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Haiti: Things Shifts

Pathfinder

Editor, Senior Moderator
<ABBR class=published title=2010-02-20T03:57:01-0700>Doc Gurley
Posts from an Insane Healthcare System
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<ABBR class=published title=2010-02-20T03:57:01-0700></ABBR>
<ABBR class=published title=2010-02-20T03:57:01-0700>Haiti: Things Shifts</ABBR>
<ABBR class=published title=2010-02-20T03:57:01-0700></ABBR>
<ABBR class=published title=2010-02-20T03:57:01-0700>February 20, 2010 ? 3:57 am</ABBR>

Even the predawn day began a little differently. The shrill distant stadium cheers of hundreds of Haitian roosters sounded oddly synchronized, as though perhaps they were doing the wave. There were more dogs keeping the beat with incessant, rhythmic barking.

Dogs in Haiti are everywhere underfoot, seemingly ownerless. It is something of a shock, after all the warnings about rabies everywhere, and the need for immediate evacuation if any of your skin is broken, to find one nosing against your leg as you try to walk to the pharmacy area is the day?s tightly-controlled clinic-space. All the dogs ? all of them ? are the lean, feral-looking, arrow-nosed, mottey-colored variety that are never at rest. They nose through trash and scratch at rubble and weave needle-like through the fabric of masses of people. Dogs of the relatively wealthy are just the same, wandering collarless, ribs almost visible through their short mat of fur. They all have the shrill, piercing yapyap that I remember of feral dogs from when I grew up in rural Georgia. There are no woofs, no baying, nothing that we would, if pressed, truly call a bark, which makes me wonder whether they would find our own pampered, exotic, baroque variety of dogs equally odd and a bit disturbing. And these dogs are loved by their owners, who apologize for them, and shoo them out of the way like chickens.

Chickens, too, wander freely in this dense urban city of over 4 million (keep in mind, San Francisco is less than a million). There are no goats, no livestock of any kind, and, frankly, the chickens are bedraggled and pitiful.

Actually looking stunted and anorexic instead of just small. Like the dogs, they nose and scratch through rubble, but theirs is a furtive, always at a near panic type of movement, feathers askew as though they haven?t had a decent night?s sleep in far too long.

We were supposed to be working today in one of the largest constantly collapsing sheet cities (I refused to flatter them with the false-advertising, put-the-best-spin-on-it-possible name of ?tent city?). An open area that looks, underneath it all, like it may have originally attempted to be some sort of park ? but who knows? It?s like trying to imagine the shape and function of a hand from fortune teller bones tipped out of a rattled cup. There are over 2,000 people there, without one single toilet, not even an end-of-a-free-Lady Gaga concert overflowing Portapotty. Crowds of faces glance through a fences railing bars as a woman casually heats a large sizzling shallow hubcap-like metal disc full of boiling oil, preparing to cook, the whole device precariously perched over a propane cannister on top of a waist-high concrete wall as dogs, chickens and children weave and roam behind her. There was a Lombard-street-esque hill rising straight up into the sheet cities, some rare trees on either side of the road shelter prime spots on either side. 2,000 people in there.

Imagine what such a thing would be like in San Franscico ? Golden Gate park a sea of blue tarp, women who are being raped screaming in the night, and, after a month, disease, dehydration, and diarrhea spreading almost as fast as despair.

But although we sat and stared at it, people boiling past like ants, we never made it into the sheet city. In what seems typical now to me of this type of ever-shifting (even hour-by?hour) relief work, Our organizers were told by the administrators of the area that a new direction was being taken. Efforts needed to be made for Haiti to normalize, for people to return to their lives, and no one wanted this type of sheet city more enshrined. People needed to start using existing hospitals and clinics.

After looking at a situation like that, and hearing that official response, you cannot help but have an urge to guffaw in disbelief. Go back to what lives? Where? On which pile of still-falling dangerous rubble?

Much more at:

http://www.docgurley.com/
 
Re: Haiti: Things Shifts


GurlDoc Gurley
Internist Physician


Haiti Traveling

<!-- 1 -->How quickly we humans normalize even the most extreme scenario - as long as we see it over and over. By now, it seems perfectly normal for our fringed-draped bus to 4-wheel it over piles of rubble. We automatically get out and walk up the steep dirt-road hills of this large urban city while she groans and grumbles her way to the top, pebbles pinging with 22-gauge speed. Houses lean right and left and even bow down toward us, almost touching forehead to ground and you forget the tilt is not actually an obeisance, but, instead, a predator-lunge at geologic speed, as though these houses have gotten a taste for humans and someone needs to put them down.

When we walk, we bump shoulders with people forced to crowd into the inches-wide grit-strip next to vehicles that fart throat-burning greasy black exhaust right in your face.
roadrubble324x432.jpg
Road blocked by rubble


Road shift and snake, constantly appearing and evaporating. We head, rocking and trailing a plume of dust toward a rubble bottle-neck and all of us gasp as a man calmly wheelbarrows his way into the already too-narrow, two-rut track. There's a hill behind the man and, as our driver brakes into a slight fishtail, we see an SUV headed toward us, the man now centered between two on-rushing vehicles. Even as the cry goes up - voices yell, horns toot, and our group begins a collective wail - he calmly lifts the handles of his rustbarrel to dump the entire boulder-piled load right in the middle of the two-rut gap. Vehicles squeal, we lurch forward against the benches in front of us, dust billows into us from behind and we see him calmly shake the last pebbles loose, turn away and head off to get another load, the situation having now taken on Saturday-morning-cartoon extremeness. After the instant-drenched sweat, heart-stopping fear, people are angry. What was he thinking? How are we going to get through NOW? We're supposed to be there soon. Cars and buses jerked and filled both lanes behind us as vehicles jockeyed to get ahead.

Horned blared and voices gwen-gwenned angry Creole phrases. It would be wrong to say the widened street behind us had become a parking lot. Parking lots are ordered tiles of vehicles. This was a mosaic of cars, mortared into place. There was no way in hell we could back up and turn around now.

Posted By: Doc Gurley (Email) | February 22 2010 at 09:24 AM



Much more: http://www.sfgate.com/cgi-bin/blogs/gurley/detail?blogid=114&entry_id=57667#ixzz0gNK8cJ1n
 
Re: Haiti: Things Shifts

Update From Haiti: Despair Sets In And Women Consider Suicide


February 23rd, 2010 by drval in Audio, Expert Interviews, News


Dr. Jan Gurley just returned from a mission trip to Haiti, 5 weeks after the earthquake hit. In this audio clip, she relays a horrific first-hand account of the current realities of life in Port Au Prince.

With no running water, bathrooms, or place to shelter - and packed into a field with 100,000 people - some young women are choosing to stop drinking water in an effort to commit suicide.

Dr. Gurley describes the loss of human dignity associated with the crisis in Haiti, including a near stampede when sanitary napkins were offered in a crowd of women. She explains that the place is becoming dangerous - and the screams of women being raped in the night fill the dark air. In the day time, people huddle together for safety while the stench of rotting corpses surrounds them. With the rainy season approaching, and tent cities perched precariously on land-slide prone hills, Dr. Gurley predicts a second wave of disease, violence, despair, and death in Haiti.

Listen to the interview at:


http://getbetterhealth.com/update-from-haiti-despair-sets-in-and-women-consider-suicide/2010.02.23
 
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