Haiti bans Oxfam GB over sexual misconduct scandal

(CNN) - Haiti's government officially banned Oxfam Great Britain from operating in its country on Wednesday, following the sex scandal that rocked the British charity earlier this year.

Oxfam's right to operate in Haiti had already been revoked in February following allegations that staff members, including the country director, hired prostitutes at Oxfam properties while working in Haiti after the devastating 2010 earthquake.

Oxfam responded to the decision in a statement on Wednesday, apologizing again to the Haitian government and its people.

"Oxfam is disappointed but understands the Haiti Government's decision to withdraw Oxfam Great Britain's permission to work in Haiti," the statement read. "The behavior of some former Oxfam staff working in Haiti following the 2010 earthquake was completely unacceptable."

The statement also noted that since stronger measures have since been implemented to prevent abuse, including a hotline and safeguarding team.

The allegations first emerged in 2011, prompting an internal investigation, but Oxfam didn't make the report public until this February. According to the report, four staff members were dismissed for "gross misconduct" and three others resigned after the investigation, including Haiti country director Roland van Hauwermeiren.

The report also described three staff members who "physically threatened and intimidated" a witness during the investigation, leading to accusations that Oxfam had deliberately covered up the scandal.

The report didn't address claims that van Hauwermeiren and his team had been previously reported for alleged sexual misconduct while working in the African nation of Chad, but no action was taken at the time.

Global outrage ensued. 7,000 people canceled their regular donations in just 10 days, Oxfam chief executive Mark Goldring told British lawmakers in February.

Several ambassadors and donors pulled their support. Oxfam's deputy chief stepped down, and in May, Goldring followed suit.

This is about abuse of power," Winnie Byanyima, the executive director of Oxfam International, told Parliament in February. "Whether they have given them some money from an Oxfam program or from their pocket as their salary, it's still abhorrent, and we are ashamed and upset about it, and we're going to root it out of our organization."

The staff members were deployed to Haiti in response to the devastating earthquake in 2010, which killed between 200,000 and 300,000 people.

By: Jessie Yeung for CNN.com | June14, 2018

The Humble Toilet Is Bringing Health And Hope To Haiti

A group called SOIL installs waterless toilets in hard-to-reach, impoverished communities and then transforms the waste into compost, improving food security.Last week, TreeHugger was invited to attend the second annual Spring Prize for Social and Environmental Regeneration, hosted by Lush Cosmetics in the UK (read overview here). The amazing people behind these projects are all fighting to create a world that's more resilient, self-sustaining, and nourishing, and thanks to the Lush Spring Prize, that fight has become a little bit easier.There was a time when Haiti was known as "the Pearl of the Antilles" for its fertile, beautiful land. Sadly, that is no longer the case. While it is still beautiful, much of the island has been deforested, the soil has been degraded, and its citizens suffer from endemic poverty. It has the highest childhood diarrhea mortality rate in the world, one of the worst cholera epidemics in modern history, and does not have enough food to feed its population. Annual hurricanes and occasional earthquakes make the situation worse. To top it off, Haiti was just named the most vulnerable nation in the world to climate change.Haiti's situation is deeply complex, making it a challenge for charities and NGOs to have a lasting effect. Monetary handouts offer temporary relief, but what Haitians need and want is what every other person in the world wants -- a job, a safe and clean space in which to live, a healthy family, and a sense of dignity.Enter SOIL, an organization founded in 2006 that is managing to offer all of these benefits to Haitians with an astonishingly simple solution -- the installation of a toilet in their homes. But this isn't just any toilet: it is a dry, waterless toilet, also known as container-based sanitation (CBS), that allows for human waste to be collected hygienically in sealable, removable containers, without relying on an expensive urban sewer system.

