Showing posts with label Health. Show all posts
Showing posts with label Health. Show all posts

Monday, April 5, 2010

¡Hasta La Victoria Siempre Ayiti! Sante!

{OtherStreams: in our shy opinion, H. E. The Minister was really shy on the financial figures presented as in our opinion his numbers, by the patterns of any other western countries, can be easily multiplied by four to six times} 

Speech by Bruno Rodríguez Parilla, Cuban minister of foreign affairs, at the Haiti donors meeting
[FULL TRANSCRIPT BELOW]



New York, 31 March, 2010
 
Mr. President,
 
The international community has a tremendous debt with Haiti where, after three centuries of colonialism, the first social revolution on the American continent took place, an act of boldness that the colonial powers punished with close to 200 years of military dictatorships and plunder. 

Its noble and hardworking people are now the poorest in the Western hemisphere.
 
We all have the moral obligation to contribute additional financial resources and greater cooperation to Haiti, not only for its reconstruction but, in particular, for its development.
 
In order to have an idea of the magnitude of the human tragedy in Haiti, suffice it to note that the death of 230,000 people in its small and high-density population, is equivalent to the death of more than 30 million people in a country such as China, whose population reaches a total of 1.3 billion inhabitants; an unimaginable tragedy.
 
In the wake of this devastating earthquake that shook the conscience of humanity, we trust that the numerous promises heard will be converted into action, that Haiti’s independence and sovereignty will be respected and ennobled, that the government of President René Préval and Prime Minister Jean Max Bellerive will be facilitated to exercise all its faculties, and that it will be able to benefit, not the whites and foreign companies, but the Haitian people, especially the poorest.
 
Generosity and political will is needed. 

Also needed is the unity of that country instead of its division into market plots and dubious charitable projects.
 
The program for the reconstruction and strengthening of the Haitian national healthcare system, drawn up by the Haitian government and Cuban governments, with the cooperation of the Bolivarian Republic of Venezuela and other countries and humanitarian organizations, will guarantee wide health coverage for the population, in particular the low-income sector.
 
That program is based on 101 primary healthcare centers which are being created, at which an estimated 2.8 million patients will be treated, 1.3 million emergency operations performed, 168,000 babies delivered, and 3 million vaccinations administered every year.
 
These health centers will be supported by the services of 30 community reference hospitals distributed throughout the country and equipped with cutting-edge technology for secondary attention, which can treat 2.154 million people per year, perform 54,000 operations – 1 million of these emergency surgery –, 276,000 electro-cardiograms, 144,000 diagnostic ultrasounds, 43,000 endoscopies, 181,000 X-Rays, 107,000 dental examinations, and 487,000 laboratory tests.
 
Given the extraordinary number of poly-traumatized patients, 30 rehabilitation rooms are likewise being equipped which, within 12 months, will provide services for 520,000 patients and 2.4 million therapeutic treatments.
 
There will also be three electromedicine centers, a prosthesis laboratory and an integral hygiene and epidemiology program.
 
Also planned is a Haitian National Specialties Hospital at tertiary level, involving cooperation from other countries, directed by 80 high-level Cuban specialists responsible for services and clinical departments, research and teaching, and Haitian professionals who will be trained at the institution and progressively replace the Cuban medical professors.
 
The cost of the already mentioned services will amount to $690.5 million over 10 years, a total that includes the medical services provided, calculated at 50% of international prices; the sustainability of these services and the personnel providing them; and the training of a further 312 Haitian doctors in Cuba.
 
As can be deduced, the approximate cost is $170 million per year for a country of approximately 9.33 million inhabitants.
 
It is possible to do this. 

Our practical experience confirms it. 

In fact, this program is already underway and, post-quake, 23 of these primary care health centers, 15 community reference hospitals and 21 rehabilitation rooms are up and running.
 
From almost immediately after the earthquake, Cuban specialists have been dedicating their attention to the population affected. 

