EU Humanitarian Aid: "The vast humanitarian needs in #Yemen, mapped.
EU Humanitarian Aid: "The vast humanitarian needs in #Yemen, mapped.
‘It’s a Slow Death’: The World’s Worst Humanitarian Crisis
In just three months, cholera has killed nearly 2,000 people and infected more than a half million, one of the world’s largest outbreaks in the past 50 years.
How the House of Saud Inflicted 500,000 Cholera Cases — As Policy | The Tyee
a 31-year-old Saudi prince is waging biological warfare against his neighbours, and we aren’t even complaining. The WHO is in no position to name and shame the House of Saud, whose wealth gives the Saudis political clout with UN members that need its oil; WHO can only thank the Saudis for tossing some spare change at a problem they themselves created.
It’s extremely difficult to conduct foreign policy on strictly moral terms. This is especially true when one is already compromised, as Canada is in this case thanks to our providing armoured personnel carriers to the Saudis. For the sake of some Ontario votes, Trudeau’s Liberals have tolerated not only the suppression of Saudi citizens with those armoured vehicles, but the starvation and sickening of hundreds of thousands of Yemeni children and adults.
R Package for Analyzing John Snow’s 1854 Cholera Data
The second method, which actually follows Snow’s lead, computes neighborhoods based on the “actual” walking distance along the streets of Soho. While more accurate, it is computationally more demanding to compute than Voronoi tessellation.
Cholera Is Slaughtering Yemen and We’re Letting It Happen, by Laurie Garrett | Fortune.com
This is the worst #cholera epidemic in modern history, and it has already spread well beyond the borders of Yemen, though neighboring nations decline to officially report “cholera,” preferring the ambiguous phrase, “acute watery diarrhea.” Even the new director general of the WHO, Tedros Adhanom Ghebreyesus, plays the name game (…)
Confronting this catastrophe commands honesty: Cholera is now rampant not only in Yemen, but South Sudan, Ethiopia, Kenya, Somalia, Sudan, and in refugee camps across the Middle East. Last month, the disease broke out in a luxury hotel in Nairobi, sickening attendees to a health conference. By that time, UNICEF head Anthony Lake said, the #Yemen disaster was growing by 5,000 new cases per day—a pace it has since well exceeded. The true toll may well reach half a million before July ends, and the agony is evident everywhere one looks.
The horrible irony is that cholera is spreading primarily because Saudi Arabia and its Gulf state allies have been bombing Yemen’s infrastructure to smithereens for months, rendering every water supply contaminated. The reluctance of Ethiopia and other cholera-afflicted nations to truthfully state their health plights is due to the same countries’—Saudi Arabia and its Gulf allies—policies of boycotting all trade and food from nations that admit to having the disease. And historically the greatest scourge of the annual Hajj is—you guessed it—cholera.
et il faut que ce soit publié dans Fortune (!!)
Yemen In Crisis: How To Stop The World’s Worst Cholera Outbreak : Goats and Soda : NPR
Yemen is struggling to control a cholera outbreak that the U.N. is calling “the worst ... in the world.”
As of June 26, the World Health Organization estimates that there have been nearly 219,000 cases and 1,400 deaths since the start of the outbreak in late April. The outbreak is adding to a humanitarian crisis brought on by a civil war that’s lasted more than two years.
WHO has approved use of a vaccine in Yemen, but it works best if given before an outbreak starts. The organization is considering whether provinces neighboring those with rampant cholera would make good targets for a vaccine campaign. Some areas may not be safe or accessible for vaccine workers because of fighting.
U.N. blames warring sides for Yemen’s ’man-made’ cholera ’catastrophe’ | Reuters
U.N. humanitarian chief Stephen O’Brien described the cholera outbreak in Yemen, which is fast approaching 300,000 cases, as a “man-made catastrophe” caused by the warring sides in the country’s civil war and their international backers.
The number of suspected cases of the disease, which is caused by ingesting bacteria from water or food contaminated with faeces, reached 179,548 by 20 June, with 1,205 deaths, according to the World Health Organization.
“This is because of conflict, it’s man-made, it’s very severe, the numbers are absolutely staggering, it’s getting worse, and the cholera element in addition to the lack of food, the lack of medical supplies, primarily one has to put that at the door of all the parties to the conflict,” O’Brien said.
(et si tout le monde est coupable personne ne l’est)
Advocates Denounce UN Breaking Promise of Compensation for Cholera Victims
Le #Yémen en proie à une épidémie de #choléra et menacé de #famine
Depuis la fin du mois d’avril, une épidémie de choléra s’étend à une vitesse exponentielle au Yémen. Les structures de santé, dévastées par plus de deux ans de conflit, sont incapables de contenir la catastrophe. Des premiers cas ont été signalés à l’Organisation mondiale de la santé (OMS) dès octobre 2016 mais l’épidémie flambe de nouveau ce printemps : entre le 27 avril et le 30 mai, 65 041 cas ont été recensés. Au cours de la seule semaine du 15 au 22 mai, 18 000 nouveaux cas ont été signalés et entre 3 000 et 5 000 nouveaux cas sont désormais enregistrés chaque jour. 532 morts ont été dénombrés. Samedi 3 juin, le directeur régional de l’Unicef, Geert Cappelaere, estimait que 130 000 personnes au total pourraient être infectées d’ici deux semaines.
