Update from Virginia

Dear Friends,

I have been here two weeks now and God has blessed me so much already!  For those of you who don’t know, I am staying at a mission just outside of Port au Prince.  The couple here, Joel and April, are going to be in the States for furlough and there is another girl here, Jessica, who has been here for three months and knows how things are to be run.  I am here to be with her and to help in the clinic.  We have gotten to know each other by now and she is a joy to work with.  We are both a little nervous about the time when April will be gone, but God will be with us.   Please keep us in your prayers.


So, the first week here, I basically just watched and learned how things work in the clinic.  I did a little wound care, and Thursday of that week we went out to a village father north.  we took along a few  meds, but basically went to visit and evangelize.  We had a good morning, and as we were walking out of the village, we saw a lady sitting under a tree.  The Pastor with us said that they have been talking to this lady and she will not give her life to Christ.  He said that she was involved in voodoo.  April asked if we could go talk to her and the lady invited us to sit down.  April started talking to her in Kreyol, and shared the Gospel with her and the lady said she understood that she needed God but could not follow Him.  She said that she owed the witch doctor a lot of money and if she didn’t pay him he would kill her.  April  told her a story about another lady in the same circumstances who decided to put her trust totally in God and rely on Him to protect her, and the witch doctor NEVER EVEN ONCE came to her about the money.  The lady we were talking to said she had to pay off her dept before she could turn to God.  April started singing a song about how are we to pay the debt we owe to God, and the lady’s nose started to bleed.  She had a cloth tied around her head that earlier she had refused to take off, it was part of her voodoo.  Well, when her nose started to bleed, she took the cloth off her head and washed her head and face.  The she got up and went into her house.  April said we would keep praying for her and that we needed to go, but the pastor said to wait a bit longer.  The lady soon came out of her house and asked if she decided to come to Christ, could she sell the tobacco she had from the witch doctor to pay off her debt.  April told her no, that if she was going to trust God, she needed to do it all the way.  The lady said ok, and went back into her house and came out with her voodoo costumes.  She said she wanted to burn them.  It was around $150 dollars worth of stuff, an there was no food on the place.  The pastor and April prayed with her, then she burned her things, she kept going back into the house and bring out little things she had used in sacrifices, a bottle, a rattle, a plate, till it was all in flames!  She was so changed!  She asked us to come into her house and pray in it.  So we did.  It was a miracle!  God still works in mighty ways!


The next week, I went with Michael and a team into the mountains for a week of clinic.  It was a good trip, and everything went smoothly.  Just as  we were ready to leave Port, one of our trucks wouldn’t start.  It took about 20 min to fix, and we were on our way.  A few minutes down the road, we passed an accident that had happened about 20 min earlier from the looks of it.  Jeriah, whose truck wouldn’t start earlier said, “There’s the accident we weren’t supposed to be in!”  God still works in little ways as well!  On this trip there was a mama who brought her son in because he was having seizures.  Michael and  couple of the team carried him home a few hours later, and at the lady’s house they were able to share the gospel.  The lady was so touched by the team carrying her  son home, she listened, and accepted Christ!  She voluntarily brought out her voodoo stuff and burnt it!  You need to realize that when people go as far as burning their voodoo stuff, they mean what they say about accepting Christ.  They might talk, but if they burn their things, it’s for real!  God is powerful!  And of His kingdom there will be no end!  We had a wonderful time, and one evening went hiking up into the mountains to visit some little boys who asked us to come to their house.  It blessed them, but it was a bigger blessing to me!  God has been so good to me in giving me the opportunity to be here!


Today we had clinic here at HGM as usual.  Just as we were getting ready to close up for the day, a mama brought in her little boy who had got his finger caught in a bicycle chain.  The end of his finger  was mangled, and the bone snapped off.  We had to sedate him, and we cleaned it up and stitched the end of his finger together.  With high-powered antibiotics, we hope it will heal up well.  We will see him in clinic for the next few days to make sure it does not get infected.


Well, that’s all for now.  Please pray for me that I would know the will of God concerning the future.  Pray also for protection and strength for Jessica and I as April is going to the States next week.  God bless you all!

