Thursday, July 23, 2009

Life On The Stateside

It’s been 2 months since I’ve been back to the states. I’ve settled into my new apartment on the east side of Providence just up the road from the Starbucks I used to study and work at during my undergrad. I’m living in a beautiful 3-bedroom apartment with two fellow med students who I went to Brown undergrad with.  I don’t have a car, so I walk everywhere—to the grocery store, post office, bank, downtown… I took on a summer job working back in the med school setting up biology, physiology and anatomy labs to cover my rent and utilities. All those hours spent and essays written for med school financial aid paid off.  It costs $62,000/year to attend Brown Medical School. They offered me $30,000/year in scholarship money and the remaining $32,000 is covered by loans that Brown received for me. I am extremely grateful for their generous support but won’t see any of that until September. For the time being, I’m on my own, working in the labs and doing odd-end jobs to cover summer living expenses.

I’ve been lucky enough to inherit nearly all of the books I’ll be needing for first semester and have spent the last two months getting ahead and preparing for anatomy and histology. It was important to me to get back into the “academic mode” after a year of practical on-the-ground work in Haiti. Talking with friends and deans, I was told that my work in Haiti will surely pay off in the classroom, especially in the sections on infectious disease and pharmacology.

I made it back to the states just in time for my 5th year high school reunion, which I was excited to attend, and had a great time seeing old familiar faces. I was awarded the alumni community service award during reunion weekend. My school made a modest donation to Pwoje Espwa on my behalf and gave me one of those huge metal bowls with my name etc. engraved on it. It was a great welcome back to the country considering how the reverse culture shock I was experiencing, nearly isolated me from all of my friends and family. I didn’t want to see, talk to or even acknowledge anyone associated with my life before Haiti. Oddly enough, I didn’t feel much guilt about being back but I was overwhelmed with a sense of nostalgia for Haiti that I couldn’t quite understand. My year away was by far one of the most difficult experiences of my life. I fought off depression, frustration, anger and feelings of hopelessness almost daily. I often prayed that the days pass faster and that I’d be back home with my family. Now that I’m back, I miss all the things I thought I hated. I miss waking up in the morning and not being bombarded by 20 kids yelling my name asking for things or Sonya in the kitchen boiling eggs for breakfast, or the strong Haitian coffee made the night before and the 12 cups/day I would drink. There are few things that I don’t miss. I don’t miss the spiders! I don’t miss the incessant sicknesses and the merciless mosquitos!

About a month ago, I was asked by the editor of the Brown Medical School Magazine if I would write a piece on my time in Haiti. After nearly a dozen drafts and weeks of editing, I finally came up with a piece that I’m content with. There was a 1,000 word limit on the piece but they seem to be ok with me using the 1,400 word final piece.  The process of trying to sum up my year in Haiti in just 1,000 words was more stressful than it was anything.

I will try to keep weekly updates going on the blog about what I’m doing, especially in relation to Haiti and welcome any emails from you. You can contact me at either willinhaiti@gmail.com or wilfredo_perez@brown.edu

Thursday, April 30, 2009

Leaving Haiti

I left Les Cayes two days ago and when I landed in Port-au-Prince later that morning, I boarded a bus to Santo Domingo, Dominican Republic, where I am now. This weekend I´ll be in Santiago and Puerto Plata, DR and next week I´ll be traveling to Bavaro. After 2 weeks in the DR, I´ll be catching the bus back to Haiti and from there will fly out to Puerto Rico for 11 days to visit family that I haven´t seen since I was 2 years-old. I´ll be back in Providence, RI on May 23rd.

It was hard leaving and I´m actually procrastinating because I don´t want to right about my last days yet until it really soaks in that I won´t be going back. It´s still hard to believe that a year has gone by already. I´ll write more soon.

