Wednesday, January 23, 2013

Letter from Haiti by Amy Wilentz (Posted by Roger Annis on CHAN)


Letter From Haiti: Life in the Ruins 

By Amy Wilentz, The Nation,  January 9, 2013 (print edition of Jan. 28, 2013)
http://www.thenation.com/article/172101/letter-haiti-life-ruins

Sometimes you can’t help but be sickened by the behavior of certain international organizations helping Haiti recover from the devastating January 2010 earthquake—hit, that is, by a wave of real physical nausea. The other day, I spent an afternoon in the displaced persons camp across from the ruins of St. Anne’s church in downtown Port-au-Prince. The place was awful, as awful as you can imagine squalid emergency living quarters might be—homes consisting of tent, tarp, tin, sheets, plywood, some cardboard—after three years of dust, dirt, sewage, torrential storms and, to top it off, Hurricane Sandy, which killed at least fifty-four people in Haiti.

Across the street from the camp, where an estimated 600 families are living, Chérestal Jean-Fougère, a camp leader, showed me the portable toilets that had been brought in by relief agencies in the first days after the earthquake. For months, a cleaning company contracted by international relief organizations and consisting of men in rubber regalia came regularly to wash out these toilets with high-powered hoses connected to special pump trucks. I remember watching them back then and wondering how long this miracle could last. Now I have my answer: for the past six months at least, Jean-Fougère said, no one has come to clean. The contract for the job has run out.

It shows. At the edge of the rocky field that was once the St. Anne sanctuary, the five or six portable toilets are festering shit holes, overflowing with stinking excrement and pieces of cardboard that have been used as toilet paper. On some, the doors hang open on broken hinges. “No one goes into these anymore,” Jean-Fougère told me. I asked him where residents font leurs besoins now, and he pointed to the curb and also to a gaping hole in the street. When I looked down into this, I saw brackish brown water, glinting and moving. This is the water the camp residents also use for laundry and bathing, Jean-Fougère added.

I toured the camp with Jean-Fougère and some others, a tight scrum of kids and teenagers traveling in our wake. He talked about the usual crises of these camps: gang rapes, routine robberies. (“Stealing what?” I wondered as I peered into the raggedy, unfurnished tents and shacks.) We squelched over a swatch of black carpeting being used to absorb rainwater in front of one older woman’s tent. Behind her living area, family groups were stacked, as if in an apartment building, in the nooks and crannies of a playground set that dated back before the earthquake, when this space across from the church was a well-kept public square known as the Place St. Anne. One family occupied the jungle-gym section of the playground, another the platform above the yellow plastic slide. Two more families had set up house under the slide, behind walls made of daisy-patterned sheets. Xavier François, an elderly man, smiling and skeletal, told me his family was killed in the earthquake. He lives nearby under a flapping, deflated tent that hovered three feet above the ground and barely covered a bed frame with no mattress but some old plastic sheeting on it. François had nothing else in this abode.

Now, I’m not blaming the condition of these people entirely on the international organizations. But in the past half-year, outside efforts have created a serious problem. During the spring and summer, several groups working together, including the colossal International Organization for Migration, continued to depopulate a number of camps by offering residents $500 per family to move out. With this $500, displaced people are able to afford rent in non-camp housing for about a year. People living in many of the biggest and most visible camps were given money and relocated, and those camps were taken down.

This was an achievement of sorts, even though many of the people who moved ended up in rubble-strewn neighborhoods or, worse, in windswept interim camps outside the capital, square-box townships with no nearby commerce or jobs or culture. It could be argued that the original post-earthquake camps were worse than these newly slapped-up places, although some of the camps had a lively Haitian bustle that’s totally absent in the new townships. The camp people who wanted to be out soon told me they refused to remain for another Christmas; once Christmas was past, they said, they would not submit to a third earthquake anniversary in the camp. But here they were, still in the St. Anne camp just days before the January 12 anniversary.

That $500 handout is the problem. Haiti, insofar as it exemplifies the regime of international development, is a world of unintended consequences. Walking around St. Anne, I kept thinking to myself: “Come on, people, get yourselves out of this situation. Go anywhere other than this!”

But they’re not going anywhere. The people in the St. Anne camp and the other 490 or so remaining camps are angry and confused. They cannot accept the fact that outside organizations would offer $500 per family to the residents of one camp to move out, but not to those in another camp. So the St. Anne residents are hanging on, unwilling to start up a new life elsewhere for fear of missing out on that $500, to which they understandably feel entitled, if only for the incredible suffering they’ve endured. To the average Haitian, $500 is a huge sum, roughly equivalent to the average yearly salary: say, $50,000 for a US citizen.

A few days after I left Chérestal Jean-Fougère at St. Anne’s, I was supposed to meet two Haitian friends for dinner at the Hotel Montana, which sits between Port-au-Prince and Pétionville, the wealthier financial hub up the hill from the capital. The Montana exists only marginally, because the five-story, 145-room building pancaked to the ground in the earthquake, killing some eighty people. It has not been rebuilt, exactly, although new structures have gone up that are much closer to the ground and earthquake resistant. The rebuilt restaurant and bar was where I was to meet my friends.

The problem was that on this very night, the new luxury Royal Oasis hotel was being inaugurated, and le tout Port-au-Prince had been invited to the formal gala. Because there’s only one two-lane road on that side of town, I had to plan my arrival at the Montana carefully so as to avoid getting stuck in the insane SUV traffic of the elegantly dressed guests coming to celebrate the opening.

The “five-star” Royal Oasis is a violation of human decency. Not because it’s big and luxurious in a desperately poor country, although it is that: it has 128 rooms, five restaurants, five bars, a conference center, an art gallery and an upscale shopping mall. But the indecent, depraved thing about it is that—amazingly, astoundingly—its construction was financed in part by grants from organizations ostensibly providing post-earthquake reconstruction funds: $7.5 million from the World Bank’s International Finance Corporation went to the Oasis project, as well as $2 million from the Clinton Bush Haiti Fund, the recovery group headed by former presidents Bill Clinton and George W. Bush. (Having funded the Oasis, among other enterprises, the Clinton Bush fund announced that it was ceasing operations at the end of 2012.) The Royal Oasis is one of the few post-quake projects that have come to fruition, unlike dozens of housing and school construction projects.

Let me underline this: these funds were given to a project that was intended to erect a luxury tourist hotel in a country that for the past thirty years has not had a serious tourism industry. And in a country that has suffered a catastrophic earthquake—one that razed several cities, killed an estimated 200,000 to 300,000 people and left more than a million homeless. Many sidewalks in the capital remain strewn with rubble. The people of the St. Anne camp are among the approximately 358,000 Haitians still living in unacceptable conditions in camps around the capital and outlying areas. PS: There’s also an ongoing cholera epidemic.*

Some have suggested that the World Bank was simply underwriting a place where its employees could stay comfortably and sip espresso at meetings while trying to figure out why Haiti remains so poor. But the Oasis is not the only post-quake tourist accommodation: according to the tourism ministry, a new boom in construction will leave Port-au-Prince with almost twice as many hotel rooms as it had before the earthquake. But as you can probably imagine, there will not be twice as many tourists to occupy them. Some have suggested that many of the new hotels are sophisticated money-laundering operations for drug traffickers, where no one is expected to stay.

I managed to make my way through the Oasis traffic jam to my friends at the Montana. These were people who live, as foreigners who work in Haiti put it, “up the hill”—meaning richer Haitians, those with office jobs, investments, businesses, many of whom work with international development organizations. My friends that evening fit into a number of those categories. When I described my day in the St. Anne camp, and the bubbling anger of the people and their threats to demonstrate and even riot, my friends had a simple analysis. “Of course it’s Aristide,” they said, referring to the deposed Haitian president Jean-Bertrand Aristide, who returned from exile in 2011 but has not been seen or heard from since, creating a kind of mystique around this formerly voluble and visible figure. My friends’ analysis is this: just as you don’t have coups without money, you don’t have social unrest without money. These people believe all political unrest these days, whether in camps or schools, is paid for. They point the finger at Aristide, and in a way, they’re right: as a symbol of the Haitian people, Aristide is still significant, and when the people raise their voices, up the hill they hear Aristide’s voice.