For His glory,

Virginia

The State of Haiti One Year Later

As to how things are now compared to about a year ago, it would certainly depend on where you were standing. Some places, while many empty lots remain, much of the rubble has been cleared. Other places, Port-au-Prince in particular, they say only about 5% of the rubble has been cleared. In some places there are bodies yet to be recovered. There are more foreigners than ever here. Organizations from Switzerland, France, Columbia, Germany, Italy, Spain, South Korea, USA, Canada, just to name a few dot the countryside with various projects. Some help has been useful, some, not so much. Some organizations have already packed it in and gone home. Most of these orgs are not coordinated together for various reasons. One reason is that they have different ideas on how to fix things. Another is the basic and fundamental lack of a Haitian government infrastructure. Different towns are at different stages, and nobody has much going on in the way of permanent rebuilding going on yet. People are getting various types of help, but I do not see anything that resembles a new and better built Haiti rising up from the rubble at this point. It may happen down the road, but most of what we see being done at this point is labeled “temporary”. One fear that I had before, that is now being realized, is that too much help would get dumped into PAP, the capital, and draw many people who had left, back to the massively overcrowded cesspool of humanity. One hope after the earthquake and so much destruction in PAP was that maybe a decentralizing process would begin. Development outside of the capital. More roads, schools, hospitals, electricity, etc. But this has not been the emphasis yet, and there are reportedly more people living in the capital now than there were before the earthquake. Of close to 300,000 people that perished in the quake, I would guess at the very least, 230,000 were in PAP. Also there were estimates of that many more fleeing out of the capital to find refuge with relatives in the countryside and in areas not ravaged by the quake. Then came the “help”, some well planned and organized, much not so well planned. So much AID was dumped into PAP, and little by comparison was getting out to the other towns, like ours, that was also rocked in the quake, before long people began pouring back into the capital. Haiti was desperately poor before the quake and anytime you start handing out tents, food, medicine, etc., it will draw people in. Ironically, many have worked in slums to try to reduce the suffering and by that, the slum population grows because people in the mountains are nearly totally neglected. It’s a complex problem and I don’t have all the answers by any stretch, but one thing for sure is that there must be much, much, much more development outside of the capital. Ironically as well, because so much help has been given there, and so many people have flooded in from all over the country, the work gets overburdened and bogged down. There is much notably less progress in PAP than in most of the smaller towns. Our town, Petit Goave, has come a long way in clearing the rubble. Temporary homes of all shapes, colors, and sizes are everywhere. Many of our tent cities are gone now. We, Missionary Ventures, have mostly been involved in building and rebuilding permanent housing. We have several churches and a couple of schools that we are building, mostly via Haitian labor, and thus creating jobs in communities. We are still doing a lot of food distribution, and we are trying to pour more resources out in the mountains and villages that have for so long lived under a rock. Many people are at least thankful to be alive after what seemed like the end of the world. Many feel that the Lord has left them here for a reason. There is a sort of sense of destiny. So much of the destruction is still present with us, the rubble, the missing buildings and landmarks, etc, that though a year has gone by, we are still stuck on Jan 12. So, in a nutshell, what has happened in a year, everything. Some people are more miserable and destitute than ever. Some have found jobs working with NGOs. Some are hopeful. Many are just waiting to see what will happen next. Overall, as a country, the rebuilding has not begun. Before that must come the clean up and the clean up has only barely begun.

Take care and God bless……Ed Lockett

After the Earthquake

Disaster. Dreadful. Disturbing. Deadly. These were all terms used in describing the 7.0 earthquake that struck Haiti just over a year ago on January 12th, 2010. The epicenter located 10 miles southwest of the capital, Port-au-Prince, was in such proximity to the capital that it caused widespread devastation and brought all commerce to a standstill. When the dust settled and the dead were counted, 1 in 40 Haitians died and 2 out of every 9 Haitians were displaced from their homes.  We all remember the images – heaps of concrete rubble with rebar sheared like grass, bodies being pulled out of the rubble and dumped in to pits located in Titanyen just north of the capital, a fragmented national capital building, churches without roofs, children without parents, Haiti without hope.

A year ago this week, I left for Haiti as a part of  the medical disaster response from Aid For Haiti (see the website for photos and more details). My two weeks there left me profoundly changed. While more than 100,000 people eventually came to the aid of the people, the need when I was on the ground in Petit Goave was immense. We ran and directed a medical clinic there along with hundreds of individuals from other organizations who came to volunteer their time, their skills and their compassion for the people. When I was on the ground, medical emergencies were still present, but it was evident the long-term effects on the medical, social and economic infrastructure of this island country, already so dependent of foreign aid, would be severe.


Much has been made in the media of the delay in financial aid to the Haitian government. Recent figures show that fully 1 of every 5 houses affected require major repairs or demolition, while 1 out of every 4 need repairs to be made safe. Clearly the need for safe housing still exists. However, Haiti has faced two more crises since the earthquake. The cholera outbreak was initially publicized as “contained”, “sporadic”, and “rare”; however, when I was in Haiti during November treating patients in Potino with cholera (see the new videos on the website), it was evident that cholera is now epidemic, deadly (mortality of 7-9%) and will continue affect Haiti for years to come. Additionally, the political situation in Haiti continues to deteriorate as evidenced by the elections which were declared invalid by the international observer community and the surprise return of Jean-Claude “Baby Doc” Duvalier under whose torture, thousands of Haitians suffered and died.

In light of the challenges Haiti faces, it might seem to some observers that my time and work in Haiti over the past year was at best, “only one drop of good  in the sea of need”; at worst, it might seem to be wasted effort. However, as I reflect over what has taken place over the last year, and how God has taught us and used us for His glory in specific situation, I’m convinced my time was not in vain, not this year or in the years past. Despite the political, social, and medical instability of Haiti a year after its worst disaster, Aid For Haiti will continue to do what it originally began.

Aid For Haiti (AFH) began out of a desire to reach Haitians in rural, remote villages with the gospel and  medical care. That desire led to the realization that discipleship of Haitian church leaders was key in meeting these goals and the Church Leadership Training Seminars program was born. At our last board meeting, there was renewed vigor and purpose as we discussed moving forward with our plans to purchase land and to build a base for our medical ministry and personnel to use as a base for teams that continue to come from Canada and USA.

As we move forward with plans to build, know that we have not forsaken our original goal of sharing the love of Christ with the people of Haiti through compassionate health care, spiritual ministry and training for service. In the months to come, you’ll see updates regarding these goals as well as our iodine treatment program, clean water efforts and new gospel methods.

