Category Archives: Water-related diseases

Haiti: lack of proper sanitation is real cause of cholera outbreak, Clinton says

Woman at Leogane camp saying the latrines behind her are full and smell foul. Photo credit: Haiti Grassroots Watch

Haiti should focus on stemming the cholera outbreak that has killed more than 7,000 people since 2010, rather than on levying blame against the source of the disease, UN special envoy to Haiti, Bill Clinton, said. While studies have suggested that the cholera came from a Nepalese soldier serving as a peacekeeper, Clinton pointed out that the country’s lack of proper sanitation was the real cause of the outbreak. [1]

In November 2011, the Boston-based Institute for Justice and Democracy in Haiti (IJDH) filed a demand for hundreds of millions of dollars in compensation from Haitian cholera victims. [2]

Money to empty refugee camp toilets has run out

Clinton’s own foundation, together with UNICEF and USAID, supplied some 11,000 mobile toilets for the refugee camps that emerged after the 2010 Haiti earthquake. The NGOs that distributed the toilets and paid for them to be emptied are now pulling out one by one, leaving overflowing toilets behind, according to an IPS report. [3]

Donor funds are being used to set up excreta treatment centres, one is now in operation in Morne-à-Cabri while a second centre is planned for Titanye, but these are not servicing the remaining refugee camps, home to nearly half a million people.

Related news:

  • Haiti: study suggests UN force source of cholera strain that killed 5,500 people, E-Source, 15 Jul 2011
  • Humanitarian crises and sustainable sanitation: lessons from Eastern Chad, Sanitation Updates, 16 Mar 2012

Related web sites:

Sources:

  • [1] AP, Former President Clinton urges officials to stem Haiti cholera outbreak, Washington Post, 07 Mar 2012
  • [2] Haiti: cholera victims demand UN compensation, Sanitation Updates, 09 Nov 2011
  • [3] Phares Jerome and Valery Daudier, Money for cleaning toilets in Haiti down the drain? – Part 1, IPS, 07 Mar 2012

Haiti: cholera victims demand UN compensation

The United Nations has been hit with a demand for hundreds of millions of dollars in compensation from Haitian cholera victims.

The Boston, USA-based Institute for Justice and Democracy in Haiti (IJDH) filed the demand on behalf of some 5,000 victims.

IJDH is demanding US$ 50,000 in compensation for each sick person and US$ 100,000  for each death. In addition, it wants a public apology and an adequate nationwide response – including medical care and clean water and sanitation infrastructure.

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Study suggests UN force brought cholera to Haiti

Evidence “strongly suggests” that a United Nations peacekeeping mission brought a cholera strain to Haiti that has killed thousands of people, a study by a team of epidemiologists and physicians says.

The study is the strongest argument yet that newly-arrived Nepalese peacekeepers at a base near the town of Mirebalais brought with them the cholera, which spread through the waterways of the Artibonite region.

The disease has killed more than 5,500 people and sickened more than 363,000 others since it was discovered in October 2010, according to the Haitian government.

“Our findings strongly suggest that contamination of the Artibonite (river) and 1 of its tributaries downstream from a military camp triggered the epidemic,” said the report in the July 2011 issue of the CDC journal Emerging Infectious Diseases.

In an email to Associate Press (AP), U.N. mission spokeswoman Sylvie Van Den Wildenberg didn’t comment on the findings of the journal article, referring only to a study released in May by a U.N.-appointed panel.

The article published in the CDC journal comes as health workers in Haiti wrestle with a spike in the number of cholera cases brought on by several weeks of rainfall. The aid group Oxfam said earlier this month that its workers were treating more than 300 new cases a day, more than three times what they saw when the disease peaked in the fall.

The CDC journal article comes as health workers in Haiti wrestle with a spike in the number of cholera cases brought on by several weeks of rainfall. Oxfam said earlier that its workers were treating more than 300 new cases a day, more than three times what they saw when the disease peaked in the fall of 2010.

The new study argues it is important for scientists to determine the origin of cholera outbreaks and how they spread in order to eliminate “accidentally imported disease.” Figuring out the source of a cholera epidemic would help health workers better treat and prevent cholera by minimizing the “distrust associated with the widespread suspicions of a cover-up of a deliberate importation of cholera.”

Read the full article
Piarroux, R. [et al.] (2011). Understanding the cholera epidemic, Haiti. Emerging infectious diseases ; vol. 17, no. 7 ; p. 1161-1167. DOI:10.3201/eid1707.110059

Source: Jonathan M. Katz, AP, 29 Jun 2011

Dominican Republic: Tourism sector takes strict measures against cholera, top hotelier says

Hotels and Tourism Association (Asonahores) spokesman Arturo Villanueva said in Santo Domingo last Sunday 29 May that his sector has adopted all the necessary control measures of international standards to prevent cholera in the country’s tourism regions and that they are on high alert.

