Hygiene

The UN Committee on the Rights of the Child issued a brief but stark warning about the threat posed to Haitian children by gang violence, cholera, and malnutrition.  The situation in Haiti is difficult, but especially so for children.  Emboldened gangs, a growing cholera epidemic, and worsening malnutrition are negatively impacting the well-being of Haitian children.  The government is weak, the gangs are in many cases better armed than the police, and core development issues like agriculture, education, infrastructure, and human rights have once again taken a back seat to insecurity.  Restoring security won't solve Haiti's problems but it is at least a prequisite.

As one of the few countries in the world where sanitation had gotten worse over the past twenty years, Haiti was highly vulnerable to the cholera outbreak in 2010.  After years of obfuscation, the United Nations has finally admitted that the epidemic was imported by UN peacekeepers. That it has happened at all is testament to the efforts of Haitian civil society and the advocacy of organizations like the Institute of Democracy and Justice in Haiti.  The UN intends to release a response plan in two weeks.  More information from AFP follows. 

The World Bank recently pledged $50 million for water and sanitation programs in Haiti.  The funding will cover all clinics and schools in rural areas that are considered hot-spots for cholera.  Haiti is one of a small number of countries in which sanitation deteriorated over the last twenty-five years. Investing in water and sanitation is essential for promoting public health.  More information follows:

Water, Sanitation, and Hygiene (WASH) conditions in Port-au-Prince were not good even before the devastating January 2010 earthquake.  Perversely, the poor often paid the most for drinking water.  Against this backdrop, a number of international organizations and non-governmental organizations are working with the Haitian government to help establish a more effective and equitable water system.  One of these non governmental organizations, International Action, has been involved with water related issues in Haiti since 2006.  Below is an update as to their latest activities.

On Wednesday, January 12th, the American Medical Association, the National Institutes of Health, the National Disaster Life Support Foundation Inc. and Disaster Medicine and Public Health Preparedness will host a free webinar on the current status of public health and health care in Haiti, including the ongoing cholera response.  More information follows.  You can register for the event by clicking here. 

Haiti is in the midst of a cholera outbreak, the origin of which is and may remain unclear.  We live in a mobile world and the source could be Africa, Asia, South America, or it may have already been in the environment.  Where it came from is less important than the fact that Haiti, and especially the poorest of the poor, will always be vulnerable without clean water, adequate sanitation, and good hygiene.  This is an update on the current cholera emergency and a reflection on actions that can prevent this from happening again.

March 22 is World Water Day.  Growing up, like many others, I did not appreciate how lucky I was to have clean, safe water.  We need it to drink and become sick if we do not have it.  We need it for agriculture and would become hungry without it.  We need it for washing, bathing, and clean health care facilities.  Likewise we need sanitation and hygiene to protect food, water, and health.  One billion people around the world still lack clean drinking water and 2.6 billion lack access to basic sanitation.  It doesn’t have to be this way.  World Water Day is an opportunity to ask what we can do in the year ahead to address the world's water crisis. 

The World Health Organization (WHO) recently released an interesting and easy to understand guide on the relationship between investments in water/sanitation/hygiene (WASH) and public health.  The international community, and Haiti Innovation included, have been paying a lot of attention to food security.  However, children with diarrhoea from poor water are not able to absorb nutrients, are more likely to become malnourished, and subsequently come down with a life threatening disease. Worldwide 1.4 million children a year die (6,000 a day) die from diarrhoea.  In Haiti, 10% of all deaths are estimated to be water-related.   Access to water, sanitation and hygiene, together are key to promoting public health in Haiti and elsewhere.