© SOIL -- Waste is collected in sealed buckets in Cap-Haitien

Participating families pay a small monthly fee (US$3-4) in exchange for toilet installation, maintenance, and weekly waste pickups. The waste is diverted into a bucket and the family adds a carbon cover layer made from sugarcane bagasse and crushed peanut shells to keep flies at bay and odors down. Once a week, SOIL's employees drive three-wheeled motorcycles along the narrow mountain roads to collect the waste buckets and deliver them to a central depot, where they're trucked out to the countryside for composting.The composting process takes nine months, during which all pathogens are killed and the final result is rich organic soil that is bagged and sold to gardeners, farmers, larger companies growing plantains, beans, and mangoes, and groups doing targeted reforestation across the island. Various studies have found it to be a powerful natural fertilizer, boosting crop yields by as much as 400 percent in the case of green peppers.

© SOIL (used with permission) -- Compost produced at the end of the 9-month process

Last week I spoke with Natalie Miller, SOIL's communications and development associate, and Wisner Jean Louis, director of human resources. Both were in the UK to collect a ￡25,000 Spring Prize award, in recognition of SOIL's work toward social and environmental regeneration.Miller, who bubbles with enthusiasm about her work and delivers facts at dizzying speed, referred to SOIL as a rare success story, in light of so many other charities' struggles to effect lasting change in Haiti. She explained that SOIL's first attempt to build public toilets failed, despite communities having identified the need and saying they would maintain them. She told me:

"Just as would happen in Minnesota, where I'm from, or New York or London, people don't want to manage a public toilet for free, especially people who live in some of the most vulnerable, resource-poor communities in the world. They don't actually have more time to do that because they're working so much harder to help their families survive."

Fortunately SOIL did not give up, but reassessed where the real need lay -- in building toilets in people's homes. Since then, it has provided sanitation services to more than 6,000 people, made over 250 metric tons of compost, and employed 92 Haitians. Currently, it composts 40 metric tons of human waste every month, and that's set to grow. Thanks to the award from Lush, SOIL will be able to expand its composting facilities and further its research and development work.

© Lush Spring Prize (used with permission) -- Natalie Miller and Wisner Jean Louis at Emerson College, UK

I came away from the interview feeling amazed at the idea that something as humble as a toilet can combat cholera, create employment, boost crop yields to feed a hungry population, sequester carbon, and increase resilience to climate change by allowing the ground to retain more water during periods of drought and stay stable in times of flooding. It all makes sense, of course, that these things are interrelated, but it's such a beautifully simple solution to a problem that can appear extremely complicated.As Miller and Jean Louis told me, their work is about returning to technology that humans have used for thousands of years. "Since water and energy become so cheap and accessible, we went a little crazy with flush toilets," Miller said with a laugh. Container-based sanitation, by contrast, makes much more sense in dense urban settings like Haiti, and prove Miller's words: "Human poop is where it's at!"You can learn more about SOIL's work by visiting its website or Facebook page, or reading their bio on the Spring Prize website.By: Katherine Martinko for The TreeHugger.com | May 21, 2018