Villanueva said the tourism sector is calm because it’s a wide ranging and efficient operation, including a prevention program in the handling of foods to newspaper Hoy in an interview. Continue reading

Haiti: UN panel reports on source of cholera outbreak

The cholera outbreak that has so far killed 4,888 people in Haiti was caused by a strain “very similar but not identical” to current South Asian strains, a U.N. independent panel of experts said. The source of the outbreak was due to contamination of the Meye Tributary of the Artibonite River, used by tens of thousands of people for washing, bathing, and drinking.

Many people in Haiti blamed the epidemic on U.N. peacekeepers from Nepal, who had been accused of poor sanitation at their base near Mirebalais, the town where the epidemic first began. In November 2010, this lead to violent protests against the UN peacekeeping forces. Others believed that the outbreak was linked to voodoo. More than 50 voodoo followers have been killed since the outbreak of cholera following accusations that they spread the disease with occult power. However, U.N. panel declined to point the finger at any single group for the outbreak, saying it was the result of a “confluence of circumstances”.

“The introduction of this cholera strain as a result of environmental contamination with faeces could not have been the source of such an outbreak without simultaneous water and sanitation and health-care system deficiencies,” the report concludes.

The UN panel of experts provides several recommendations to the U.N. and the Haitian government including:

  • UN staff and other relief workers travelling from cholera-endemic areas should either receive a prophylactic dose of appropriate antibiotics before departure or be screened for cholera strains
  • UN peacekeeping missions operating in areas with cholera outbreaks should ensure that staff be immunized with oral vaccines, receive prophylactic antibiotics, or both,
  • the UN should install and supervise their own on-site sanitation systems that inactivate pathogens before disposal
  • the Haitian Government and the UN should prioritise investing in piped, treated drinking water supplies and better sanitation throughout the country; and until this can be put in place, they should promote household water treatment, hand washing with soap, and the safe disposal of faecal waste.

Read the full report of the UN Independent Panel of Experts on the Cholera Outbreak in Haiti.

According to estimates from the Health and WASH Clusters, US$ 39.38 million is still neededto respond to essential needs of the cholera response in the areas of Water, Sanitation and Hygiene (WASH) and health. This unfunded requirement is part of the general US$ 175 million cholera appeal which is so far 48 per cent funded, according to the latest UN Humanitarian Bulletin for Haiti.

Source: UN News Centre, 04 May 2011 ; AP / New York Times, 04 May 2011 ; Evelyn Leopold, Huffington Post, 05 May 2011 ;   Reliefweb, 07 May 2011 ; Rory Carroll, Guardian, 18 Nov 2010

Dominican Republic: Nine Cholera Cases

Dominican Republic (orthographic projection).

Image via Wikipedia

The number of cases of cholera rose to nine in Dominican Republic, according to the authorities after the detection of two more people in the northern province of Santiago.

They are an 11-month-old girl and a man of 25, both Haitians, said Public Health Minister Bautista Rojas Gomez to reporters. “Both the infant and the man are in “stable” condition and have been hospitalized, said the minister. Continue reading

Haiti: hygiene promotion is key to preventing nationwide cholera epidemic, says Save the Children as death toll passes 900

As the death toll from Haiti’s cholera epidemic reached 917 on 12 November 2010, Save the Children says the best way to reduce the disease’s spread is to arm people with information and supplies to improve hygienic practices.

Cholera has reached the capital Port-au-Prince, where 27 deaths have been recorded and over 1.3 million earthquake survivors living in tent camps are at risk. Throughout the country 14,600 cholera victims have been hospitalised.

The United Nations forecasts up to 200,000 Haitians could contract cholera as the outbreak extends across the country of nearly 10 million, and says $163.9 million in aid is needed over the next year to combat the epidemic.

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Haiti: unarmed in the fight against cholera, death toll passes 500

Cholera poster Haiti

Cholera prevention poster in Haiti. In reality clean water, sanitation and nearby health clinics are absent in most rural communities. Photo: PAHO

Safe water and sanitation, vital tools to combat the current cholera epidemic, are absent in most communities in Haiti, reports IRIN. The death toll rose to 501 on 6 November 2010, up from 442 on 3 November, and hospitalisations for cholera totaled 7,359, up from 6,742.

Haiti is one of the few countries in the world where both urban and rural sanitation coverage has steadily decreased between 1990 and 2008, according to the WHO / UNICEF Joint Monitoring Programme (JMP) for Water Supply and Sanitation (WHO/UNICEF, March 2010).

