Disease stalks Yemen as hospitals, clinics devastated by war

LONDON (Thomson Reuters Foundation) – More than half of war-battered Yemen’s hospitals and clinics are closed or only partially functioning, the World Health Organization (WHO) said on Monday, warning a lack of adequate health services was increasing the risk of disease outbreaks.

Only 45 percent of 3,507 health facilities surveyed by WHO were fully functional and accessible, while more than 40 percent of districts faced a “critical” shortage of doctors, WHO said.

“These critical shortages in health services mean that more people are deprived of access to life-saving interventions,” WHO said in a statement.

“Absence of adequate communicable diseases management increases the risk of outbreaks such cholera, measles, malaria and other endemic diseases.”

The 18-month-old conflict between a Saudi Arabia-led coalition and the Iran-aligned Houthi group which controls much of northern Yemen has destroyed much of Yemen’s infrastructure, killed more than 10,000 people and displaced millions.

UNICEF says the humanitarian disaster in the country has left 7.4 million children in need of medical help and 370,000 at risk of severe acute malnutrition.

Yemen’s Health Ministry announced a cholera outbreak in early October in the capital Sanaa. By the end of the month, WHO said the number of suspected cholera cases had ballooned to more than 1,400.

In 42 percent of 276 districts surveyed by WHO there were only two doctors or less, while in nearly a fifth of districts there were none.

WHO said new mothers and their babies lacked essential ante-natal care and immunization services, while people suffering from acute or chronic conditions were forced to spend more on treatment or forgo treatment altogether.

(Reporting by Magdalena Mis; Editing by Ros Russell)

Is Haiti forgotten? Where is the media? They need our help!

Residents ask for food at the end of a food distribution after Hurricane Matthew in Saint Jean du Sud, Haiti,

By Kami Klein

A Picture. Hopefully for Haiti, it takes only one in this world of media, where the fight to grab the attention of the public shifts in seconds.  

Only a few weeks ago, as Hurricane Matthew made a direct hit on the poor country of Haiti, the news organizations were covering the devastation every hour and prayers were said around the world.  Now, there is an eerie silence in that same media for the Haitian people.

Over 90% of their homes are destroyed. All of their crops annihilated. Drinking water is slowly becoming poison.  There is no electricity and very little protection from the elements.  So many areas in Haiti are impossible to get to because of the damage.  Food is being airdropped but no one really knows the fate of these people shut off from medical help and the basic needs for life.  

Whether it is politically motivated or perhaps just the hunger for new stories to bring ratings in the media outlets, Haiti is already forgotten and the tragedy for these people  is only beginning.  

We will not forget the people of Haiti.

Thanks to Gary Heavin, founder and former CEO of the fitness chain Curves, producer and actor and a remarkable friend to this ministry, we are able to truly be of assistance. Gary has been on the ground and in the air helping Haiti.  He is one of the few that owns a cargo plane that can get to these remote places and has been tirelessly distributing the food and water filtration as well as solar flashlights and other necessities to these desperate people.  We KNOW that what we are sending is getting to those that really need it!   

We ask you to pray for Haiti and for those amazing people who are there in a great time of need!  We are also asking for your help!  It is through your donations that these emergency items for Haiti are possible. If you wish to help Haiti, please see the link below!   

 

Haiti Hurricane Relief

Yemen’s suspected cholera cases soar to 1,410 within weeks

A nurse checks a boy at a hospital intensive care unit in Sanaa, Yemen

GENEVA (Reuters) – The number of suspected cholera cases in Yemen has ballooned to 1,410 within three weeks of the outbreak being declared, the World Health Organization said on Friday, as 18 months of war has destroyed most health facilities and clean water supplies.

Yemen’s Health Ministry announced the outbreak on Oct. 6 in Sanaa city, and by Oct. 10 the WHO said there were 24 suspected cases. The following day, a WHO official in Yemen said there was “no spread of the disease”.

But on Friday, WHO spokesman Tarik Jasarevic told a Geneva news briefing that as of Thursday there were 1,410 suspected cholera cases in 10 out of Yemen’s 23 governorates – mostly in Taiz, Aden, Lahj, Hodeida and Sanaa.

The conflict between a Saudi Arabia-led coalition and the Iran-aligned Houthi group which controls much of northern Yemen, including Sanaa, has destroyed much of Yemen’s infrastructure, killed more than 10,000 people and displaced millions.

A girl holds her sister outside their family's hut at the Shawqaba camp

A girl holds her sister outside their family’s hut at the Shawqaba camp for internally displaced people who were forced to leave their villages by the war in Yemen’s northwestern province of Hajjah March 12, 2016. REUTERS/Abduljabbar Zeyad

Cholera is only one risk in Yemen’s war but a rapid advance of the disease would add a new dimension to the humanitarian disaster which UNICEF says has left 7.4 million children in need of medical help and 370,000 at risk of severe acute malnutrition.