Until then, please continue to pray. Pray that God would be glorified through us as we seek to serve Him. Pray for wisdom from the Lord  for AFH regarding our future and our work in Haiti. Pray for our protection and for the safety of our friends in Haiti. Pray for us to be light and salt and that all of Haiti would see the hope found only in Jesus Christ.

-Caleb Trent

Cholera care fails to reach rural Haitians

Cholera care fails to reach rural Haitians

Nature.com – David Cyranoski – January 19, 2011


Last week, three months into Haiti’s cholera epidemic, local and

international health agencies noted with cheer the news that the number of

cholera cases in all ten of Haiti’s departments seems to have either reached

a plateau or started to fall. But there are signs that this trend should be

viewed with caution, and that a more nuanced analysis is needed that takes

into account differences in the rural and urban incidence of the disease.


For now, the undeniable success is that overall mortality rates have

continued to drop from highs of around 6% as the epidemic took hold to about

1% ‹ numbers that are more in line with mortality for outbreaks elsewhere.


And, as health agencies debate how to control a disease from which, since 21

October, 189,000 have fallen ill and roughly 3,800 have died (see ‘Cholera

vaccine plan splits experts’, many are saying that it could have been much

worse. Haiti’s slums and tent camps are squalid and overcrowded. Although it

is impossible to measure the individual effects of component medical and

infrastructure-related efforts, it looks as though the various campaigns to

battle the disease have staved off a much bigger calamity.


But the numbers hide a disturbing fact: rural areas are still experiencing

high infection and mortality rates. As of 11 January, the fatality rate in

the Southeast department bordering the Dominican Republic was 10.1%. In

Nippes, in the south of the country, it was 8.4%. By contrast, the capital

Port-au-Prince’s 0.9% rate was much lower than any of the departments.


Big divide

Port-au-Prince’s success has been the countryside’s failure. How did this

divide emerge?


The urban edge is most visible at cholera treatment centres in

Port-au-Prince. The medical charity Doctors Without Borders (MSF) runs a

centre in Martissant, one of the most dangerous slums in one of the world’s

most dangerous cities. The gangs, guns and persistent threat of violence led

the United Nations to label Martissant a “red zone”, meaning staff require

security clearance and usually an escort of peacekeeping soldiers.


On the gate outside the camp, scrawled images of a handgun, a machine gun

and a knife have been crossed out with a large red X and a roughly painted

“Weapons Forbidden”. Armed guards who, according to MSF staff, accompanied a

US Fox News crew this morning had to check in their guns at the door.


Inside, however, this is one of the calmest spots in Port-au-Prince. In

part, the tranquillity comes from the lethargy of the ill. But the facility

also has the air of a situation under control.


A steady stream of 40 to 50 people a day enter the centre. Heike

Haunstetter, an MSF doctor, shows us the two emergency tents ‹ one for

children, the other for adults ‹ along with another tent for milder or

recovering cases, and a fourth for patients about to be discharged.


Humour and hydration

In the emergency tent, nurses inject both arms of an elderly woman.

Haunstetter pinches the skin of the patient’s abdomen to show how severe

dehydration causes skin to lose its springiness.


The mortality rate here has dropped to 0.5%. “We feel things are

stabilizing, though there’s no comprehensive statistical evidence for that,”

says Haunstetter.


With a system in place, MSF now has the luxury of hiring two clowns wearing

weird glasses and quirky costumes to help make their point. The clowns sing

of hygiene and hydration, fetching glasses of water that, through humorous

exhortation, they force patients to drink.


The urban success has also been a result of efforts to improve water

quality, sanitation and hygiene. The International Organization for

Migration (IOM), for example, based in Geneva, Switzerland, has set up

oral-rehydration centres, built latrines and is sending over 170,000 litres

of water per day to the 250 most vulnerable of the country’s 1,150 camps.


“There’s even access with text messaging to people in the camps. The camps

are easy to target,” says Patrick Duigan, head of the IOM’s health division

in Haiti. The rates at which people become ill are difficult to calculate

because they are usually scored at hospitals, but there has been no dramatic

5 7% that has been seen in other countries, he says, adding that in terms of

a health threat from cholera, “there’s been no real difference between the

camps and non-camps”.


Such attention has not been possible in rural areas, says Jean-Claude

Mubalama, chief of health of the United Nations Children’s Fund (UNICEF) in

Haiti. The Congolese epidemiologist and doctor explains that some rural

areas have only one nurse for 10,000 people and that access is blocked by

mountains and rivers. Some would have to walk for four hours, crossing the

rivers, to get to the closest cholera treatment centre.


It’s not much easier for aid workers. Mubalama indicates on a map a

25-kilometre distance in the southwest. “It took me a full day just to drive

from here to here.” He points to several areas in the northwest and south.

“Nobody’s there to take care of those people,” he says.


MSF, the IOM and other organizations have made some headway, especially in

the north. But some say the situation could have been better handled. MSF,

in a report to mark the anniversary of the earthquake, censured the Pan

American Health Organization, the World Health Organization’s regional arm,

for misdirecting resources by making projections of larger caseloads

occurring in metropolitan areas.


