Monday, April 14, 2008

Is Starvation Contagious?


Is Starvation Contagious?

John Maxwell

Few people, much less their governments, appear to be concerned about what
is happening in Haiti, next to Cuba our nearest neighbour and, in historical
terms, the people who paved the way for our freedom from slavery and
implemented for the first time anywhere in the world, the idea of universal
human rights.

Yet, today, while Haiti suffocates in poverty, hunger and dirt, her
neighbours in the Caribbean, with the exception of Cuba, pass by on the other
side of the road where Haiti lies in pain and anguish, ignoring the
brutalisation of the poorest people in this hemisphere by the richest nations
in the world.

Four years ago the Americans and Canadians with the backing of the French,
decapitated Haitian human rights, kidnapping her President and instituting
fascist rule by a combination of some of the greediest businessmen in the world
and the murderous thugs they hired in an attempt to depose the overwhelmingly
popular president of the Haitians, Jean Bertrand Aristide.

Mr Bush and Mr Colin Powell and a mixed gaggle of French and Canadian
politicians had decided that freedom and independence were too good for the
black people of Haiti. Lest you think I am being racist there is abundant
evidence that the conspiracy against Haiti was inspired by racial hatred and
prejudice.

I have gone into this before and I will not return to it today. Suffice it
to say that the US, Canada and France, acting on behalf of the so-called
‘civilised world’, decided on the basis of lies that, as in the case of
Iraq, a free and independent people had no business being free and independent
when their freedom and independence was seen to threaten the economic interest
of the richest people in Haiti and, by extension, the wealthiest countries in
the world.

Today, and especially for the last few weeks, the starving people in Haiti
have been trying to get the world to listen to their anguish and misery. Along
with some other poor people in other countries the Haitians have been driven to
desperation and the edge of starvation by the rapidly increasing price of food.
Unlike all the others the Haitians are over the edge, they are starving,
refugees in their own proud country, many forced to eat dirt to survive,
however tenuously.

Only the Cubans, the Venezuelans and the Vietnamese appear to care about
what is happening in Haiti. The rest of us are too concerned with ‘wealth
management’ and the prospects of foreign investors with bursting wallets
floating down from the sky to make us all rich.

But if one listens to people on the Jamaican street it is obvious that we
too are in the early stages of the same curse of the globalisation which makes
Haitians expendable and assesses their value at well under the price of one
Jamaican patty per day.

So, the Haitians have taken to the streets and more than half a dozen
starvelings have already been shot dead by the armed forces of civilisation, by
the satraps and surrogates of George Bush and his Canadian and French
accomplices.

The World Food Programme has appealed to the world for help for the
Haitians. So has the Vietnamese representative on the UN Security Council.
Venezuela has given Haiti money and supplied them with cheap oil. Cuba, among
other things, is training nearly 500 Haitians to be doctors, about half in Cuba
and the rest in Haiti.

The Golding government, like its predecessors, pays no attention to our
suffering neighbour languishing and dying because of the explicit actions and
strategies of the United States of America and its President, George Bush.

Which is why after Aristide, Haitians died like flies because of hurricanes
and rainstorms: their local democracy and their early warning systems had been
destroyed by the criminal gangsters who Bush put in charge of 8 million
Haitians. And when the situation became too noisome even for Bush and the
Republican party, Haitians were allowed to vote but not allowed to vote for the
man they wanted, so they voted for a surrogate. This meant that the Haitian
elite friends of Bush, the Chalabis of our hemisphere, were back in charge and
the primacy of the light-skinned minority re-established, just as it was in the
eighteenth century, before the American, French and Haitian revolutions.

It is possible that Haiti may not even be Bush's worst crime. In Haiti he
destroyed nearly 300 years of History and the Rights of Man. In Iraq he
obliterated much of the record of the last 8,000 years of civilisation and set
the people at each other’s throats

Many Haitians were killed by the American-paid assassins who inherited
military power from the American and Canadian Marines. More were murdered
because they were community leaders and allies of Aristide. Even more died from
unnatural disasters precipitated by the decapitation of democracy. And many,
many more will die from the effects of eating dirt for the greater glory of
George Bush and because they have had enough of Bush’s modern version of
slavery.

I told you so

Just to be tiresome I want to remind you of a column published in this paper
on Sunday, December 10, 2000, my 240th column for this paper. It was published
just as the Republican party was prepping the US Supreme Court to appoint
George Bush President of the US.

I wrote, inter alia

"The approaching triumph of Greenspan/Ayn Rand capitalism may just be slowed
down by the latest developments in the US economy, but that is not cooling down
the ardour of the “Cognitive Elite” to gain a handle on the whole business
of corporate control of the economies and governance of the world. The
Americans a few days ago, chastised Haiti for electoral defects which, compared
to Florida, were child’s play and did not really affect anything very much
more than the letter of the law.

“… George Bush, if he is appointed President, will use his time to
destroy the integrity of the country he rules, starting with the Supreme Court.
Then he can start on dealing with the rest of us. That’s his job, and as the
American Press has made plain, nothing needs to be known about him and his
multifarious incapacities because Big Brother in the giant corporations will
tell him what to do.

We are all in a for a very rough ride."

That was published before Bush became president, before Enron, before 9/1,
before the invasion of Iraq and before the rape of Haiti.