WHO said on Wednesday that only 47 of the suspected cases had tested positive for cholera and the outbreak had spread beyond the capital to nine other governorates.

Children under 10 accounted for half of the cases with six deaths from cholera and 36 associated deaths from acute watery diarrhea, the WHO said in the Oct. 26 report.

Although most suffers have no symptoms or mild symptoms that can be treated with oral rehydration solution, in more severe cases the disease can kill within hours if not treated with intravenous fluids and antibiotics.

(Reporting by Tom Miles and Stephanie Nebehay; Editing by Louise Ireland)

Cholera outbreak spreading in Yemen

Boy lies on a bed at a hospital where he is receiving treatment for cholera amid confirmation by the UNICEF and the World Health Organization of an outbreak of the epidemic in Sanaa, the capital of Yemen

SANAA (Reuters) – More cases of cholera have been registered in the Yemeni capital Sanaa, a World Health Organization (WHO) official said on Tuesday.

The United Nations first reported the cholera outbreak on Friday.

“The number of cases has increased from five to 11 people,” WHO official Omar Saleh told a news conference in Sanaa.

Medics were working to curb the epidemic, which has yet to claim any deaths or spread beyond the capital, he said.

Thousands of families fleeing Yemen’s war are living in camps outside Sanaa, where conditions could lead to the spread of cholera, including through contaminated food or water.

Much of the country’s infrastructure, including schools and hospitals, has been destroyed by the 18-month old conflict between a Saudi Arabia-led coalition and the Iran-aligned Houthi group which controls much of northern Yemen, including Sanaa.

Saleh said that more than half of Yemen’s health centers had ceased to operate since the start of the war after not receiving funds from the health ministry.

The conflict has killed more than 10,000 people and displaced millions, the United Nations estimates.

(Reporting by Mohamed Ghobari, Writing by Tom Finn, editing by Sami Aboudi and Angus MacSwan)

Like a nuclear bomb; cholera and destruction after hurricane in Haiti

Relatives and patients treated for cholera after Hurricane Matthew in the Hospital of Port-a-Piment, Haiti,

By Gabriel Stargardter

PORT-A-PIMENT, Haiti (Reuters) – Patients arrived every 10 or 15 minutes, brought on motorcycles by relatives with vomit-covered shoulders and hoisted up the stairs into southwest Haiti’s Port-a-Piment hospital, where they could rest their weak, cholera-sapped limbs.

Less than a week since Hurricane Matthew slammed into Haiti, killing at least 1,000 people according to a tally of numbers from local officials, devastated corners of the country are facing a public health crisis as cholera gallops through rural communities lacking clean water, food and shelter.

Reuters visited the Port-a-Piment hospital early on Sunday morning, the first day southwestern Haiti’s main coastal road had become semi-navigable by car.

At that time, there were 39 cases of cholera, according to Missole Antoine, the hospital’s medical director. By the early afternoon, there were nearly 60, and four people had died of the waterborne illness.

“That number is going to rise,” said Antoine, as she rushed between patients laid out on the hospital floor.

Although there were 13 cases of cholera before Matthew hit, Antoine said the cases had risen drastically since the hurricane cut off the desperately poor region.

The hospital lacks an ambulance, or even a car, and Antoine said many new patients were coming from miles away, carried by family members on camp beds.

Inside the hospital, grim-faced parents cradled young children whose eyes had sunk back and were unable to prop up their own heads.

“I believe in the doctors, and also in God,” said 37-year-old Roosevelt Dume, holding the head of his son, Roodly, as he tried to remain upbeat.

RUBBLE

Out on the streets, the scene was also shocking. For miles on end, almost all the houses were reduced to little more than rubble and twisted metal. Colorful clothes were littered among the chaos.

The region’s banana crop was destroyed with vast fields of plantain flattened into a leafy mush. With neither government or foreign aid arriving quickly, people relied on felled coconuts for food and water.

The stench of death, be it human or animal, was everywhere.

In the village of Labei, near Port-a-Piment, locals said the river had washed down cadavers from villages upstream. With nobody coming to move the corpses, residents used planks of driftwood to push them down the river and into the sea.

Down by the shore, the corpse of one man lay blistering in the sun. A few hundred meters to his left in a roadside gully, three dead goats stewed in the toxic slime.

“It seems to me like a nuclear bomb went off,” said Paul Edouarzin, a United Nations Environmental Program employee based near Port-a-Piment.

“In terms of destruction – environmental and agricultural – I can tell you 2016 is worse than 2010,” he added, referring to the devastating 2010 earthquake from which Haiti has yet to recover.