Thursday, April 23, 2009

PH Graduation--2nd Generation

Last Wednesday, we celebrated the graduation of the second generation of public health agents. There were 11 students to enter the course and there are 11 certified agents leaving it. The new group will be taking on additional public health responsibilities including weekly water testing and treatment, combating the rat and mouse problem in the village homes, reducing the standing water pools on campus, designing public health training programs for the house monitors, weekly garbage clean-up in the children’s villages and the list goes on…

Junior Francois was the 11th student to join the class.

Jonas was the success story of the class. 20 years old and still in the 6th grade, no one thought that he could handle the challenging work and weekly exams in the public health class but he shocked them all. He passed every last exam and had a perfect attendance record. While the other guys would be out having fun, Jonas could be found on the doorstep of his house, studying his public health manual. He has proven to be one of the most dedicated workers I have.

All of the newly graduated PH members enjoying some soda and pate at their graduation party.

Wednesday, April 22, 2009

Public Health Presentations

As a final project and a last requirement before graduation, I have all of the public health students form groups of 3, choose a topic that we covered in the 3 ½ month course and put together a 15-20 minute presentation. Each presentation had to consist of at least one large poster, a two-page written essay or fact sheet and a short skit. Each person in the group had to talk for at least 5 minutes. At the end of each presentation, there was 10 minutes of questions and answers. We had a total of five groups presenting on topics such as Tuberculosis, Nutrition, Hygiene and Sanitation (washing hands, covering your food etc.), How to take care of a sick person, and Malaria. They all did a terrific job.

I recorded all of the presentations on video. Each ended up averaging nearly 35 minutes each! Getting these boys to talk was not difficult at all! With some fine tuning, we’ll be adapting all five of these presentations for both primary and secondary lesson plans for the 1,200 students at the nearby schools.
Serool, Enock and Webert holding up their poster on Jan Pou Nou Okipe Moun Malad (How To Take Care of A Sick Person)
Jeff and Jean Roody hold up a poster on vomiting as Gedna explains the importance of rehydration.

Gedna, Delince and Daniel perform a skit showing how to recognize and treat Tuberculosis.


John and Jonas hold up a poster showing the different stages of a malaria fever while Junior discusses how to identify malaria symptoms and properly treat a person with malaria.







Saturday, April 18, 2009

You Can Feel The Tension In The Air

Elections are right around the corner and threats of manifestations and riots are hitting the streets. All white people are advised to stay indoors and those who are not a part of the riots are recommended to stay off the streets and keep the distance.

Politics in Haiti is a scary topic. With over 50 political parties, corruption seems to be the only thing tying them all together. When news spread, that Lavalas (a political party in Haiti founded in 1996, of which former president, Jean-Bertrand Aristide, is a member) were not in the running this coming election, it took just minutes before the word got out that a huge manifestation would be staged this weekend.

"They're telling people to write your name on the bottom of your foot," Fritzner told me last night. "Why?" I asked. "So that they can identify you if you're found dead."

I'm doing my part to stay on campus. We've even taken in Amanda, a U.S. volunteer working on an AIDS project in town. She'll be staying with us on campus because it is too dangerous to stay in town. Please keep everyone in Haiti in your prayers. Not a day goes by where I don't realize how much we take for granted in the states. The truths we assume. This is the time of year when death tolls run the highest and dirty politics run rapid. I'll keep you posted.
Will

Turning 23 in Haiti

I woke up yesterday, first a little bummed to not have my family or closest friends here with me, but when I stepped out my door to a beautiful, bright and shiny day, it was hard to stay feeling sad. The reality is, I could have done any number of things for my bday. I could have taken a trip out to the beach in Port Salut, or the breathtaking waterfall in Camparrin, a day in Port-au-Prince or hopped on a bus to the Dominican Republic to spend time with friends I don't get to see very often. Instead, I decided that no matter I went, no place would be as fun as a village of 600 children who all new it was your birthday. I couldn't have a party large enough for everyone, so instead, Naseer, Amanda, Fritzner and I, spent the afternoon filling 950 water balloons to start a village-wide water war. We filled up 500 balloons for the kids and put them into coolers that were strategically placed on the Espwa campus. I had a few of the older Espwa boys go and call out to invite all of the children over and within minutes, dozens and dozens and soon hundreds of children were running up taking cover as we bombed them mercilessly with giant water balloons from the roof of the guest house. By the end of the day, I was soaked. I had been hit everywhere and was sure that the kids were aiming for my head because I definitely received some dead on face hits! It was a blast and everyone had a great time. Fr. Marc even joined us on the roof to throw some balloons.