Today when the world faces climatic, ecological and economic meltdown we in
Jamaica are as far away from reality as ever.

We persist in our suicidal pursuit of unsustainable development-by-gimmick,
heading for disaster like the Haitians but of our own free will, unlike the
powerless Haitians. We are determined to grow sugar cane until it destroys our
society, watching helplessly and cluelessly as food prices rise out of our
reach and unwilling to even try to save ourselves by growing more food and
putting idle hands and idle lands to work, and unwilling to face the elemental
truths about this slave society.

We can’t afford rice or cooking oil, or bread or Lexuses.

Where, one wonders, is our Marie Antoinette to advise us to eat Johnnycake?

More than sixty years ago when we were faced with the (for us) less dire
crisis of the Second World War our British governors forced all landowners to
plant at least ten percent of their land in food crops. Sugar estates began to
produce food for the first time in 300 years and our unemployment and
malnutrition rates plummeted.

Today we face our unreality bravely, encouraging the most backward among us
to sing songs of hate against homosexuals, denying Amnesty’s findings about
our internecine violence although they are merely echoing what people like me
were writing forty years ago. We are going to grow food for cars while our
people starve

We know what’s wrong but resolutely refuse to face reality. In the
struggle for survival we say, along with George Bush, every man for himself and
let the devil take the hindmost.

The title of my 2000 column I quoted earlier could serve as our epitaph.

It was:

“Democracy? Enough already!”

I told you so.

Copyright ©2008 John Maxwell

jankunnu@gmail.com

Sunday, April 13, 2008

Jhiny and Cristelle



Jhiny and Cristelle both had successful surgery at Cardinal Glennon in Saint Louis. Both will be headed back to their families in Haiti soon.

Everyone Needs to Come Together


"Haiti is populated by some of the more resourceful, hard-working and decent people in the world, despite the face the political culture presents, but they cannot change the country on their own."

Michael Deibert

Class Struggle


"I did not invent class struggle any more than Karl Marx did. But who can avoid encountering class struggle in the heart of Port-au-Prince? It is not a subject of controversy, but a fact, a given."

Jean-Bertrand Aristide

Saturday, April 12, 2008

Word from the Ground in Haiti


Here is an e mail received today from Frandy in Carrefour describing this week in Haiti.

Also, Haiti's Prime Minister was "ousted" today.

Frandy's e mail:

The situation is better today.Yesterday i went out cuz i was really in needed.I walked along side Carrefour Boulevard by looking for a Western Union bureau, just to pick up some money from my dear friend Helen Quade who lives in St Louis (Missouri).Therefore i was also a witness of what was happening in Carrefour especially on the Boulevard way.It was very riscked for me, but i was obliged because i did not have nothing to eat at home.I tchecked up 9 Western Union offices infact all of them were closed.The streets were stuffed with a lot of people and the majority of them was young.They manifested against the rising of the prices (Expensive life) and placed some baricades, they even reposted to the UN forces, because UN troops attacked them before by shooting tear gas and plastic boullets.The demonstrators thrown stones and bottles on the UN forces.For the demonstrators UN and the Governement are their worst enemy of the moment, MINUSTAH transformed the situation as bottlefield by using weapon against the people.The situation was awful yesterday.I am not agaist the strike, so i rather dislike some of the demonstraters who looted the Stores, Banks and gasoline stations etc. Although the Nation is suffering, the governement does not care about us.I tried to understand the speech of the president, i think a national production program would be better for the country, but when it will start Mr President? and what do you pretend to do as an emergency plan in this famine situation? I heard the demonstrators saying "We are hungry, if they shoot us we will put fire".UN are not a force of peacekeepers, they are a group of criminal.Now the situation is calm, there is circulation of cars and people are able to move.Most of the businesses are working.I hope to go back to school next week "Monday".I have a program to follow at school, i am praying just to have chance to attend my school.The hunger pains name clorox.The rise of the prices cause me hungry, i want to have a low price for the groceries.The country is needing an emergency plan not promess.I am asking everyone a hand for this beautiful Nation, Haiti needs the world now.There are thousands children who are suffering with sicknesses and starving problems.Thanks for all who are helping Haiti.

Carrefour,
Frandy

Haiti Starves While OSF Continues Hypocrisy



In todays Peoria Journal Star on page A8 is an article with a title "Haitians' Struggles for Food Worsen". Immediately below this article is an advertisement by OSF with the title "85 Doctors Redefining Healthcare".

This past week in Haiti has been terrible. Food riots gripped Haiti. There were strikes, violence, and chaos. The Haitian people are very hungry. Can you imagine how Americans would act under similar circumstances?

As the Journal reports, "Hunger has long been a fact of life in the overcrowded slums that rim the Haitian capital, but soaring food prices have made the struggles of Haiti's poor unbearable. The price of rice has doubled and the violence has only made things worse.

"Globally, food prices have risen 40 percent since mid-2007. Haiti, where most people live on less than $2 a day, is particularly affected because it imports nearly all of its food, including more than 80 percent of its rice.

"Much of Haiti's once-productive farmland has been abandonded as farmers struggle to grow crops in soil decimated by erosion, deforestation, flooding and tropical storms. To make a profit, the farms that remain often price their crops sharply higher than imported American products, which benefit from generous U.S. government subsidies".

And OSF's advertisement is an embarrasment. It states "one patient at a time" and calls itself an "outstanding healthcare system dedicated on one thing...serving you with the greatest care and love."