Damaged houses are seen after Hurricane Matthew passes in Jeremie, Haiti,

Damaged houses are seen after Hurricane Matthew passes in Jeremie, Haiti, October 9, 2016. REUTERS/Carlos Garcia Rawlins

Diarrhea-stricken residents in the village of Chevalier were well aware of the nearby cholera outbreak, but had little option except to drink the brackish water from the local well that they believed was already contaminated by dead livestock.

“We have been abandoned by a government that never thinks of us,” said Marie-Ange Henry, as she surveyed her smashed home.

She said Chevalier had yet to receive any aid and many, like her, were coming down with fever. Cholera, she feared, was on its way.

Pierre Moise Mongerard, a pastor, was banking on divine assistance to rescue his roofless church in the village of Torbeck. In his Sunday best – a sports coat, chinos and brown leather shoes – he joined a small choir in songs that echoed out into the surrounding rice fields.

“We hope that God gives us the possibility to rebuild the Church and help the victims here in this area,” he said, before the music seized him, and he slowly joined in the chant, closing his eyes and turning his palms up toward the sky.

(Editing by Frank Jack Daniel and Kieran Murray)

HELP FOR HAITI

Hurricane Matthew toll in Haiti rises to 1000, dead begin buried in mass graves

Destroyed houses are seen after Hurricane Matthew passes in Corail, Haiti

By Joseph Guyler Delva

PORT-AU-PRINCE (Reuters) – Haiti started burying some of its dead in mass graves in the wake of Hurricane Matthew, a government official said on Sunday, as cholera spread in the devastated southwest and the death toll from the storm rose to 1,000 people.

The powerful hurricane, the fiercest Caribbean storm in nearly a decade, slammed into Haiti on Tuesday with 145 mile-per-hour (233 kph) winds and torrential rains that left 1.4 million people in need of humanitarian assistance, the U.N. Office for the Coordination of Humanitarian Affairs said.

A Reuters tally of numbers from local officials showed that 1,000 people were killed by the storm in Haiti, which has a population of about 10 million and is the poorest country in the Americas.

The official death toll from the central civil protection agency is 336, a slower count because officials must visit each village to confirm the numbers.

Authorities had to start burying the dead in mass graves in Jeremie because the bodies were starting to decompose, said Kedner Frenel, the most senior central government official in the Grand’Anse region on Haiti’s western peninsula.

Frenel said 522 people were killed in Grand’Anse alone. A tally of deaths reported by mayors from 15 of 18 municipalities in Sud Department on the south side of the peninsula showed 386 people there. In the rest of the country, 92 people were killed, the same tally showed.

Two girls play amid the rubble after Hurricane Matthew in a street of Port-a-Piment, Haiti,

Two girls play amid the rubble after Hurricane Matthew in a street of Port-a-Piment, Haiti, October 9, 2016. REUTERS/Andres Martinez Casares

Frenel said there was great concern about cholera spreading, and that authorities were focused on getting water, food and medication to the thousands of people living in shelters.

Cholera causes severe diarrhoea and can kill within hours if untreated. It is spread through contaminated water and has a short incubation period, which leads to rapid outbreaks.

Government teams fanned out across the hard-hit southwestern tip of the country over the weekend to repair treatment centres and reach the epicentre of one outbreak.

(Reporting by Joseph Guyler Delva; Writing by Christine Murray; Editing by Diane Craft and Paul Tait)

‘We have nothing to survive on;’ desperation as Haiti toll hits over 400

People try to rebuild their destroyed houses after Hurricane Matthew passes Jeremie, Hait

By Makini Brice and Joseph Guyler Delva

LES CAYES, Haiti/PORT-AU-PRINCE (Reuters) – The number of people killed by Hurricane Matthew in Haiti rose rapidly into the hundreds on Thursday, mainly in villages making contact with the outside world days after the cyclone ripped through the impoverished nation’s picturesque western peninsula.

With the numbers rising quickly, different government agencies and committees differed on the total death toll. A Reuters tally of deaths reported by civil protection officials at a local level showed the storm killed at least over 400 people.

“Several dozen” were killed in the coastal town of Les Anglais in Sud Department, said Louis Paul Raphael, the central government’s representative in the region. Inland in nearby Chantal, the toll rose to 90 late in the evening, the town’s  mayor said.

People wash their clothes in front of their partially destroyed houses after Hurricane Matthew passes

People wash their clothes in front of their partially destroyed houses after Hurricane Matthew passes Jeremie, Haiti, October 6, 2016. REUTERS/Carlos Garcia Rawlins

In 2010, a magnitude 7 earthquake wrecked Port-au-Prince, killing upward of 200,000 people. However, the impact of this tragedy, has been felt most in a remote but populated region, far from the capital’s support.