It couldn't have been a hotter day and everyone welcomed the water. The children started throwing themselves in the way of the balloons and some would catch them only to throw back at us.

Dee, a member of the Espwa board of directors, made the trip down for my birthday and brought me my favorite foods, remaking Thanksgiving Day dinner and lemon moraine pie. She brought me a black hoodie with the words "Ti Dokte" (Little Doctor is what the children used to call me when I first came to Haiti) embroidered on it. She also brought me two scrub outfits, one with my name on it and the other with "ti dokte," so that I could have them for med school in the fall. The children made me a ton of cards and pictures and I was serenaded to by one of the music groups on campus. All in all, I couldn't have asked for a better birthday.

Fr. Marc, underhanding the balloons.


Scoping out the grounds and identifying my targets.


The kids, gathering in preparation for the bombing.

Friday, April 17, 2009

It's My Birthday!

I've got 1000 water balloons and can't wait to use them! We're going to have a massive water balloon party!

Monday, April 13, 2009

My Little Buddy

This is Roberson, the 5 year-old boy who we believe to have cerebral palsy. He lives in the next village over. I first met Roberson and his mother, 5 months ago when a concerned neighbor asked that I help find him a new place to live. His mother was newly pregnant and was forced to abandon him every day to work the fields in order to put food in their mouths each night. Roberson, paralyzed from the waist down, was left to sit in his own urine and feces until a neighbor or his mother returned to change him. When I first found him, he was alone in a corner, covered in saliva, urine and bugs.

After Mother Theresa’s organization turned Roberson and his mother away, I went to Fr. Marc and asked if there was any way we could get Roberson’s mother a job at Espwa and have one of the ladies at Espwa watch Roberson during the day. Without hesitating, Fr. Marc made the calls and by the next morning, Roberson and his mother were on campus being hired by Berthony, the Director of Espwa. Now, nearly 8 months into her pregnancy, Roberson’s mother cannot work nor can she take care of Roberson. While we continue to hold her job and send her food, it was obvious that caring for Roberson was becoming harder and harder even with the help of neighbors.

This is the new chair that we had made at the Espwa carpentry shop to help relieve some strain from Roberson’s mom. It acts as a potty chair and with the arms on all three sides; it allows Robeson to hold himself up unlike before when his sitting on the ground also meant his face being in the dirt from his inability to hold his upper body up. Ever since first stumbling upon their home while on my morning run, I’ve made it a habit to visit frequently. Sometimes I just sit there with him in silence. He smiles and starts throwing up his arms when he sees me coming, while his mother yells “Gade, Roberson. Zanmi ou ap vini.” (Look, Roberson. Your friend is coming). He is a beautiful little boy, full of joy and affection.

Raymond, the man who first told me about Roberson and asked me to help is currently in the middle of helping to build a new one-room house for Roberson and his mom. Raymond dedicates 6 months out of the year to living and working in Haiti, building homes for the poorest of the poor. His work is inspiring.
Roberson and I just thinking about things and shooting the breeze.

Roberson's mom doing laundry.

Roberson in his new chair.

Roberson's old chair and his new chair.



Friday, April 10, 2009

What If There Is No Doctor?