To date they have seen 260,000 patients, performed more than 7,000 operations, delivered close to 1,400 babies, and administered close to 100,000 vaccinations. 

More than 50,000 patients have undergone rehabilitation therapy and more than 75,000 children have received psychosocial therapy, in the presence of some of Cuba’s most eminent professionals.
 
A total of 783 Cuban and 481 Haitian doctors, plus 278 health professionals from 28 countries – all of them graduated in Cuba – are working on this program.
 
Last Saturday [March 27], as part of the program outlined, a memorandum of understanding for the strengthening of the health care and public services system and epidemiological prevention was signed in Port-au-Prince, thanks to the will of the Haitian government and a significant contribution from President Lula and Brazil, which will be decisive for the planned healthcare program.
 
During the 11 years of work prior to the earthquake, the Cuban medical brigade, which has a presence in 127 of the 137 Haitian communes, saved 223,442 lives, treated 14 million people, performed 225,000 operations and delivered 109,000 babies. 

Via the Operation Miracle program, 46,000 Haitians have had their sight restored or improved. 

During the same period, 165,000 Haitians have become literate in Creole.
 
If we evaluate the medical services provided in these 11 years and the training of medical personnel in Cuba, it would represent $400 million throughout the period.
 
The medical program that we are proposing, in its entirety, will benefit 75% of the poorest population of the country at a minimum expense.
 
We invite all governments, without exception, to contribute to this noble effort. 

For that reason, we attribute particular importance to this conference, and aspire to its success.
 
Thank you very much.
 
Translated by Granma International >

Tuesday, March 16, 2010

International NGOs Keep Haiti's Health Ministry in the Dark

Go to Original (Change.org) >

Published March 16, 2010 @ 11:14AM PT

Now that two months have passed since Haiti's 7.0 earthquake, the first cloudiness of chaos has passed, and so has the frenetic pace of appeals. Yet Haiti's Ministry of Health is still feeling frustrated by the bevy of international organizations that continue to breeze in and out of the country without notice.

In advance of a March 31 donors' conference on Haiti, health officials are scrambling to assemble a better picture of the country's needs -- but the bulk of relief groups aren't exactly cooperating. To assist with medium- and long-term planning, Haiti's Ministry of Health has required all new organizations arriving in Haiti to provide information about how many people would be on the ground, what their skill sets were and for how long they'll stay. Yet even that rudimentary information has been hard to come by.

No one doubts that relief efforts will take a long time: 10 years is one common projection, and frankly the real estimates should be much longer. To avoid constructing many parallel health systems, information to help channel supplies, personnel and equipment to where they're most needed is key -- as is working with the Haitian government to build a more lasting framework.

Wednesday, February 24, 2010

WHO/PAHO | Haiti Earthquake Health Response 17 February 2010

Summary
 
More than a month after the 12 January earthquake that devastated swathes of Haiti, particularly its capital Port-au-Prince, in excess of 300 000 people are suffering from injuries and over one million are living in temporary settlements or host families after losing their homes.

Immediately following the quake, which killed more than 200 000 people, the most pressing need was to rescue people buried in the rubble and provide immediate emergency care for trauma patients.

Now in the second month, health needs have changed.

The focus today is on post-operative care and followup of patients who have undergone surgery, rehabilitative services for people with disabilities, providing primary health care services to people living in overcrowded conditions with poor shelter and sanitation, such as maternal, child and mental health care, control of chronic diseases including diabetes, heart disease, HIV/AIDS and tuberculosis. Outbreak control and environmental health interventions are also crucial to prevent and control epidemics.

More than 50 staff from the World Health Organization/Pan-American Health Organization (WHO/PAHO) Office in Haiti responded to health needs in the wake of the earthquake. To support incountry operations, WHO/PAHO has since deployed more than 60 international experts in disaster management, epidemiology, public health, communicable diseases, water and sanitation and communications, among others. A field office has also been established in the Dominican Republic city of Jimaní, on the border with Haiti, to facilitate logistic operations.