* * *

A few days later, I went with some other friends to check out the Oasis up close, with no inaugural crowds. We tried, for the fun of it, to get a reservation at one of the hotel’s five restaurants, but not one was open for business. A single exclusive table of eight people, some of them members of the Haitian aristocracy and some former US embassy personnel, was being served dinner, alone among a sea of empty tables. A friend and I got into the elevator on the second floor after checking out a second restaurant that looked like a contemporary bistro in Rome, to go and see the $1,320-a-night presidential suite on the ninth floor. But the minute we pressed nine, the power in the cabin went off. We laughed nervously: Wasn’t this typical? In the dark, we discussed our predicament. Why had we ever stepped into an elevator in Port-au-Prince? My friend told me that although inaugurated, the hotel would not be opening to guests for another month or so. He vividly described our decomposing bodies being discovered in the elevator by hotel employees at that future moment.

“Who the heck are these people?” he said he could hear them saying. At that point, I pressed the alarm button—for a minute or so. No one came to answer our call, although we could tell from the light beneath the elevator door that the power was on elsewhere. My friend laughed. He’s a businessman in Haiti, and he knows how little interest a hotel manager here might have in “the Client” and the Client’s problems. Finally, the power came on in the elevator and—miracle—the doors opened. A housekeeper watched us emerge with some amusement.

Here’s my proposal: take the 600 families of St. Anne and put them in the Oasis. Those rooms were paid for, after all, with funds that ought to have benefited the camp dwellers. The people of St. Anne can stay at the Royal Oasis for free, and World Bank and Clinton Bush fund officials will pay $300 a night for the right to change the Haitians’ linens and polish their toilets, until the $9.5 million with which their organizations financed the project is paid back.

But first fix the elevator.

* * *

Routes for foreign intervention into the heart of Haiti are plentiful. About two years after the earthquake, news items started to appear about the search for gold and other precious metals in rural Haiti, but this was not new news: ever since I started visiting the country in the mid-1980s, there had been rumors like this. In fact, these rumors seem to coincide with unrest. Once again, here was gold emerging during a time of uncertainty and worry. Earthquake reconstruction fever was dying away, and the crisis caravan was beginning to pick up stakes and move on. Yet the country was still in its usual state of crisis within the global economy, and also in the throes of post-earthquake traumatic stress disorder. (In Haiti, there is no real “post” to the traumatic stress; it just goes on and on.)

Haiti’s global story began with gold. Columbus made landfall in the New World on Haiti’s north coast. Before returning to Spain, he left a settlement behind to dig for gold. The settlers enslaved the indigenous Arawak population and set them to work mining ore. Within fifty years, almost the entire Arawak population perished from overwork, starvation and disease, creating a need for imported labor in the form of African slaves.

Most of the exploration and future mining will take place in the same general area where sailors from Columbus’s fleet first began digging—far from earthquake land, in other words. In fact, most of the money being spent by private enterprise and by international organizations to “develop” Haiti in the wake of the earthquake is in undamaged areas such as the north, where it has been encouraged by funding from the Inter-American Development Bank and the World Bank, as well as by former President Clinton and soon-to-be-former Secretary of State Hillary Clinton. Foreign development groups and the Haitian government claim that “Haiti is open for business,” but in the north you see billboards in French saying that, more specifically, “The North” is open for business.

The terrain had already been prepared for international mining before the earthquake. About two weeks after the catastrophe, reports began filtering in of a gold exploration firm buying shares of a company that held drilling permits in one part of the country. About a year later, a new internationally supported and promoted Haitian government was in place, and the extractors were ready. Gold is now valued at about $1,700 an ounce (a night in the presidential suite at the Oasis, plus some left over for shopping). Silver and copper are also thought to lie in plentiful millions of ounces below Haiti’s fields, hills and mountains.

Speaking about Haiti’s gold last May, Dieuseul Anglade, a geologist and then director of Haiti’s Bureau of Mines, was widely quoted as saying that “if the mining companies are honest and if Haiti has a good government, then here is a way for this country to move forward.” This was not a statement from a naïve person; Anglade, who had worked for the bureau for the better part of three decades, was no doubt making a point. Two points, really. One, Haiti has never had a good government. Two, it’s very hard, if not impossible, to find a gold mining company that has ever experienced even a short bout of honesty. While Anglade was still at the bureau, the new government under President Micky Martelly, a popular singer, signed a memorandum of understanding (MOU) with Eurasian Minerals and with Newmont Mining, one of the world’s largest extraction enterprises, to authorize exploratory drilling. Anglade felt that the agreement contravened Haitian law and refused to sign the document. Instead, he says, it was signed by the minister of public works, whose agency is in charge of the Bureau of Mines. Anglade himself was fired.

“They want everything,” Anglade told me recently, referring to the mining firms. “The taxes to be levied on them are too favorable. They have been given too many advantages and too few taxes. Haiti’s share of the profits from these mines must total 50 percent.” Under the terms of the MOU, the sections in Haiti’s longstanding mining conventions protecting that 50 percent have been eliminated.

Outside exploiters are in the habit of using extravagant terms. At the height of the sugar plantation slave economy, Haiti was known as “the Pearl of the Antilles.” One international minerals exploration official recently called Haiti “the sleeping giant of the Caribbean.” The square mileage now licensed for exploration to outside mineral and metal extractors is the equivalent of about 15 percent of the country’s total land mass, according to one estimate. So far, there has been no sign of onsite government monitoring, even though Newmont has been known to pollute and also to use tough-guy methods with labor at some of its sites, most recently in Peru. It’s disturbing that destructive extraction activities may go forward unsupervised in a place where so little attention is paid to public safety, the environment and fair taxation. And yet Ludner Remarais, director general of the Bureau of Mines, could not contain a kind of giddy, laughing delight as he told me how proud Haiti should be to attract the interest of world-class firms like Newmont. “They are a big North American company,” he said. “Newmont is a guarantee for us in Haiti for the development of the mining sector.”

No doubt Newmont could be a good partner in exploring Haiti’s precious metals reserves. But good partners need strong regulations. If Haiti indulges in its usual business practices when dealing with extractors, the only real tax on them will be bribes and gifts to Haitian businessmen, large landholders and politicians. The only obstacles to the rape of the land will be peasants, who are easily swept away. And the sole addition to the Haitian economy will be the enrichment of those associated with mining—and I don’t mean lowly miners. Meanwhile, rivers and ecosystems, already fragile in this environmentally damaged country, could be poisoned, leading to even lower agricultural output.

* * *

More news from the north: at the new garment factory run by Sae-A, a South Korean apparel giant with twenty-two factories worldwide, 1,290 workers are making T-shirts for Walmart and, soon, Target. (The T-shirts retail for about $5.50, while most of Sae-A’s Haitian workers make less than $5 a day.) The plant is a vast, brightly lit factory—no ancient Bangladeshi sweatshop firetrap, this—in a huge new post-earthquake industrial park in Caracol, far, far from the destruction wrought by the quake and far also from any of the new townships where former camp people are living, lured by the promise of factory jobs to places where no factories have been built.

Caracol and its power plant and soon-to-be-implemented port were financed by $220 million set aside just after the earthquake by the US Agency for International Development (USAID) and the Inter-American Development Bank. The South Korean firm was offered many financial incentives to become the first big post-quake factory to try its luck in Haiti. The justification given for spending earthquake redevelopment money in non-earthquake-affected areas was that it would help decentralize the country and take population pressure off the capital. Perhaps, but tell that to the people in St. Anne. Tell that to bony old Xavier François, living under his broken tent.