The report reads: “Huge amounts of aid were concentrated in Port-au-Prince

while insufficient support was provided to the inexperienced health workers

battling the disease’s aggressive spread in rural areas. MSF teams found

some health centres facing shortages of life-saving oral rehydration

solution and others that had simply been shuttered.”


According to staff at the Martissant camp, doctors comment on how they have

“never saved so many lives before”. Those working in rural areas could never

make such claims. The epidemic makes for tough choices for aid workers, keen

to make the most of their resources. “People want to be where they can show

rapid results, where they can get visibility,” says Mubalama. “That is why

there are so many in the city.”

Haiti Once Had Tourists, Now it has Ghosts


“A tourist got off a plane in Port-au-Prince, told immigration officials he was Miles Graham, 35, a dentist from Omaha. The Haitians looked right past his white cap, tight woolen shirt, dark glasses and absurd phony mustache and said: ‘Welcome, Marlon Brando.’”

The Time magazine People item that ran Sept. 28, 1959, was light on intimate details. Brando was in the company of ingénue actress France Nguyen — “lush” was Time’s description of the just-turned-20 Nguyen — who was starring on Broadway in The World of Suzie Wong. A Volkswagen Beetle was rented for getting around. (That will be an eyebrow raiser for those familiar with travelling throughout Haiti.) And the couple danced to the voodoo drums at the Bacoulou nightclub.

Perhaps the tumescent atmosphere didn’t need underscoring then, back in the day when Haiti was a tourist hot spot, a rum-soaked island getaway for romantics and sun-seekers, when lovers swam naked at Kyona Beach and dined at La Picardie in Port-au-Prince, as Brando and Nguyen did.

The journalist and author Bernard Diederich added those details in his book 1959: The Year that Inflamed the Caribbean. The arrival of Cuba’s Castro had caused the U.S. administration to look more favourably upon the murderous little man leading Haiti who conjured the voodoo gods sitting in his bath wearing a black top hat: Papa Doc Duvalier, that bulwark against Communism, as the rationalizing Americans saw it. Thus began a time, Diederich wrote, “of collective denial and frozen expressions . . . as if Medusa had magically turned us all, foreigners and Haitians alike, into stone.”

Still we stare.

Is it too obvious to state, all these years later, that this curiosity of a country is unnervingly destabilizing? What you see in Haiti, an observer told me, depends on where you’re standing. As incongruous as it sounds, a main plank of the country’s economic rehabilitation platform is tourism, which thrives next door in the Dominican Republic and is all but dead in Haiti, and that was before the earthquake, and before the cholera. Where can one possibly stand to get a clear-eyed view of that?

The Royal Caribbean ocean liner is sounding the retreat from its berth at Labadie on Haiti’s north coast.

I cannot determine whether the ship is Freedom of the Seas or Liberty of the Seas or Independence of the Seas, but it sure is big, a multi-storied floating city that can accommodate more than 3,500 passengers. The Oasis of the Seas holds 6,000. Could that be she?

Some of the passengers are waving from their state-room balconies, which is nice.

Abandoned in their wake is the zip line for the adventurers, the aqua park for kids and the beach chairs from which the indolent can order the Labaduzee, the Royal Caribbean’s signature frozen rum punch.

No, I can’t tell you what the Labaduzee tastes like. The beach is off limits to regular folk, cordoned off by sky-high wire fences. When the cruise line states in its tourism literature “Only Royal Caribbean can take you there,” they mean it quite literally. The promotional materials persist in locating Labadie “on the north coast of Hispaniola” — the land mass shared with the Dominican Republic — as if the word “Haiti” would give foreigners the jim-jams.

On this side of the fence, beguilingly decrepit tin-topped water taxis are humped up on the beach. They are painted in reds and blues and yellows, a welcoming sight for wanderers open more to adventure and less to private enclaves.

We are headed to Norm’s Place, one of those guest house names that gets tipped from traveler to traveler as a place you would rather be.

There is no road to Norm’s Place.

To get to Norm’s Place you have to walk up the two-step gangplank of one of these twee boats and putt-putt into the Atlantic Ocean, heading westward, momentarily dwarfed by the Royal Caribbean behemoth and those waving stick figures. As with the city tap-taps — the converted pickups that serve as private buses — the water taxis are emblazoned with comforting affirmations. In our case, La Main du Sauver.

Norm’s Place comes into view as an ancient, low stone guest house tucked in a cove. The grounds are flowered and treed. The bedrooms are scattered in outbuildings behind the main house. Four-poster beds are dressed in mosquito netting. The doors from the main house stand open to the ocean. The sunset is blushing in shades of apricot and goes exceptionally well with a Prestige beer in its stubby brown bottle with its cheery red label.

So this is Haiti. A pretty narrative at last, thank God.

Snap out of it.

“I used to sleep here the whole night when I was 18 years old. We would go swimming at four o’clock in the morning.”

Franck Madiou is rather mournfully tipping his head toward the western reaches of the beach. One doesn’t have to look far to note that what was a stretch of virgin sand — Madiou is holding up an ’80s-era photograph against the horizon — is defiled now by concrete buildings mere steps from the water’s edge. “For me this is a paradise,” he says, staring at the snapshot. He raises his eyes to the newer reality: “That is very ugly.”

There’s the usual tale of corruption and short-term thinking and serial local politicians with pocket-fattening agendas that don’t include, say, shoreline preservation.