WHO/PAHO is working with UN agencies and nongovernmental organizations in Haiti and coordinating the Health Cluster response to the emergency. More than 396 national and international organizations have registered with the Cluster, providing evidence of the enormous need for coordination. The Cluster has established sub-groups chaired by cluster members focusing on specific areas, including hospitals, medical supplies, primary health care/mobile clinics, reproductive health, disabilities, HIV/AIDS treatment and care, mental health and psychosocial support, gender violence and health information management.

Current Health Situation

Haiti’s entire health system, from its infrastructure to the very staff and system that operated it, has been deeply affected by the earthquake. The Ministry of Health’s building collapsed, killing more than 200 staff. Many Haitian doctors and nurses died or were injured, compromising the health system’s capacity to respond to pressing health needs.

While there has been no notable increase in infectious diseases being reported, poor sanitation and crowding increases the risk of communicable diseases. Fifty two sentinel sites have been established to monitor diseases and vaccination campaigns for measles-rubella and diphtheria-tetanus-pertussis are being carried out.

The Ministry of Health has created a National Health Commission to coordinate the local and international response at three levels: mobile health centres, fixed health centres and hospitals. WHO/PAHO and health partners are supporting the Ministry’s priorities.

The re-activation of basic health services is a key priority to keep providing maternal and child health, treat chronic diseases, including tuberculosis and HIV/AIDS, reduce malnutrition, manage cases of gender-based violence, and provide mental health services at the primary health care level.

With the rainy season approaching, mobile clinics are crucial in order to serve the displaced.

Revised Health Cluster Response

Health Cluster partners are focusing their efforts on the following areas:

1. Effective coordination of the health sector response, needs and disaster risk assessment, monitoring and evaluation 
• Support national health authorities in coordination of the international health assistance and the Disaster Response Commission
• Conduct health assessments and monitor mortality and morbidity trends by setting up early warning systems, monitor service provision and health facility capacity.

2. Ensure outbreak control and disease surveillance activities
• Re-establish the capacity to prevent and control communicable diseases
• Strengthen the health care information system
• Ensure immunization activities and vector-borne and zoonotic disease control activities

3. Ensure adequate water supply and environmental health
• Support the provision of safe water in health facilities
• Support health care waste management
• Hygiene promotion and health education in health facilities

4. Re-activation of basic health care services
 • Support the management of communicable diseases and primary health care services such as maternal and child health, tuberculosis and HIV/AIDS
• Support basic emergency repairs in damaged health facilities and strengthen the use of mobile clinics for primary health care
• Provide equipment and supplies
• Support human resources for health
• Support prevention, screening and treatment of acute malnutrition

5. Effective treatment and rehabilitation of injured patients
• Support the treatment of injuries and emergency services, ensure access to a free orthopaedic unit
• Ensure proper functioning of at least one specialized institute on medical rehabilitation
• Set up community-based rehabilitation services

6. Ensure availability of essential drugs and medical supplies
• Provide essential medicines, surgical and trauma kits and other health supplies as needed.
• Ensure the proper functioning of Haiti's WHO/PAHO-managed central procurement agency for drugs and pharmaceutical supplies (PROMESS)


Health Cluster partners participating in the appeal are: CARE International, Fraternité Notre Dame, Handicap International, Hôpital Albert Schweitzer, Hôpital Sainte Croix, International Medical Corps (IMC), International Rescue Committee (IRC), IOM, Management and Resources for Community Health (MARCH), Médecins du Monde (MDM), Merlin, PAHO/WHO, Partners In Health (PIH), the Haitian Health Institute (HHI), Save the Children (SC), UNAIDS, UNFPA, UNICEF and World Vision.

Funding Needs

􀂾 WHO/PAHO and Health Cluster funding needs will be specified in the launch of the revised Flash Appeal on 18 February, 2010.


