1. HAITI AFTER THE EARTHQUAKE PAUL FARMER, MD, PhD Harvard Medical School Brigham and Women’s Hospital Partners In Health Miami Book Fair International November 20, 2010

2. March 2003

3. September 2003, six months later

4. Public-private partnerships Lacolline, 2007-2008

5. Public-private partnerships ZL/PIH/MOH in Haiti

7. General Hospital (HUEH) nursing school collapse

8. Haiti’s earthquake in context Un-natural disaster Source: Cavallo E., A. Powell, and O. Becerra, “Estimating the Direct Economic Damage of the Earthquake in Haiti,” IDB Working Paper Series #IDB-WP-163, February 2010.

10. Haiti earthquake: acute response Source: US Comfort image from Grant Traverse Herald Archives: archives.gtherald.com.

11. PIH/ZL/MOH site Planned teaching hospital University Hospital (HUEH)

12. Haiti earthquake: acute response

13. Diagnosis: acute-on-chronic Source: AP

14. Diagnosis: acute-on-chronic 250,000 cubic meters rubble removed: 2% of total

15. Diagnosis: acute-on-chronic  Over 2 million people affected by earthquake  1.3 million people in settlement sites  13,000 temporary shelters built; only 10% of the need Source: OCHA, Haiti Situation Report, October 12.

16. Diagnosis: acute-on-chronic Source: preliminary results of survey conducted by Dr. Louise Ivers using Household Food Insecurity Access Scale (HFIAS). Photo courtesy of: St. Felix Evens/Reuters.

17. Diagnosis: acute-on-chronic

18. Cholera in Haiti  Cholera confirmed Oct 22nd by Haitian Ministry of Health and CDC within 48 hrs of outbreak of acute watery diarrhea in the lower Artibonite  As of Nov 16th (per MSPP):  > 16,000 hospitalizations  > 1,000 deaths  Artibonite and Centre departments most heavily affected  Confirmed in PaP IDPs by Nov 8th Source: OCHA, “Haiti Situation Report No. 18.” November 16, 2010.

19. Cholera in Haiti: ZL response  6 Cholera Treatment Centers  Partners: MSF-Spain, MSF-Belgium, Project Medishare, Cuban Delegation, MSPP, British Red Cross, J/PHRO  Community water filters permanently installed; water trucks for most-affected communities  Partners: Operation Blessing, Yele Haiti  Community, school, radio education campaigns  Partner: MSPP  ORS & hygiene kits distributed in rural areas by CHWs; hospital referrals  1298 new CHWs trained in ORS & “community-level prevention”

20. Building back better

21. Nicholas Clark Architects

22. Mesi anpil Thank you