Eleven Things You Need to Know About Henri R. Ford, MD

Henri R. Ford, MD, MHA, FACS, FRCS, FAAP: The Vice President and Surgeon-in-Chief at Children's Hospital Los Angeles and Haitian-born medical maven who has dedicated his life to not only helping the many kids that walk through CHLA's doors, but also the children and people of his home country.These are the top things you need to know about Ford.1.  He’s an Honorary Fellow of the Royal College of Surgeons, and President of the American Pediatric Surgical Association.More: Children's Hospital Los Angeles Surgeon-in-Chief Receives Two Prestigious Honors2.  He attended Princeton University for his undergraduate degree, earned his medical degree from Harvard Medical School, and received his Master of Health Administration degree from the University of Southern California.More: Henri R. Ford, MD, MHA, FACS, FRCS, FAAP3.  He is an expert in necrotizing enterocolitis (NEC), which is a severe and often life-threatening intestinal inflammation in pre-term infants.More: Ford's Laboratory4.  He was presented with the National Humanism Award by American Association of Medical Colleges, which recognizes his mentorship to medical students and the discovery and implementation of surgical alternatives for several pediatric disorders.More: American Association of Medical Colleges Will Present National Humanism Award to Henri Ford, M.D. of Keck School of Medicine of USC, Children’s Hospital Los Angeles5.  When the devastating 7.0 earthquake hit in his home country of Haiti, he quickly moved to lead a humanitarian mission there.More: Humanitarian Efforts in Haiti6.  He helped organize a huge donation of used medical equipment to Haiti from CHLA.More: Children's Hospital Los Angeles Donates to Haiti's Kids7.  He’s a member of the Board of Regents of the American College of Surgeons.More: Henri R. Ford, MD, MHA, FACS, FAAP, Elected to the Board of Regents of the American College of Surgeons8.  He led Haiti’s first conjoined twin separation surgery during a medical mission trip in 2015.More: Children's Hospital Los Angeles Leads Historic Medical Moment 3,000 Miles Away9.  He’s helped lead efforts to establish critical care and trauma facilities in Haiti. More: Children's Hospital Los Angeles Surgeon Helps Lead Effort to Develop Critical Care and Trauma Facilities in Haiti10.  He's working to save more babies' lives through research.11. Dr. Ford was just appointed as the Dean of Miami University's Miller School of Medicine,Congratulations Dr. Ford!!!Thank you Dr. Ford for your dedication and determination in helping kids here and around the world!By: CHLA.org

UN eyes transition of Haiti role from peacekeeping to development

The United Nations has already started to prepare for a post-peacekeeping presence in Haiti, a senior UN official said Tuesday, stressing there are many reasons to be optimistic that the country’s progress towards stability is now irreversible.

“While achieving results should remain our common priority, we have already started to prepare for a transition to a non-peacekeeping presence, based on lessons learned in Haiti and in other contexts,” the Under-Secretary-General for Peacekeeping Operations, Jean-Pierre Lacroix, told the Security Council.He said that in the coming months, his office will provide progress assessments to allow the 15-member body to take well-informed decisions for the drawdown and eventual withdrawal of the UN Mission for Justice Support in Haiti (MINUJUSTH).Established in October last year, MINUJUSTH replaced UN Stabilization Mission, which operated in the tiny island nation for 13 years.Much smaller than its predecessor, which had more than 4,000 military and police personnel, MINUJUSTH assists Haiti to further develop national police, strengthen rule of law institutions and promote and protect human rights.While the Security Council is expected to renew MINUJUSTH, whose initial mandate expires on 15 April 2018, Mr. Lacroix said the UN is determined to ensure it be the last peacekeeping operation deployed to Haiti.Last month, UN released a strategic assessment of MINUJUSTH, including 11 benchmarks for a smooth transition to a non-peacekeeping presence by the last quarter of 2019.“Haiti has come a long way to achieve the relative political and security stability it is now enjoying, but persistent economic uncertainties, which can result in social exclusion, particularly of youth and the most vulnerable, may undermine this progress,” said Mr. Lacroix.In mid March, he visited Haiti for the first time since taking office a year ago.He said that MINUJUSTH is fully operational and actively implementing its mandate.For instance, the Mission has co-located 135 individual police officers with the Haitian National Police (HNP) in each of Haiti’s 10 departments, and it is dedicated to helping curb prolonged pretrial detention and prison overcrowding through on-site monitoring.The weaknesses of the rule of law institutions continue to generate multiple human rights challenges and encourage a culture of impunity, he said, noting that priorities in this domain include the need to strengthen national human rights institutions.Acknowledging the relationship between the UN peacekeeping mission and the Government of Haiti could have been smoother, he welcomed the most recent announcement by the country’s President of his priorities on reform, including the strengthening of the justice system and national police, the fight against impunity and prolonged pre-trial detention, the fight against and prevention of corruption, the establishment of the Permanent Electoral Council, and the launching of a national dialogue.By: UN News | April 3, 2018

Haiti, U.N. Clash Over Probe Into Alleged Misuse of Petrocaribe Funds

 

PORT-AU-PRINCE (Reuters) - A diplomatic row has erupted between the Haitian government and the United Nations over comments made by a senior U.N. official cheering an investigation into the alleged misuse of Venezuela-sponsored Petrocaribe funds by previous administrations.

