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Haiti - Cholera: 1.415 deaths, 25.248 hospitalisations

Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

<TABLE class=contentpaneopen><TBODY><TR><TD class=contentheading width="100%">As violence obstructs cholera efforts, PAHO calls on Haitians to support relief and medical workers



</TD></TR></TBODY></TABLE><TABLE class=contentpaneopen><TBODY><TR><TD vAlign=top colSpan=2>Washington, D.C., November 18, 2010 (PAHO) ? As violence and insecurity obstruct medical care for cholera patients and the delivery of critical training and supplies, the Pan American Health Organization/World Health Organization (PAHO/WHO) today called on the Haitian population to support medical and relief workers in the same way they supported search-and-rescue teams following the January earthquake.

?Every hour that the efforts of medical and relief workers are obstructed means more deaths of Haitians from cholera,? said Dr. Mirta Roses, PAHO?s Director. ?We understand the frustration of many Haitians with the tragic situation that has developed as a result of systemic poverty, the January earthquake and now the cholera epidemic. But relief and medical workers are as critical to saving lives as rescue teams were after the earthquake.?

PAHO?s country office has received reports of cholera victims dying in the streets because they were unable to reach health facilities in time. Cholera is easily treatable with prompt administration of oral rehydration salts or, in more severe cases, with intravenous fluids. Delayed treatment, however, can result in death within hours.

Haiti?s Ministry of Health has reported 18,382 hospitalized cholera cases and 1,110 deaths nationwide. This includes 1,515 hospitalized cases in the Nord Department, which includes Cap Ha?tien, the scene of recent unrest. The official mortality rate for hospitalized cases in this area is close to 7.5 percent. Experience shows that without access to health care, the rate could rise to as much as five times that figure.

Given poor sanitary conditions in Haiti, PAHO experts expect the cholera epidemic to continue to spread. A joint strategy presented last week by the Haitian government and its international partners projects some 200,000 cases of cholera over the next six to 12 months in the country.
Efforts to fight the epidemic are focused on preventing cases through improved water and sanitation services and education of families and communities about hygiene and home care for cholera patients, as well as reducing deaths by ensuring prompt, appropriate care for people who become infected.

WHO/PAHO and partners in the Health Cluster are providing a range of support to the government and population. Training programs have been set up for health providers and community workers to explain how to prevent and treat cholera. Medical and educational supplies have been distributed, and treatment centers have been set up.

In Cap Ha?tien, a cholera treatment center at the main stadium is being operated by Doctors without Borders, and before the recent unrest, the organization was planning to open another center in a different part of town, said Dr. Lea Guido, PAHO Representative in Port-au-Prince. On Wednesday alone, the center took in 100 patients.

?These efforts are critical to saving lives,? said Dr. Roses. ?We already faced enormous challenges in trying to get ahead of this epidemic. But a situation of violence and insecurity is now threatening to seriously limit our success.?

Unrest in and around Cap Ha?tien has forced staff from PAHO/WHO and other United Nations agencies to discontinue much of their work supporting cholera treatment centers, training health personnel, and delivering supplies to affected communities.

?The last shipment of medical supplies was delivered over the weekend, and we had to postpone distribution planned for Monday,? said Dr. Guido. ?The airport was closed, and many roads remain blocked. We have not been able to ship new supplies to the area at all this week.?

PAHO staff members in Cap Ha?tien have been confined to their living quarters since violence erupted on Monday. They had been helping with the distribution of supplies, providing training and coordinating with other health actors in the region. Similarly affected agencies include the World Food Program (WFP), the International Organization for Migration (IOM), the United Nations Children?s Fund (UNICEF). At present, PAHO/WHO has no plans to evacuate staff from the area.

?We must ensure that this important work is able to resume unfettered,? said Dr. Guido. ?Cholera treatment is simple, but access is key.?

PAHO Director Dr. Mirta Roses noted today that it was impossible to identify the origins of the epidemic in Haiti with currently available data. Additional analyses are being carried out on the cholera strain circulating there, but even these are unlikely to resolve the question of how the strain arrived in Haiti, she said.