The huge Caracol park is on a solid new road financed by the European Union (no potholes, unlike Haiti’s old National Highway No. 1). The road extends from the northern city of Cap-Haïtien all the way to the border with the Dominican Republic, for easy export and import of goods and supplies. Most businesspeople dealing with mining or the industrial park fly into Cap-Haïtien from Miami or Port-au-Prince, but because I wanted to see the places in between, we drove up along the rutted, washed-out national highway. It’s an eight- or nine-hour drive that should take three hours.

There are plans for renovating and expanding Cap-Haïtien’s airport, but none under way for fixing the national highway. Cap-Haïtien is a more livable city than Port-au-Prince, with far less population pressure. It’s near the greatest tourist sights in Haiti: the Citadelle, King Henri Christophe’s early-nineteenth-century mountaintop fortress, and Sans-Souci, the king’s palace at Milot, to which decent roads have also been built with foreign funding. Cap-Haïtien is also near Labadee, the beach resort and Royal Caribbean cruise stop. For years, the tourism ministry has been pointing to the north as a plausible center for tourism, and now the international community seems to agree.

It’s as if the international community had thrown up its hands in despair over the rest of Haiti, especially those areas affected by the quake. It’s as if the recovery people had decided to develop the north as virtually another country and tossed the south, along with hundreds of thousands of displaced people, into the poubelle of history. “You could call it ‘getting on with what’s possible,’” a friend of mine who works in development said, shrugging.

Estrella, a Dominican firm, won the contract to build the industrial park, which is to employ some 60,000 if all goes well. Indeed, the Dominican Republic has been seizing on Haiti’s post-earthquake vulnerability to make economic and cultural incursions into its historic rival’s territory. For sale in the markets of Haiti are Dominican sausage, Dominican eggs, Dominican tomato paste and canned sardines, Dominican ketchup and mayo, and Dominican spaghetti. You can have an entire Haitian Creole meal these days made exclusively from foods imported from the DR. I’ve watched these meals being prepared by women in the camps.

The new economic plan for Haiti is less about Haiti than it is about imports and exports: it’s a maquiladora plan that undermines agriculture and pushes more and more Haitians into the global cash economy, where most cannot compete for resources in any meaningful way. Certainly, the new plan means that Haiti will be less and less able to feed its people. That’s been the trend for years, since the United States began dumping surplus subsidized rice into the Haitian market. Now it’s accelerating.

* * *

At the garment factory, my guides were intent on showing me the First World norms of the place. They showed me the foam pads for workers to stand on (many of the women are on their feet for an entire eight-hour work day). They point out the Haitian music on the speakers. They tell me about the very modern electronic sewing machines from Japan. They discuss the cooling system. The cooling system makes this garment factory not a sweatshop but just a… shop.

South of Caracol park, housing is going up, but no one—including people closely affiliated with Caracol—will say whether this housing, subsidized by USAID, is destined to be used by Caracol employees. Each house there cost a stupendous $31,000 to build, according to The New York Times. The Sae-A factory workers have to pay a substantial part of their wages for transportation, so if the deal were done fairly, nearby housing might be a boon to them. Or they might, as is the tradition in such employment, end up paying rent to the company and buying lunch from the company and… There is a union at the Sae-A plant, but I did not get the impression that it’s entirely free from management control.

Another part of the northern development plan is the University of King Henri Christophe in Limonade, built after the earthquake just a few miles away from Caracol and completely financed by the Dominican Republic. Like the Sae-A plant, the university is a fantastic new facility that looks like an architect’s model. Even the 2,000 students there seem like little figurines, while the well-kept, well-irrigated shrubs and flowers look like model shrubs and flowers.

Inside, this impression is not dispelled. Kids mill around the landings and courtyards, flirting and chatting. They kick a ball in a central meeting area that has the breadth and openness of a parade ground in Beijing. The reason the students seem to have a lot of time on their hands is that there are very few classes at Limonade. The problem is not finding students; there were 7,600 applicants for 2,000 spots. The problem is finding qualified teachers to come live in Limonade and teach them.

Jean-Marie Théodat, the new dean, talked to me about the shock of coming home from Paris to lead the school after living abroad for some thirty years. He’d been teaching geography at the Sorbonne. “Of course,” he said, “we are building institutions in a fairly empty landscape; it’s not like the Sorbonne. Still, our model here in Limonade would be Silicon Valley. We want synergy between the university, the industrial park and the tourist industry of the north.” The university’s emphasis, Théodat added, is on science and technology, although the humanities are also represented. He said he has commitments from fifty teachers or professors, but he needs twice that many. The students’ books are gifts from Haitians in the Francophone diaspora community (the school, which is associated with the State University of Haiti in Port-au-Prince, teaches in French). The students live in rented rooms or apartments in nearby communities, but soon there will be dormitories and a cafeteria. I asked Théodat if the new building is earthquake-proof. “We’ll see when there is an earthquake,” he answered, smiling. He continued with the tour: “I want every student to see at least one teacher every day. In any other country, we would be facing a strike by now.”

Half an hour away from the new university stands the Citadelle, the great icon of Haiti’s sovereignty. It’s a complicated symbol no matter how you parse it. With a bit of help from German engineers, the former Haitian slaves, as post-revolutionary masters of their fate, erected this massive fortress on the top of a mountain with a commanding view of the northern coast and Cap-Haïtien. It was King Henri’s lookout, his defense against foreign (especially French) incursions against the infant Haitian nation, as well as against any simmering domestic plots or uprisings.

As I came upon the towering, colossal Citadelle, its walls were swathed in a swirling mist—first hidden in cloud, then revealed. I was moved by the monument, even though I knew it was not what Haitians often made it out to be: it had defended Haiti against nothing, even though it remains a symbol of profound national meaning. Its old cannonballs were stacked like lemons in the market; they’d been ready for battle since the 1820s.

The afternoon I was there, the Citadelle’s floors were slick with rain and moss. The day was growing dark and the giant fortress rose over me like a skyscraper, weirdly modern and huge, Brutalist in style. Peasants from below, whose families have lived in the shadows of King Henri’s battlements for generations, walked with us up the steep and narrow road, constructed in the 1990s with USAID financing. Alongside us trudged guides with mules and donkeys. As I walked, the men told me how glad they would be if their daughters or sisters could get a job at the Sae-A factory. It would be like a miracle, they said. King Henri’s old dream of liberty and sovereignty soared above me at the top of the mountain, but at Caracol that morning, I had seen what his descendants had been brought to.

And no surprise: when the invaders finally did return, they debarked in Port-au-Prince, not the north. Weakened by generations of corrupt rule, civil war and a crushing early national debt, the Haitians were not a serious match for the US Marines and their nineteen-year occupation ]1915-1934], a dispiriting and repressive time that prepared the way for decades of dictatorship by the Duvaliers. Against all these exploiters and kleptocrats, the Citadelle was useless. As it has been, also, against the army of development organizations and multinational investors and lenders who, along with their Haitian sidekicks in government and business, have only further impoverished the country since the fall of the Duvalier dynasty, while making noises about their support for democracy and the encouragement of civil society. Rather than providing a defense against foreign incursion, the Citadelle—like Haiti’s deep pool of cheap labor, like its gold and even (incredibly) its recent catastrophic natural disaster—has become just another attraction, another national resource that keeps the outside exploiters coming down.

* [The author could also have noted that hundreds of thousands more Haitians are living in informal camps that escape the official registry (IOM) of internally displaced people, including those who followed Sean Penn’s promises in 2010 of new urban development and services beyond the northern fringe of the then-existing city limits of Post au Prince, in Corail-Cesselesse.]

St. Catherine's Hospital in Cite Soleil

Pediatric Admit Room, St. Catherine's Hospital--Cite Soleil
(Photo by John Carroll--January 23, 2013)


Tuesday, January 22, 2013

Cholera in Soleil in 2012




Young Haitian Doctor

Pediatric Clinic in Cite Soleil, January 22, 2012
(Photo by John Carroll)


Yesterday I spoke with a young Haitian doctor.

He is a tall handsome dark skinned guy who has a gentle smile. He just graduated from one of the medical schools here in Port-au-Prince and is doing his year of Social Service for the Haitian government.