Haiti recalled its ambassador to the U.N. on Tuesday, and summoned Susan D. Page, the special representative and head of the United Nations Mission for Justice Support in Haiti (MINUJUSTH), to explain comments she reportedly made applauding a criminal probe into the alleged siphoning of Petrocaribe money.

Haiti's foreign minister, Antonio Rodrigue, said in a statement on Tuesday that Page had exceeded her authority and that her comments reflect an "attitude harmful to the political and institutional stability acquired during the past few years."

The case is the latest example of governments across the Americas - including Guatemala and Honduras - chafing at criticisms by U.N. bodies, which have highlighted lackluster efforts to tackle corruption, human rights abuses or impunity.

Haiti has a long tradition of corruption, and international partners and anti-graft watchdogs have often blamed Haitian politicians for failing to crack down on the scourge.

Last weekend, local media reported that Page said the U.N.'s Haitian justice mission welcomed the assignment of judges to probe possible acts of corruption with Petrocaribe funds during the administrations of former presidents Rene Preval and Michel Martelly, between 2008 and 2016.

Current President Jovenel Moise, who is from the same party as Martelly, has faced criticism for not pursuing corruption as actively as he had vowed to.

Page was quoted as saying she saluted "the initiative and active role of Haitian citizens and civil society engaged in the fight against corruption and impunity. Their actions demonstrate that the population defends accountability and justice."

Reuters was unable to reach Page.

Venezuela's Petrocaribe scheme, launched in 2005, has furnished about 12 Caribbean states with oil supplies under a flexible credit mechanism, obliging them to pay cash for part of every shipment and finance the rest at low interest rates, or buy it with goods like food and clothing.

A collapse in oil prices, however, has caused a recession in Venezuela, and stalled many of the Petrocaribe shipments.

(Reporting by Gabriel Stargardter; Editing by Leslie Adler)

Copyright 2018 Thomson Reuters.By Joseph Guyler Delva via US News | February 28, 2018 

Haiti’s President Says Trump Got at Least One Thing Right

President Donald Trump may have a point when he says the U.S. is wasting money sending aid to foreign countries. And that’s according to the president of one of Trump’s “shithole” nations.Haiti President Jovenel Moise said he was “taken aback” by the “bizarre” derogatory remark Trump allegedly made about Haiti in a White House immigration meeting last month. First reading about it on Twitter, Moise summoned U.S. diplomats for an explanation, one of whom was “embarassed“ and “at a loss for words,“ he said.

Despite the undiplomatic language, the two leaders would find common ground when it comes to foreign aid. Trump has threatened to cut funding and complained that the U.S. hasn’t received enough in return from foreign countries. Moise said billions have been squandered in Haiti.“Right now in Haiti, the money of foreign taxpayers, your money, is being wasted,” the president said in an interview in Port-Au-Prince. “Every year we receive $1.2 billion to $1.4 billion in aid, or more. However, it’s all consumed in a state of disorder that constitutes public international development aid.”Haiti, the poorest country in the Western Hemisphere, has received attention in recent months as Trump has pushed to overhaul U.S. immigration policy, favoring educated, skilled workers over immigrants from poor nations in Latin America and the Caribbean. The administration removed Haiti from a list of countries eligible for temporary work visa programs and plans to end a program protecting tens of thousands of Haitians from deportation.

‘Republic of NGOs’

Trump allegedly described Haiti and unspecified African nations as “shithole countries” in a heated discussion about immigration reform with U.S. lawmakers on Jan. 12. He subsequently posted on Twitter that he, “Never said anything derogatory about Haitians other than Haiti is, obviously, a very poor and troubled country.”

