UN warns of surge in Haiti cholera deaths

by Tim Witcher, Mariano Andrade

A United Nations envoy warned Wednesday that cholera deaths in Haiti will surge and spread to other countries unless more funds are found to battle the epidemic.

More than 8,330 people have already died from , that started in 2010 and many blame on UN peacekeepers based in the impoverished Caribbean nation.

But special envoy Pedro Medrano told AFP in an interview that legal wrangling over the epidemic has to be put aside in order to tackle the sweeping advance of the disease.

Medrano said cash is lacking for purification tablets, anti-biotics and staff to keep up a campaign that has cut the number of victims over the past two years.

If funds are not found before this year's starts in May, "we will face a very dark situation."

The 65,000 new cases reported in 2013 were the lowest reported yet but still more than 550 people died, according to UN figures.

Medrano said that unless funds are found the UN estimates that the number of cases could double this year and deaths increase four fold.

"If we are not prepared to make the investment now, we will have this year perhaps close to 180,000 cases and even up to 2,000 fatalities," he said.

The strain of cholera, that originally came from South Asia, has already been reported in Mexico, Cuba and Dominican Republic with some deaths.

A single case of cholera in a Peruvian port in the 1990s spread to 18 South American countries and killed 10,000 people, Medrano noted.

The UN assistant secretary general, who was named to the tough post in October, called for "a Marshall Plan for water and sanitation" in Haiti, a country of 10 million people with a long history of natural disasters and political strife.

The UN has launched an appeal to raise $2.2 billion dollars for Haiti over the decade. But Medrano said $400 million has to be found over two years to contain the epidemic and build infrastructure to stop a repeat.

"This is a must and we can't wait 10 years to have the whole country covered. We need to have a massive investment in water purification, sanitation, toilets," he said.

The Haitian government has reported more than 680,000 cases since the epidemic broke out in October 2010 near a UN camp where Nepalese peacekeepers were based.

Lawyers from the US-based Institute for Justice and Democracy in Haiti (IJDH) filed a lawsuit in New York in October seeking compensatiion from the United Nations.

"We are in Haiti and our response to the cholera has nothing to do with the legal claim or because the UN is responsible or not responsible," said Medrano.

"We will have enough time in the future to discuss the cause. There will be a proper place to discuss that. Now we are concerned with the response because people are dying."

The envoy said many private aid groups had left Haiti because they have no cash. Many governments believe the emergency is finished and there are competing appeals for billions of dollars for Syria, Central African Republic, the Philippines and South Sudan.

Some 200 cholera treatment centres were set up as the epidemic spread. But Medrano said they are now under threat.

"If we have cholera treatment centres with no resources, understaffed, without money to pay staff, what are we going to do? People from remote areas are travelling to the treatment centre and it is closed—lack of resources or they are dealing with NGOs who are no longer there."

Olivier Shulz, head of the Doctors Without Borders mission in Port-au-Prince, would not comment on predictions of increased fatalities but said prevention work was critical before the rainy season starts.

The group, which is virtually alone treating cholera patients in the capital, had to increase its staffing in Haiti last year because so many other groups left the country.

Now the MSF doctors and nurses are handling about 10 new cases a day. In the rainy season, this can increase to more than 100, Shulz told AFP.

"May comes very very quickly, the rains come very, very quickly and everyone scrambles to talk about prevention then," he said.

add to favorites email to friend print save as pdf

Related Stories

Dominican Republic, Haiti in 10-year cholera fight

Oct 08, 2012

(AP)—Officials in Haiti and the Dominican Republic are preparing for a long campaign against cholera, the water-borne disease that has sickened tens of thousands of people in the two neighboring Caribbean countries.

UN chief names special advisor for Haiti cholera

Dec 29, 2012

The UN chief on Friday named a US health expert as special advisor in fighting Haiti's cholera epidemic, which has claimed more than 7,750 lives and is widely blamed on UN peacekeepers.

UN launches major cholera appeal for Haiti

Dec 12, 2012

The United Nations on Tuesday launched a $2.2 billion appeal for a campaign to halt a cholera epidemic in Haiti, widely blamed on UN peacekeepers, which has killed more than 7,750 people.

UN rejects Haiti cholera damages claim

Feb 21, 2013

The United Nations on Thursday formally rejected a multi-billion-dollar damages claim for a cholera epidemic in Haiti that has been widely blamed on UN peacekeepers.

Recommended for you

Evidence-based recs issued for systemic care in psoriasis

9 hours ago

(HealthDay)—For appropriately selected patients with psoriasis, combining biologics with other systemic treatments, including phototherapy, oral medications, or other biologic, may result in greater efficacy ...

Bacteria in caramel apples kills at least four in US

9 hours ago

A listeria outbreak believed to originate from commercially packaged caramel apples has killed at least four people in the United States and sickened 28 people since November, officials said Friday.

Steroid-based treatment may answer needs of pediatric EoE patients

9 hours ago

A new formulation of oral budesonide suspension, a steroid-based treatment, is safe and effective in treating pediatric patients with eosinophilic esophagitis (EoE), according to a new study in Clinical Gastroenterology and Hepatology, the official clinical practice journal ...

Discovery of genes that predispose a severe form of COPD

12 hours ago

A study by Ramcés Falfán-Valencia, researcher at the National Institute of Respiratory Diseases (INER), found that the mestizo Mexican population has a number of variations in certain genes that predispose ...

On the environmental trail of food pathogens

13 hours ago

Tracking one of the deadliest food contamination organisms through produce farms and natural environments alike, Cornell microbiologists are showing how to use big datasets to predict where the next outbreak could start.

User comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.