In a society that can't feed its population, safe heart surgery is impossible.
Jackson and Maxime are both dead. They were not taken care of with "the greatest care and love". Other Haitian Hearts patients are slowly dying as OSF builds new multi-million dollar buildings and looks the other way. These Haitians are being neglected by OSF when they need OSF's skilled doctors and nurses to stay alive.

Haiti is suffering through its worst days in its history. And so is OSF in Peoria.

Tuesday, April 08, 2008

We are Spending 10 Billion Dollars Each Month in Iraq


E-mail received today from a friend in Haiti describing the situation and how their patient population is affected. The real problem is not enough food in peoples' stomachs have pushed them to this madness.

April 7, 2008

Dear Friends and Supporters,

Please pray for us today. There have been widespread rioting in Haiti as
well as all major and many minor roads blocked with burning tires, broken
glass, etc. Yesterday, there were armed men at the gas station so that no
one could fill up. The demonstrations all broke up around 4-5 pm so we were
able to get a gravely ill man to Port au Prince after that and fortunately
fill our gas tank which was near empty.

There is no diesel for the generator today so unless God provides a miracle
we may not have electric in the clinic.

Jim had no docs yesterday because they live in Port and could not get
through. We had 4 other patients besides the one that should have been
hospitalized but were unable to. One motorcycle accident included in that
bunch. We worked late and finally got all but 5 seen. Mary (name changed by me)
arrived here to go to Jacmel early this AM but the roads were all blocked by
6:30 AM. So she will be joining us in the clinic today.

This morning we have a woman in active labor at the clinic awaiting us
because her car was bombarded by rocks when she tried to get to the
hospital.

Things should clear up tomorrow as the nation really cannot afford to not
work for many more days.

Thank you for your prayers for us today.

Monday, April 07, 2008

Striking for Food in Haiti


I received this e mail a few minutes ago from a Haitian Hearts patient. Frandy is 19 years old and lives with his mom and brothers. He describes the dire situation in Haiti this morning (April 6, 2008).

His ideas are his ideas and every "expert" on Haiti may not agree with everything Frandy writes. But Frandy is the hungry one, living in Carrefour, and trying to survive each day.

See Brian Concannon's excellent article regarding Haiti's food situation.

Date: Mon, Apr 7, 2008 at 10:32 AM
Subject: strike in Haiti, thousands people are walking on food

Hello,

How are you doing? I hope that everything is fine with you.Today we wake up with a strike in our country, and there are a lots of people who walk on foot in the streets because there are no cars.People are protested against the expensive life.This is a hunger crisis, the activities are paralised.I don't go to school today from that protestation fact, my school does work and it is the same thing for the others.

Currently i should get $ 225 HT to buy a bag of Rice that contains 8 canisters of Rice and the other stuffs are very expensive, the governement does not care about us, this morning there was an exchange between police and people.Some of the people who protest were thrown stones on a group of police officers and they reposted to the people with guns and gas.

I am not against the strike, we need an answer from our governement because food is unaccessible to buy such as it is expensive.We are having an expensive life, the president is remaining unmobil without saying what he's going to do or pretend to do.

Our goverment is not a serious gov and rather be a group of stealers.We are sufferring with an expensive life since a long while and we don't know how long we are going to stay with this problem.This is a worse period for this country that called during a certain time Beauty Of the West Indies ( the caraibe).

The prices are raised up everyday, we don't know what to do as a solution.We have different bad stuff in our system.If i had power to get the Media, i would talk against of this crazy governement cuz in this case i am very radical.I am working hard just to get out of this country, i beleive the solution of Haiti depends on God not Human being.I don't know for tomorrow if i will go to church, i hope all the students will have chance to go to school tomorrow.Things are fuzy to see.

My mom said hello to you.
Thank you very much.
Talk to you soon.
God bless you.

Haiti,

Frandy

----------------------------


1 Killed in Haiti Food Protests
By JONATHAN M. KATZ – April 6, 2008

PORT-AU-PRINCE, Haiti (AP) — Protesters angered by high food prices flooded the streets of Haiti's capital Monday, forcing businesses and schools to close as unrest spread from the countryside.

Witnesses said at least one person was killed by hotel security guards during a protest in the southern city of Les Cayes, where at least three people were killed Friday in food riots and clashes with U.N. peacekeepers. Police said they were investigating.

Thousands of people marched mostly peacefully past the National Palace in Port-au-Prince. "We're hungry," some called out. Others carried posters reading "Down with the expensive life!"

Haitians are particularly affected by food prices that are rising worldwide. Eighty percent of the population lives on less than US$2 (euro1.27) a day. The cost of staples such as rice, beans, fruit and condensed milk has gone up 50 percent in the past year, while the cost of pasta has doubled.

"Some can't take the hunger anymore," the Rev. Gerard Jean-Juste told The Associated Press. "As a priest, I encourage all government officials to do their best to find ways to solve the near-famine situation."

The U.N. World Food Program made an urgent appeal for donations Monday to support its operations in Haiti, the poorest nation in the Western Hemisphere. U.N. Secretary-General Ban Ki-moon warned last week that the food crisis could threaten Haiti's already fragile security.

Copyright © 2008 The Associated Press. All rights reserved.

