Isaac

Tropical Storm Isaac sparks fears of more cholera deaths in Haiti

 

Tropical Storm Isaac, which left 24 dead and 3 missing in Haiti, is reigniting fears of increased cholera deaths in Haiti.

jcharles@MiamiHerald.com

The panic began to set in after Tropical Storm Isaac’s rains had subsided and the sun finally began to shine on this storm-damaged beachfront hamlet. Frantz Pierre-Louis, looking at the trail of fallen trees and flooded farms confronting him, had something much more pressing on his mind.

“We have to prevent a cholera outbreak,” Pierre-Louis, sitting in his pick-up truck, said, his voice filled with urgency.

Just when Haiti thought it had cholera under control, Tropical Storm Isaac came along. The storm left at least 24 dead in Haiti, and reignited fears that the floods and rains could accelerate a peak in cholera deaths and infections. Even worse, the deadly diarrheal disease could spread to the sprawling tent cities in Haiti’s capital where 390,000 victims of the January 2010 earthquake still live and where — until now — it has remained at bay.

“Today with the situation in the camps, it is clear they are most at risk,” said Yolette Etienne, Oxfam’s program director, alluding to the lack of potable water in camps.

Last week, U.N. Secretary General Ban Ki-moon told the U.N. Security Council that living conditions in many of the 575 camps have deteriorated to the point where Haitians remain “extremely vulnerable” to cholera, and the government’s Health Ministry is unable to effectively address a crisis on its own.

“The resurgence of the cholera outbreak is particularly worrying since non-governmental organizations, which responded at the beginning of the epidemic, are phasing out due to lack of funding,” Ban said.

“We can assume there is going to be an increase in patients,” said Oliver Schulz, Doctors Without Borders/Médecins Sans Frontières (MSF) country manager, from inside a cholera treatment center in the Port-au-Prince suburb of Delmas, where post-Isaac patients had begun trickling in. “The storm increases the risk.”

This is especially true in flooded communities, where the drinking water is at risk of becoming contaminated by wastewater from latrines. Along Route 9 near the Cité Soleil slum in the capital, for example, a nearby river flooded about 1,200 homes, turning front rooms and yards into chocolate-colored lakes.

Diana Victor’s family house was among those that were flooded, the young woman said, sitting on a cot at an MSF cholera treatment center. Weak and her voice barely audible, Victor, 21, said she has no idea how she contracted cholera.

“I didn’t drink any water, I only walked in it,” she said, the day after she showed up at the treatment center on the back of a motorcycle taxi covered in vomit and clear-colored diarrhea. “I didn’t feel well at all, I couldn’t stand, couldn’t eat.”

Schulz said while cholera is easily preventable, it is also easy to get, especially when heavy rains and floods limit access to clean water.

“You might have a nice distribution of soap for instance, but if you don’t have clean water to wash your hands, the soap is useless,” he said.

The annual Atlantic hurricane season, which runs from June 1 to Nov. 30, has become a dreadful reminder of not just how environmentally fragile Haiti is, but how susceptible Haitians are to contracting cholera, the deadly waterborne epidemic that arrived in Haiti two years ago next month.

Nepalese U.N. troops have been accused of bringing cholera to Haiti after the Artibonite River, located near the troops’ latrines, became contaminated with the cholera bacteria. On Wednesday, more than a dozen human rights groups are expected to issue a letter renewing calls for the U.N. to make clean water and sanitation available in Haiti to help curtail the cholera crises.

Cholera has killed more than 7,500 Haitians and sickened more than 588,000 in what some describe as one of the worst epidemics in recent years. The number of cholera cases international medical aid groups, such as MSF, treat in one day is an epidemic in some African nations, said Schulz, noting that MSF has already treated 12,000 patients since January.

“That’s a full blown state emergency for many,” he said.

Within days of Isaac’s passing, MSF reactivated cholera beds — cots with a hole in them — at three of its four cholera treatment centers in the metropolitan Port-au-Prince area. Another group, Boston-based Partners in Health, put staff on notice and relocated supplies from the capital to rural areas where many lack access to potable water and health facilities.