Last night, I was awakened from little pebbles being thrown at my bedroom window. My windows, with their metal shutters give a small pebble the sound of a large rock. I jolted out of bed, recognizing the call as an emergency. My entire public health team knows that throwing pebbles at my window if it is late at night is code for an emergency. I threw on a shirt, flip-flops, grabbed my flashlight and keys to the clinic and was out the door in less than 30 seconds. I am so accustomed to this procedure that I keep the keys and flashlight right by my bed. When I got outside, there was a little boy standing there with one of my public health guys and four adults who I had never seen before. There was no reason to ask what the problem was because even in the dark I could see the blood. His hair was drenched and the towel covering his head was soaked. The blood was beginning to coagulate around his ears, leaving long red strings when I removed the towel. His forehead, nose and cheeks were covered in dry blood. I had never seen that much blood before in my life.

The first thing I did was check his vitals and his responsiveness. I had no idea how long he had been bleeding and how much blood he had lost in walking here. The family was from a nearby village and walked/ran at least a mile to get to me. The three men who came with the little boy looked worried, while the woman was hysterical. The little boy just stood there, not a tear in his eye.

As we helped him to the clinic, I asked him what happened. He told me that he cut himself with a razor trying to cut his hair. I told him that the next time he tries cutting his hair, to do so without cutting off his head first. "Sa ap fe difisil pou fe cheve ou si ou manke tet." (It will be hard to cut your hair without a head). He laughed. I took this as a good sign and had him get on the examining table. With Fritzner and Webert (two of my public health guys) helping me, I cleaned the boy's head with some soap and water to get a better idea at what I was dealing with. (This initial cleaning was the only time throughout the entire procedure, including the lidocaine injections, that the boy complained about it hurting). Actually, he fell asleep the entire time I was stitching him up. The cut was just over 4 inches long and was a nice straight, clean cut that required 13 stitches. When we were finished, we woke him up, wrapped him up, gave him a tetanus shot and some antibiotics, wrote up a new chart for him and told the family to bring him back for a daily dressing change. His name is Clonal. He is 11 years-old. When I saw him today to change his bandage, he had a big smile on his face and thanked me again, “pou fikse tet mwen” (for fixing my head).

I had the public health boys talk to the family about keeping sharp objects out of reach, especially when children are around. We asked them what they would have done, had I not been here. They said that they didn't know. They had no money to go into town to the hospital, not to mention the trip is more than 6 miles by foot because no taxis run late at night. They knew of me by word of mouth and took their chances coming here in hope that we could help. Even the clinic I work at closes its doors at 3pm. If I am not here to attend to emergencies, there is no one. While most of the time, I can resolve the problem, we are constantly having to pay exorbitant amounts of money to send children to the hospital in town where the care is to say the least, inadequate, but because of the larger staff and x-ray machine, it is better than even we can give in our three-room clinic with inconsistent running water and electricity. This is just one reason why we are so desperately in need of building a new medical center.

Estimated to cost roughly $220,000-$250,000, we are nearly half way there in fundraising but are a long ways away from laying our first brick. If you can help in any way possible, please contact me at willinhaiti@gmail.com or Susan Midgett who is currently fundraising $100,000 for the medical center at somidgett@aol.com

I’m here, doing the work that I believe I was meant to do. But, with each and everyday, I realize that I can’t do it alone. Please help me.
-Will

Thursday, April 9, 2009

S.O.S. For Haiti


On August 15, 2009, Susan Midgett will be participating in the "Escape from Alcatraz Sharkfest" open-water swim in San Francisco Bay, CA, to raise $100,000 for an adequate medical and dental clinic at Vilaj Espwa (Hope Village) in Les Cayes, Haiti where I work. With architects already working on putting together blueprints from my design, and with the help of Susan raising funds, the new medical center, expected to serve a population of nearly 100,000 people will soon be made a reality.

This is a short video that Susan put together to share her experience of Haiti with others in her work to fundraise for a much needed cause. You can learn more about Susan and what she is doing by visiting her blog at sosforhaiti.blogspot.com

The medical center will focus its efforts on public health prevention and education. In supporting Susan, you are also supporting the work I've done and helping me to "cement" my efforts over these last eleven months to provide sustainable preventative measures in health care for a population that lacks even their basic needs.