?You have cases of cholera showing up in countries around the world every year, including here in the United States,? said Dr. Roses, speaking from Washington. ?Some are acquired, some are imported. What is important is that the disease does not spread if there are adequate public health conditions.?
<HR></TD></TR></TBODY></TABLE>
http://new.paho.org/hai/index.php?option=com_content&task=view&id=7060&Itemid=1&lang=fr
 
Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

Haiti cholera toll could reach 10,000

Posted Thu Nov 18, 2010 7:12am AEDT

There are fears Haiti's cholera epidemic could get worse (Reuters: St-Felix Evens)

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The cholera epidemic in Haiti could kill 10,000 people and cause 200,000 infections in the coming year, a doctor with the Pan-American Health Organisation (PAHO) warned.

PAHO regional adviser Ciro Ugarte says projections show the number of infections could reach 200,000 over the next year.

But he says if the current fatality rate of four to five per cent continues, things could get much worse.

"We may have 10,000 dead," he said, describing this as "the worst case scenario".

"The cholera epidemic cannot be stopped, especially in places where there is a lack of safe water supply, basic sanitation...

Read more:
http://www.abc.net.au/news/stories/2010/11/18/3069514.htm
 
Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

Re: Haiti: Cholera has killed 1.110, 18.382 hospitalisations including 953 cases and 46 deaths in Port-au-Prince

CHOLERA CRISIS


Living fear the dead in cholera-scarred Haiti



With stigma on the rise over cholera, body collectors are finding that burying the dead is a chaotic effort.

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ST. MARC, HAITI - NOVEMBER 18: A cholera patient is treated in Saint-Nicolas hospital where Doctors Without Borders (MSF) has setup a center to care for cholera patients on November 18, 2010 in St. Marc, Haiti. Haiti continues to deal with a cholera epidemic that has killed more than 1,000 and sickened thousands more. Doctors say it is caused by poor sanitary conditions that make the bacteria easy to transmit through contaminated water or food. (Photo by Joe Raedle/Getty Images) JOE RAEDLE / STAFF


More photos: Cholera Body Collectors http://www.miamiherald.com/2010/11/20/1935292/cholera-body-collectors.html


BY JACQUELINE CHARLES

<!-- begin /production/story/credit_line_format.comp -->jcharles@MiamiHerald.com

<!-- end /production/story/credit_line_format.comp -->CARREFOUR, Haiti -- Stacked with body bags full of corpses of cholera victims, a converted flatbed truck and a colorful tap-tap taxi swerved into the yard of the mayor's office and their drivers asked where to bury the dead.​

``Get out of here. Get out of here before they start throwing stones,'' a city hall employee screamed, her voice panicky, her hands flaring.​

A crowd started circling. Three poorly armed police officers showed up and announced more were on the way. Then the city hall employee jumped into a car and motioned the corpse vehicles to follow. The angry crowd shouted and began throwing rocks.​

Frightened by a disease never before known in this nation, Haitians are running scared. Residents are stoning the dead and their handlers, local mayors are refusing their burial, and families are abandoning bodies on the streets...​

Read more: http://www.miamiherald.com/2010/11/19/1934890/living-fear-the-dead-in-cholera.html#ixzz15qyCJuis
 
Haiti-Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Haiti-Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Haiti - Cholera Epidemic : Last assessment, 20.867 cases, 1.250 deaths, less than 10% of emergency assistance received...

21/11/2010 12:43:57


g-1708.jpg


Excerpt:

Assessment at the national level:

The latest assessment (cumulative) dated of Wednesday, November 17, 2010 and published today Sunday (!) by the Ministry of Public Health and Population (MSPP) reported 20.867 hospitalization since the beginning of the epidemic, either 1.221 additional cases moreover of the last official assessment of November 16 (+6.22%) and 1.250 death either 64 new additional deaths (+5.39%).

Port au Prince and metropolitan area:
In Port-au-Prince and metropolitan area, (Port-au-Prince: Carrefour, Cit? Soleil, Delmas, Kenscoff, P?tion-Ville, Port-au-Prince, Tabarre and Croix des Bouquets) it reported 1457 hospitalization since the first reported case in this area, either 148 cases moreover of the last assessment (Nov.16) (+11.15%) and 64 deaths, either 3 new additional deaths (+4,91%).

Nigel Fisher said that these figures take into account only victims who have reached medical facilities and are expected to increase in coming days.