Saturday, April 05, 2008

Abundance


"The test of our progress is not whether we add more to the abundance of those who have much, it is whether we provide enough for those who have little."

Franklin D. Roosevelt

Wednesday, April 02, 2008

New Ideas for Global Health


"Innovation frequently arises from the lessons of repeated failure, so if we are not willing to take risks and fail often, we will miss many opportunities to capture novel approaches that can transform a field. Above all, unfortunately, peer review can kill truly novel ideas because they are, by definition, peerless."

Tadataka Yayada, M.D.
New England Journal of Medicine, March 27, 2008

Advertisements in Peoria


On March 30, 2008 the Peoria Journal Star ran a two page advertisement that stated “April is Child Abuse Prevention Month”. The advertisement was supporting the Pediatric Resource Center. The Pediatric Resource Center is run by OSF-Children’s Hospital of Illinois.

The ad was paid for by Children’s Hospital of Illinois and the University of Illinois College of Medicine in Peoria.

Several years ago when the Executive Director of Children’s Hospital of Illinois delayed the surgery of a Haitian Hearts child in Peoria, I reported this to the Pediatric Resource Center. Within several hours, after multiple people were notified of this negligence, the child was placed on the cardiac catheterization schedule and was subsequently operated.

The Pediatric Resource Center does excellent work for children in Peoria. How unfortunate that they had to take action against their own Executive Director.

This incredible event, of course, never was exposed by the local media.

.

Martin and Martyrdom


Martin Luther King was assasinated 40 years ago. He was in Memphis supporting a garbage man strike.

TIME magazine (April 7, 2008) has an article by Michael Eric Dyson. Mr. Dyson stated that Dr. King was almost waiting for his death and "he suffered huge grief of soul and heart, largely alone."

Dyson writes:

"The more he (King) protested poverty, denounced the Vietnam War and lamented the unconscious racism of many whites, the more he lost favor and footing in white America. For the first time in almost a decade, in January 1967 King's name was left off the Gallup-poll list of the 10 most admired Americans. Financial support for his organization nearly dried up. Mainstream publications turned on him for diving into foreign policy matters supposedly far beyond his depth. Universities withdrew lecture invitations. And no American publisher was eager to publish a book by the leader. In many ways King was socially and politically dead before he was killed. Martyrdom saved him from becoming a pariah to the white mainstream."

Wednesday, March 19, 2008

Catholics and Haiti


Unfortunately the Catholic Diocese of Peoria and OSF-SFMC withdrew their support for Haitian Hearts children that need heart surgery. This happened several years ago and is well documented on this web log. The bottom line is that the Diocese was and is afraid to challenge the largest Catholic medical center south of Chicago.

Morality has taken a back seat to money. Haitians that need repeat heart surgery at OSF-SFMC are now dying.

On March 9, 2008 the Catholic Post, which is the newspaper of the Catholic Diocese of Peoria, ran a full page advertisement for Cross International Catholic Outreach. Below are some excerpts from the ad. I would think that the Post and the Diocese of Peoria would feel a bit hypocritical running this ad since the Catholic Diocese of Peoria and OSF-SFMC are not following what Cross International is stating must be done by Catholics for Haiti.

The second part of the advertisement is entitled “U.S. Catholics “Key” to Positive Changes in Haiti”.

Monsignor Mike Flanagan of Cross International has worked in Haiti’s Central Plateau. He urges U.S. Catholics to help the destitute villages of Haiti.

“In Matthew 25:31-46, Jesus gave us a preview of the final judgment, and the power of those words burned in my soul as I walked through the village,” Msgr. Flanagan said. When Jesus related the last judgment of mankind, He made the shocking revelation—that help given to the poor would equate to help given to Him, and that those who ignored the poor would be judged as if they had ignored Christ Himself. The connection to Haiti is both obvious and challenging. That destitute village is a place where Christ abides today. He is there among the poor, calling for our help.”

Flanagan also encourages Catholics to see the Judgment story in Matthew as a blessing rather than as a source of anxiety or fear. “We shouldn’t see our actions in Haiti as simply feeding a child or building a home for a poor family. We should see our outreach as a loving response to Jesus himself,” according to Msgr. Flanagan.
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Saint Boniface Haiti Foundation is another wonderful organization that has many projects in Haiti. Saint Boniface Hospital is the center of their work in Fond des Blancs, a small village south of Port-au-Prince.

Many volunteers come to offer their services in Fond des Blancs and the following was written by volunteer Genevieve Lysen:

Reflections from Haiti--

Each day here in Haiti my eyes have opened wider to the reality of inequity and injustice in our world. Today we came upon a little settlement where I saw the most abject poverty I could ever have ever imagined….an 8 by 10 foot concrete structure with one twin bed, a leaky tin roof, and no sign of any food, bedding, clothing, etc. save for what the 8 people who lived inside were wearing; a sick mother who couldn’t have weighed more than 80 pounds and could not stand, 2 sets of wailing naked twins, a three or four year old taking care of the sets of twins, and one 10 year old boy and a seventeen year old boy who was the breadwinner for his family. He was born when his mother was 13 years old. She is only 30 now but looks 50. It was absolutely heartbreaking. I had some Clif bars and I divided them among the family. I cried on the walk down from the mountain. Their house was the highest point in Fond des Blancs. The view was amazing, so much beauty surrounding such destitution. My experiences in Haiti will change my life and my career path. The people of Fond des Blancs, their patience, their hope, and their honesty give me back the faith that I had lost in humanity. At the same time, the state of this country is testament to the greed, corruption, abuse, discrimination and ignorance of man. Haiti is a country in economic and social ruin where the people are the most dedicated, bright and hardworking as anywhere.