He is from Port-au-Prince and had an expensive Littmann stethoscope wrapped around his neck. It was not the usual flimsy nursing stethoscope that is ubiquitous here. I would say he is from the "middle class" of Haitian society.

He is spending this year in an "under served" area here in Haiti, which could be almost anywhere in Haiti. There is no attending physician present and so he is unsupervised and has no formal hospital teaching. There are no resident physicians available either to answer his questions or help him out. He has very little equipment and very little support even triaging patients to the proper location.

However, he seemed very upbeat.

I asked the young doctor what he was planning for his residency next year.  He smiled and said that he would try and get a residency in Europe. Their are very few residency spots here in Haiti due to a lack of quality hospitals with teaching programs.

When I asked him what kind of doctor he wanted to be his answer was interesting. He said that he would like to do echocardiograms, or put in pacemakers, or be an "invasive gastroenterologist".

Haiti of course should have doctors that are proficient in all of these areas. But what they need the most are young physicians who want to specialize in public health and really learn how to treat tuberculosis and AIDS and cholera and other infectious disease problems that plague this place.  But in order for this to happen, there has to be a push by the State of Haiti.

And what do I mean by push?

Young Haitian doctors are not thrilled with the idea of having multitudes of sick, coughing, cachectic, dying, and thrown away people dressed in rags, showing up on their office doorstep with no money to pay for their services.  Haitian doctors need to be paid fairly by the State of Haiti to care for people who have no funds.  And Haitian residencies need to be created and expanded which would train many young doctors in public health and infectious disease.

The young physician above needs to stay in Haiti. And the State of Haiti should make it worth his time.


John A. Carroll, MD
www.haitianhearts.org






Monday, January 21, 2013

Sunday, January 20, 2013

Praying Man

January 19, 2013--Medical/Dental Clinic Cite Soleil
(Photo by John Carroll)

Who is this Praying Man and why is he praying?

He is a slum dweller from Cite Soleil and is praying that our dentist would pull one of his painful and rotten teeth.

Yesterday he was in line in our medical/dental clinic in a notorious neighborhood in Soleil. He patiently waited for hours sitting on a wooden bench with dozens of other dental patients with chronic pain.


However, it wouldn’t be. The hour was late and the patient before Praying Man turned out to be our last dental patient. This last patient was a very afraid thin young woman whom our dentist needed to cajole and use the art of dentistry to successfully and painlessly extract her tooth.

So our Praying Man was promised first spot in the morning to have his tooth pulled. He was happy with this as he left the clinic.

However, things in the neighborhood around the clinic were not good yesterday. The young men in the area were smoking Haitian weed (boz) and seemed more angry and agitated than usual.

One member of our team told me that her name was called multiple times and motions were made to bulging waste lines indicating guns underneath. These men are called bandits by the local Soleil community.

Our Haitian staff, who always have their ear to the ground in Soleil, told us after clinic that it would not be safe for us to have clinic today. So clinic was cancelled today.

With this decision, one of our nurses shrieked in despair that the Praying Man would not get his tooth extracted now. Most Haitians never see a dentist in their lifetime. And hundreds of other medical and dental patients that would have been examined by our thirty-member team will not be checked or treated today.

So Soleil remains inhuman. It is terrible inside the little corridors. It is terrible in every way you can imagine.

The Haitian National Police won’t enter this area of the slum. And when the UN soldiers have come in the past, they have shot everything up and killed innocents and bandits at the same time.

And so the bandits rule here. They have no jobs. They have no life. They have no future. They have nothing to lose. So they intimidate and kill "when needed".

Liberals hate to have anyone attack "the bandits in the slum". But the bandits need to stop their bad behavior because their own neighbors suffer greatly as a consequence.

And conservatives need to stop supplying the bandits with their bullets. The big guys on the hill need to help provide jobs. The bandits need jobs, not bullets. Wouldn’t it be nice if they went from bandits to businessmen? 


And travel warnings to Haiti from the American Embassy? Please stop these warnings. Most blans will be ok in Haiti. Praying Man won't.

Cite Soleil, January 19, 2013 (Photo by John Carroll)
So I am sorry, Praying Man, that we did not pull your tooth and relieve your pain a little today. And I am so sorry for all of our liberal and conservative talk that ultimately does so little for you.

We will be back tomorrow morning.

Keep the faith (kembe fem).


John A. Carroll, MD
www.haitianhearts.org

Tuesday, January 15, 2013

Discernment

It is just never a good idea if someone is going to "discern" whether you will receive medical care or not.

Sunday, January 13, 2013

It Doesn't Make Much Difference

It doesn't make much difference if you are poor and uneducated in Peoria or Port-au-Prince. You don't have much of a chance.

If you, or your equally poor neighbor, or the local mafia, or the "good guy" at your community center, doesn't throw up barriers, someone else will.

And for the rest of us silence and keeping one's head buried in the sand is golden.

Monday, January 07, 2013

Haiti Still Waiting for Recovery

Haiti: Still waiting for recovery 

Three years after a devastating earthquake, the “Republic of NGOs” has become the country of the unemployed 

The Economist, print edition, Jan 5th 2013 
http://www.economist.com/news/americas/21569026-three-years-after-devastating-earthquake-republic-ngos-has-become-country 

“HAITI is open for business”, Michel Martelly, the country’s president since May 2011, likes to proclaim. His government has backed up this talk by making it easier for foreigners to own property and by setting as a goal that Haiti climb into the top 50 countries in the World Bank’s ranking for ease of doing business (it now comes 174th out of 185). In November the president opened a gleaming arrivals hall at Toussaint Louverture airport. Mr Martelly himself is in such constant motion abroad—courting donors and investors, he says—that his peregrinations and the per diems alleged to be associated with them have become a source of mordant jokes. 

But gangbuster growth, hoped for as the country rebuilds itself after the earthquake of January 12th 2010 that wrecked the capital, Port-au-Prince, and killed tens of thousands of people, has failed to materialise. In the 12 months to the end of September the economy expanded by a modest 2.5%. It was the second year of dashed expectations: the IMF had forecast growth of 8% in both 2011 and 2012. 

Thanks in part to tropical storms that in 2012 inflicted what the UN Food and Agriculture Organisation called “colossal” damage on Haiti’s farmers, the cost of living, especially for food and housing, has risen dramatically. Most of the donor-supported cash-for-work programmes set up after the earthquake have come to an end. Many of the NGOs that thronged the country, and which threatened to eclipse the government, have departed. “We’ve gone from being the Republic of NGOs to the Republic of Unemployment,” says Frantz Duval, the editor of the country’s leading newspaper, Le Nouvelliste. Around three-quarters of Haitians are either unemployed or try to make ends meet in the informal economy. 

Mr Martelly won 67.5% of the votes in an election in which less than a quarter of the electorate voted. He remains popular. But his critics grumble that his policies amount to putting Haiti up for sale. They argue that 15-year tax holidays offered to foreign investors will hinder the government’s efforts to cut its dependence on dwindling foreign aid. For the moment this complaint seems academic: despite the tax breaks, as well as the promise of duty-free import of components and export of final goods and cheap labour, few foreign investors have set up shop. 

The United States staked its prestige and $124m—its biggest single post-quake investment—on Caracol, an industrial park in the north of the country. So far the park has only one tenant, Sae-A, a South Korean textile manufacturer, with 1,050 workers (though its owners claim the number could rise to 20,000). With its colourfully painted, dedicated power plant, Caracol is still a beautiful ghost town. 

Haiti’s prime minister, Laurent Lamothe, a 40-year-old telecoms entrepreneur, calls Caracol a “work in progress”. He says a Haitian-owned paint factory will soon open there, and a Dominican clothing firm recently signed a contract. Some observers think that potential investors are deterred by fear of social instability and lack of clarity over land rights. Mr Lamothe replies that the government is conscious that Haiti lacks a “perfect” business environment but is “making great strides in creating it”. 