Si dix-neuf des vingt-trois gouvernorats sont touchés, l’épidémie affecte principalement des régions contrôlées par les rebelles houthistes alliés à l’ex-président Ali Abdallah Saleh : la capitale, Sanaa, et sa région, ainsi que les gouvernorats d’Amran et de Hajja, situés dans le nord-ouest du pays. Ces zones font l’objet d’un blocus de la coalition internationale dirigée par l’Arabie saoudite, en guerre contre les rebelles depuis mars 2015.
L’apparition du choléra s’ajoute à une menace de famine majeure : la sécurité alimentaire de 17 millions de personnes est menacée et 6,8 millions de Yéménites sont « à un pas de la famine », a rappelé, le 31 mai, le coordinateur des secours d’urgence des Nations unies, Stephen O’Brien. Ce dernier appelle la coalition internationale à ne pas lancer l’assaut sur le port d’Hodeïda, principale voie d’accès aux zones rebelles, dont l’activité a été drastiquement réduite par les bombardements et le blocus.
#paywall (et il n’y a plus le truc de la lecture zen pour le contourner…)
#Haiti - #Cholera : 2016 report +24% of cases, + 41% of deaths - HaitiLibre.com
Cholera persists in Haiti due to: underfunding of the National Cholera Elimination Plan (45% financed $ 9.2 million out of $ 20.3 million); Poor access to safe drinking water and sanitation; Lack of access to quality medical care; Lack of knowledge of socio-cultural factors related to this problem; High population density and mobility to urban areas.
et que font les #Nations_unies ?
UN admits for first time that peacekeepers brought cholera to Haiti | Global development | The Guardian
In a 16-page report released on Thursday setting out what is being billed as a new approach to fighting cholera in Haiti, the UN secretary-general, Ban Ki-moon, cites expert opinion about the cause of the deadly outbreak. It found that “the preponderance of the evidence does lead to the conclusion that personnel associated with the [UN’s peacekeeping] facility were the most likely source”.
Despite the presentation of the speech as a historic “apology”, it remained carefully worded in order to meet the tight limitations imposed by the UN’s legal position. Since cholera erupted in Haiti in September 2010, the UN has insisted that it is legally immune from any claims for compensation from those who were sickened or from the families of those who died.
The official death toll now stands at 9,200 people, but studies have suggested that if under-reporting is taken into account the real figure may be more than three times that number.
U.N. wants $200 million to pay #Haiti's #cholera victims, communities | Reuters
The new approach would also include raising a further $200 million to fund rapid response teams to combat cholera outbreaks and begin building water and sanitation systems throughout impoverished Haiti. Nabarro said only a quarter of Haitians have toilets and half have access to clean drinking water.
ça fait bientôt 10 ans que les #nations_unies ont apporté le choléra en Haïti…
Cholera in Haiti: A True-Crime Medical Thriller | The Tyee
[Dr. Renaud Piarroux, a French epidemiologist] was startled to find UN agencies like the Pan American Health Organization (PAHO) and the Office for the Coordination of Humanitarian Affairs (OCHA) — and the American Centers for Disease Control and Prevention (CDC) — uninterested in finding the source of the outbreak.
(...) this was baffling. The American and UN authorities seemed to be committed to an “environmental” origin for cholera in the Caribbean Sea. (...) the UN and U.S. agencies even brought in a team of investigators who had built their careers on the theory of environmental cholera.
(...) just before leaving Haiti, Piarroux received a secret document: a report by the MSPP, made in the very early days of the outbreak. With remarkable speed, the ministry had sent a team to the Artibonite River and identified the source as the Nepali camp. They’d been denied entry to the camp, but local residents provided plenty of details.
So within days of the outbreak the Haitians had known its source — and so had CDC and PAHO. Why hadn’t they said so, and why had Préval dismissed the idea of finding it?
(...) Haiti was (and is) ruled by a coalition of UN and U.S. agencies plus a chaotic mass of non-governmental organizations. The government in Port-au-Prince was (and is) far from sovereign. Préval had understood his situation, and had sent Piarroux the ministry report anonymously, to help him tell the world what he himself could not.
(...) alarmingly for any serious public health expert, a lot of public health experts went along with the scam. While thousands of Haitians were dying in puddles of their own vomit and diarrhea, the experts did their considerable best to lie to the world about why those people were dying.
the UN [#Haiti] Country Team is almost two months late and $9.8 million short in dealing with Haiti’s #cholera. And of course the ineptitude of the #UN and its reliance on begging bowls will result in “longer or more severe outbreaks.”
Cholera is now endemic in Haiti. Longer and more severe outbreaks will be of no interest to Haiti’s foreign masters. (…)
The US government, which is behind most of Haiti’s sorrows, spends $604.5 billion yearly on military defence. That’s $1.656 billion daily. By redirecting three or four days’ such spending, the US could provide safe drinking water and sanitation for everyone in Haiti.
