ARTICLE - MSF TREATS 100,000 CHOLERA PATIENTS

HAITI: MSF NEARS 100,000 CHOLERA PATIENTS TREATED
(MSF) - http://www.msf.org.uk/

As Haiti remembers those killed by the earthquake one year ago, the pace of the spread of cholera seems to have slowed in the north and in Port-au-Prince, though the outbreak remains unpredictable and MSF teams are still on high alert.

The number of new admissions is declining in most of MSF’s cholera treatment centres in Port-au-Prince and in the north and north-west of the country. Numbers are stable in the Artibonite region, where the outbreak began. In the south, MSF is dealing with a small caseload at present, but the count has slightly increased of late.

In several of MSF’s treatment centres, tents that were earlier filled with patients now stand empty. Cholera treatment takes effect rapidly and patients can usually go home within a few days; therefore, if the number of new patients declines, overall activity declines quickly as well.

There is no room for complacency, however. “The decreasing number of cases does not mean we have won the battle,” warns Kate Alberti, an MSF epidemiologist in Haiti. “Cholera can be unpredictable, especially in a country that has no history of the disease. The rains to come could be a factor, and social unrest can also have a negative impact.”

Demonstrations and sporadic violence late in 2010 coincided with a spike in cholera cases in the capital, Port-au-Prince, as people were unable to access treatment.

Over the past week, MSF has treated 5,000 patients in its 50 cholera facilities throughout the country, bringing the total number of people who have received care in MSF or MSF-supported facilities since the beginning of the outbreak to 97,000. This represents more than half of the 181,829 total cases reported by health authorities since the outbreak began. According to official figures, 3,759 people have died of cholera since Friday, 22 October.

MSF is also providing supplies for oral rehydration points in areas where the epidemic has yet to take a deep hold and in remote regions or villages un-derserved by health posts.

Throughout the cholera outbreak MSF has continued to provide essential medical services at its seven free-of-charge secondary-level care hospitals and at two government hospitals it supports in Port-au-Prince. MSF has been providing emergency obstetric services, emergency care, trauma care, and burns treatment. Outside the capital, MSF runs a hospital in Léogâne and supports another public hospital in Jacmel.

MSF has roughly 7,500 Haitian and 430 international staff maintaining these existing programmes and responding to the cholera emergency.