“We have nothing left to survive on, all the crops have gone, all fruit trees are down, I don’t have a clue how this is going to be fixed,” said Marc Soniel Noel, the deputy mayor of Chantal.

Matthew is the strongest hurricane in the Caribbean since Felix in 2007 and was closing in on Florida as a Category 4 cyclone, the second strongest on the Saffir–Simpson hurricane wind scale. Four people were killed over the weekend in the Dominican Republic, which shares the island of Hispaniola with Haiti.

The devastation in Haiti prompted authorities to postpone a presidential election scheduled for Sunday.

Many victims were killed by falling trees, flying debris and swollen rivers when Matthew hit on Tuesday with winds of 145 miles per hour (230 kph).

Most of the fatalities were in towns and fishing villages around the western end of Tiburon peninsula in Haiti’s southwest, a region of white Caribbean beaches and rivers backed by hills.

The storm passed directly through the peninsula, driving the sea inland and flattening homes on Monday and Tuesday.

People gather next to a collapsed bridge after Hurricane Matthew passes Petit Goave, Hait

People gather next to a collapsed bridge after Hurricane Matthew passes Petit Goave, Haiti, October 5, 2016. REUTERS/Carlos Garcia Rawlins

FLEEING IN PANIC

Les Anglais was the first to be hit by Matthew and has since been out of contact. The mayor told Reuters just before the storm hit that people were fleeing their houses in panic as the sea surged into town.

A few miles south in Port-a-Piment village, Mayor Jean-Raymond Pierre-Louis said 25 people were killed. Another 24 were killed in the village of Roche-a-Bateau further south.

In Grand Anse Department, also on the storm’s destructive path but on the other side of the peninsula, 38 more lost their lives.

Earlier on Thursday, a meeting of emergency workers including representatives from the government, the United Nations and international aid agencies said 283 had been killed. Reuters attended the meeting.

In one public hospital in Les Cayes, a coffee and vetiver exporting port on Haiti’s Tiburon peninsula, most doctors had not shown up to work since they took shelter as the storm hit. Food and water were scarce in shelters.

Poverty, weak government and precarious living conditions for many of its citizens make Haiti particularly vulnerable to natural disasters. International aid has at times made things worse.

Following the 2010 earthquake, U.N. peacekeepers inadvertently introduced cholera to Haiti, killing at least 9,000 people and infecting hundreds of thousands more.

The Pan American Health Organization said on Thursday it was preparing for a possible cholera surge in Haiti after the hurricane because flooding was likely to contaminate water supplies.

In Les Cayes’ tiny airport, windows were blown out and the terminal roof was mostly missing, although the landing strip was not heavily damaged.

“The runway is working. In the hours and days to come, we can receive humanitarian flights,” said Sergot Tilis, the information officer and runway agent for the airport.

(Reporting by Makini Brice and Joseph Guyler Delva; Writing by Frank Jack Daniel; Editing by Paul Tait)

Cholera Outbreak Threatening World’s Largest Refugee Camp

A cholera outbreak is sweeping through the largest refugee camp in the world.

Doctors Without Borders, a medical charity, reported that seven people have died in Dadaab since the debilitating diarrhoeal disease first hit the Kenyan settlement back on November 23.

In a news release, the doctors said the disease has sickened more than 540 Dadaab residents in all, and doctors built a dedicated treatment center for cholera patients. Doctors said they have seen about 307 in the past three weeks, about 30 percent of whom were children less than 12.

According to the World Health Organization, an arm of the United Nations, cholera is a bacterial disease that can kill within hours if it isn’t treated. The disease is usually transmitted through contaminated food or water, and is fueled by poor hygiene. Refugee camps are particularly at risk for outbreaks because their residents often lack access to clean water and proper sanitation.

Doctors Without Borders reported that funding cuts have accelerated the outbreak, as Dadaab hasn’t received any soap in two months and there aren’t enough latrines for its residents. More than 330,000 refugees live there, according to the United Nations Refugee Agency. The doctors worry seasonal rains could lead to more cases, as the weather has already exacerbated the issue.

“After each heavy rain, we see an increase of patients in our treatment (center),” Charles Gaudry, the head of Doctors Without Borders’ mission in Kenya, said in a statement.

Doctors Without Borders said its staff is working to educate the refugees about cholera and decontaminating the living spaces of infected patients, but called for more long-term solutions and improvements at Dadaab, which is located near Kenya’s eastern border with Somalia.

“The fact that this outbreak has occurred further highlights the dire hygiene and living conditions in the camp and a lack of proper long-term investment in sanitation services,” Gaudry said in a statement.