Toy Trucks

These children make the best of everything they have around them. Using scrap metal from old oil drums or coffe cans and the caps of water bottles as wheels, I've seen cars, buses, trucks and even motorcycles designed by some of the boys.



Other popular toys that I see all the time are kites made from plastic grocery bags with string from rice bags, little home-made, sun-dried clay animals and marbles and the classic soccer ball made from a bloated cow bladder, wrapped in old cloth. Children that make their own toys! Everything about these children is amazing.

Tuesday, April 7, 2009

An Afternoon Away

It was one of the longest mornings I've had in a while and instead of going for another cup of coffee as I would usually do, I thought that today was as good a day as any to learn how to ride a horse. Fr. Marc has two of them on property; one is a wild one and the other is a very calm and peaceful one. I chose the wild one and had a blast! Before today, I had never even touched a horse let alone sat on one so it was a great experience. One of the men who takes care of the horses heard I wanted to try riding so he went and got me a saddle, stirrup and a switch. The horse (currently nameless) and I rode out a few miles from campus to the corn fields and went crazy. We were out for about an hour and a half and I can't wait to go out again.

Monday, April 6, 2009

Saturday, April 4, 2009

Walking the Streets of Les Cayes

Les Cayes is one of the largest cities in Haiti. Located in the southern department (southwestern region) of Haiti, it has been my home for the last year. Though I don't live directly in the city, I am only a 10-minute drive away. I live a mile off the beaten path in a village known as Castel Perre where the houses are made of straw and mud and the roofs covered with palms. I drive to town at least twice a week whether it be to buy groceries or supplies or give out food and toothbrushes to the street children. I remember being scared to walk around town by myself. I don't know what I was afraid of but I felt like a stranger and an intruder. Not knowing the language only made me feel worse.

Things quickly changed. I began learning Haitian Creole. I began meeting people and making friends. The street children learned my name and so did the taxi drivers. Before I knew it, I no longer felt like a trespasser. I felt welcomed. I felt at home.

These streets, which to the visitor, seem so broken, empty and destroyed are exactly the opposite. I admit that when I first came to Haiti, all I saw was pain and anguish in every face and sadness in every set of eyes. I know now that I saw only what I wanted to see. I was taught to see Haiti as a country of absolute devastation, a country that lacked hope and a country destined for suffering. There were smiles. There were people laughing. There were mothers hugging their children and husbands kissing their wives. But I seemed to ignore all of the good things and only believed the bad things that I saw. Now, as I near my exit, I understand more than ever how beautiful of a country this is and how beautiful its people are. This is a country like no other, a country that can be devastated by hurricane after hurricane, flood after flood, diasater after diasaster and still wake up each morning singing and thanking God for what they have. There is no word for suicide in Creole. The people I've met this year are among the most kind, passionate and thankful people that I have ever come across. I will never forget Haiti or the Haitians that changed my life.


Downtown Les Cayes. There is no public waste management in Haiti. For the most part, people burn their own trash. This is one of the many public piles of garbage that builds up until someone decides to burn it or move it to another location.
One of the nicer homes in downtown Les Cayes.

Downtown Les Cayes mid-afternoon.

This is a "tap tap." It's the public means of transportation. For about 5 gourdes ($0.10) you can get a ride across town and get off wherever you'd like. Yes, every tap tap is this full and if you're one of the lucky ones to get on when it's empty, just wait 10 minutes and before you know it, you'll be sitting on someone's lap.

Friday, April 3, 2009

Demonstrating Scabies Treatment

One of the boys volunteers to get scabies treatment while Gedna and I show the PH team how to apply it. (I should be wearing gloves)

With 15 of us working, we treated over 200 children for scabies in just one night! Though there were only 15 children found to have live scabies, over 200 were either living with or in close contact with those 15, so we treated them all.

Thursday, April 2, 2009

Toothbrush Distribution

Every three months, the public health team gathers together to distribute toothbrushes, toothpaste and dental floss. With 15 public health workers, it takes us a little over an hour to distribute the supplies to the 540 children in the area.