Full text:
http://www.haitilibre.com/en/news-1...than-10-of-emergency-assistance-received.html

See also:
http://www.mspp.gouv.ht/site/downloads/Rapport journalier MSPP 17 novembre 2010.pdf
 
Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Russia may restrict travel to Dominican Republic amid cholera fears

Russia's sanitary watchdog will decide this week on whether to temporarily ban Russians from travelling to the Dominican Republic due to cholera outbreak in neighboring Haiti, Russia's chief doctor said.
At least 1,110 people have died and 18,380 have been hospitalized since the disease broke out about four weeks ago, according to the most recent data from the Haitian health ministry. Sporadic cases of cholera have been detected in the Dominican Republic and the United States.
"So far, we have optimistic reports about passengers arriving from the Dominican Republic. But the coming week would be decisive... We would either move from travel recommendations to a ban, or we would just insist that our citizens should exercise caution," Gennady Onishchenko said late on Sunday.
He added that the Pan American Health Organization (PAHO)'s cholera outlook for the Dominican Republic was "unfavorable."

"For the first time PAHO expressed concern about the possibility of cholera spreading to the Dominican Republic and further beyond the [Hispaniola] island," he said.
Almost 48,000 Russian tourists visited the Dominican Republic in January-September, up 54.5% from the same period last year.

MOSCOW, November 22 :tiphat:http://en.rian.ru/russia/20101122/161435396.html
 
Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Nov 22, 2010

No let-up in Haiti epidemic

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PORT-AU-PRINCE - HAITI'S raging cholera epidemic showed no sign of relenting on Sunday with the death toll rising to 1,250, amid debate over whether to delay next week's key election until the outbreak is brought under control.
Aid groups sought to ramp up their work in the wake of deadly violence which had hampered the anti-cholera battle, while the United Nations starkly warned that the global community has lagged in its assistance since the epidemic began in October.
'The number of (cholera) focal points of infection are increasing, and those that appeared a month ago are not extinguished,' said French doctor Gerard Chevallier, a cholera specialist studying the epidemic and advising Haiti's Health Ministry. :tiphat:http://www.straitstimes.com/BreakingNews/World/Story/STIStory_605968.html
 
Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Update November 21, 2010.<?xml:namespace prefix = o ns = "urn:schemas-microsoft-com:office:office" /><o:p></o:p>
On 21 November, the Minist?re de la Sante Publique et de la Population (MSPP) reported that the cumulative number of outpatients and deaths due to cholera, as of 16 November, is 52,715 and 1,250 respectively. 40% (20,867) of patient have been hospitalized. Currently, 809 remain hospitalized. Cases are registered in 8 of 10 Haiti departments, and these are Artibonite, Centre, Nord, Nord Ouest, Nord Est, Ouest, Sud and Sud Est. Additionally, a cluster of cases is currently under investigation in the department Grande Anse and Nippes.<o:p></o:p>
<o:p></o:p>
The in-hospital case fatality rate for the whole country is 3.9% and the mortality rate 14.9 per 100,000 inhabitants.<o:p></o:p>
For Port-au-Prince the cumulative number of outpatient is 4,608, of which 1,457 have been hospitalized. A total of 64 deaths due to cholera have been recorded. The in-hospital case fatality rate for Port-au-Prince is 3.9%.:tiphat:http://new.paho.org/hq/images/Atlas_IHR/CholeraOutbreak/notes.htm<o:p></o:p>
 
Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Re: Haiti - Cholera: 1.250 deaths, 20.867 hospitalisations including 1457 cases and 64 deaths in Port-au-Prince as of 11/17/2010

Haiti death toll rises to 1,344

<!--startclickprintexclude--><!--endclickprintexclude-->By Ivan Watson, CNN<SCRIPT type=text/javascript>cnnAuthor = "By Ivan Watson, CNN";</SCRIPT>
<SCRIPT type=text/javascript>if(location.hostname.indexOf( 'edition.' ) > -1) {document.write('November 22, 2010 -- Updated 1651 GMT (0051 HKT)');} else {document.write('November 22, 2010 11:51 a.m. EST');}</SCRIPT>November 22, 2010 11:51 a.m. ESTNovember 22, 2010 -- Updated 1651 GMT (0051 HKT)

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Port-Au-Prince, Haiti -- The death toll has risen to at least 1,344 in the cholera outbreak in Haiti that has sickened nearly 57,000 people, the Haitian government said Monday.

The announcement came as international health officials predicted that the scale of Haiti's cholera epidemic will exceed initial estimates of 200,000 over coming months.