When he was a young lad Madiou remembers holiday trips to Port-au-Prince. It was a 2 ½-hour drive from nearby Cap-Haïtien to the capital. Today the trip takes at least six, possibly seven, hours. We flew Salsa Air, an experience that involved extended delays on the way up and, eventually, the absence of our names on the return flight manifest. Photographer Lucas Oleniuk proposed a spirited branding line for the airline: “Why fly when you can dance?”

Back to Norm. “Norm” was Norman Zarchin, an American businessman who travelled through Haiti in the ’70s. Stayed. Started dealing in mahogany masks and sculptures. Fell in love, married Franck’s mother, Angelique.

Norm’s Place is Norm and Angelique’s joint labour of love. Norm died last year. Angelique is temporarily in the U.S., so Madiou is managing the joint.

Madiou’s story-telling takes a sharp corner and goes to what anywhere else would seem an inconceivably dark place. “I was born in Cap-Haïtien . . . 1965,” he says. The time of Papa Doc. His father’s name was Captain Serge Madiou. In the spring of 1967, Captain Madiou was found by the Haitian military’s Grand Tribunal in Port-au-Prince to have conspired with 18 other officers “with the intention of creating a climate of disorder and anarchy with the ultimate goal of a criminal attempt against the life of the Constitutional Chief-for-Life.” Each in the group was found guilty on two counts, mutiny and high treason, and ordered executed at Fort-Dimanche, the dungeon of death where more than 3,000 Haitians were disappeared in the Duvalier years.

The mind snaps and zaps as Madiou recounts the stories he has heard. The prisoners were given food too hot to eat with only 30 seconds to get the gruel down. So they threw their plates against the jail cell walls — “plat,” he says, trying to verbalize what that might sound like — and ate their dinner as it ran in rivers to the stone floor.

He believes his father spent no more than two weeks in Fort-Dimanche. He was told his father instructed his fellow officers: “Do not bend your knee before Duvalier.” He believes his father spat in the face of the bespectacled Chief-for-Life. He believes — and there is some documented support for this — that his father was executed by Duvalier personally.

Madiou was 2. His father’s photo is on his cellphone.

This was meant to be a story about tourism. One gets used to the curlicues of the Haitian reality. Just as I’m expecting a buildup to a thunderous indictment of the Duvalier years, Madiou weaves. “I can tell you the dictatorship of Duvalier was very hard. But under Duvalier’s system we live better. . . . The only thing you have to do is, don’t interfere with political affairs. That way you can send your children to school. You can eat. You have a house or a home. It was better.”

What you see depends on where you’re standing.

I see young laughing, naked boys splish-splashing in the warm ocean waters, hanging off the bows of the water taxis. I go swimming too, with an American backpacker we have picked up on our travels. A fisherman poles slowly alongside and asks if we would like him to bring us conch for dinner. Tip: if you come here and would like to have lobster for dinner, you need to order it early in the day.

Visiting Cap Haïtien in October, 2009, Bill Clinton, then the newly appointed UN special envoy to Haiti, enthused about the prospects for tourism. “I love this place,” he said. “It’s wonderful. I see the potential.”

There is potential. There’s Jacmel with its cultural vibrancy, even if it isn’t the St.-Tropez of the Caribbean as once hoped. More promising is the area further west on the south coast: Les Cayes, Ile-a-Vache. Port-Salut with its beaches. Port-a-Piment with its caves.

But if a tourism plan is to work, it has to work in Cap-Haitien.

Come.

The cicadas are singing so loudly in unison, one can barely hear the clopping of the horses as they head up the stone path to the Citadelle La Ferrière.

Wusses ride horses. Better to walk up the steep incline and pledge not to stop for little rests. It’s harder than it looks.

Situated just south of the Cap, the Citadelle is a UN world heritage site, the landscape is green and glorious, and the experience is as historically gratifying as a trip to any of those French chateaux.

The French. Henri Christophe, who fought in the revolutionary battle under Toussaint L’Ouverture, built the fort so he could put down the French, should they ever return. He declared himself King Henri I, ruler of Haiti’s northern region, and he had bronze and iron cannon hauled up here by human chain to help reinforce the point.

The French never came. Cannonballs remain stacked on site, the breeze drifts languorously across the grounds, and toilets installed prior to completion of the fort in 1813 still do the job: lift the wooden lid and observe the 40-metre open-air descent to the ground. Children would love it.

There are no children. A half-dozen visitors drift about the great stony stairs sucking in the vistas that never end. The grounds of Christophe’s Sans Souci Palace are similarly barren. There are no buyers for the straw hats that blanket the little market area just outside the palace grounds. There’s no one to listen to the tale of an ailing and embattled Christophe killing himself by means of a silver bullet to the heart.

Wait. A tiny gathering of horse-backed tourists approaches. A boozy-looking fellow is teetering side to side, managing to hold a cigarette and a beer in one hand, a sandwich in the other. The little pageant quickly passes.

Twenty years ago, visitors would come by the carload from the DR, says Eduardo Almeida, country manager for the Inter-American Development Bank. For the IADB, tourism is a small, but fundamental, part of its plan for development in the country’s north. “If we focus here we will be able to make a tremendous difference,” he says. “Every week Royal Caribbean stops at Labadie with 6,000 people. . . . So let’s say that 10 per cent of these people would be willing to spend $100. $60,000 a week, $3 million a year. Three million dollars in a region that is totally poor. That’s a lot.”

