Cholera in Haiti
by Fidel Castro
About three weeks
ago news and photos were published showing Haitian citizens throwing
stones and protesting in indignation against the forces of MINUSTAH,
accusing it of having transmitted cholera to that country by way of a
Nepalese soldier.
The first impression, if one doesn’t get any
additional information, is that this deals with a rumour born out of the
hatred caused by any occupying army.
How could this be proven? Many of us were not aware
of the characteristics of cholera and how it is transmitted. A few
days later the protests ceased in Haiti and nobody said anything else
about the matter.
The epidemic followed its inexorable course, and
other problems, such as the risks from the electoral battle, took up our
time.
Today we are getting reliable and believable news
about what really happened. The Haitian people had reason aplenty to
express their indignant protests.
The AFP news agency textually reported that: “The
renowned French epidemiologist Renaud Piarroux led research in Haiti
last month and came to the conclusion that the epidemic was generated by
an imported strain and spread from the Nepalese base” of the MINUSTAH.
Another European agency, EFE, reported that: “The
origin of the disease is in the small town of Mirebalais, in the centre
of the country, where Nepalese soldiers had set up their camp, and it
appeared a few days after their arrival, thus proving the origin of the
epidemic...”
“Up to the present time, the UN Mission in Haiti (MINUSTAH) has denied that the epidemic entered along with the blue helmets.”
“…French doctor Renaud Piarroux, considered to be
one of the main specialists in the world in the study of the cholera
epidemic, leaves no doubts about the origin of the disease…”
“The study was ordered by Paris at the request of Haitian authorities, a French diplomatic spokesman declared.”
“…the appearance of the disease coincides with the
arrival of Nepalese soldiers who, moreover, come from a country where
there is a cholera epidemic.
“There is no other way to explain the sudden and powerful outbreak of cholera in a small town with a few dozen inhabitants.
“The report also analyzes the way the illness
spreads, since the fecal waters in the Nepalese camp were draining into
the same river from which the townspeople were getting their drinking
water.”
The most surprising thing, according to the
abovementioned agency, the UN did was to “…send a research mission into
the Nepalese camp, and it concluded that it couldn’t be the origin of
the epidemic.”
Haiti, in the midst of the destruction by the
earthquake, the epidemic and poverty, cannot now dispense with an
international force cooperating with a nation ruined by foreign
interventions and the exploitation of the transnationals. The UN not
only must fulfill the elementary duty of fighting for reconstruction and
development in Haiti, but also of mobilizing the necessary resources to
eradicate an epidemic which threatens to spread to the neighbouring
Dominican Republic, the Caribbean, Latin America and other similar
countries in Asia and Africa.
Why did the UN insist on denying that MINUSTAH
brought the epidemic to the Haitian people? We are not blaming Nepal
which in the past was a British colony, and whose men were used in their
colonial wars and today seek employment as soldiers.
We inquired among the Cuban doctors who are today
providing their services in Haiti and they confirmed to us the news
transmitted by the abovementioned European news agencies with remarkable
precision.
I make a brief summary of what was communicated to
us by Yamila Zayas Nápoles, a specialist in comprehensive general
medicine and anesthesiology, director of a medical institution with 8
basic specialties and the diagnostics of the Cuba-Venezuela Project
inaugurated in October 2009 in the urban area of Mirebalais with 86,000
inhabitants in the North Department.
On Saturday October 15, 3 patients were admitted
with symptoms of diarrhea and acute dehydration: on Sunday the 16th , 4
more were admitted with similar characteristics, but all from the same
family, and they made the decision to isolate them and communicate what
happened to the mission; on Monday the 17th, 28 patients were admitted,
surprisingly, with the same symptoms.
The Medical Mission urgently sent a group of
epidemiologists who took blood, vomit, stool samples and information
that was sent immediately to the national Haitian laboratories.
On October 22nd the labs informed that the isolated
strain corresponded to the one prevalent in Asia and Oceania, the most
severe type. The UN blue-helmeted Nepalese unit is located on the banks
of the Artibonite River which flows through the small town of Méyè,
where the epidemic broke out, and Mirebalais, where it spread later very
quickly.
Despite the sudden form in which cholera appeared
in the small but excellent hospital that is at the service of Haiti, of
the first 2,822 patients initially looked after in its isolation areas,
only 13 people died, for a death rate of 0.5%; later on, when the
Cholera Treatment Centre was created separately, of 3,459 patients, 5 of
the very serious cases died, for a rate of 0.1%.
The total figure for persons ill from cholera in
Haiti today, Tuesday December 7th, comes to 93,222 persons, and the
death rate reached 2,120. Among those looked after by the Cuban Mission
it went to 0.83%. The death rate in the other hospital institutions it
is 3.2%. With experience acquired, proper measures and the
reinforcement of the Henry Reeve brigade, the Cuban Medical Mission,
with the support of Haitian authorities has offered the assistance to
any of the 207 isolated subcommunes, so that no Haitian citizen is
lacking care in confronting the epidemic, and many thousands of lives
can be saved.