HAITI

SHORT TERM MEDICAL MISSIONBEFORE AND AFTER

DEMOGRAPHICS

• OVER 9.8 MILLION PEOPLE WITH OVER ONE MILLION CONCENTRATED IN PORT AU PRINCE

• POOREST COUNTRY WESTERN HEMISPHERE• 80% POVERTY RATE• 50% ILLETERACY RATE AT LEAST• MOST HATIANS LIVE ON $2 PER DAY OR LESS

HEALTH

• ONLY 40% HAVE ACCESS TO BASIC HEALTHCARE

• LESS THAN 50% VACCINATED TO COMMON DISEASES

• BEFORE EARTHQUAKE HALF THE DEATHS DUE TO HIV/AID, RESP INFECTIONS, DIARRHEAL ILLNESS, MENINGITIS AND TYPHOID

HEALTH

• TB CASES 10 TIMES OTHER LATIN AMERICAN COUNTRIES

• 5% HIV INFECTION• 30,000 MALARIA INFECTIONS EACH YEAR• MOST HATIANS HIGH RISK FOR MAJOR

INFECTIOUS DISEASES DUE TO LACK OF SANITATION, CLEAN WATER AND INFRASTRUCTURE

HEALTH

• BACTERIAL AND PROTOZOAL DIARRHEAL ILLNESS

• HELMINTHIC INFECTIONS ESPECIALLY CHILDREN

• MALNUTRITION• MALARIA, LEPTOSOROSIS, DENGUE FEVER• LACK OF HEALTH CARE PERSONNEL AND

HOSPITALS GREATLY APPARENT AFTER EARTHQUAKE

Parish Twinning Program

• Rural mountainous Haiti in the North, Pendus• Support for schools, Churches, and Primary

Healthcare• Support for a Nurse that delivers basic

healthcare through a dispensary• Periodic mission trips to Pendus with

physicians

Dispensary in Pendus

St Joseph Hospital PAP 2003

Gift of Water

Gift of Water

Alma Mater Hospital Gros Mornes

Alma Mater Hospital Gros Mornes 2008

• Full time surgeon medical director three weeks per month salary $25,000 yearly

• GYN $21,000• Internist $21,000• Part time pediatrician $18,333• One doctor director AIDS program funded by

UAID• Radiology tech

Alma Mater Hospital Gros Mornes 2008

• One xray machine• Basic labs CBC, gram stains, malaria smears, AFB

sputum and could send off cultures• No chem analyzer• Nurse anesthetists head nurse no workable

anesthesia machineTotal capital budget $340,000 per year Stike treatened as no one had been paid in four

months.

OR

Maternity

Nursing Students Maternity

sterilizer

Record Room

Hospital Entrance

Ambulance Gros Mornes 2008

Earthquake 1/12/2010

• Largest loss of life in modern history from natural disaster

• 45 seconds of earthquake leveled Port au Prince

• 250,000 people died• Over a million people homeless • Injured too numerous to count

Resuce efforts and healthcare

• Multinational response but efforts to bring relief greatly delayed due to lack of infrastructure and coordination

• Many amputees and injured released to live in streets no followup

• Basic healthcare needs not available to most

One month after earthquake

Father Rick St. Damiens Childrens

Adult tent wards outside childrens hospital

One month after

• Returning patients with wound infections• Beginning to see more malaria, diarrheal

illness• Before one out of five deaths in children in

haiti from diarrheal illness• After earthquake now cholera epidemic• Lack of clean water and sanitation before now

greatly exacerbated

St Damiens with Italian tent hospital

Our acute care tent

Post op, mostly orthopedic

Patient transfer from Project Hope Ship

Port au Prince one Month after

Presidential palace

Cathderal collapsed

In Petionville, physicians home

Morning Rounds with Father Rick

Short term missions

• Before earthquake missions often a week• After earthquake many short term missions

were not weeks but months• Value often spiritual for mission workers• Longer mission stays different focus to

develop continuity

Challenges

• Lack of basic healthcare facilities, supplies and personnel

• After natural disaster lack of infrastructure exacerbated

• Tragedy resutls in immediate loss of life and injury that is devasting but one month later the loss of what basic care available begins to show the consequences

What now

• Continued engagement of international community as well as mission work needed

• Almost one year now since earthquake and very little progress with choler epidemic now evident and still over a million homeless living with basics

• Before 97% of Haitians had to leave there homes to get safe water

• Now safe water is a hope and prayer.

Pancaked, basic construciton faulty in many ways

Nice tent city at Mathew 25 House