MEDICAL RELIEF MISSION REPORT JULY 31, 2010

MEDICAL RELIEF MISSION REPORT Created in 2004

MEDICAL RELIEF MISSION REPORT OBJECTIVES

MEDICAL RELIEF MISSION REPORT OBJECTIVES MEMBERS

MEDICAL RELIEF MISSION REPORT OBJECTIVES MEMBERS PAST REALIZATIONS

MEDICAL RELIEF MISSION REPORT OBJECTIVES MEMBERS PAST REALIZATIONS RESPONSE TO EARTHQUAKE OF JAN 12, 2010

MEDICAL RELIEF MISSION REPORT OBJECTIVES MEMBERS PAST REALIZATIONS RESPONSE TO EARTHQUAKE OF JAN 12, 2010 LONG TERM COMMITMENT TO HAÏTI

MEDICAL RELIEF MISSION REPORT OBJECTIVES

MEDICAL RELIEF MISSION REPORT OBJECTIVES – Provide medical education to Haitian medical students, interns and residents

MEDICAL RELIEF MISSION REPORT OBJECTIVES – Provide medical education to Haitian medical students, interns and residents – Contribute in upgrading the quality of the health care provided to the hundred of thousand low income men, women, children who seek care at the HUEH

MEDICAL RELIEF MISSION REPORT OBJECTIVES – Provide medical education to Haitian medical students, interns and residents – Contribute in upgrading the quality of the health care provided to the hundred of thousand low income men, women, children who seek care at the HUEH – implement a comprehensive HIV/AIDS treatment protocol at HUEH.

MEDICAL RELIEF MISSION REPORT This program operates in cooperation with the:

MEDICAL RELIEF MISSION REPORT This program operates in cooperation with the: – Association Médicale Haïtienne (AMH)

MEDICAL RELIEF MISSION REPORT This program operates in cooperation with the: – Association Médicale Haïtienne (AMH) – US Agency for International Development (USAID)

MEDICAL RELIEF MISSION REPORT This program operates in cooperation with the: – Association Médicale Haïtienne (AMH) – US Agency for International Development (USAID) – Groupes Haïtiens d’Etude du Sarcoma de Kaposi et des Infections Opportunistiques (GHESKIO)

MEDICAL RELIEF MISSION REPORT This program operates in cooperation with the: – Association Médicale Haïtienne (AMH) – US Agency for International Development (USAID) – Groupes Haïtiens d’Etude du Sarcoma de Kaposi et des Infections Opportunistiques (GHESKIO) – Sisters of St-Joseph at Hamilton, Canada.

MEDICAL RELIEF MISSION REPORT MEMBERS

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D. – Maxime Coles, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D. – Maxime Coles, M.D. – Eric Jerome, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D. – Maxime Coles, M.D. – Eric Jerome, M.D. – Christian Lauriston, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D. – Maxime Coles, M.D. – Eric Jerome, M.D. – Christian Lauriston, M.D. – Wilner Leblanc, M.D.

MEDICAL RELIEF MISSION REPORT MEMBERS (In alphabetical order) – Vladimir Berthaud, M.D. – Pierre-Paul Cadet, M.D. – Aldy Castor, M.D. – Maxime Coles, M.D. – Eric Jerome, M.D. – Christian Lauriston, M.D. – Wilner Leblanc, M.D. – Paul Nacier, M.D.

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS – Visiting professors program

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS – Visiting professors program – Support of dialysis center at HUEH

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS – Visiting professors program – Support of dialysis center at HUEH – Implementation of a HIV program at HUEH

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS – Visiting professors program – Support of dialysis center at HUEH – Implementation of a HIV program at HUEH – Rehabilitation of the student quarter and meal subsidies

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS – Visiting professors program – Support of dialysis center at HUEH – Implementation of a HIV program at HUEH – Rehabilitation of the student quarter and meal subsidies – Clinical research in breast cancer

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS (Continued) – Clean water project and Lifestraw filter distribution in cooperation with the Haitian Red Cross

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS (Continued) – Clean water project and Lifestraw filter distribution in cooperation with the Haitian Red Cross – Rotation of residents at Brooklyn Hospital and Interfaith Medical Center, Brooklyn, with the help of SIMACT, an investment group from the Haitian diaspora

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS (Continued) – Rotation of orthopedics residents in Kansas with Dr. Maxime Coles

MEDICAL RELIEF MISSION REPORT PAST REALIZATIONS (Continued) – Rotation of orthopedics residents in Kansas with Dr. Maxime Coles – Medical clinics in the bateys with Batey Relief Alliance (BRA).

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – Swift

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – Swift – Challenging

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – Swift – Challenging – Not good enough

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – Swift – Challenging – Not good enough – More than 400 health professionals of different specialties have been dispatched (physicians, nurses, physical and respiratory therapists, pharmacists)

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – Swift – Challenging – Not good enough – More than 400 health professionals of different specialties have been dispatched (physicians, nurses, physical and respiratory therapists, pharmacists) – Rotation of new team every week mainly at HUEH

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with The University of Miami (UM)

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with The University of Miami (UM) The University of Nebraska

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with The University of Miami (UM) The University of Nebraska Mount Sinai Hospital of New York

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with The University of Miami (UM) The University of Nebraska Mount Sinai Hospital of New York The Global Giving Organization for reimbursement application on personal expenses. (The Global Giving Organization is associated with USAID)

MEDICAL RELIEF MISSION REPORT RESPONSE TO EARTHQUAKE OF JAN 12, 2010 – We have worked with The University of Miami (UM) The University of Nebraska Mount Sinai Hospital of New York The Global Giving Organization for reimbursement application on personal expenses. (The Global Giving Organization is associated with USAID) AAO and ICS.