The problem is that at the same time as Haiti needs investment to generate social stability and economic growth, it also needs social stability and better infrastructure to attract investment. There are some signs of progress, besides the new airport terminal. Most of the earthquake rubble is finally gone from the capital’s streets. The most visible refugee camps have been emptied. Several new hotels, aimed at attracting those elusive business visitors, are due to open. The first of them, the Royal Oasis, welcomed hundreds of high-society Haitians to its opening in December, where they frolicked in its five bars and around its still-unfinished infinity pool. 

And yet more than 350,000 Haitians are still living in tents in scattered camps; many of those who have moved out have returned to substandard housing in hillside shanties and seaside slums. A cholera outbreak that has killed more than 7,500 people since October 2010 remains a threat, with cases spiking after each tropical storm. Epidemiologists blame poor hygiene at a military base of the UN peacekeeping mission for the outbreak, though the UN has denied responsibility. 

Billions of dollars of aid were pledged to Haiti after the earthquake, amid much talk about “building back better” and working with—not around—the government so as not to perpetuate the “Republic of NGOs”. But according to reports from the Centre for Global Development, a Washington think-tank, and the UN Special Envoy for Haiti, many aid pledges were unfulfilled. And in practice, most of the money that was disbursed went to a handful of international bodies, which mainly spent it on temporary relief (tents, shelters, water-tankers and so on) and the salaries of expat staff. Grand schemes to remake Haiti came almost to nought, partly because they lacked local input: outsiders have finally come round to the view of many Haitians that what is most needed is speedy and cheap housing. 

Donor-fatigue is mounting. The UN humanitarian “cluster” system, intended to co-ordinate the response to the crisis, ended with 2012. The UN has launched a new humanitarian appeal for $144m to tackle cholera, homelessness and food shortages, but a similar appeal for $151m in 2012 went largely unfunded.

Direct budget-support for the government totalled less in 2011 and 2012 than before the quake, according to the IMF. The government is also hampered by its lack of suivi, or implementation capacity. Many public employees are time-servers who owe their jobs to past patronage; many in Mr Martelly’s administration lack experience of government. Donors complain that it is hard for them to support projects that lack the proper paperwork. As a result, hospitals stand unfinished. Rebuilding of the main Hôpital Général has stopped. 

To fill the gap, Mr Martelly relies on Petrocaribe, an aid scheme set up by Venezuela’s Hugo Chávez, which supplies Haiti and several other countries with subsidised oil. By reselling a chunk of the oil, the government gets up to $400m a year, or about 4% of GDP. Mr Martelly plans to use this to rebuild a corridor of government offices in Port-au-Prince and to pay for several social programmes, including cash transfers to the poorest. The aid comes without the strings that many other donors attach. No wonder that Mr Martelly and Mr Lamothe attended a mass a few days before Christmas to pray for Mr Chávez’s recovery from cancer surgery. 


Wednesday, January 02, 2013

Haiti's Long Road (New York Times)


The New York Times


January 1, 2013

Haiti’s Long Road


On the eve of the third anniversary of the earthquake that devastated Haiti in January 2010, the country remains in a fragile state. Billions of dollars in aid and lofty promises to “build back better” have brought it only so far. A recent article by Deborah Sontag of The Times showed, in disheartening detail, the distance between hope and reality.
Ambitious projects are stuck on drawing boards or have been held up, she wrote, “by land and ideological disputes, logistical and contracting problems, staffing shortages and even weather.” A recovery commission led by the Haitian prime minister and former President Bill Clinton was meant to oversee the great rebuilding, but was slow to get started and is now defunct, with not much to show for its 18-month mission.
The flood of aid has slowed to a trickle; much of what was promised was never delivered or remains undisbursed, or was disbursed but not actually spent, or was spent on things like emergency food, water and tents, which are important but don’t leave a lasting imprint. Money for long-term recovery has proved hard to spend, or slow to show results.
More than $1 billion allocated for Haiti remains in the United States Treasury, almost all of it for recovery, though America is hardly the only donor sitting on unspent aid. And more than 350,000 people who lost their homes that terrible day are still living in tent camps. The rubble has finally been cleared, but building permanent homes has taken a back seat to other matters.
The Times article reads like a catalog of missteps, of old mistakes and new ones that together present — to put the most optimistic spin on it — fresh opportunities to learn. One was the tendency of humanitarian aid organizations to go back to what they had been doing before the earthquake, in areas like sanitation, health, education and transportation, without the guidance of a broad plan and clear priorities for how best to repair the nation. Another failure has been the persistent unwillingness to include Haitians in the planning and execution of projects, leaving them feeling like bystanders in their own country and squandering opportunities to build government ministries and institutions capable of sustaining themselves once the world’s attention and donations are gone.
Most recovery aid has been channeled through foreign agencies, nonprofit organizations and private contractors, a practice that inflates administrative costs and perpetuates cycles of dependency. And then there was the simple and shameful failure of global donors to meet their promises to deliver money and aid.
The State Department and other defenders of the international response point to some progress, like a new industrial park north of Port-au-Prince, the capital, providing the first 1,300 of what are supposed to be many thousands of manufacturing jobs. They say homes are being built, even if permanent ones are rising slowly and expensively. They plead for patience in a country where institutions were weak or nonexistent before the quake, which all but destroyed the government, flattening nearly every ministry and killing 20 percent of Haiti’s civil servants.
Throughout the halting recovery, Haitians have borne up under other severe but unrelated afflictions: destructive storms, food shortages and disease. A recently announced 10-year and $2.2 billion effort to rid Haiti and the Dominican Republic of cholera by improving water and sanitation will require close coordination among the Haitian government, the United Nations, United States and other partners. Senator John Kerry, who has paid astute attention to Haitian issues in the Senate, will be well placed to do so if he becomes the next secretary of state. As long as the miseries continue, the need for the world to get this right remains.


Saturday, December 29, 2012

Lincoln and Slavery


But the president resisted. In Lincoln’s view, the end of slavery was not a matter of if; it was a question of when, and how. Long before he became a national figure, he had predicted that the time would come when all Americans would be forced to choose sides over slavery, and he knew which side he would be on. Slavery was “a great and crying injustice,” he said, “an enormous national crime.” To one friend he said simply: “Slavery is doomed.” On another occasion he said: “I am naturally anti-slavery. If slavery is not wrong, nothing is wrong. I can not remember when I did not so think, and feel.” Even so, he perceived a clear impediment: “And yet I have never understood that the Presidency conferred upon me an unrestricted right to act officially upon this judgment and feeling.”

Drehle, David Von (2012-10-30). Rise to Greatness: Abraham Lincoln and America's Most Perilous Year

Friday, December 28, 2012

Haiti's General Hospital is Still Very Sick

The General Hospital in Port-au-Prince is still broken.  And so the patients remain broken. The political will is just not there to fix it.

Tuesday, December 18, 2012

Medical Repatriation



New York Lawyers for the Public Interest and the Center for Social Justice at Seton Hall University School of Law Release Report Documenting Hundreds of Cases of Coerced Medical Repatriation of Undocumented Immigrants by U.S. Hospitals
Medical repatriations of undocumented immigrants likely to rise as result of federal funding reductions to safety net hospitals under Affordable Care Act
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New York, NY, and Newark, New Jersey, December 17, 2012 − Today, the Center for Social Justice (CSJ) at Seton Hall University School of Law and New York Lawyers for the Public Interest (NYLPI) released a report documenting an alarming number of cases in which U.S. hospitals have forcibly repatriated vulnerable undocumented patients, who are ineligible for public insurance as a result of their immigration status, in an effort to cut costs. This practice is inherently risky and often results in significant deterioration of a patient’s health, or even death.  The report asserts that such actions are in violation of basic human rights, in particular the right to due process and the right to life.

According to the report, the U.S. is responsible for this situation by failing to appropriately reform immigration and health care laws and protect those within its borders from human rights abuses. The report argues that medical deportations will likely increase as safety net hospitals, which provide the majority of care to undocumented and un- or underinsured patients, encounter tremendous financial pressure resulting from dramatic funding cutbacks under the Affordable Care Act.