This distribution program, is quite possibly the most difficult and serious of all the distributions when it comes to organizing my workers. Toothbrushes and paste are highly valuable down here. There are families in nearby villages who have never owned a toothbrush and 6-year-old children who've never before brushed their teeth. When I load the public health team up with these supplies it's as if I'm filling their backpacks with money. They work in groups and never alone.


Wednesday, April 1, 2009

Distributing TB Meds



Fritz and I, showing the new public health students how to perform directly observed therapy (DOT) for our Tuberculosis treatment program.


Every Monday and Thursday, the PH team travels with cups, water and their Tuberculosis (INH) meds to track down the over 100 children in the area who have tested positive for TB. The directly observed therapy (DOT) program that we use requires the public health workers to hand deliver the meds to the children and watch them take the meds.

Tuesday, March 31, 2009

A Burden of Disease

Waterborne pathogens are microorganisms (bacteria, parasites etc.) living in water capable of causing human disease such as Schistosomiasis, Hookworm and chronic diarrhea. These diseases are the most prevalent infections of poor people, affecting over one billion people living in developing countries. These people, who lack access to affordable clean water and sanitation systems, are disproportionately affected by the burden of diseases related to water. Many of the disease cases lead to chronic and disabling conditions while nearly half result in the death of the infected individual.

There are several ways in which these pathogens make their way into the human body. Human feces, containing a wide range of bacteria, viruses and other microorganisms, pollute water sources used for drinking and washing. Dead animals and debris are other examples of pollutants posing major problems to drinkable water sources. There are also naturally parasitic waters where bacteria and parasites have survived for billions of years. In many instances, these bacteria play a major role in balancing the ecosystem around them but make the water undrinkable for humans. The problem is not whether or not these pathogens can be destroyed, because almost any water can be made drinkable with the proper filtration system. The difficulty lies in determining an ethical approach to combating these existing inequities among the rich and poor while not compromising the ecosystem and the natural state of the earth. Chlorinating the water for example would make it drinkable for humans but would also kill off all of the parasites in the water, disrupting the ecosystem and possibly leading to the death of all the plants and animals that rely on these naturally occurring bacteria in order to survive.

The statistics are shocking as researchers discover that water supply and access to sanitation is the world’s most lethal and least reported humanitarian disaster. These complex issues bring about many ethical questions that have long gone ignored. Should clean water be proclaimed a human right and made accessible and affordable to all humans? Who’s responsibility is it to secure this right? How would the natural environment be affected positively or negatively from eliminating all water pathogens from the Earth in order to make “clean” drinkable water available to humans.

The anthropocentric view point that proclaims water as a human right, places human beings at the center of development. The essence of a human right is to inform people of their entitlements and empower them to achieve those rights. Thus, it is the human that matters and that must be protected first and foremost. The issue of safe water is central to life and a lack of access to it has a major effect on people’s health. However, an animal rights approach may argue that though most waterborne pathogens have no detrimental effects on the health of animals, matters of pollution and waste lead to the unnecessary death of millions of animals a year. Such perspectives can drastically change depending on how one chooses to view the source of the problem.

The declaration of water as a human right brings with it a responsibility to respect, protect and fulfill the full realization of the right to water. In some instances, this may mean a complete reconstruction of a community, a way of life and a people because of the several factors that play an important role in the access to water including the dynamics of poverty. Whether understood as anthropocentrism or animal rights, it is the responsibility of wealthier and thus more developed nations to take the lead in securing the right to water for all who lack access. 500 children die every day from diarrheal diseases resulting from polluted and parasitic water sources. Families in rural areas of Haiti, plan to have several children knowing that half of them will not survive beyond five years. In many cases, families are forced to go without water in order to keep their livestock alive, but the polluted water only kills the animals faster, often times making the carcasses inedible. This persisting cycle of poverty is an issue of human and animal rights.

