Most U.S administrations have been ambivalent or hostile to Haiti. Even the administrations that have ostensibly wanted to help it have at times done tremendous harm. The Trump Administration is amongst those that are hostile to Haiti - too black, too poor, no money to be made there. Not only is the United States deporting Haitians, including those with COVID-19, it is preparing to send back former death squad leader Emmanuel "Toto" Constant. He is truly a man who belongs behind bars, either American or Haitian, but now is not the time to further destabilise Haiti with his presence. The Washington Post Editorial Board calls for a compassionate approach - which will not happen unless the electorate in key states like Florida demand it.
Below is an article by Miami Herald journalist Jacqueline Charles about Haiti's response to the COVID-19 pandemic and the University Hospital of Mirebalais which plays a central role in it. The University Hospital is one of the few hospitals with the capacity to stabilise patients with COVID-19 and to provide these services free of charge. The Hospital staff are preparing for a potential surge in cases which could be caused by Haitians returning from the Dominican Republic due to lost livelihoods, the near impossibility of social distancing, and a health care system that was fragile even prior to the pandemic. If you are looking for a way to help Haiti as it responds to the pandemic, consider a donation to Partners in Health which manages the University Hospital and remains the largest non-profit health care provider in the country.
In the New Humanitarian, Jessica Obert writes that Haiti never fully recovered from the earthuqake let alone cholera, political instability, and subsequent natural disasters. While Haitians themselves are resilient their government and the systems that are supposed to be in place to ensue their health, safety, and well being are not. Haiti's ever-fragile economy had already contracted 1.2 percent last year due to protests and the pandemic could result in a contraction of 2.7 percent this year according to the Haitian Ministry of Finance. Physcial distancing does not work well in settings where people are living day to day due to economic hardship. If there are positives, Haiti's population is younger and it has a history of working together with the Dominican Republic on infectious diseases. As with other countries, Haiti will be living with the pandemic for a long time to come.
Haiti's health care system, a patchwork of public and private facilities, was struggling prior to the pandemic. Instability and its root causes of poor governance, corruption, and poverty have resulted in poor access to health services for most Haitians. BBC journalist Will Grant writes below that will every country in the Americas will be impacted by the coronavrius (COVID-19) pandemic, Haiti lacks the capacity and financial resources needed to increase its preparedness. As has long been the case, the hard work of addressing growing health needs falls upon non-governmental organisations such as Partners in Health who received Haiti's first cases.