The report cites more than 800 cases of attempted or actual medical deportations across the country in recent years, including: a nineteen-year-old girl who died shortly after being wheeled out of a hospital back entrance typically used for garbage disposal and transferred to Mexico; a car accident victim who died shortly after being left on the tarmac at an airport in Guatemala; and a young man with catastrophic brain injury who remains bed-ridden and suffering from constant seizures after being forcibly deported to his elderly mother’s hilltop home in Guatemala.

According to Lori A. Nessel, a Professor at Seton Hall University School of Law and Director of the School’s Center for Social Justice, “When immigrants are in need of ongoing medical care, they find themselves at the crossroads of two systems that are in dire need of reform—health care and immigration law. Aside from emergency care, hospitals are not reimbursed by the government for providing ongoing treatment for uninsured immigrant patients.  Therefore, many hospitals are engaging in de facto deportations of immigrant patients without any governmental oversight or accountability.  This type of situation is ripe for abuse.”
         
“Any efforts at comprehensive immigration reform must take into account the reality that there are millions of immigrants with long-standing ties to this country who are not eligible for health insurance.  Because health reform has excluded these immigrants from its reach, they remain uninsured and at a heightened risk of medical deportation,” added Shena Elrington, Director of the Health Justice Program at NYLPI. “Absent legislative or regulatory change, the number of forced or coerced medical repatriations is likely to grow as hospitals face mounting financial pressures and reduced Charity Care and federal contributions.”

Rachel Lopez, an Assistant Clinical Professor with CSJ stated, “The U.S. is bound to protect immigrants’ rights to due process under both international law and the U.S. Constitution.  Hospitals are becoming immigration agents and taking matters into their own hands.  It is incumbent on the government to stop the disturbing practice of medical deportation and to ensure that all persons within the country are treated with basic dignity.” 
More information about this issue can be found at medicalrepatriation.wordpress.com, a NYLPI- and CSJ-run website that monitors news and advocacy developments on the topic of medical deportation.

About New York Lawyers for the Public Interest
New York Lawyers for the Public Interest (NYLPI) advances equality and civil rights, with a focus on health justice, disability rights and environmental justice, through the power of community lawyering and partnerships with the private bar. Through community lawyering, NYLPI puts its legal, policy and community organizing expertise at the service of New York City communities and individuals.

About the Center for Social Justice at Seton Hall University School of Law
The Center for Social Justice (CSJ) is one of the nation’s strongest pro bono and clinical programs, empowering students to gain critical, hands-on experience by providing pro bono legal services for economically disadvantaged residents in the region. The cases on which students work span the range from the local to global. Providing educational equity for urban students, litigating on behalf of the victims of real estate fraud, protecting the human rights of immigrants, and obtaining asylum for those fleeing persecution are just some of the issues that CSJ faculty and students team up to address.


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Monday, December 17, 2012

Haitian Attorney Mario Joseph (Posted by Roger Annis)



Presentation by Nicole Phillips of the degree of Doctor of Humane Letters, Honoris Causa, of the College of Arts and Sciences, University of San Francisco, to Maître (Attorney) Mario Joseph on December 14, 2012.  Phillips is assistant director for Haiti programs and adjunct professor at the University of San Francisco School of Law, and staff attorney with the Institute for Justice & Democracy in Haiti (IJDH).

This October, Amnesty International issued an urgent action alert in defense of today’s honoree, Mr. Mario Joseph, Haiti’s most prominent human rights attorney. Mr. Joseph has been subjected to an escalating series of death threats, harassment and intimidation for his tireless work to seek justice for the victims of the Duvalier dictatorship, shelter for the victims of government enforced evictions who were made homeless after thecatastrophic 2010 earthquake and to hold parties accountable for the ongoing cholera epidemic the United Nations troops allegedly brought to Haiti after the earthquake.  Because of his daily and heroic struggles on their behalf, it is no surprise Mr. Joseph’s clients proudly and affectionately refer to him as “met pa nou,” or “our lawyer.” 

The importance of the University’s support of Mr. Joseph must not be underestimated. Since 2006, the School ofLaw’s Center for Law and Global Justice has worked with Mr. Joseph and the Institute for Justice and Democracy to nurture human rights and the rule of law in Haiti. Moreover, the University’s conferral of an honorary doctorate to the late human rights activist Father Gerard Jean-Juste, Mr. Joseph’s client and friend, was instrumental in ending government harassment of Fr. Jean-Juste before his death.

For the last sixteen years, Mario Joseph has led the Bureau des Avocats Internationaux in Port-au-Prince as its managing attorney, representing political prisoners and victims of political violence. He is committed to makingHaiti’s justice system work for all of Haiti’s citizens. He believes a fair and equitable justice system is essential to the effective, non-violent resolution of societal conflicts that are too often marred by corruption and violence in Haiti.  

Every day, Mr. Joseph risks his life knowing that his work is dangerous, but he refuses to abandon his commitment to the defense of human rights, repairing the flawed justice system and ending the pervasive corruption in Haiti.  Most importantly, he refuses to abandon his commitment to his fellow citizens.  He continues to represent political prisoners and dissidents and to speak out against repression even though many of his friends, colleagues and clients have been jailed or killed.

The awarding of this honorary degree recognizes Mr. Joseph as a fearless and resolute defender of human rights and calls urgent and immediate attention to the human rights abuses in Haiti. The University does, therefore, proudly confer upon Mario Joseph, the degree of Doctor of Humane letters, honoris causa, with all the rights and privileges pertaining thereunto, given this 14th day of December, in the year of our Lord two thousand and twelve, and of the University, the hundred and fifty-seventh, in San Francisco, California.


Change the world from where you live

Speech by Maître (Attorney) Mario Joseph of Haiti to the winter graduation class of the College of Arts and Sciences, University of San Francisco on December 14, 2012. At the ceremony, Maître Joseph received the degree of Doctor of Humane Letters, Honoris Causa, from the University.

First I would like to say bonjou (greetings) and mesi (thank you) to Father Privett for the honor of this prestigious award. I would also like to say bonjou and mesi to Dean of Law Jeffrey Brand, Professor Dolores Donovan, and Assistant Dean Erin Dolly.

Bonjou to all the other distinguished faculty here.

To the graduates of the University of San Francisco College of Arts and Sciences class of 2012, bonjou, and congratulations. And last but not least, a big bonjou and a chapo ba–a tip of the hat--to all the parents, siblings, relatives and friends of the members of the class of 2012 .

In my country, we have a saying: men anpil chay pa lou: many hands make the load light. We know that it takes many hands to carry the load of building a road, a house, a school. But it also takes men anpil- many hands—to create a graduate of the University of San Francisco. So while we are celebrating the hard work, accomplishment, intelligence and promise of today’s graduates, let us take a minute to thank those who helped them get here. Chapo ba, again.

In my country, we have a lot of other sayings, but Father Privett has given me only 12 minutes. So I will get to the point. It is a great honor, for which I am deeply grateful, to have been invited to share this special day with you. Where I grew up, in a village in Verrettes, Haiti, drinking water from an irrigation ditch, doing homework by candlelight, few of us even dreamed of graduating from high school. Most of us never even learned to read. To be someday honored by the graduates of a University as esteemed and historic as the University of San Francisco was beyond incomprehensible.

If I could not have imagined reaching out from Haiti to San Francisco, the University of San Francisco could imagine reaching out to Haiti, and it did it. USF law students and faculty have for seven years brought their education, their skills and their enthusiasm to the fight for human rights in Haiti, working from here in Californiaand in Haiti. In 2006, USF granted my client, Fatherr Gérard Jean-Juste, an honorary degree. Granting that degree was not only a generous act to honor the man considered by many the Martin Luther King of my country. It was also a courageous and concretely productive act that helped keep Father Gerry out of Haiti’s political prisons at a time when his speaking out for Haiti’s poor made him unpopular with governments in my country and in yours, and with some leaders of the Catholic Church.