There are no visitors poised on the underwater sapphire blue bar stools at the Karibe Hotel. It is too cool at this time of year for in-pool drinking.

But the hotel is full. “We mostly have reconstruction wheelers and dealers coming in,” says Richard Buteau, whose family owns the Karibe and the Kinam and the Ritz apartment hotel, all in Port-au-Prince.

The Buteaus have been in the hotel business in Haiti for 80 years, starting with Aux Cosaques, an auberge that Buteau’s grandfather built above the capital in Kenscoff as a cooling getaway. As a young boy Buteau’s father was given the task of priming the oil lamps every Sunday.

That boy would go on to create Le Rond Point, a restaurant near the port, where tourism in the capital really started. “It was the place to be,” says Buteau.

On Tuesday, the Interim Haiti Recovery Commission will once again descend on the Karibe to outline more go-forward plans for the country.

Tourism isn’t the kind of story that draws much press. Buteau, not surprisingly, sees it as a linchpin. “But you need to have people with a vision who believe tourism is an alternative to poverty,” he says. “Even Fidel Castro, one of the biggest leaders in the Caribbean, who threw away capitalism and the tourism industry with his revolution, has realized that if he wants his people to get out of poverty he has to consider tourism as an option.”

Tourism is complicated. “It’s easier to have a textile industry,” Buteau continues. Tourism demands non-stop electricity, water, roads, hospitals, security. But rather than seeing those gaping inadequacies as impediments, Buteau sees tourism as a driver to help force change. Environmental protectionism is in there, too. “Once you bring an economic value to something the people start protecting it rather than destroying it.” Unquestionably, a strong tourism sector is a cultural boost, something that Haiti deserves to benefit from.

Funny, but as we sit behind the hotel on the enormous grounds I realize how quiet it is. Where’s the music? “You put Haitian music next to them, they get annoyed.” He’s talking about the wheeler dealers.

He champions developing the industry in hubs, like the north. “You cannot solve all the problems of Haiti but you can decide, well, we’re going to take that region and we’re going to do a success story there and we’re going to make it happen.” Other hubs would ignite, he believes, if just one success could be proved.

At the end of our conversation we walk through the Karibe lobby. There are photos of Aux Cosaques and Le Rond Point hanging on a wall by the bar. “The good old days,” he says, breezing away to his next appointment.

http://www.thestar.com/haiti/economic/article/908715–haiti-once-had-tourist

Who Cares About Haiti?

Who Cares About Haiti ? The Wall Street Journal, By MARY ANASTASIA O’GRADY,
November 21, 2010

Ten months after a magnitude 8.0 earthquake killed more than 200,000
Haitians and destroyed an already decrepit infrastructure, some 1.3 million
impoverished souls are still barely surviving in tent cities around the
country. Living conditions are deplorable and after nearly a year, optimism
about a way out of what were once dubbed “temporary” camps has dimmed.

Now more than 1,100 people have died in a cholera epidemic, and riots that
began in the northern city of Cap-Haitien spread to the capital of Port au
Prince last week. Protestors allege that the United Nations peace-keeping
mission brought the disease to Haiti. The jury is still out on the source of
the cholera, but the unrest has taken a further toll.

And so it goes. Just when you think things can’t get any worse, more
poverty, violence and sorrow conspire to increase the sense of helplessness
in what is the ultimate economic basket case in the Western Hemisphere.
Millions of people the world over watch from afar and wonder why something
can’t be done.

Here’s the $64 million question: Is Haiti’s seemingly intractable misery the
result of a society and culture that is incapable of organizing itself to
create civil order and a viable economy? Or is it the consequence of ruling
kleptocrats—abetted or at least tolerated by influential foreigners—treating
every economic transaction in the country as an opportunity for personal
enrichment?

Evidence abounds that it is the latter. So why have the U.S. and the U.N.
refused to take even small steps toward shutting down an official corruption
racket that pushes millions of helpless people into lives of desperation?
Instead they’ve put Bill Clinton—whose political family famously went into
business with the notoriously corrupt former President Jean Bertrand
Aristide—in charge of rebuilding the country with billions in foreign aid.

Development takes generations, and nation building by outsiders is a fool’s
game. But often there is a simple change that can yield fast returns. One
no-brainer target in Haiti is the port at Port-au-Prince, where the bulk of
imports must enter the country, but where Haiti’s legendary mafia will only
release containers after sizable bribes are collected.

A report this year by the Rand Corporation describes the port’s importance
this way: “The costs of shipping through Haiti’s ports have imposed a major
burden on Haitian consumers and businesses. Because imports play such an
important role in consumption, investment, and business operations, the cost
of imports is a key determinant of living standards and economic growth.”
And yet, Rand says, “importing a container of goods is 35 percent more
expensive in Haiti than the average for developed OECD countries.”

Haitian officials like to blame inefficiency at the capital’s port on a lack
of modern infrastructure. But Haitians know that’s only part of the story.
Writing for the online magazine The Root in October, Haitian-born business
consultant Yves Savain explained that pulling a container out of the port in
the capital “takes walking the documents from office to office to secure an
unspecified number of signatures.” The full cost, which he said includes
“legitimate and illicit duties,” constitutes “a substantial and arbitrary
financial drain on all sectors of the national economy.”

