaths that have always plagued this hemisphere’s poorest
country.

Soon, enough mobile hospitals, medical personnel, equipment, medicine
and supplies will be in place in Haiti to treat 20,000 or more of the
injured, according to interviews late Thursday with the World Health
Organization, the Pentagon, the United Nations, FEMA and several
embassies in Washington — a rainbow of uniforms operating under tent
canvas, inside inflatable structures or aboard ships. And more
reinforcements could arrive shortly.

On Friday morning, the U.S. Public Health Service and Homeland Security sent notice to the volunteer members of the National Disaster Medical System that they should be ready for possible deployment.

Thousands of Haitians died in the collapse of poorly constructed
buildings, but the bodies being crammed into family crypts built atop
the cracked ground or dusted with lime and buried in mass graves
represent just the first wave of casualties, health experts predict.
Physicians from the WHO and the Pan American Health Organization say
that the deaths that will surely continue for months or even years
will not come from untreated trauma but, rather, untreated water.

Diseased water has long been Haiti’s most aggressive killer, far more
lethal than even its high rates of AIDS and tuberculosis. (Incidents
of malaria and dengue follow right behind.)

An examination of the country’s public health and medical system makes
the problem clear. According to the Haitian Institute for Statistics,
water supply and sewage treatment systems are unheard of among the
majority of the country’s 9 million people. What’s more, with a
fertility rate of almost five children per woman, infant mortality
soars, due to diarrheal disease caused by bad water and the lack of
adequate health care.

Haiti’s health ministry reported in 2008 that there were just 39
hospitals and about 70 other inpatient facilities for the entire
country. But even that scant health care is unevenly divided: Private
for-profit hospitals treat the country’s wealthy and some foreign
business and embassy workers. Then there are the handful of public
hospitals and clinics — most of them falling apart — which are
ill-equipped and badly understaffed. The poor, who represent more than
80 percent of country’s population, also rely on the missionaries and
nongovernment volunteer groups, who sometimes offer superb medicine,
but only for those patients who can get to them.

There are very few ambulances in the countryside, and no 9-1-1 to
call. So Haitians fend for themselves.

The mainstay for the sick and injured are Voodoo clinics. In a country where medicine is hard to
come by unless you are among the elite, their traditional herbal medicines fill the void.

And so it was in the immediate aftermath of the quake: On Thursday, a
government health source said that a United Nation’s peacekeeper
relayed that the first organized medical care in Cite Soleil, the
capital’s vast slums, came from groups of Voodoo practitioners.

Early Friday, a senior officer at the 82nd’s headquarters in Fort
Bragg, N.C., said half the people in the division’s supply chain had
been scrambled for a critical part of the relief effort. Their
mission: to round up clean drinking water to bring to the Haitians.

———————-

Clinton Pledges Cooperation in Haiti Relief Effort.

Jennifer Kay, AP

PORT-AU-PRINCE, Haiti (Jan. 16) – U.S. Secretary of State Hillary
Rodham Clinton met Saturday with Haitian President Rene Preval and
promised that U.S. quake relief efforts would be closely coordinated
with local officials.

Clinton’s remarks appeared designed to counter any notion of a
too-intrusive American involvement in the aftermath of the quake,
while also assuring Haitians the humanitarian mission would continue
as long as it’s needed.

“We are here at the invitation of your government to help you,” she
said at a news conference at the Port-au-Prince airport. “As President
Obama has said, we will be here today, tomorrow and for the time
ahead. And speaking personally, I know of the great resilience and
strength of the Haitian people. You have been severely tested. But I
believe that Haiti can come back even stronger and better in the
future.”

Clinton, the highest-ranking Obama administration official to visit
since the magnitude-7.0 quake struck Tuesday, arrived in a Coast Guard
C-130 transport that carried bottled water, packaged food, soap and
other supplies. She was accompanied by Rajiv Shah, the U.S. Agency for
International Development administrator who is acting as the top U.S.
relief coordinator.

Clinton also met with U.N. officials and U.S. civilians and military
personnel working on the relief effort. She said she and Preval
discussed his government’s priorities: restoring communications,
electricity and transportation.

“And we agreed that we will be coordinating closely together to
achieve these goals,” she said, adding that she and Preval would issue
a communique on Sunday outlining cooperation between the two
countries.

Preval said he was encouraged to see former presidents Bill Clinton
and George W. Bush together with President Barack Obama at the White
House earlier Saturday in a joint plea for international assistance to
Haiti.

He noted that U.S. aid has already arrived, and he told reporters he
met a survivor who was pulled from the rubble Saturday and receiving
care from American medical teams. He thanked Clinton for her visit and
for Obama’s continued support of Haiti.

“Mrs. Clinton’s visit really warms our heart today,” he said.

During the news conference, officials noted the clatter of military
helicopters landing and taking off nearby.

“That’s a good sound,” Clinton said. “That means that good things are
going to the people of Haiti.”