Although life in Haiti has not always provided me with safety, stability, or electricity, it has provided some interesting perspectives on your mantra, Change the World from Here, that I would like to share with you. To start, it is worth asking “why change the world?” I will give you three reasons.

The first reason for why change the world is “because you can.” From some perspectives, you might be inexperienced young people, greatly in debt with school loans, thrown out into an uncertain and challenging economy. But from the perspective of a kid from a small town in Haiti, you are the privileged possessors of an education beyond the wildest dreams of most of the world. It is an education that will help you get a good job, eventually. But more importantly, it is an education that provides you the tools to learn about the world’s problems and to become part of the solution to them. Those tools are all the more valuable because you live here in the most powerful country on earth. And it is a country whose government listens to its citizens, when they organize enough, speak enough, and act enough.

The second reason for why change the world is “because you should.” Your USF education has gone beyond the important task of equipping you to participate economically in the existing society, it has equipped you to participate morally in a society that is improved by your participation. You have been involved in service learning that provided you opportunities not just to help people who needed it, but to learn more about where you yourself fit it. USF’s diverse curriculum exposed you to the wonders and challenges of communities far away and close to home. All this learning enhanced your ability to connect others’ needs with your skills, and more importantly, with your personal fulfillment. Today, we are not just celebrating your becoming bachelors of arts and sciences, we are celebrating your becoming women and men for others, in the Jesuit tradition.

The third reason for why change the world is “because we need you to.” The most powerful country in the world has an enormous influence on daily life in Haiti, and in so many places like it around the world. Much of this influence is positive, but too often your country’s policies in Haiti are not consistent with our best interests or your highest ideals. Your country has undermined and overthrown many of our Presidents and replaced them with tyrants who imprison people like Father Gerry for the crime of speaking up for the poor. Your food aid policies, as President Clinton has conceded, often help your farmers with their surplus but put Haiti’s farmers out of business, increasing our hunger.

These policies happen because the majority lets them happen by declining to stay informed and engaged and leaving foreign policy to people with a strong ideological or economic self-interest. Only an engaged, informedUS citizenry like you, with a strong moral interest, can save us from these policies.

Improving US foreign policy may seem like a heavy load to carry, but that is exactly why we need men anpil - many hands- including your hands, to carry it. Just this week, we saw proof that enough hands can carry the heaviest load. Two years ago, UN peacekeepers introduced cholera into Haiti, while we were still recovering from the devastating earthquake. We had never known cholera, so the disease quickly spread throughout the country. It has killed 8,000 people and sickened over 600,000. The UN has its strengths and weaknesses, like any organization, and one of its weaknesses is an inability to respond fairly to the harm its peacekeepers caused. The UN denies responsibility and hides behind its immunity, denying its victims their day in court. It even denies that it caused our cholera epidemic, despite a mountain of proof as well as admissions by UN investigators and President Clinton, UN Special Envoy to Haiti, that it was responsible.

One year ago, our office filed claims with the UN on behalf of 5,000 cholera victims. Our legal claim was strong, but we knew we needed many more hands- men anpil—to obtain justice for our clients. So we worked with solidarity, religious and human rights groups from all over the world, especially in the U.S., which pays the largest share of UN peacekeeping costs. Our friends helped us convince 105 members of the U.S. Congress, which appropriates the UN peacekeeping costs, to sign a letter urging the UN to respond justly. Four hundred thousand people viewed Baseball in the Time of Cholera, a movie about our fight, online. Over 7,000 people have signed an online petition by Avaaz launched last Friday. And on Tuesday, UN Secretary-General Ban Ki-Moon made the historic announcement that the UN would commit to a $2.2 billion response to preventing and eventually eradicating cholera by expanding health care, sanitation and clean water systems. There are still many question marks about this initiative, but if it succeeds, it will save an estimated 4,000 lives a year from cholera and other water-borne disease.

The cholera case shows why it is so important to change the world from here. We love having USF students, alumni and faculty visit us in Haiti, but I have spent enough time in San Francisco to understand why you might never want to leave. And you don’t have to. There are plenty of borders erected between Haiti and San Francisco: immigration borders, language borders, economic borders, racial borders. But those borders do not really work unless we let them. They cannot stop computers carrying translatable text, videos, and pictures that convey our reality to yours, and yours to ours. They cannot stop you from inviting Haitians to speak at your schools, from your votes having an impact on policies in our country, or from events in Haiti having an influence in elections here.

The cholera case also shows that we need not just many hands, but many different types of hands. We needed lawyers, of course, but we also needed artists to create compelling videos, scientists and doctors to analyze the evidence, economists to weigh the costs, writers to write about it, and teachers to teach it. Most important, we needed critical consumers of media, discerning financial supporters, and educated and engaged citizens.

I would now ask all the members of the class of 2012 to raise your right hand. Good. Now please raise your left hand. Good. Now repeat after me: men anpil, chay pa lou (chorus). Again: men anpil, chay pa lou (chorus). How about everyone else, please join them and raise your hands: men anpil chay pa lou.(Chorus). Very good.

Now please answer the question: “How do we change the world from here?” Chorus: “Men anpil, chay pa lou!” How? Chorus: “Men anpil, chay pa lou!” Merci beacoup, thank you so much. 

Wednesday, December 12, 2012

Fatal Neglect

UN Web Broadcast on Cholera (from CHAN/Roger Annis)

December 11, 2012

Today at the United Nations in New York City was the launch of "The Secretary-General’s Initiative for the Elimination of Cholera in Haiti." You can watch the 18-minute announcement on UN Web TV, consisting of remarks by UN Secretary-General Ban Ki-Moon, Haiti Prime Minister Laurent Lamothe, and the minister of health of the Dominican Republic (there is silence until the three-minute mark of the broadcast):
http://webtv.un.org/meetings-events/watch/secretary-general%E2%80%99s-initiative-for-the-elimination-of-cholera-in-haiti/2028857245001

The Secretary-General said that $215 million in new funding is pledged to the Initiative. He also announced that Dr. Paul Farmer has accepted to serve as the Special Advisor to the Secretary-General on cholera treatment and prevention.

No mention of the United Nations MINUSTAH military mission in Haiti as being the source of the cholera epidemic was made throughout the formal proceedings, nor was there any mention of the legal action against the UN demanding compensation for the victims of cholera and a rapid program to build clean water infrastructure throughout the country. Nospecific mention was made of the Haitian and international agencies that have been heroically battling the cholera epidemic over the past fourteen months, excepting a brief mention by the minister of health of the DR regarding Cuba's medical brigade in Haiti. The Secretary General spoke more of cholera vaccine than of clean water supply and sanitation systems in the fight against cholera.

Prime Minister Lamothe spoke for four minutes. He gave thanks to governments and agencies in Haiti assisting with cholera treatment. He said that his government has a two-year plan to fight cholera that it estimates to cost "about" $600 million. He said that the $215 million pledged by the Secretary-General plus another $23 million from an existing commitment is the financial head start of his government's plan. "We have to work together to bridge the remaining gap," he said.

A statement by the Pan-American Health Organization on January 12, 2012, the two-year anniversary of the Haiti earthquake, said that improvements to sanitation and clean water supply in Haiti and the Dominican republic were "absolutely essential." It estimated those costs as "$746 million to $1.1 billion," citing as sources the Inter-American Development Bank, Office of the Haitian Primer Minister and World Bank).

A PAHO statement on June 29, 2012 announced, "Representatives of international and civil society organizations today agreed to promote major investments in water and sanitation infrastructure in Haiti and the Dominican Republic as the long-term solution to the cholera epidemic in those countries." No details nor fund amounts were reported.

There was no further detail today of the precise figures of expenditure in the two countries for cholera treatment and prevention, nor any explanation of why such an "absolutely essential" program of public health is being announced yet gain with incomplete details of funding pleges, amounts and overall strategy.

The prime minister said that his government's policy of encouraging foreign investment in factory investment is a key to improving Haiti's social and public health conditions. A cholera prevention program, he said, will be an important "job creation" program.