For more information:

Haiti
Dr Henriette Chamouillet , PAHO/WHO Representative
Tel: ++409 22 45 45 53⎜ Chamouihen@hai.ops-oms.org

Washington, DC
Mr Jean-Luc Poncelet
Tel: + 1202 974 3434 ⎜ poncelej@paho.org or eoc@paho.org

Geneva
Jukka Sailas, External Relations
Health Action in Crises
Tel: +41 22 791 4778 ⎜ Fax: +41 22 791 4844 ⎜ sailasj@who.int
http://www.who.int/disasters

Monday, February 8, 2010

In Haiti, Practicing Medicine From Afar



Published: February 8, 2010

In the desperate days soon after the earthquake in Haiti last month, foreign medical volunteers relied on improvised, low-tech devices for consultations and coordination. But American doctors are switching to more sophisticated technology to help improve public health in Haiti, one of the world’s poorest nations.

“We are in this for the long haul,” said Scott C. Simmons, whose title at the University of Miami Miller School of Medicine is director of telehealth.

Telehealth, better known as telemedicine, is an offshoot of the space program; it was developed by National Aeronautics and Space Administration in the 1960s to serve the astronauts. In the live, real-time version, it involves a video hookup between a patient on the scene and a doctor or other health professional in a hospital or office. Sometimes a doctor or nurse on the scene will consult via telemedicine with a specialist elsewhere.

At the University of Miami’s 240-bed tent hospital near the airport in Port-au-Prince, Haiti, where volunteer surgeons from the United States have performed 1,000 operations since the Jan. 12 earthquake, doctors should soon be able to consult via satellite with specialists in Miami and other medical centers, said Mr. Simmons, an engineer who helped develop portable telemedicine for NASA’s space shuttles.

The satellite connection should provide sufficient bandwidth for telemedicine consultations; meanwhile, the Haiti field hospital is making do with high-speed Internet connections donated by a Miami philanthropist and connections through Access Haiti, a wireless regional network linked through the neighboring Dominican Republic.

It is also getting help from a network of volunteer ham radio operators like Jack Satterfield, a fisherman from St. Petersburg, Fla., who helped get an imperiled day-old infant from Haiti to the Navy hospital ship Comfort offshore. “Their doctor talked to our doctor” via the military’s radio system for amateurs, Mr. Satterfield said.

The Comfort, part of the United States military’s Southern Command, has 82 physicians and 136 nurses. Capt. Miguel Cubano, surgeon general of the command, said he was in “discussions to set up a long-term presence in Haiti.” Among other things, Captain Cubano said, it could provide telemedicine consultations with the Center for the Intrepid, a military rehabilitation hospital in San Antonio.

The ship is no stranger to Haiti. The Comfort provided assistance after the hurricane last year. “Haiti was a priority for us before the earthquake,” said Captain Cubano, who is also a surgeon.

Southcom, short for Southern Command, has a partnership in advanced technology with the University of Miami.

Dr. Anne E. Burdick, associate dean of telehealth and clinical outreach at the Miller school, said the university’s program could be “a hub for connecting Haitian patients with health care providers in several U.S. telemedicine programs around the country.”

In a test with the Southern Command, Dr. Burdick said, the school used live teleconferencing to link kidney transplant patients in Guyana with a surgical team at Walter Reed Army Medical Center in Washington.

John Linkous, chief executive of the American Telemedicine Association, a trade and advocacy group in Washington, said it was often hard to persuade busy physicians to stay for long in developing countries. After a visit, however, they are often ready to help out with telemedicine consultations.

The video sessions are often prepared in advance with secure Internet messaging, including pictures, X-rays and pathology reports. More often, the exchange is entirely by Internet, with a response sent back within hours.

Dr. S. Ward Casscells, a Houston cardiologist who was assistant secretary of defense for health affairs under President George W. Bush, noted that telemedicine had become simpler and less expensive in the era of the Internet and advanced cellphones.

Dr. Casscells urged the military to leave telemedicine equipment behind when the disaster eases in Haiti and train local medical people to use it.