Mr. Savain was being diplomatic. On a visit to the Journal offices last
week, former Haitian ambassador to the U.S., Raymond Joseph—who resigned in
August—was more direct. “The corruption situation in the ports was one of
the major reasons I decided I could no longer defend this government,” he
says.

In the aftermath of the earthquake, Mr. Joseph says, “I had so many
[nongovernmental organizations] calling me and saying ‘ambassador, could you
help me get our things out of the port?’ They kept telling me [port
officials] want so many thousands of dollars to get the things out.” Mr.
Joseph says that by calling the minister of finance he could sometimes get
the goods out but that he wasn’t always successful.

Another example: A Nov. 14 CBS “60 Minutes” report featured the case of six
containers destined for an NGO housing project that had been “stuck” in the
port for months. No one could figure out why the goods couldn’t be released,
but the NGO was still forced to pay $6,000 to the Haitian government for an
“imposed storage fee.”

Haiti holds elections on Nov. 28 for parliament and president, and enemies
of representative government want to disrupt that process. This partly
explains the recent violence. Yet it would be foolish to write it off as
solely the work of the nefarious underworld.

Haitians are fed up with the squalor that seems to promise an end only in
death. They are angry not only with their own crooked politicians but with
the way in which outsiders turn a blind eye to their tormentors. The fact
that Washington and the U.N. have refused to rein in the extortionists
running the port demonstrates the lack of international political will to
alter the status quo.

Honest update on cholera situation from Dr. Bill Frist

Here is an update, one of the most true I have read about the true situation on the ground in Haiti. Without help this will not be stopped until thousands more have died. Please pray for these people.

As the cholera outbreak continues to ravage through Haiti, killing hundreds and inciting terror and riots throughout the country, I’m afraid I may have more bad news. It has come to my attention today that the cholera outbreak is being vastly underreported and underestimated. My sources on the ground in Haiti have estimated that the current epidemic is up to 400% worse than the official numbers reflect. Considering that the official numbers already state a toll of 1,110 dead and another 18,000 sick, the scope of this savage outbreak is shocking.

Furthermore, it seems that nearly all the organizations on the ground were caught by surprise by this sudden outbreak and are grossly undersupplied. Simply put, eradicating the cholera outbreak requires resources beyond Haiti’s capacity.  Ringers Lactate fluid (required for intravenous rehydration) remains incredibly scarce within the country. The UN also refuses to provide any cholera treatment supplies to any NGO, instead dedicating all its supplies to the Haitian government. Medications from the Haitian Ministry of Health are also currently not forthcoming. Certain organizations are simply waiting for the disease to strike the capital, Port-au-Prince, before acting. A group I frequently work with, Samaritan’s Purse, is receiving reports of high mortality in remote areas with no assistance reaching them. The U.S. government claims that materials are in place to respond to this developing disaster, but this does not seem to be the case and I worry that false confidence may cost lives.

The spread of cholera now seems past controlling, and using Pan American Health Organization calculations (in the MOST optimistic, with an attack rate of 2% scenario) around 200,000 people will require IV fluid. As around 75% of all cases require hospitalization, each patient uses 8 liters per day for three days, the conservative estimate for IV fluid needed stands at 3.6 million units. Unfortunately, some experts believe that the attack rate will rise above 2% due to lingering sanitation and hygiene conditions caused by the devastating earthquake combined with a Haitian population with no exposure to cholera and immature resistance.

With much of the country living in squalid post-earthquake conditions, we should expect an attack rate of up to 5-8%, according to the Refugee Health Manual. At this rate, we can expect as many as 500,000 to 800,000 cases of cholera.  Due to the intense overcrowding, these cases might not be spread out over six months, but rip through the population in six weeks. Roads in Haiti, already devastated by the earthquake and again recently by Hurricane Tomas, continue to keep sick people from seeking and receiving proper aid, meaning that more advanced treatments are needed to halt the disease.

Save the Children, which has been in Haiti for over 30 years and currently operates in 17 large urban camps, is desperately struggling to fight back the disease. They are scrambling to set up new treatment centers around the country as current ones, such as their facility in Port-au-Prince now operates 24 hours a day and still cannot do enough. On the preventive side, Save the Children has distributed 10,000 hygiene kits, 19,000 bars of soap, and chlorinated water to schools and camps. These actions are important and have saved thousands of lives, but in a country of 10 million people, they are simply not enough to hold back the tide.

Similarly my friends at Samaritan’s Purse, who remain a major national player in Haiti, report that even with their huge public awareness WASH program, 400 treatment beds, and over 300 staff dedicated solely to cholera, they were completely unprepared for this outbreak. I find it hard to believe that many organizations were prepared for this and I simply cannot imagine that any hidden capacity exists.

This issue needs immediate global attention. Many organizations on the ground do not have the resources to quickly buy, deliver, and administer necessary cholera medications, like Ringers Lactate.  Even if they can afford these costs, it is only the beginning of the current logistical nightmare. The airport in Cap-Haitien has been shut down and there are roadblocks between Cap-Haitien and Port-au-Prince, effectively isolating the entire North of the country. If supplies do make it to Haiti, customs holds these shipments 3 to 10 days and the backlog of supplies, not just at Port-au-Prince but around the country is staggering and costing lives every day. NGO’s are unable to receive and distribute supplies and are resorting to covert and illegal means in some cases to secure these life-saving medicines. Civil unrest around the country, caused by the belief that the UN Peacekeepers are connected to the outbreak, are further hampering the delivery of supplies that eventually do get through the ports.