Dr. Louise Ivers of Partners In Health, which just completed a pilot cholera vaccination program in Haiti, said the group has yet to see a spike. But she remains deeply concerned about the epidemic’s impact.

Haiti’s Health Ministry statistics show that although the number of cases is “significantly fewer than this time last year,” Haitians continue to die at an unacceptable rate.

“The proportion of people dying is in some areas higher than before,” Ivers said. What it says, she added, is that there “is a continued lack of access to quality services in some areas. In theory, no one reaching a hospital should die of cholera.”

Health Minister Florence Duperval Guillaume said the government is equally concerned about cholera-related deaths as well as infections. Before Isaac’s late night arrival here, the ministry ordered all government hospitals and clinics to remain open for 24 hours for at least four days after the storm’s passing. Hospital pantries, Guillaume said, were stocked with chlorine tablets, bottled water and oral rehydration salts.

“All is well positioned … for the prevention and care of patients,” Guillaume said.

In addition to stepping up surveillance for new cases, health officials are working with a number of aid organizations such as Oxfam to scale up cholera response. Oxfam is currently rehabilitating dozens of damaged oral rehydration salts stations in the capital and making repairs to broken drinking wells in the Artibonite River.

Dr. Arthur Fournier of Miami-based Project Medishare said the Central Plateau, which was spared most of Isaac’s wrath, also hasn’t seen an uptick and the aid group hasn’t reopened any of its treatment centers so far.

“We’re holding our breaths,” he said.

Read more Top Stories stories from the Miami Herald

  •  
System designer Andy Dobrowolski looks on as the 200,000-gallon tank (actually two connected tanks) at Florida Keys Aquarium Encounters in Marathon is filled.

    Going with the flow: Water trickles into new Florida Keys aquarium

    Watching water trickle slowly into an empty 200,000-gallon fish tank isn't that far off from watching grass grow or paint dry.

  •  
 <span class="cutline_leadin">FAMILY BONDS:</span> The De Soto family, Dan, Marilyn and son Matthew, 13, help fill Easter baskets at St. Louis Catholic Church in Pinecrest, on Palm Sunday.  Volunteers from the church filled and delivered 1,800 baskets containing candy and snacks for children and toiletries and personal items for seniors. The church works with charities, hospitals and other churches.

    Easter Sunday

    South Florida faithful approach Easter as a time for service

    In the weeks leading up to Easter, church members have gone into overdrive, making goodie bags for the homeless, filling Easter baskets and distributing food to help those in need.

  •  
Miami Heat guard Dwyane Wade, left, and center Chris Bosh watch from the bench during the second half of an NBA basketball game against the Philadelphia 76ers, Wednesday, April 16, 2014 in Miami. The 76ers defeated the Heat 100-87.

    IN MY OPINION

    Greg Cote: Dynasty or dismantling for the Miami Heat?

    A Heat playoff run is the annual gift we slowly unwrap together, our two-month emotional thrill ride ever since LeBron James grandly announced he was “taking my talents to South Beach” that summer night in 2010. Well, buckle up again, South Florida. Prepare for exhilarating highs and work-productivity lows. Prepare for late nights walking drained from the downtown bayside arena. Prepare for hearts to soar or plunge on whether a basketball swishes through a nylon net or bonks off a painted rim.

Miami Herald

Join the
Discussion

The Miami Herald is pleased to provide this opportunity to share information, experiences and observations about what's in the news. Some of the comments may be reprinted elsewhere on the site or in the newspaper. We encourage lively, open debate on the issues of the day, and ask that you refrain from profanity, hate speech, personal comments and remarks that are off point. Thank you for taking the time to offer your thoughts.

The Miami Herald uses Facebook's commenting system. You need to log in with a Facebook account in order to comment. If you have questions about commenting with your Facebook account, click here.

Have a news tip? You can send it anonymously. Click here to send us your tip - or - consider joining the Public Insight Network and become a source for The Miami Herald and el Nuevo Herald.

Hide Comments

This affects comments on all stories.

Cancel OK

  • Marketplace

Today's Circulars

  • Quick Job Search

Enter Keyword(s) Enter City Select a State Select a Category