Tuesday, March 18, 2008

"We All Breathe the Same Air"


"Our generation's greatest challenges---in environment, demography, poverty and global politics--are also our most exciting opportunity. Ours is the generation that can end extreme poverty, turn the tide against climate change and head off a massive, thoughtless and irreversible extinction of other species. Ours is the generation that can, and must, solve the unresolved conundrum of combining economic well-being with environmental sustainability. We will need science, technology and professionalism, but most of all we will need to subdue our fears and cynicism.

John F. Kennedy reminded us that peace will come by recognizing our common wealth. "If we can not end now our differences, at least we can help make the world safe for diversity. For, in the final analysis, our most basic common link is that we all inhabit this small planet. We all breathe the same air. We all cherish our children's future. And we are all mortal."

Jeffry Sachs, TIME, March 24, 2008

Friday, March 14, 2008

Worlds Apart



“I know the color of that blood; it is arterial blood. I cannot be deceived in that color. That drop of blood is my death warrant. I must die.”

The British poet, John Keats, trained as a physician, gave himself this accurate prognosis in 1820 after an episode of hemoptysis (coughing blood). He realized he had contracted tuberculosis. He died soon afterward at the age of 25.

The New England Journal of Medicine, March 13, 2008, has two lead articles regarding tuberculosis. The articles are about tuberculosis in Africa and India. Below are key comments and figures from these articles mixed in with statistics regarding Haiti’s current epidemic of tuberculosis.

Tuberculosis is a terrible disease. Who ever called it “consumption” was right. People get trapped in their tiny little bodies and are unable to provide for themselves or their families. They are indeed consumed by their illness.

Tuberculosis is also highly contagious and can be spread just by talking with someone with active tuberculosis. Children are very susceptible to this disease.

Tuberculosis ruins people, families, and society.

The bottom line that needs to be stated early is that tuberculosis is preventable, treatable, and a disease of poverty. And their have been curative medications available for over 50 years.

So here is the depressing news regarding tuberculosis:

1. Africa is facing the worst tuberculosis epidemic since the advent of the antibiotic era. Africa, home to 11% of the world’s population, carries 29% of the global burden of tuberculosis cases and 34% of related deaths. More than half a million people die each year from tuberculosis in Africa.

2. During the 1990’s tuberculosis killed more people worldwide than in any other decade in history. Tuberculosis medications have been available since the 1950’s.

3. The average incidence (all new cases per 100,000 population) of tuberculosis in African counties more than doubled between 1990 and 2005, from 149 to 343. This is in contrast to the stable or declining rates in most other regions of the world.

4. The estimated incidence of tuberculosis in Haiti in 2004 was 306. And I don’t really believe this number. My guess is that tuberculosis is vastly underreported in Haiti.

5. The estimated incidence of tuberculosis in India in 2008 is 200/100,000 population. The rate of confirmed infection in India is startling. Researchers at a medical school in northern India found an incidence of about 17 new cases of active tuberculosis per 1000 medical residents per year (as compared with about 2 cases per 1000 in the general population and 0.05 in the general U.S. population.) Thus, one take home message from these horrible statistics regarding young Indian physicians is the compelling evidence of nosocomial transmission…tuberculosis is very contagious.

6. The estimated incidence of tuberculosis in the United States in 2006 was 3.4 cases. This was the lowest TB incidence ever recorded in the United States. The TB rate among foreign born persons in the United States was 9.5 times that of U.S.-born persons. The TB rates among blacks were 8.4 times higher than rates among whites.

7. Yes, you read these numbers correctly. How can one compare “rates of tuberculosis” of 300 in Haiti to 3 in the United States? Haiti is 90 minutes by air from Miami.

8. The growth of the tuberculosis epidemic in Africa and Haiti is attributable to several factors, the most important being the HIV epidemic. Autopsy studies have shown that 30-40% of HIV-infected adults die from tuberculosis.

9. South African gold miners who have one of the highest incidence rates of tuberculosis in the world, but rates remained stable in the 90’s among HIV-negative miners, while rates among HIV-positive miners increased by a factor of 10. (The cellular immunocompetence of this population became impaired, and thus susceptibility to tuberculosis increased.)

10. By the way, the incidence of tuberculosis in Haiti is higher than in South Africa. Incidence rates of tuberculosis in Yemen, Ukraine, Kazakhstan, Guyana, Thailand, Russia, Romania, North Korea, Iraq, Vietnam, Mongolia, Nepal, China, Gabon, Bolivia, Botswana, India, Sudan, Laos, Ghana, Guinea, Pakistan, Niger, and Chad are all LESS than Haiti.

11. The ability of African, Indian, and Haitian health care systems to respond to, manage, and contain the growing number of cases of tuberculosis is constrained by limitations of funding facilities, personnel, drug supplies, and laboratory capacity. Bad infrastructures yield bad tuberculosis statistics.

12. Another critical factor concerns early diagnosis and treatment of tuberculosis, which limits the spread of the disease and reduces deaths. Again, the infrastructure and the public health capabilities of the that society dictate how quickly tuberculosis is diagnosed and treated.