Moise, an entrepreneur who built a banana export business before taking office just weeks after Trump was inaugurated, said migration benefits all countries and that Haitians have made substantial contributions to the U.S. economy and culture. According to the Pew Research Center, about 110,000 undocumented Haitian immigrants live in the U.S., including those with protected status.Moise aimed his strongest criticism not at Trump, but at the way foreign aid has been administered in Haiti, a country with so many charities it’s been referred to by academics and local press as the "Republic of NGOs.”While he acknowledged Haiti still needs foreign funding, Moise said the Haitian government had been put “in hibernation” while multilateral organizations, charities, foreign governments and non-governmental organizations have wasted billions on development projects that are overpriced and inefficient.“If during the past 40 years the billions of dollars that were spent to assist in Haiti’s development did not provide the expected results, it’s because the paradigm, and approach must change,” Moise, who spoke mostly in Creole and French, said via a translator. “Haiti must have the ability to obtain loans for investments needs, to create wealth, to invest more, to provide electricity 24 hours a day.”

Government Plan

The Caribbean country of nearly 11 million has received $5.1 billion in aid from the U.S. alone since the 2010 earthquake, according to the U.S. Agency for International Development. The quake devastated the country, killing at least 200,000 people, leaving 1.5 million homeless and leveling much of its fragile infrastructure. Billions poured in from donors in the years that followed.Yet, the money has done little to address poverty. Haiti’s per-capita gross domestic product declined to $761 in 2017, according to the International Monetary Fund. Neighboring Dominican Republic, which shares the island of Hispaniola with Haiti, has a per capita GDP nearly 10 times higher.Haiti’s history of political instability -- marked by a series of coups in the 1990s and 2000s -- corruption and weak institutions have made charities and foreign donors wary of turning over funds to the government.Moise said he has held talks with the IMF, the World Bank, foreign governments and other organizations about giving the government more control. He wants aid agencies to follow a development plan that prioritizes the construction of a nationwide electricity grid, schools and health clinics, reforesting the countryside, and building roads. His four-year plan calls for $1.8 billion of investment.The government last year launched pilot projects in those areas, including one that equipped local public works departments to build roads for a fraction of the price that they were previously being constructed, he said. Moise keeps three toy construction trucks on his nearly empty wood desk in temporary government buildings located beside the remnants of the national palace that was destroyed during the quake.“We’re saying now we want to think of, conceive and implement the development ourselves,” he said. “It’s not that we’re telling our partners to leave, but we want to do it in a state of accountability.”

By: Ezra Fieser for Bloomberg.com | February‎ ‎01‎, ‎2018‎

What A Haitian Entrepreneur And Haitian-American Nurse Can Teach Us About Identity

•  “I am a woman first. And then a strong Haitian woman.”

• “I’m very comfortable with my femininity and my assertiveness. In Haitian culture, women are the center of the household; providers and caretakers. Just because I can cook at home doesn’t mean I can’t run a multimillion dollar business. Feminism, to me, is the freedom to be a complex, multidimensional individual without living my life in silos."

Guelmana Rochelin

Guelmana Rochelin, Founder & CEO of Mana S.A.