These hindrances to saving lives must be eliminated. Haiti needs IV fluids sent in massive quantities. Life-saving supplies must be allowed to enter immediately into the country, not sit on pallets for 3 to 10 days out of bureaucratic formality. Organizations on the ground have sophisticated software that allows all the various partners to work together to comprehensively treat the population; we simply do not have enough supplies. The immense backlog of supplies at the ports has strained the entire response grid to the point of collapse and the internal rioting makes it difficult and dangerous to move supplies inside Haiti. The world must help, and must help now.

In addition, the United States needs to seriously and objectively consider a military airlift of supplies into Haiti. While this may appear a drastic measure to some, we cannot sit idle while our neighbor to the south suffers through this nightmare. Our military provided crucial support to those suffering after the Indian Ocean tsunami, Hurricane Katrina, and the earthquake that ravaged Haiti in January, and can do so again in this dire time of need.

Cholera is a disease we can defeat if we work together. Up to 80% of cases can be successfully treated with relatively simple medicines, such as rehydration salts. So join me in telling your friends, writing your congressman, volunteering, or writing a check to one of the many worthy organizations on the ground. We need to spread the alarm, and quickly. This epidemic is larger than previously thought or reported, we are drastically underequipped to deal with it, and it’s moving fast.

Very best,
Senator Bill Frist, M.D.

[from http://billfrist.com/index.php?q=taxonomy/term/8]

Cholera in Remote Haiti

Cholera is hitting the remote regions of Haiti too. Currently Aid for Haiti has a remote medical team of doctors in the mountains of central Haiti. They report widespread cholera death and disease in this region. Working out of Potino, a small village, they have seen and treated multiple serious cases of cholera. One case in particular sticks out. “She was the sickest person I have ever seen” Dr. Caleb, who worked throughout the earthquake aftermath, said about one woman who staggered into the clinic yesterday”. Four of her close family have died in these mountains in the last week without being able to find medical treatment. The hospitals of Cange and Mirabalis, only 30 miles away are much to far to reach on foot when suffering from a disease that can take life in a matter of hours. “We gave her 4 liters of IV fluid in an hour”, “She showed up with no radial pulses and seemingly dying until she was able to walk out days later” said Dr. Caleb. This underscores a chronic problem that Aid for Haiti has been trying to address in these remote regions.

Please join us in prayer for the people effected by this terrible disease. Please also consider financially supporting us during this time of need.

Haiti cholera clashes reach capital Port-au-Prince

Demonstrators run past burning tyres in Port-au-Prince, Haiti, Thursday, 18 November.

Protests linked to the outbreak of cholera in Haiti have spread to parts of the capital, Port-au-Prince.

Police fired tear gas as demonstrators set up barricades and threw rocks at United Nations vehicles. On Monday, clashes between residents and UN troops in the north had left two people dead.

Some Haitians blame UN peacekeepers from Nepal for bringing cholera to the country – a claim denied by the UN.

US health experts say Haiti is vulnerable to further outbreaks.

Sporadic gunfire could be heard on Thursday as protesters took to the streets of Port-au-Prince, which was devastated by a massive earthquake in January.

Hundreds of youths erected barricades of burning tyres and attacked vehicles belonging to the UN mission (Minustah).

The protesters shouted slogans like: “Cholera: It’s Minustah who gave it to us!” and “Minustah go home!”

Cholera is present in all 10 of Haiti’s regions. About 1,100 people have died from the disease since it emerged in the country last month.

Most of the 38 deaths recorded in the capital have been in the slum district of Cite Soleil.

The unrest comes less than two weeks before a presidential election, due on 28 November.

Officials from both the UN and the Haitian government have said described the protests as politically motivated, accusing unnamed groups of taking advantage of the situation to try to disrupt the election.


In its latest update, the Atlanta-based Centers for Disease Control (CDC) said the course of the disease was “difficult to predict” as it was the first cholera outbreak in Haiti for more than a century.

Oxfam’s Julie Schindall: “The implications are very serious…we have to move as fast as we can… and now we’ve been stopped”

“The Haitian population has no pre-existing immunity to cholera, and environmental conditions in Haiti are favourable for its continued spread,” it said.

The CDC said about 1.3m Haitians remained in camps following the earthquake and the camps’ “ability to provide centrally treated drinking water, adequate sanitation, handwashing facilities, and health care varies”.

Just 17% of Haitians had access to adequate sanitation before the quake, the CDC said, adding that the situation had considerably worsened since then.

The first cases of cholera – a water-borne disease – were reported near the Artibonite River north of Port-au-Prince. However future outbreaks could result from tainted food, the CDC warned.

It is unclear how cholera reached Haiti. There are claims that it originated from septic tanks at a base for UN peacekeepers from Nepal, but the UN says there is no evidence for this.

Cholera causes diarrhoea and vomiting, leading to severe dehydration. It can kill quickly, but is treated easily through rehydration and antibiotics.

At least 17,000 cases have been reported across Haiti.

The CDC and other agencies are trying to distribute oral rehydration solutions to combat the spread of the disease.

http://www.bbc.co.uk/news/world-latin-america-11791172