13. Sensitive tests for diagnosis of a disease need to be present to diagnose efficiently. Throughout Africa, diagnosis rests on the microscopical detection of acid-fast bacilli (the TB germ) in sputum, an insensitive technique that is particularly ill suited to the detection of tuberculosis in HIV-infected patients, who have fewer bacilli in their sputum and have more extrapulmonary tuberculosis than HIV-negative patients. WHO estimates that only half of all persons with smear-positive tuberculosis are identified. Modern culture and nucleic acid-amplification systems are rarely available.

14. As a result, many people remain ill and contagious with tuberculosis for prolonged periods before the disease is detected, and thousands die without ever having received a diagnosis of tuberculosis. Even with diagnosis, the average rate of successful treatment is less than 70%, which makes both relapse and the emergence of drug resistance common.

15. The availability of point-of-care diagnostic tests could substantially reduce the incidence of and mortality from tuberculosis and prompt earlier treatment, thus limiting transmission. (Point-of-care tests are tests that can be done quickly and easily at the site, rather than waiting weeks for culture results to return.) And rapid detection of drug resistant strains would facilitate earlier access to appropriate therapy. Better use of existing, highly sensitive culture techniques could reduce mortality rates associated with tuberculosis by 20% or more.

16. A new tuberculosis vaccine could protect future generations.

17. Interventions directed at people with the highest risk, including families of patients with tuberculosis or HIV infection could be extremely effective. But this would entail giving the "preferential medical option" to the poor. Who wants to do that?

18. For patients with HIV, preventative therapy with isoniazid can reduce tuberculosis incidence, yet less than 1% of all HIV-infected people worldwide who could benefit from this intervention receive it. Antiretroviral therapy alone is insufficient to control tuberculosis, but analyses suggest that isoniazid significantly augments the effect of HIV drugs.
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Since the resurgence of TB in the United States during 1985-1992, the annual TB rate has decreased steadily. The TB rate in 2006 was the lowest recorded since national reporting began in 1953. The US public health system responded.

Tuberculosis is a disease of poor people around the world. And as we all know, diseases of the poor are frequently ignored. Maybe, due to the fact that people travel and tuberculosis is so highly contagious, the people that have will take more interest in eradicating tuberculosis.

In Haiti, Africa, India and many other developing countries, increased investments in research, health care systems, diagnostic laboratories, human resources, and public health services needs to occur to control the disease, death, and destruction caused by tuberculosis.

References:

New England Journal of Medicine-- March 13, 2008
Journal of the American Medical Association-- April 25, 2007
Global Health Reporting.org

Tuesday, March 04, 2008

A Just Social Order


The Lancet published a series of articles in 2005 regarding the religions of the world and how their philosophies relate to health.

Hazel Markwell wrote about the “Catholic View” in the September 24, 2005 issue.

Below are some salient features from Markwell’s article:

1. The Catholic understanding of sickness, suffering, and death is grounded in a belief in Jesus Christ who, as the incarnation of God, suffered, died, and resurrected.

2. In light of this faith and hope for an afterlife, Catholics accept that although an effort must be made to eliminate sickness, suffering, and death, these things can also have a positive meaning.

2. In Catholic bioethics, two basic human values ground all others: human dignity, and the interconnectedness of every individual. The value of dignity of the individual arises from the belief that life has intrinsic worth because people are created in the image and likeness of God. Respect for human life results from this principle.

3. Catholics believe that people are stewards, rather than owners of their own bodies, and are accountable to God for the life that has been given to them, and for this reason life is said to be sacred.

4. Gaudium et Spes, one of the documents of Vatican II, makes the point that the dignity of the human person lies above all in the fact that he or she is called into a relationship with God. As social beings who are connected to each other in society, we also share a responsibility for one another.

5. Belief in the value of the common good calls us to promote a just social order. This just order demands that we remain true to the value of charity or solidarity, in which we have a responsibility to respond to others in need, in particular the poor.

6. This responsibility requires a commitment not only to the poor in our midst but also to those throughout the world.

7. However, the huge gap between the rich and the poor of the world is widening, in large part due to the debt owed by developing countries.

8. The impetus and foundation for this commitment to the poor lies in a notion of justice that is grounded in love and an adherence to the message in the Gospel of Matthew (25:40): “…in so far as you did this to one of th4 least of these brothers of mine, you did it to me”.

Father Gerard Jean-Juste practiced and believes in the common good in Haiti. Hopefully, he will be back in Haiti soon practicing his Catholic beliefs which promote the common good.

OSF in Peoria needs to lift their embargo on Haitian Hearts patients and follow the Catholic philosophy as outlined in the Lancet. Three more young Haitian women will die soon unless OSF sees the light.

Tuesday, February 12, 2008

Father Rick and Respect for the Dead



Father Rick Frechette is a Passionate Priest and medical doctor. He lives and works in Haiti. Cyberspace does not have enough room to contain what he actually does each day. He is indispensible for many reasons.

Father Rick and his order have great respect for the dead. In Haiti, he has the opportunity to show his respect often. Father prays and personally buries the deceased in a kind and holy fashion.

One day on Route National 1 just outside of PAP, Fr. Rick and his "team" stopped our truck and we got out and waited for another missionary to deliver the remains of a newly deceased.

