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EPIDEMICS
Cholera expected to spread to tent cities in Haitian capital

by Staff Writers
Saint Marc, Haiti (AFP) Oct 28, 2010
Officials warn that Haiti's cholera epidemic that has claimed almost 300 lives has yet to peak, and that authorities should prepare for the disease to spread to the capital and its squalid tent cities.

A total of 4,147 people were being treated for the disease, said the head of Haiti's health department Gabriel Thimote, while eight new fatalities brought the death toll Wednesday to 292.

The World Health Organization (WHO) warned the outbreak was far from over and Haiti should prepare for the disease to hit its capital Port-au-Prince, which is teeming with tent cities after January's catastrophic earthquake.

"We cannot say it is contained," WHO's cholera chief, Claire-Lise Chaignat, told journalists in Geneva.

"I think we haven't reached the peak," she said, recommending that Haitian authorities prepare for the "worst case scenario" -- cholera in the capital.

The acute intestinal infection is caused by ingesting food or water contaminated with the Vibrio cholerae bacteria, which is thought to have infected the Artibonite River, a major artery that runs through Haiti to the coast near Saint Marc -- the outbreak's epicenter, located some 60 miles (100 kilometers) north of Port-au-Prince.

Although easily treated, cholera has a short incubation period -- sometimes just a few hours -- and causes acute watery diarrhea that can quickly lead to severe dehydration and death.

Some 1.3 million people displaced by the 7.0 earthquake on January 12 are still crammed into thousands of makeshift camps. Aid agencies fear cholera could spread like wildfire in such conditions.

Fear of the disease is turning to anger, as Haitians begin to blame foreign aid workers and peacekeepers for the Caribbean nation's first ever outbreak of cholera.

Rumors have swirled this week that Nepalese troops with the UN peacekeeping mission in Haiti (MINUSTAH) were the source of the outbreak.

The mission rushed to deny the claims, insisting the mission "uses seven septic tanks" situated far away from the Artibonite River.

The installation of a vital treatment center in Saint Marc, meanwhile, had to be halted after some 300 residents confronted doctors and aid workers.

Fueled by fear the facility would spread cholera to two nearby schools, Saint Marc residents hurled stones at medical workers of the international medical agency Doctors Without Borders (MSF).

The specialized treatment center was being set up outside the overwhelmed St Nicolas hospital here, where some 800 patients are already being treated with hundreds of new cases arriving each day, officials said.

Argentine troops with MINUSTAH moved in, stopped the protest, and then oversaw the dismantling of the facility.

"It was a big misunderstanding," Haitian doctor Yfto Maquette told AFP in the hospital's chaotic courtyard overflowing with patients who were supposed to have been moved to the new facility.

"The fact that we don't have the center is stopping us from effectively treating people," said an MSF official who declined to be named.

"We need to get the message out that cholera is a disease that we are very experienced in treating," he said.

Maquette pointed out there was still need for basic response tools for the crisis, saying the medical team "only has one ambulance to bring people into the hospital."

"The fact that we are seeing fewer severe cases is positive," said Federica Nogarotto, the MSF field coordinator in Saint-Marc. The group has eight facilities open to treat cholera infections in the region.

"It suggests that people are taking precautions and that there is a greater understanding in the community of the need to maintain strict hygiene and to seek medical assistance at the first sign of symptoms."

Among the young patients at the St. Nicholas hospital was four-year-old Jules Djelickson, who lay motionless on a cot, staring vacantly into the distance, as his mother Pacius Celette waved a grubby rag to keep flies off his face.

Asked about the MSF site being shut down, she said: "The community is scared, but they don't have a choice, we need it."

Mexico said Wednesday it has sent military cargo plane with 11 doctors and 2.2 tons of medical supplies to help tackle the cholera outbreak.

Venezuela earlier sent an airplane with a team of doctors and medicine to battle the cholera epidemic.



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EPIDEMICS
Cholera-hit Haiti told to prepare for worst as toll rises
Saint Marc, Haiti (AFP) Oct 27, 2010
Officials warned Wednesday that Haiti should prepare for the worst as hundreds more patients packed into hospitals amid a deadly cholera outbreak that has claimed almost 300 lives. A total of 4,147 people were being treated for the disease, said the head of Haiti's health department Gabriel Thimote, while eight new fatalities brought the death toll to 292. The World Health Organization ( ... read more







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