Johaida Jean-Franois

Johaida Jean-Franois, Labor & Delivery RN at Boston Medical Center

From government officials to late night comedy hosts, there has been a lot of conversation around Haiti. But, hearing from those who know it best may offer other narratives on Haiti and on identity. Meet Guelmana Rochelin and Johaida Jean-Franois. One is a Haitian immigrant who returned home to build a company, Mana S.A., in Port-Au-Prince. Another is a first-generation Haitian-American who deftly weaves her values into the work she does as a Labor and Delivery Registered Nurse at Boston Medical Center.A Tale of Two LivesGuelmana tells a story of growing up in an idyllic community in Côteaux, Haiti. “…Tranquil, warm, and family-oriented…My great-grandmother lived with us and the entire extended family all lived a stone’s throw from one another.” Even after her family immigrated to the United States and put down roots in Philadelphia, her passion and love for Haiti never abated. In fact, she was so certain of her future, upon becoming a naturalized citizen, she told her parents, “You guys are taking something from me. I can never be President of any country now.” Luckily, she had other ideas of how to impact Haiti. After attending Villanova University and Harvard Business School, she worked at Goldman Sachs and co-founded a healthcare company with her sister, Affinity Healthcare Solutions. But the lure of Haiti always beckoned. Eventually, on a visit back to Haiti, she realized it was time to return and began to build a venture that would provide economic opportunity to the Haitian community, Mana S.A. The idea came from Guelmana’s realization that the small purchasing power of most Haitians made it hard for many to buy a box of cereal. She also observed some very enterprising merchants buy a box of cereal and then sell individual servings of cereal on the side of the road. And with that, Mana S.A. was born. Guelmana imported machines from around the world, built her own production line, created the cornflakes at the facility, and began to make individual servings of cornflakes. And as we learned on Conan O’Brien, many find the cornflakes pretty tasty. Guelmana’s hope is that by providing employees a living wage – one that enables them to not only feed their family, but also invest in their children's education, she will help lay the foundation of Haiti’s future.Johaida’s story begins in Everett, Massachusetts with deep roots firmly entrenched in Haiti. Her mother worked in the telecommunications industry in Haiti and upon immigrating to the U.S., transitioned into healthcare. As the matriarch of the family, her mother served as a spiritual pillar, as well as a constant source of inspiration. According to Johaida, “I have never seen her struggles, but I have always seen the result of her struggles. And they were always good.” Growing up, Johaida was reminded in ways glaring and subtle that she was different. Sometimes it was the bottle of Malta in her lunch as opposed to her fellow students’ Capri juice pouches. Or the incredulous remark when a person with long hair and light skin was discovered to be of Haitian descent. She channeled her frustration and anger in those experiences towards her education. Johaida graduated from Rivier University, successfully passed the NCLEX-RN, her nursing boards, upon first attempt, and following her mother’s footsteps, entered the healthcare industry. She wanted a community focused on the care of others, not dissimilar to the community her mother experienced in Haiti. Johaida chose to work at Boston Medical Center because as the largest safety net hospital in New England, BMC serves a very diverse population. According to their website, 57% of patients are from under-served populations and 32% of patients do not speak English as a primary language. Despite the numerous languages heard throughout the halls of BMC, as Johaida says, she speaks a universal language: comfort in holding a patient’s hand, care in rubbing a patient’s back, and safety in reassuring eye contact.

 Being Haitian, Being a WomanI am always curious to see how women live their multifaceted identities. And it was not surprising to see that Johaida and Guelmana had differing views on how to live their complex identities.For Johaida, she emphatically said, “I am a woman first. And then a strong Haitian woman.” Much of our conversation centered around her work caring for so many new women and newborns. Being surrounded by such diverse women going through a common experience drives her strong gender identity.Guelmana’s answer was more complicated. “I’m very comfortable with my femininity and my assertiveness. In Haitian culture, women are the center of the household; providers and caretakers. Just because I can cook at home doesn’t mean I can’t run a multimillion dollar business. Feminism, to me, is the freedom to be a complex, multidimensional individual without living my life in silos."Both emphasize the importance of choices and the refusal to be categorized and put into a box. And despite their different professional paths, both live lives infused with passion, surrounded by community, and guided by family. Johaida and Guelmana approach their multifaceted identities differently, but one common aspect of their narratives holds true – they have a lot of pride in the strength and resilience of the first black republic, Haiti.By: Peggy Yu for Forbes.com | February 1, 2018