We stood on the side of the hard road as small group of people gathered and sold some popcorn that we ate out of small paper sacks.

Sure enough, after about 15 minutes, a scraggly white van approached from the north and stopped when it reached us.

The back door of the van was opened by a white, happy appearing missionary and we pulled out the body which was wrapped in a white sheet. He appeared to be a "middle aged" man without socks or shoes. No family members or anyone besides the missionary was with the man.

We carefully placed the deceased man in a cardboard box which was shaped just like a fancy, expensive wooden casket. Father Rick is able to obtain these boxes for a reasonable price.

Fr. Rick prayed over the deceased and sang a few songs. We then loaded the casket off of the hard road and shoved it into the back of Fr. Rick's vehicle. We turned around and headed back to Port-au-Prince.

When we arrived at the cemetery, a couple of young men and an old man greeted us and we carried in the cardboard casket and lowered it into a cement vault. No name was present on the vault.

A few more prayers were said and that was it. Another Haitian successfully buried by a priest who respects both life and death.




Below is an article written by Father Rick and posted on IJDH Haiti Justice Blog by Brian Concannon.




December 6, 2007

Saint Nicholas and the Antichrist


HOW BEAUTIFUL UPON THE MOUNTAINS ARE THE FEET of the one who brings good tidings, who proclaims peace; who brings the good news of salvation; who announces to Zion, You God reigns! (Isaiah 52:7)


St. Nicholas surely had this kind of feet. His pilgrim journeys not only gladdened the heart of humanity in his day, but his reputation was so great that it has carried his name forward for 1700 years, to our own day.



Certainly, the centuries have changed him. The bishop’s miter that graced his head has flopped over and gained white trim, his red bishop robes have turned into an oversized pantsuit, and a thousand generations of use have slurred his name into “Santa Clause”. But unlike many saints whose popularity is confined to a region or a country, St Nicholas is one of the few saints known and loved in almost all the world. Even in his secular form, he represents wisdom, kindness and generosity, as should any present day successor of the apostles, known to us as bishops.



St Nicholas was able to live out a vibrant and hopeful message in a time of great suffering, controversy and confusion. The gladness of his news, when contrasted with very dark human experiences of his day, is like a bright star in the black velvet, midnight sky.


Our Christian tradition makes no denial of darkness, not even when the extra lights of the holidays do their best to make the darkness vanish in an artificial way. Sometimes the darkness we must fight is inside where Christmas tree lights can never reach.


Recently in the vast Port-au-Prince slum called Cite Soleil, a sickly young woman asked me to help her. Her name was Solange. She was so small and slight, I was surprised when she told me she was in her twenties. When I listened to her heart, the gushy murmurs made me picture her heart valves as thick, shredded sponges. I was sure she had valve damage from previous rheumatic fever, which is still very prevalent here. A cardiologist friend confirmed this and thought surgery was still possible, so I arranged for Solange to go to Dominic Republic for surgery.


A few days after Solange left, we had bad rains, then terrible rains, then worse rains still, and then a full stop flood. We went into high gear, helping thousands of flooded neighbors get out of the water to shelter. While in the midst of all the flood chaos, I got a call from the Dominican Republic saying that Solange had died during the night. They didn’t know what to do with her body or how to let her family in Haiti know that she was dead.


So we handled a disaster within a disaster, using cell phones during flood relief to arrange the return of Solange’s body to Haiti by airplane, and to call the family to come to find us in the floods so we could give the news personally and not by phone.


My head started to spin. The family will probably blame us for her death. They will want money. They will say I should have left her alone, that the trip was too tiring for her. When the body comes on the plane it will difficult getting the body through immigration. They will need to be bribed. The family will want us to pay for the funeral, etc, etc, etc….


Fatigue, frustration, and cynicism know how to twist the mind and heart. They are the weapons of the Antichrist.


Having worked myself up into an angry and defensive posture, when the family asked us to drive the body all the way to Thiotte ( a six hour drive), I recited in full voice a list of everything we had already done for Solange, and what it cost in terms of money and effort. Soon the force of my words started to fade. There was her body, in front of me, in a simple coffin. There had been no problems at immigration, no bribes to pay. Just compassionate officials who helped things move rapidly for the grieving family of paupers. I realized with embarrassment that I should be using my mouth for blessing her body, for praying for her family standing before me in their grief, and not for my unsolicited defense. The family was kind and understanding. No demands. No blame. They were only asking for a ride to Thiotte. If we couldn’t help, they would try to manage another way.


Then I was completely caught off guard. The family told me they were going home to Thiotte because their simple home was destroyed by the water and mud of the floods, and they had no place to go with Solange. They had no place but home. There life was all loss. Then, they thanked me for sending Solange to the Dominican Republic. If she hadn’t gone, they said, she would have had a terrible death in the water and mud.


Who had the sicker heart? Me or Solange? How did St Nicholas, and so many great people through the ages, keep the right heart in the face of danger and stress and disaster? They had a special gift, a keen intelligence as to what was really happening inside people and in their true situations, that could not be blunted or distorted by preconceptions or habits of response based on fatigue or cynicism. What a great gift to ask for at Christmas, from the real Santa Clause- a keen, intelligent heart.


