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Haiti is on the verge of a health disaster

05 Oct 23

Haiti is on the verge of a health disaster

Haiti CTC Cité Soleil – David works as a community health worker for MSF and is now deployed at the CTC in MSF hospital of Cité Soleil. Since the resurgence of cholera, dozens of nurses, hygienists and other staff were hired to respond to the emergency. Caption
Haiti CTC Cité Soleil – David works as a community health worker for MSF and is now deployed at the CTC in MSF hospital of Cité Soleil. Since the resurgence of cholera, dozens of nurses, hygienists and other staff were hired to respond to the emergency.
© MSF/Alexandre Marcou

20 October 2022

People in Haiti are today living in dire conditions and are confronted daily with an appalling health and humanitarian situation, which continues to deteriorate, Médecins Sans Frontières (MSF) warned today. Faced with an explosion of violence and a fuel shortage, people are struggling to access clean water and healthcare. In addition, over the last two weeks, the country has seen a resurgence of cholera, having been declared cholera-free for over three years.  

 

"Last week, a pregnant woman came to our hospital in Cité Soleil needing an emergency caesarean section. We tried to transfer her to a medical facility where she might find that kind of treatment, but she died", explains MSF doctor Dr. Luxamilda Jean-Louis. "Whether it's due to insecurity on the roads, or to health structures not functioning anymore, events like this happen every day in Port-au-Prince. The situation is so volatile that it can change from one day to the next, even from one hour to the next."

Haiti CTC Cité Soleil – A group of mothers look after their kids affected by cholera at the cholera treatment centre (CTC) installed at MSF hospital of Cité Soleil. Caption
Haiti CTC Cité Soleil – A group of mothers look after their kids affected by cholera at the cholera treatment centre (CTC) installed at MSF hospital of Cité Soleil.
© MSF/Alexandre Marcou

For several days now, the vast majority of the hospitals in the city, which, like MSF, depend on generators to operate, have been forced to reduce their services and may have to close their doors because of the fuel shortages. "We are facing the same situation as other hospitals in Port-au-Prince; we will not be able to operate our medical facilities for more than a few weeks if we do not have access to fuel. In addition, medical equipment, which we also need to continue to treat cholera cases and provide care to the population, is currently blocked at the port," explains Mumuza Muhindo, MSF's Head of Activities in Haiti.

 

MSF teams are equally worried about the resurgence of cholera officially confirmed on October 2. The organisation has been receiving over a hundred patients with cholera-like symptoms every day during the past week in the four treatment centres set up in the neighbourhoods of Turgeau, Drouillard in Cité Soleil, Champ de Mars and Carrefour, with a total capacity of 205 beds. "Unsafe water is one of the main causes for the spread of cholera, so the consequences of a lack of clean water in this context of resurgence of the disease are disastrous. Without drinkable water, treatment and good waste management, the risk of a spike in the number of cases is very high and this needs to be addressed urgently," warns Auguste Ngantsélé, MSF’s Medical coordinator in Haiti.

Haiti CTC Cité Soleil - MSF staff clean the interiors of the tents and make sure the patients have access to clean and chlorate water. Caption
Haiti CTC Cité Soleil - MSF staff clean the interiors of the tents and make sure the patients have access to clean and chlorate water.
© Alexandre Marcou/MSF

In addition to the access to water and the establishment of care capacities, the population must also be able to access health structures. Yet, this access is a constant challenge in the Haitian capital: it is often very hard to reach a healthcare facility that is capable to provide the needed treatment; MSF witnesses this situation every day through its medical activities, whether it be for the care for trauma patients, victims of burns, vital emergencies or sexual violence survivors.

 

In recent days, MSF has further increased its activities, strengthening the surgical capacity of some of its projects, and implementing a response to cholera that focuses on treatment, but also on the prevention of infections.