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal – Objectives

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal – Objectives – Action Steps

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal – Objectives – Action Steps – Logistics and Cooperation

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal – Objectives – Action Steps – Logistics and Cooperation – AMHE Evaluation Resources

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal To “assist” in the rebuilding of the healthcare in Haïti

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Major Goal To “assist” in the rebuilding of the healthcare in Haïti Contribute to improve the health status of the Haitian community Contribute to the rebuilding of medical education in Haiti

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives Provide expert advice and technical support

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives Provide expert advice and technical support Rebuilding two (2) functional operating rooms at HUEH

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives Provide expert advice and technical support Rebuilding two (2) functional operating rooms at HUEH Help establish emergency, trauma and critical care services (cooperation with HRDF and MOTION)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives (continued) “Assist” in the rebuilding of the medical school

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives (continued) “Assist” in the rebuilding of the medical school Develop partnership with well established healthcare organizations, such as AMH, PIH GHESKIO, HANA, AAP, AAO, AMA, ICS, HRDF

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives (continued) “Assist” in the rebuilding of the medical school Develop partnership with well established healthcare organizations, such as AMH, PIH GHESKIO, HANA, AAP, AAO, AMA, ICS, HRDF Make use of the signed agreement with MSPP

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives (continued) Pediatrics section in AMHE looking for recognition from AAP (See report from Dr. Wilner Leblanc at

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Objectives (continued) Pediatrics section in AMHE looking for recognition from AAP (See report from Dr. Wilner Leblanc) Establish a permanent office in Haïti.

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps Make need assessment and determine areas of priorities for effective interventions as by DHHS database and as by MSPP

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps Make need assessment and determine areas of priorities for effective interventions as by DHHS database and as by MSPP Identify Haitian experts in the diaspora who could assist

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps Make need assessment and determine areas of priorities for effective interventions as by DHHS database and as by MSPP Identify Haitian experts in the diaspora who could assist Extending our database to Haitian and non- Haitian professionals of different medical associations, such as AMA, ACS, AAO

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps (continued) Promote AMHE with a public relation campaign in Haïti, Canada, USA and Europe

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps (continued) Promote AMHE with a public relation campaign in Haïti, Canada, USA and Europe Cultivate the recent recognition of AMHE by AMA on February 22, 2010

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps (continued) Promote AMHE with a public relation campaign in Haïti, Canada, USA and Europe Cultivate the recent recognition of AMHE by AMA on February 22, 2010 Continue the dialogue with DHHS and MSPP

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps (continued) Design goal expectations and logistics toward our objectives

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Action Steps (continued) Design goal expectations and logistics toward our objectives Participation at/or creation of a rehabilitation center.

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH AMHE and DECENTRALIZATION

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH AMHE and DECENTRALIZATION AMHE and Medicine by Proxy

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH cooperation or partnership with PIH in ICU, ER and Internal Medicine

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH cooperation or partnership with PIH in ICU, ER and Internal Medicine Working group in Ob-Gyn (Dr. Apollon & Dr. Mandeville)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH cooperation or partnership with PIH in ICU, ER and Internal Medicine Working group in Ob-Gyn (Dr. Apollon & Dr. Mandeville) Pediatrics section (Dr. Leblanc)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH cooperation or partnership with PIH in ICU, ER and Internal Medicine Working group in Ob-Gyn (Dr. Apollon & Dr. Mandeville) Pediatrics section (Dr. Leblanc) Orthopedics (Dr. Coles)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH (continued) Ophthalmology (Dr. Laroche & Dr. Olivier)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH (continued) Ophthalmology (Dr. Laroche & Dr. Olivier) General Surgery (Dr. Poulard)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH (continued) Ophthalmology (Dr. Laroche & Dr. Olivier) General Surgery (Dr. Poulard) TB and HIV care (Dr. Megan & Dr. Berthaud)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE at HUEH (continued) Ophthalmology (Dr. Laroche & Dr. Olivier) General Surgery (Dr. Poulard) TB and HIV care (Dr. Megan & Dr. Berthaud) Rental of two (2) studios by AMHE.