Esmine was kidnapped last Thursday. Yes, it is all starting up again. After coming out of the bank with a good bit of money to pay for the schooling of her three young children, she was grabbed by strangers and gone. How? Had someone inside the bank tipped off the ones outside? Was she betrayed? Days pass, negotiating with kidnappers for money the family did not have. They were threatening to kill her. These are not idle threats, as two kidnapped children had been killed during the past ten days. I put up half the ransom for Esmine. I even went to do the drop off for the kidnappers. “Leave the money at the third telephone pole, on the left, after the bridge.”


How I despised what the kidnappers were doing, when I remembered the children that were killed by them and how they died, when I thought of Esmine’s distress and her distraught children at home. I even felt anger against Esmine, for getting kidnapped in the first place and somehow pulling me into it. I wanted to hide out by the pole and beat them when they came for the money. “Lord, keep our hearts from becoming like those of our oppressors!” It really is all about heart, a struggle with darkness in the heart.


Emerline was released at four in the morning, and came to see me at the hospital right away. She had been beaten, she was humiliated, she was full of fear of the streets, of society, of the future. She rolled on the ground in front of me, crying out her grief, but also sputtering out words of thanks for our help in freeing her. I couldn’t get her to stand up, and I didn’t have the heart to look at her on the ground so defeated, so I looked to the sky above. The moon was a bright crescent, but its full round border was visible by the aurora of the far off sun. And, to the left of the crescent in all its glory, was the morning star.


I understood immediately. The moon was Esmine. Her glory, her godlight, was diminished by the dark evil of her captivity and humiliation, but was faintly still there. The crescent was the part of her that still enjoyed light, and somehow promised a healing light for the remaining silhouette. God was the aurora, the sun underneath and unseen, a subtle light illuminating Esmine’s wound that could be healed by hope. And the morning star? That’s the best part. The morning star is you, and me, and anyone, anywhere, at any while, who stands in solidarity with the one who is in darkness and the shadow of death- to offer even imperfect or limited light. This offer is antidote to the Antichrist.


You can’t believe how hard it is to bury the dead. No one wants them. We bury about 100 a week. Their poverty and humiliation still hound them after they are dead. Their disgraceful condition, their lack of a place even to drop dead on, their exile from a final resting place, are haunting realities. When we recently brought a score of these destitute to their final resting place last week, we were met with a posse of peasants who demanded money and would not let us pass to the twenty graves we had dug. There was quite a fight between my team, who were there to manage all the coffins and the graves, and the peasants who insisted they could make a fortune on that land by saving it for a cell phone company antenna. They insisted their deal with the company was getting ruined by our bones.


I knew it was State land. I knew the dead have been dumped there for 30 years. But I had no energy left to fight and I called for the gravediggers, the team of 20 pall bearers, and all the coffins to go to a place in Cite Soleil the Mayor said we could have for funerals, but which we had not yet prepared for lack of resources. My team refused to leave and wanted to defend the dead. The small music band that always comes to play for the funerals (I call them the “other” grateful dead) struck up a lively tune. The fight was on. The police soon came, and went to the highest bidder….me. Yes, I could outdo the protesting peasants- gas money, a little money for lunch, a little extra for Christmas. The dead now rested in peace.


The human heart beats in darkness, against darkness, and easily becomes darkness. But it longs for light, true light. At Christmas we celebrate the presence of a new heart beating among us. Small at first, but over a very few years it grows in strength, wisdom and grace. If we want, this sacred heart beats first next to ours, then with ours, and then in ours. Each beat generates light, the true light that the darkness cannot overcome. Darkness loses its power, and falls from its throne as victor. It becomes simply “opponent”. Even its opposition is self defeating, since it only increases longing for the Sacred Heart, whose power and light we come to share. This power and light reveal His name, but we find we have always known it. His name is “Wonderful, Counselor, Almighty God, Everlasting Father, Prince of Peace.”


May it be ever in our hearts and on our lips.


Fr Richard Frechette CP


Port au Prince


Posted by Brian Concannon on December 20, 2007

Monday, February 04, 2008

OSF Continues Dangerous Policy


I have a family member who has been very sick for the past 6 months.

This person is followed by an OSF physician who we have known and trusted for years. I sent this OSF physician an e mail the other day at his OSF e mail address.

This e mail contained an up to date medical problem list to keep him totally informed regarding the family member’s acute and chronic problems. It explained how she was regarding vital signs, oxygen level, blood tests, medications, diet, activity, etc. A very important e mail.

He did not receive my e mail at his OSF address. So I sent it again to his personal e mail address and he did receive it.

The OSF physician called me Sunday night (last night) to discuss at length each medical problem on the list. They are all important.

My wife was followed by an OSF provider as well. Her e mails went unanswered by the provider because he did not receive them.

My son, did not receive his surgery at OSF last summer. Time drug on as documented on a former post. So we took him out of state to a well known pediatric center where he was taken care of very quickly.

My e mails have been blocked by OSF which is of course obstructing medical communication with my family and their doctors.

In the meantime Haitian Hearts patients continue to suffer and die in Haiti due to OSF’s policy of rejecting all of my patients.

The founding Sisters of the Third Order of OSF would not be happy about how their hospital, founded on a philosophy of love, is actually functioning in 2008.

Saturday, February 02, 2008

When the Poor Die from Hunger


Wadner Pierre has written a great article.

Seems like the story regarding Haitians eating mud pies in Cite Soleil has bothered many people around the world.