To view the issue of unclean water from a gaiacentric point of view forces one to acknowledge the Earth as a whole in its natural state of being. Humans are relatively new on this 3.5 billion year old planet, while bacteria and parasites have been here from the very beginning. Bacteria are an extremely important part of the ecosystem and are responsible for important processes such as decomposition, nitrogen fixing in plants, digestion in animals and the production of essential vitamins. The effects of eliminating these bacteria would be detrimental to the planet and all living creatures. However, waterborne pathogens such as parasites and bacteria are killing millions of humans and animals every year. The same bacteria that keep a particular plant alive can result in a deadly disease if ingested by a child. This is not new information. It is the survival of the fittest and though humans stand at the top of the food chain, deadly disease such a hookworm demonstrates that humans are not the fittest. It all began with bacteria and will all end with bacteria. Through an anthropocentric lens, the health and well being of all humans must be attained in order to secure the existence of mankind. This attainment means guaranteeing access to clean water and proper sanitation systems and killing off any harmful parasites through chlorination, fluorination and water filtration.

Ensuring access to sufficient safe water is crucial in securing the right to health guaranteed to all people by the Universal Declaration of Human Rights. Lack of sanitation systems for fecal matter, the inability to bury dead animals leaving them to decompose in water, poor hygiene, malnutrition and the burdening cost of water are the results of broken infrastructures. Humans are responsible for their own survival. If humans were meant to live harmoniously with nature then there wouldn’t be deadly parasites in water, the one resource that is essential to human life. Keeping in mind that bacteria and parasites play several important roles in regulating numerous environmental factors including plant growth and decomposition and digestion in humans and animals, caution should be taken in determining to what extent the elimination of naturally occurring bacteria and parasites would affect the overall bionetwork of the planet. How do we then decide the value of things? Who determines the value of a life whether it be of a plant, a cow or a child? What does it mean to make water a human right, if in doing so; it requires denying it from other creatures? How do we reach out to communities that believe it is normal to lose half of their children to deadly diseases and that the water gods are responsible? How do we mind personal boundaries and respect the cultures, religions and ways of life of the many world communities. Most importantly, how do we save the 14-16 thousand people, mostly young and elderly, who die every day from avoidable water-related diseases?

As part of the hygiene and sanitation program, the four main public water sources at Vilaj Espwa are tested bimonthly by the PH team for any dangerous bacteria, lead, nitrites and nitrates. We treat our water with chlorine weekly to kill off any dangerous bacteria. This doesn't always kill the parasites, especially when the parasite is spread through fecal matter etc outside the water source. This is why we treat all the children at Espwa with deworming meds on a monthly basis. I am struggling to find funding to extend the treatment to local villages who lack any water treatment. Here are some photos teaching the PH team how to perform a water quality test...








Sunday, March 29, 2009

Having the PH boys practice some of their first aid skills...bandaging invisible wounds...treating imaginary burns...

I can't explain my facial expression so please don't ask!

First and most important...clean the wound

Delince applying a bandage

Gedna, treating Jean Roody, one of the public health students


Some PH Photos

Teaching the public health boys how to use a microscope...





Weekly public health meeting...This was the first meeting where all the public health members including the students met together. As part of their graduation requirement, I've decided to have the students join forces with the public health vets in tackling some of the PH programs. We split the 11 students up into four teams, putting the four public health workers in charge of their own team of workers. Three students joined Gedna, who's in charge of scabies and tinea capitis treatment, two joined Webert for TB treatment, two joined Delince in PH lesson designing and four joined Sam in performing home, kitchen and bathroom inspections.




Friday, March 27, 2009

A Few Things


This is a photo of me with Choupi, one of the painters at Espwa. He's the one who painted the 4' x 4' family portrait for me back in September. In this picture, we're holding up some of his abstract pieces. Choupi is 18 years-old and is employed by Espwa as one of the child monitors who organizes trash pick-up and leads are youngest children (under 7yrs-old) to school in the morning. He is extremely talented and one of the hardest and most dedicated workers I've come across.

