haiti short term medical mission before and after
TRANSCRIPT
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HAITI
SHORT TERM MEDICAL MISSIONBEFORE AND AFTER
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DEMOGRAPHICS
• OVER 9.8 MILLION PEOPLE WITH OVER ONE MILLION CONCENTRATED IN PORT AU PRINCE
• POOREST COUNTRY WESTERN HEMISPHERE• 80% POVERTY RATE• 50% ILLETERACY RATE AT LEAST• MOST HATIANS LIVE ON $2 PER DAY OR LESS
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HEALTH
• ONLY 40% HAVE ACCESS TO BASIC HEALTHCARE
• LESS THAN 50% VACCINATED TO COMMON DISEASES
• BEFORE EARTHQUAKE HALF THE DEATHS DUE TO HIV/AID, RESP INFECTIONS, DIARRHEAL ILLNESS, MENINGITIS AND TYPHOID
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HEALTH
• TB CASES 10 TIMES OTHER LATIN AMERICAN COUNTRIES
• 5% HIV INFECTION• 30,000 MALARIA INFECTIONS EACH YEAR• MOST HATIANS HIGH RISK FOR MAJOR
INFECTIOUS DISEASES DUE TO LACK OF SANITATION, CLEAN WATER AND INFRASTRUCTURE
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HEALTH
• BACTERIAL AND PROTOZOAL DIARRHEAL ILLNESS
• HELMINTHIC INFECTIONS ESPECIALLY CHILDREN
• MALNUTRITION• MALARIA, LEPTOSOROSIS, DENGUE FEVER• LACK OF HEALTH CARE PERSONNEL AND
HOSPITALS GREATLY APPARENT AFTER EARTHQUAKE
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Parish Twinning Program
• Rural mountainous Haiti in the North, Pendus• Support for schools, Churches, and Primary
Healthcare• Support for a Nurse that delivers basic
healthcare through a dispensary• Periodic mission trips to Pendus with
physicians
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Dispensary in Pendus
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St Joseph Hospital PAP 2003
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Gift of Water
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Gift of Water
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Alma Mater Hospital Gros Mornes
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Alma Mater Hospital Gros Mornes 2008
• Full time surgeon medical director three weeks per month salary $25,000 yearly
• GYN $21,000• Internist $21,000• Part time pediatrician $18,333• One doctor director AIDS program funded by
UAID• Radiology tech
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Alma Mater Hospital Gros Mornes 2008
• One xray machine• Basic labs CBC, gram stains, malaria smears, AFB
sputum and could send off cultures• No chem analyzer• Nurse anesthetists head nurse no workable
anesthesia machineTotal capital budget $340,000 per year Stike treatened as no one had been paid in four
months.
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OR
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Maternity
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Nursing Students Maternity
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sterilizer
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Record Room
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Hospital Entrance
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Ambulance Gros Mornes 2008
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Earthquake 1/12/2010
• Largest loss of life in modern history from natural disaster
• 45 seconds of earthquake leveled Port au Prince
• 250,000 people died• Over a million people homeless • Injured too numerous to count
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Resuce efforts and healthcare
• Multinational response but efforts to bring relief greatly delayed due to lack of infrastructure and coordination
• Many amputees and injured released to live in streets no followup
• Basic healthcare needs not available to most
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One month after earthquake
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Father Rick St. Damiens Childrens
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Adult tent wards outside childrens hospital
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One month after
• Returning patients with wound infections• Beginning to see more malaria, diarrheal
illness• Before one out of five deaths in children in
haiti from diarrheal illness• After earthquake now cholera epidemic• Lack of clean water and sanitation before now
greatly exacerbated
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St Damiens with Italian tent hospital
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Our acute care tent
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Post op, mostly orthopedic
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Patient transfer from Project Hope Ship
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Port au Prince one Month after
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Presidential palace
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Cathderal collapsed
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In Petionville, physicians home
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Morning Rounds with Father Rick
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Short term missions
• Before earthquake missions often a week• After earthquake many short term missions
were not weeks but months• Value often spiritual for mission workers• Longer mission stays different focus to
develop continuity
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Challenges
• Lack of basic healthcare facilities, supplies and personnel
• After natural disaster lack of infrastructure exacerbated
• Tragedy resutls in immediate loss of life and injury that is devasting but one month later the loss of what basic care available begins to show the consequences
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What now
• Continued engagement of international community as well as mission work needed
• Almost one year now since earthquake and very little progress with choler epidemic now evident and still over a million homeless living with basics
• Before 97% of Haitians had to leave there homes to get safe water
• Now safe water is a hope and prayer.
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Pancaked, basic construciton faulty in many ways
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Nice tent city at Mathew 25 House