At the end of the 18-minute ceremony, it was announced that Nigel Fisher would speak to media in a separate room. There is apparently no webcast of this proceeding.

If you have not already done so, please sign the international petition on Avaaz, initiated by film director Oliver Stone and others, urging the UN Secretary-Generalto respond to Haitian calls, including legal action, for a robust program of cholera treatment and preventionand compensation for the victims of the epidemic. Read and sign the petition here.

--Roger Annis
 


UN launches new initiative to eliminate cholera in Haiti and Dominican Republic

UN News Center, December 11, 2012
http://www.un.org/apps/news/story.asp?NewsID=43743&Cr=cholera&Cr1=#.UMgSBVGgKLs

11 December 2012 – The United Nations today announced a new initiative to help eliminate cholera in Haiti and the Dominican Republic, the two nations that make up the Caribbean island of Hispaniola.

“The new initiative will invest in prevention, treatment, and education – it will take a holistic approach to tackling the cholera challenge,” said Secretary-General Ban Ki-moon at the initiative’s launch. “The main focus is on the extension of clean drinking water and sanitation systems – but we are also determined to save lives now through the use of an oral cholera vaccine.”

“Because global vaccines are in short supply, we will first target high-risk areas: densely populated urban areas and rural areas far removed from health services,” he added. “As production increases, the vaccine effort will expand its reach.”

Launched at UN Headquarters in New York in the presence of government officials (sic) from the two countries, the new initiative will support an existing campaign – known as the Initiative for the Elimination of Cholera in the Island of Hispaniola – established almost a year ago by the Presidents of Haiti and the Dominican Republic.

Cholera is an acute intestinal infection caused by eating food or drinking water contaminated with the bacterium known as vibrio cholerae. The disease has a short incubation period and produces a toxin that causes continuous watery diarrhoea, a condition that can quickly lead to severe dehydration and death if treatment is not administered promptly.

In his remarks at the launch, the Secretary-General noted that in Haiti the disease has claimed the lives of more than 7,750 people, infected over 620,000, and added more suffering to a country already recovering from a major earthquake in 2010, the largest natural disaster in the history of the western hemisphere.

Ten months after the earthquake, the Caribbean nation experienced a major cholera outbreak.

The United Nations and its partners have been working with the Haitian authorities to respond to the outbreak, with a focus on water and sanitation facilities, as well as on training, logistics and early warning.

“Haiti has seen a dramatic fall in infection and fatality rates. But this will not be a short-term crisis,” Mr. Ban said. “Eliminating cholera from Haiti will continue to require the full cooperation and support of the international community.”

The UN chief said resources will be critical, with Haiti needing almost $500 million over the next two years to carry out its national implementation plan for the disease.

Noting that the relevant humanitarian appeals are less than half-funded, Mr. Ban said he will “use every opportunity” in the months ahead to mobilize more funding.

“Today I am pleased to announce that $215 million in existing funds from bilateral and multilateral donors will be used to support the initiative. I thank the donor community for this generous commitment,” Mr. Ban said. “The United Nations will do its part. We are committing $23.5 million, building on the $118 million the UN system has spent on the cholera response to date.”

He added that the United Nations will also continue to support the Government of Haiti in tracking cholera spending and ensure the effective use of resources.

“Today, as ever, we are in Haiti for one reason alone: to help the Haitian people make their great country all that it can be. We know the elimination of cholera is possible. Science tells us it can be done. It has happened in difficult environments around the world. It can and will happen in Haiti,” the Secretary-General added.

At the launch, the Secretary-General also announced that a world-renowned humanitarian, Dr. Paul Farmer, will serve as his Special Adviser focusing on community-based medicine and on drawing lessons from Haiti that can be applied to other places in need.


***
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Tuesday, December 11, 2012

Haitian Hearts/Peoria

It's all the same.

Many good people on the ground that care.

Many good people who invoke Jesus's name all the time. Peoria version of "Si Bon Dieu vle".

Way more good here than bad.

It's all the same.

Young men smoking cigarettes talking through second floor open window of project housing to a woman that doesn't want to be bothered on sidewalk below.

United Against Violence on blue strap hanging from her neck.

John 3:16 carved in cement.

It's all the same.

Friday, December 07, 2012

Mike DeWine Attorney General of Ohio

The United States needs many more people in leadership roles like Mike DeWine.

Haitian Hearts is very grateful for all AG DeWine has done for us.

Please read this article. 

Sunday, December 02, 2012

What about the Restaveks? Restavek Hotline? Let's Get Real....


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Haiti to overhaul adoption laws to protect its children, curb child trafficking and neglect

By Associated Press, Published: November 30

PORT-AU-PRINCE, Haiti — Haiti is overhauling its adoption laws for the first time in nearly 40 years in an attempt to end practices that have allowed thousands of children to be trafficked out of the country or suffer from neglect as they languish in squalid orphanages.

The proposed legislation is meant to bring Haiti in line with international laws that seek to protect children under consideration for overseas adoptions, said Arielle Jeanty Villedrouin, general director of the government’s social welfare agency. The legislation has gone before the Senate for review and awaits approval from both houses of Parliament.

The proposal includes a requirement that both biological parents give informed consent for adoptions. It also establishes Villedrouin’s office as the “central authority” for all overseas adoptions, which is a requirement of the Hague Adoption Convention, and prohibits adoptions that aren’t authorized by the government.

“A parent who wants to adopt a child can’t just go to a website and say, ‘This is a child I want.’ The children aren’t merchandise or cars,” Villedrouin said in an interview.

Other reforms hope to help the child land in a stable home, including requirements that couples adopting a child must be married for five years, with one spouse at least 30 years old. A single person filing for adoption must be at least 35.

Adoptions will also only be permitted once all other forms of support for the child have been exhausted.
Ann Linnarsson, a Haiti-based child protection specialist with the UN children’s agency UNICEF, welcomed the proposed changes.

“It will mean that the child being adopted needs a new family and that you will know this child has been screened,” Linnarsson said. “There will be some accountability. ... The adopting parents will know that their child has not been trafficked or stolen.”

The need for new legislation is acute in Haiti, where an estimated 50,000 children live in orphanages in part because many parents give up their children because they can’t afford to take care of them.
Many orphanages are poorly run and have little oversight. U.S. missionaries managed to get the government to close one home last year in Carrefour, one of the cities that make up the Haitian capital region, after they noted that several children disappeared and the operators didn’t offer credible explanations for what happened.

It’s not entirely known how many Haitian children are trafficked into neighboring Dominican Republic or elsewhere. But UNICEF recently estimated that at least 2,000 children were smuggled across the border in 2009.

The changes were welcome news to Shasta Grimes and her husband, who have been waiting for more than two years to adopt a Haitian boy who’s 5 years old.

“The laws they’ve had — they’ve been up to interpretation,” the 32-year-old woman said by phone from her home in Arcadia, Florida. “It’s been really difficult for anyone to know what the standard is or the correct procedure is. With legislation in place it’s going to really set in place an international standard.”

The vulnerability of Haiti’s children was dramatized in the weeks after the January 2010 earthquake when Baptist missionaries from Idaho tried to take 33 children they believed were orphans to the Dominican Republic. Police arrested the Americans for lacking the proper documents to take the kids, all of whom turned out had living parents and had been voluntarily turned over to the missionaries.
Even if the new legislation passes, enforcement may prove tricky. Officials have long complained that child welfare workers lack the resources and training to investigate allegations of criminal behavior.
Over the past year, Villedrouin said, the government has closed 26 orphanages for operating in substandard conditions. She said under the new law, more “sanctions will be taken.”

Absent from the legislation is any reference to Haiti’s informal internal adoption system, in which parents hand over their children to other families to clean homes and do other chores in exchange for money or school tuition. Between 250,000 and 500,000 children in Haiti are forced to work as domestic servants known as “restaveks,” Haitian Creole for “stay with,” according to the International Organization for Migration.

The government has created a “restavek” hotline for people to call and report cases of abuse, Villedrouin said.

Copyright 2012 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.