He comes from a very poor family, deep in rural Haiti where everyone is a farmer, makes under $1/day and lives completely off the land. His family's home was destroyed twice last year during the hurricane season. The second time, there was nothing left standing but a single stick that was used to support one of the corners of the house. It is rare for a family to be homeless in rural Haiti. The bond among neighbors is great and this case was no different. Choupi's neighbors took his family under their roofs. There's an understanding that it could've been any one of their houses to be destroyed and that they were lucky enough to still have their homes. It's only right to reach out to those who weren't so lucky.

I am constantly reminded of the kindheartedness and compassion that the Haitian people show towards each other. Roberson, a 5 year-old boy with cerebral palsy is another example. After hearing about him being left at home alone while his mother would leave him to go to work for the day, I decided to visit him one day on my morning run. When I found him, he was sitting in the corner of the mud shack, dirty, covered in drool and bugs and unable to shoo them away because of his condition and being unable to move. Even in this case, where it seemed so obvious that this boy had been forgotten about and abandoned each day without a person in the world, I witnessed a caring and kindness we don't often see in a country like ours. Roberson's mother had no choice but to leave him each day in order to work the rice fields and put food on the table. While Roberson had appeared alone to me, he wasn't. His mother would make the 3-mile walk back to her home to bring him food during the day, while two of her neighbors, both over 80 years-old and unable to work themselves, would visit Roberson to bathe him and clean up any stool.

It has taken me some effort to realize and understand that what happened to the boy who was murdered a week ago, is not at all a fair representation of the Haitian people who are not an angry people but instead quite the opposite. The men who took action into their own hands that afternoon claim to be vigilantes and no longer wanted to fear this boy who had according to them, robbed dozens of people and caused much anguish for many civilians over the last few months. How true this is, I can't say. I can say however, that an incident such as this is not common and while I'll never be able to forget what happened that day, this experience does not change at all the love I feel for this country and its people.

Seeing patients

Sunday, March 22, 2009

A Boy Murdered

I can't get the image out of my head. His face before and after. I have a photo of him sitting in his cell, curled up in the corner with a sling around his left arm and bleeding, the result of what other inmates had done to him after he had been placed there for robbing a boy at gunpoint for a telephone and 100 gourdes (US$2.50). The gun was fake and no one was hurt. Haitians don't take kindly to thieves and depending on the gravity of the crime, stealing is usually punishable by death. I don't know his name. I don't know how old he was or where he came from or why he needed that money. I don't know his story. I wasn't there, but the boy who was robbed was there and he was borrowing my camera.
The other photo that I have of him is after he was released from the prison and attacked by the mob of men with machetes. This photo, which is forever burned into my memory, is of a boy not yet 18 years-old, outstretched on the ground with one arm across his chest and the other, bent up towards his face. His head is tilted back and his eyes are open. There are sneaker prints on his face, hands and feet. His jeans are soaked in blood. There are three pools of blood that surround him. To his right, is the fake gun that he had used, laying in one of the pools of blood. To his left, is a metal pole, covered in blood, that had been used to beat him to the ground. Next to the pole are two sets of feet, one with blue plastic sandals and the other with brown flip-flops. These are the feet of two of the people who helped kill this boy. When he was knocked to the ground, bludgeoned, stepped on and kicked, the men with machetes began to swing at him. Helpless and unable to defend himself, the machete hit his face, removing his right cheek in a single swing. Another swing cut into his achille's heel and another the top of his foot and then his thigh. The swings kept coming until he no longer moaned.


I have tried to delete these photos, but for some reason that I don't understand, I can't. I feel as though these photos are the only thing keeping the memory of this boy alive. The police released this boy to the mob. He was a lone the entire time with not a person in the world at his side, to help him, to defend him. This boy, who I never knew, who I wish I could have helped, will always be with me. I will never forget him. Here is one of his photos. I ask that you never forget him either.



-- Start Bravenet.com Service Code -->