Haiti Has Been Mistreated By Politicians Like Donald Trump for Centuries

In this op-ed, writer Fabienne Josaphat explains the history of Haiti, and how it has been mistreated by politicians long before President Donald Trump's recent remarks.President Donald Trump’s ignorance of Haitian contributions and history continues to mislead the American people. On January 11, the President of the United States met with officials on immigration and allegedly said, regarding Haitians and Africans, “Why do we want all these people from shithole countries coming here?” The Washington Post first reported the news.These statements made on the eve of the anniversary of the January 12, 2010 earthquake that killed up to 300,000 Haitians. As a Haitian immigrant living in South Florida — where, in 2015, an estimated 127,189 people of Haitian ancestry lived in Miami-Dade County alone — I could feel the indignation broiling beneath my people’s skin. Locally, councilman Alix Desulme, who represents District 4 in the City of North Miami, called the alleged comments “divisive and racist,” and demanded an apology.“Sadly, we have a president who continues to show America how great we can become through his destructive selfishness,” the councilman said. The mayor of North Miami himself, Dr. Smith Joseph, chimed in with his own statement, saying, “Our nation should not tolerate this overt racism from a president who is sworn to protect us.” Haitian-American Congresswoman Mia Love, a Republican from the state of Utah, said, “The President must apologize to both the American people and the nations he so wantonly maligned.”Instead, what came hours after the news of the reported comments broke, was a tweet from the president in which he denied making the comments, calling Haiti “poor and troubled.” He claimed to have wonderful relationships with Haitians, but failed to acknowledge a single one by name. None of this, again, is surprising.Fox News host Tucker Carlson affirmed that the president was merely voicing what his base was already thinking, casually asking, “Why can’t you say that?” on air. Many Trump supporters disagree with the notion that Trump is a racist, despite his allegedly saying “We should have more people from Norway” after his “sh*thole” comment was made.Describing a person’s country as a “sh*thole” shows an absence of critical thinking, and is a display of ignorance. It echoes an existing sentiment of xenophobia in this country from Trump voters, most of them white, now referred to as “the forgotten men and women.” They are being misled by a man who knows nothing about the Haitian people and their history. Yes, the U.S. should respect the Haitian people simply because of their humanity. But Haiti also deserves respect because it spent its entire existence as a nation contributing to the enrichment and greatness of superpowers like America.Historically, Haiti has always offered its best to the world and is proud of its accomplishments. It was the first to lead a successful slave-led rebellion to topple French slave owners, claiming its freedom in 1804. Without Haiti, there would be no Louisiana Purchase, a treaty that earned the United States the entire Louisiana territory and more than doubled the country’s size. New Orleans’ vibrant culture would not be the same without the influence of integrated Haitians. In Illinois, what would later become the city of Chicago was founded by a Haitian-born pioneer named Jean-Baptiste Point du Sable. In addition to liberating slaves in other countries, Haitians helped America fight its Revolutionary War, and when World War II drove countries to form urgent alliances, Haitian pilots joined the Tuskeegee Airmen as part of the U.S. Army Air Force.Our decision in 1804 to live free or to die was heroic, but the U.S. did not officially recognize this independence until 1862. France put the nation in the humiliating position of having to pay reparations at an annual rate for the slaves they lost, so Haiti was forced to borrow money to repay their oppressors, and borrowed from banks in France and the U.S.. Several initiatives have been launched to cancel Haiti’s debt, but pressure to repay debtors initiated further borrowing, keeping Haiti in constant crushing debt.The U.S. profited off Haiti during the American occupation of Haiti from 1915 to 1934, suppressing riots and killing rebels. Initially led by then-President Woodrow Wilson, the U.S. military imposed racist soldiers onto the Haitian people, introducing a new strain of cruelty that led to the decapitation and dehumanization of insurgents.The dictatorship of François “Papa Doc” Duvalier, which lasted in Haiti from 1957 to 1971, was able to endure because of American complicity. Specifically, as Duvalier murdered and brutally oppressed Haitians, the U.S. looked the other way because Duvalier was effective at staving off