"Having seen how the bacteria is behaving in this environment with these people, having seen just how poor and how hungry the people are, we know we have to revise our numbers up," said Nyka Alexander, a spokeswoman for the World Health Organization, in a phone call with CNN.

Read more:
http://edition.cnn.com/2010/WORLD/americas/11/22/haiti.cholera.alert/?hpt=T2

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Re: Haiti - Cholera: 1.344 deaths, 23.377 hospitalisations including 1618 cases and 77 deaths in Port-au-Prince as of 11/19/2010

Re: Haiti - Cholera: 1.344 deaths, 23.377 hospitalisations including 1618 cases and 77 deaths in Port-au-Prince as of 11/19/2010

Haiti - Epidemic : Last assessment, 23.377 cases, 1.344 deaths, the cholera gains the South
22/11/2010 11:45:59

g-1715.jpg


...Professor Michel Roulet, of TDH, which has conducted numerous missions in Haiti warns "I have personally witnessed of four outbreaks of cholera in various parts of the world but I never saw the spread stopped, whatever the hardness of the measures taken. We must prepare ourselves to deal with long weeks of illness until to the peak of the epidemic. Then it will take weeks before it is reduced, knowing there will be new outbreaks in subsequent years."

Assessment at the national level:
The latest assessment (cumulative) dated of Friday, November 19, 2010 and published today Monday by the Ministry of Public Health and Population (MSPP) reported 23.377 hospitalization since the beginning of the epidemic, either 2.510 additional cases moreover of the last official assessment of November 17 (+12.02%) and 1.344 death either 94 new additional deaths (+7.52%).

Port au Prince and metropolitan area:
In Port-au-Prince and metropolitan area, (Port-au-Prince: Carrefour, Cit? Soleil, Delmas, Kenscoff, P?tion-Ville, Port-au-Prince, Tabarre and Croix des Bouquets) it reported 1618 hospitalization since the first reported case in this area, either 161 cases moreover of the last assessment (Nov.17) (+11.05%) and 77 deaths, either 13 new additional deaths (+20,31%).

[...]
http://www.haitilibre.com/en/news-1...-1344-deaths-the-cholera-gains-the-south.html

See also:
http://www.mspp.gouv.ht/site/downloads/Rapport journalier MSPP du 19 novembre 2010.pdf
 
Re: Haiti - Cholera: 1.415 deaths, 25.248 hospitalisations

Haiti?s cholera cases approach 50,000 as preparations for polls continue ? UN

<!--docTitle--><!--Attention ligne utilis?e pour l'impression-->Source: United Nations News Service
Date: 23 Nov 2010

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23 November 2010 ? The number of reported cases of cholera in Haiti is now approaching 50,000, but health experts have cautioned that the figure could be higher because data on the epidemic has not been received from some rural communities, a United Nations relief official said today.
Nigel Fisher, the UN Humanitarian Coordinator for Haiti, said that epidemiologists in the Pan-American Health Organization (PAHO) ? the regional arm of the World Health Organization (WHO) ? estimate that the number of cases could be as high as 70,000.
The death toll, as of yesterday, stood at 1,200, but the experts have said that the disease might have claimed as many as 2,000 people, with some fatalities in remote areas going unreported.
Speaking via a video link from the capital, Port-au-Prince, Mr. Fisher told a news conference in New York that PAHO epidemiologists have also revised their projections of the spread of the disease and now anticipate that cases could rise to 200,000 over the next three months. The experts had earlier estimated that the number of cases could rise to that figure in six months. "This epidemic is moving faster," Mr. Fisher said. :tiphat:http://www.reliefweb.int/rw/rwb.nsf/db900SID/KHII-8BH3G5?OpenDocument
 
Re: Haiti - Cholera: 1.415 deaths, 25.248 hospitalisations

Haiti's cholera outbreak will go from bad to worse

11:07 30 November 2010 by Debora MacKenzie
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The cholera epidemic in Haiti is just getting started. Disagreements over who, or what, was responsible for the epidemic continue, and health agencies predict the situation will get much worse before cases start falling. Yet good vaccines are going unused. New Scientist rounds up the latest news.

Read more:

http://www.newscientist.com/article/dn19781-haitis-cholera-outbreak-will-go-from-bad-to-worse.html
 
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