Historical legacies of inequality, corruption, and extreme poverty all contribute to the Haitian government’s systemic inability to deliver safe water and sanitation.

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Haiti: Cholera outbreak slowing

(From source) This cholera patient is drinking...

Image via Wikipedia

Although more than 3,000 people have been infected, health officials affirm there are signs that the cholera outbreak in central Haiti may be stabilising.

Officials indicate that the disease is a serious threat to the 1.3 million survivors of January’s earthquake who are living in tented camps surrounding the city.

The poor sanitary conditions make them vulnerable to cholera, which is caused by bacteria transmitted through contaminated water or food.

The director general of Haiti’s health department, Gabriel Thimote, said yesterday (24.10.2010) that the number of people who had died in the outbreak was rising, but more slowly than during the previous 24 hours.

“We have registered a diminishing in numbers of deaths and of hospitalised people in the most critical areas,” he told reporters.

“The tendency is that it is stabilising, without being able to say that we have reached a peak,” he added.

Haitian officials said more households were following advice on drinking clean water and taking care with personal hygiene.

 Source: BBC News Latin America & Caribbean, 25 October 2010

Mexico: farmers fear loss of “free fertilizer” when wastewater treatment plant is built

For over 100 years farmers in Hidalgo State use “the black waters” (wastewater) from Mexico City to irrigate their land.

So when word got out that the government was finally going to build a giant wastewater treatment plant, one might have expected the farmers around here to be excited. Instead, they were suspicious.

“Without that water, there is no life, “ said Gregorio Cruz Alamilla, 60, who has worked his family’s 12-acre farm since he was a boy.

Mr. Cruz knows the water is loaded with toxic substances, including chemicals dumped by factories, and he tires of clearing his field of plastic bottles and wrappings every time he irrigates.

But like many others here, he worries that treating the water, though it may remove harmful contaminants, will also strip away some of the natural fertilizers that even the authorities here say have helped make this valley so productive. And despite the government’s assurances, the farmers here suspect the worst: that once the water is treated, it will be pumped back to Mexico City, leaving the farms dry.

Farmer using “the black waters” for irrigation in Mezquital Valley. Photo: Janet Jarman, New York Times. Janet Jarman, New : :

Wastewater reuse for irrigation is common throughout the developing world, but nowhere on the scale of Mezquital Valley with its 350 square miles (906 square kilometres) of irrigated fields.

But now, Mexico City (pop. 20 million) is building a stormwater drainage system and treatment plant to deal with the growing problem of flooding during the rainy season.

“It was a predictable problem, but we never paid enough attention to it,” said Ernesto E. Espino de la O, who manages the treatment and water supply project for the National Water Commission. A collapse of the crumbling system, warned one study from Mexico’s National Autonomous University of Mexico, would be catastrophic, flooding large parts of the city.

Engineers have started to construct a 38.5-mile (62 km) drainage tunnel that will transport stormwater to the town of Atotonilco, where a wastewater treatment is plant is planned.

The plant, which is budgeted to cost $1 billion and will begin operating in 2012, will clean 60 percent of the city’s wastewater. The water commission’s measurements show that the water is laced with heavy metals like lead and arsenic, filled with high levels of pathogens and parasites, and weighed down by grease.

But the farmers “are worried that the treatment plant will take out the nutrients, that the water will go back to Mexico City and that it will be privatized,” said Filemón Rodríguez Castillo, the director of the main irrigation district here. “The water is very much appreciated here, independent of the fact that it smells so ugly, that it stinks.”

One of his jobs is to persuade local residents that even though the residents of Mexico City will have to pay to have their water treated, they will not get it back.

The main benefit of irrigating with clean water, he has told them, is that they will be able to grow many kinds of vegetables, which are now restricted to protect consumers from illness.

Officials here now direct farmers not to grow crops in which the edible part comes into contact with the irrigation water and is eaten raw, ruling out vegetables like lettuce, carrots or beets. Alfalfa is permitted because it is used as animal feed. But enforcement is spotty and the farmers abide by an elastic interpretation of the regulations, planting broccoli and cauliflower, for example.

To the farmers here, whose sturdy opinions match their surprisingly good health, the proof that their water is good is in what they see around them. “Plants won’t absorb poison; they would die,” said Jesús Aldana Ángeles, a 75-year-old fifth-generation farmer, who was watching his small flock of sheep munch on the remains of his harvested alfalfa field. “There is no better laboratory than the ground. The earth absorbs everything. It purifies it, it treats it.”

Read more about wastewater irrigation read “Wastewater irrigation and health : assessing and mitigating risk in low-income countries”.

Related web site: WHO – Safe use of wastewater, excreta and greywater

Source: Elisabeth Malkin, New York Times, 04 May 2010