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste) AMHE at St-Marc (Dr. Pierre-Louis)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste) AMHE at St-Marc (Dr. Pierre-Louis) AHME at Jacmel

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste) AMHE at St-Marc (Dr. Pierre-Louis) AHME at Jacmel AMHE at Petit-Goave (Dr. Desgrottes)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste) AMHE at St-Marc (Dr. Pierre-Louis) AHME at Jacmel AMHE at Petit-Goave (Dr. Desgrottes) AMHE at Aquin (Dr. Castor)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION AMHE at Justinien Hospital (Dr. Auguste) AMHE at St-Marc (Dr. Pierre-Louis) AHME at Jacmel AMHE at Petit-Goave (Dr. Desgrottes) AMHE at Aquin (Dr. Castor) AMHE at Hospital LaPaix (Dr. Dauphin)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE at Community Hospital

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE at Community Hospital AMHE at Quisqueya (Dr. Desrouleaux)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE at Community Hospital AMHE at Quisqueya (Dr. Desrouleaux) AHME at Jérémie (Dr. Jerome & Dr Tabuteau)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE at Community Hospital AMHE at Quisqueya (Dr. Desrouleaux) AHME at Jérémie (Dr. Jerome & Dr Tabuteau) AMHE Rehabilitation Center at Santo (Dr. Gibbs & Dr. Cadet)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE at Community Hospital AMHE at Quisqueya (Dr. Desrouleaux) AHME at Jérémie (Dr. Jerome & Dr Tabuteau) AMHE Rehabilitation Center at Santo (Dr. Gibbs & Dr. Cadet) AMHE in Rwanda (special invitation from Dr. Paul Farmer)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE in the Dominican Republic (BRA) working in Anse-à-Pitre (Dr. Nacier & Dr. Léger)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE in the Dominican Republic (BRA) working in Anse-à-Pitre (Dr. Nacier & Dr. Léger) AMHE with CECI at Diquini

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and DECENTRALIZATION (continued) AMHE in the Dominican Republic (BRA) working in Anse-à-Pitre (Dr. Nacier & Dr. Léger) AMHE with CECI at Diquini AMHE in E-medicine and Tele-medicine (meeting with AMA in June 16, 2010).

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and Medicine by Proxy

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and Medicine by Proxy Personal safety concern

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – Logistics and Cooperation AMHE and Medicine by Proxy Personal safety concern Paying for the services by local professionals.

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially – Poor contribution from the members

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially – Poor contribution from the members – Cooperation with HRDF and NGO status

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially – Poor contribution from the members – Cooperation with HRDF and NGO status Administrative vacuum

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially – Poor contribution from the members – Cooperation with HRDF and NGO status Administrative vacuum – No dedicated staff

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED Financially – Poor contribution from the members – Cooperation with HRDF and NGO status Administrative vacuum – No dedicated staff – Position of Executive Director for AMHE

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Human resources

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Human resources – Increase in membership

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Human resources – Increase in membership – Convincing by our good deeds

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Human resources – Increase in membership – Convincing by our good deeds – Reaching the young medical graduates, the retirees and our friends

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Human resources – Increase in membership – Convincing by our good deeds – Reaching the young medical graduates, the retirees and our friends – Reaching the non Haitian professionals

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Deficit on logistics

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Deficit on logistics – Transport, lodging, work assignments (General Hospital or expansion to other sites)

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Deficit on logistics – Transport, lodging, work assignments (General Hospital or expansion to other sites) Drawback

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Deficit on logistics – Transport, lodging, work assignments (General Hospital or expansion to other sites) Drawback – Lack of commitment from the members

MEDICAL RELIEF MISSION REPORT LONG TERM COMMITMENT TO HAÏTI – AMHE Evaluation Resources: LIMITED (continued) Deficit on logistics – Transport, lodging, work assignments (General Hospital or expansion to other sites) Drawback – Lack of commitment from the members – Financial and personal.

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM – BRAINSTORM

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM – BRAINSTORM – OPEN THE HEART

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM – BRAINSTORM – OPEN THE HEART – FEEL THE EMOTION

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM – BRAINSTORM – OPEN THE HEART – FEEL THE EMOTION – PROVE THE BELIEF IN AMHE

MEDICAL RELIEF MISSION REPORT A FEW WORDS OF WISDOM – BRAINSTORM – OPEN THE HEART – FEEL THE EMOTION – PROVE THE BELIEF IN AMHE – TAKE ADVANTAGE OF THE CRISIS

MEDICAL RELIEF MISSION REPORT L’EMBARRAS DU CHOIX OU LE CHOIX DE L’EMBARRAS

MEDICAL RELIEF MISSION REPORT ABBREVIATIONS AAO: American Association of Ophthalmology AAP: American Association of Pediatrics AMA: American Medical Association AMHE: Association Medecins Haitiens Abroad DHHS: Department of Health and Human Services

MEDICAL RELIEF MISSION REPORT ABBREVIATIONS (cont’d) GHESKIO: Groupes Haitiens d’Etude du Sarcome de Kaposi et des Infections Opportunistiques HANA: Haitian American Nurse Association HRDF: Haitian Ressources and Development Foundation HUEH: Hôpital Université d’Etat d’Haiti

MEDICAL RELIEF MISSION REPORT ABBREVIATIONS (cont’d) ICS: International College of Surgeons MSPP: Ministère Santé Publique and Population NGO: Non Governmental Organization USAID: US Agency for International Development

MEDICAL RELIEF MISSION REPORT THANK YOU FOR LISTENING PAUL E. NACIER, M.D., F.A.C.P, A.G.A.F. July 31, 2010