Should OSF-Saint Francis Medical Center be Sued by Haitian Survivors ? – Dispatches from Haiti – Journal Star – Peoria, IL
If I could “design” the lawsuit it would be similar to IJDH. I believe the #cholera victims are asking 50,000 dollars per victim. Haitian Hearts would do the same even though we know that no amount of monetary recompense would ever replace Jackson. We would ask for an apology from OSF to Jackson’s family. (Nadia and Rosette are fully aware of what happened to Jackson.) And OSF, like the United Nations, would need to make things better in Haiti. Any previous Haitian Hearts patient operated at OSF would need to be accepted back by OSF if they needed repeat surgery.
UN’s own experts chastise Ban Ki-moon over handling of Haiti cholera outbreak | The Guardian
The secretary general of the United Nations, Ban Ki-moon, has been chastised by five of the UN’s own human rights experts who accuse him of undermining the world body’s credibility and reputation by denying responsibility for the devastating outbreak of cholera in Haiti.
In a withering letter to the UN chief, the five special rapporteurs say that his refusal to allow cholera victims any effective remedy for their suffering has stripped thousands of Haitians of their fundamental right to justice. The letter is believed to be the first time that the UN’s guardians of human rights have turned their spotlight onto the UN hierarchy itself, as opposed to individual nation states that are the usual target of their criticism.
(...) Latest figures suggest that some 9,202 people have died from the disease, with a further 769,080 treated in hospital since the outbreak began.
Haiti’s Cholera Epidemic Could Have Been Prevented With Low-cost Approaches, Study Finds | Yale School of Public Health
New research by scientists at Yale School of Public Health, in partnership with colleagues at the Yale Law School, has found that simple and inexpensive interventions—which the United Nations has yet to implement—would be effective in preventing future outbreaks of the bacterial infection.
Researchers developed a mathematical model for the arrival of peacekeepers carrying cholera and the early spread of the disease in Haiti. The model estimated the probability of an epidemic occurring under current U.N. protocols, and compared this against the probability of an epidemic if peacekeepers had been given antibiotics for cholera, screened or vaccinated. A team of independent scientific and medical experts had previously recommended that the United Nations consider these interventions to limit peacekeepers’ risk for spreading cholera. However, their implementation by the UN has been complicated by a lack of evidence to support decision-making.
Moral Agency on the Haitian-Dominican Border
With the conditions that I witnessed in the refugee camps in Anse-a-Pitres, it was not hard to predict that cholera could hit the camps and that an adequate medical response was probably not going to happen. I saw people in the camps drinking untreated water straight from the river reservoir. And I saw no preparations being made to develop and sustain an adequate Cholera Treatment Center (CTC) in Anse-a-Pitres.
During the last six weeks cholera HAS hit the camps in Anse-a-Pitres. And cholera is crossing the border into the Dominican Republic once again.
#Haiti : Everyone wants to fight #cholera, but no one can agree on how
There was a vaccine available. Although the cache was not nearly large enough — and still not fully approved by the World Health Organization — Ivers and others appealed to Haitian officials to allow them to distribute the drug.The government said no.“This was a missed opportunity to save lives,” Ivers, who ran a clinic in Haiti for the nonprofit Partners in Health, recalled in a recent interview.Today, the epidemic is seen as a pivotal moment in a dispute over the best way to counter cholera.
On one side are public health advocates, backed by the powerful Bill and Melinda Gates Foundation, who have been galvanized in their enthusiasm for vaccines. Those vaccines, they believe, can be used to make major strides against a disease that is thousands of years old, easily treated, and entirely preventable.On the other are public health officials who argue that the vaccines are not effective enough and are a Band-Aid diverting attention from the water and sanitation issues that are at the root of cholera.
“This is a disease of poverty,” said Shafiqul Islam, director of the Water Diplomacy Program at Tufts University. “There is a group of people who think vaccines will solve the problem. I don’t think it will.”Experts on both sides acknowledge the disagreement has undermined unity in the fight against cholera. The WHO has tried to straddle the divide by supporting both approaches, without settling how to pay for both.
How Cholera Could Spread from Syria, by Sonia Shah | Foreign Affairs
A #cholera outbreak that began in Iraq in mid-September has spread into war-torn Syria. From there, a massive flow of desperate refugees could carry the disease deep into the Middle East and even into southern Europe.
et sinon en Haïti ça fait exactement 5 ans que les Nations Unies ont apporté le choléra…
Haitian groups sign cholera letter, head of U.N. campaign ends tenure | Miami Herald Miami Herald
More than 150 Haitian-American organizations and prominent personalities including Haitian-American author Edwidge Danticat and Illinois State Senator Kwame Raoul have signed a letter urging U.N. Secretary General Ban Ki-moon and Secretary of State John Kerry to clear the path for justice for #Haiti’s #cholera victims. (...) In 2014, for example, Haiti had 28,000 new cases of cholera. In previous year, the numbers were well over 60,000 cases and at its debut, 100,000 cases.