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Aid workers in Haiti rush to contain cholera

The Haitian government announced Tuesday that a 3-year-old in Port-au-Prince tested positive for cholera. Officials suspect dozens of other cases across the earthquake-ravaged city.

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The director of communications for Doctors Without Borders, Isabelle Jeanson, says their group has treatment centers operating all over the affected parts of the country and within four areas of Port-au-Prince. (The group says it has logged 200 cases of people in the capital with symptoms corresponding to cholera.)

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Gabriel Timothee, a doctor and the executive director of the Haitian Health Ministry, said at a press conference Tuesday: "We've entered a new phase of seriousness in this cholera crisis ... we're passing from a passive to an active phase where we're going to search for cases.... This is a question of national security.... We have enough medical resources to deal with patients for now."

Cholera is treatable and preventable, but a lack of education contributes to its spread, which Haitian Prime Minister Jean-Max Bellerive acknowledged in an interview with the Monitor last week.

“When cholera is getting to the level when it is considered epidemic, it is a clear sign of lack of social development, a sign of lack of education," he said. "Cholera is treatable, it is more of an education problem. People who wash their hands, cook their food a certain way, have proper sanitation, don’t [suffer a] cholera epidemic, so it is clearly tied to the situation of Haiti.”

No latrines, no running water

Dr. Gibson says that preventive measures are particularly hard to implement in urban places like Cite Soleil. “Teaching has been a really successful tool," she says. “But in Cite Soleil, you can’t tell people ‘wash your latrine.‘ They have no latrine, no soap, or running water.”

Doctors Without Borders, for example, has provided about 280,000 liters of water per day in Cite Soleil, which covers about 14,000 people. Despite that effort, it is still less than the needs of the community, the group says.

The crowded capital also lacks space to quarantine patients and treat the spread.

Gibson says she spent a day scouring Port-au-Prince for places to establish a clinic and secured only a few empty plots of land. “This has been our greatest frustration,” she says. “We need a big site to accommodate a lot of people, but people just don't want to hand over their schools, churches, hospitals until the town is already sick.”

Aid workers will also struggle with limited information and discrepancies over the extent of the problem.

At the General Hospital in downtown Port-au-Prince, Yves Lambert, the head of infectious diseases, says the problem is growing. "When we first opened up the ward here we would receive about five patients a day," the doctor says. "In the past week, this has gone up to around 20."

Their tally, according to a nurse on duty who flipped through her hand written log book, shows that since Oct. 24, six people have died of cholera in the capital. The government tally counts just one suspected death in the city.

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