communism, which the U.S. saw as a threat. When that regime was toppled when Duvalier’s son was overthrown in 1986, the nation was completely impoverished, its funds depleted to line the pockets of tyrants like the Duvaliers. In addition, because of its debts to the U.S., Haiti has been by default constantly subjected to American intervention.Despite our contributions to America, Trump’s language doesn’t necessarily come as a surprise to Haitians, as we too often face this type of disregard from so many in power. Yet, during his presidential campaign, Trump made sure to draw attention to Hillary Clinton’s actions regarding Haiti to discredit the Democratic candidate. In 2009, when she was Secretary of State, Clinton suppressed Haitian minimum wage, at the behest of manufacturers, then after the 2010 earthquake, Bill Clinton became head of the Interim Haiti Recovery Commission. He enlisted the Clinton Foundation to build shelters, a relief effort considered to be a disaster, called out even by the likes of Oxfam.With more than one million people displaced after the 2010 earthquake, the U.S. poured aid money into Haiti, but years later, investigations have found that very little money actually reached Haitian citizens. Haitians still lack shelter that was promised by the American Red Cross after the humanitarian organization raised almost half a billion dollars from helpful donors. The Clinton Foundation, again, is also implicated in failing in their recovery efforts to aid Haiti with reconstruction projects after the earthquake despite raising more than $30 million.Then, Haiti suffered a devastating cholera outbreak that started at a United Nations peacekeeping camp, and as of November 2017, the Trump administration has refused to assign unspent UN peacekeeping money to help combat the epidemic. Instead, his administration chose to end Temporary Protective Status for 60,000 Haitians sheltered in America as a result of the earthquake.This sent a clear message to Haiti and its diaspora, and now, his comments about them speak volumes. In Trump’s world, there is no room for black and brown people to thrive. Yet, he shows an acceptance of white nationalists, identifying as “very fine people” some of the those protesting to keep Confederate monuments after the deadly Charlottesville rallies.He does not know the history of Haiti, and he doesn’t comprehend the significance of Haiti’s contributions, because he doesn’t care to. His wealth and privilege have allowed him to erase others to the point of invisibility.But Haitians exist as a reminder that the damages of racism and oppression cannot sway self-determination. We are not going anywhere. In fact, Haitians continue to thrive despite adversity. Our ancestry and culture empower and enable us to bounce back and carry on. If the whip of slavery did not break us, the words of an inveterate racist will not kill us. Haitians sacrifice for others even when others don’t sacrifice for them. I see this as the definition of love: the continuous devotion to others with no expectation of reciprocity.As a Haitian immigrant, I am tired of always asking for apologies, so I’m not personally interested in one from Trump. I’m interested in active and constructive repairs to our dignity in the American media, demonstrating an intent to rebrand and respect Haiti, rather than baiting audiences into buying into images of poverty and misery, because one narrative does not define us. Apologies, to me, are futile unless they are backed up by action and determination for change. Until then, we are planting our feet in the ground and waiting for the next insult to fly.By: Fabienne Josaphat for TeenVogue.com | January 16, 2018

Haitian American Students Association Holds Sit-In After Trump Administration’s TPS Decision

“So even if I’m here and I feel good my friends are aware of this I’m still bitter, very bitter.”

“When I say Haiti, you say ‘Rise Up,’” Mathania Toussaint, the PR chair for Haitian American Student Association (HASA), instructed the group of students and allies gathered on the steps of Kimmel Thursday night. Toussaint lead them in the chant, which swelled with each call and response.

This was the scene from the sit-in, organized in response to the Trump administration’s recent decision to strip immigrants of their Temporary Protected Status (TPS). HASA said it was necessary to bring attention to the move, which will affect immigrants from Honduras, Nicaragua, Sudan and Haiti, because they believe the issue has been overlooked in discourse regarding immigrant struggles.

“After we first found out about the decision, HASA was kind of scrambling because we found out about it over Thanksgiving break and had a planned meeting,” Toussaint said. “So we flipped everything because this is more important. We need to talk about TPS. Trump has systematically removed immigrants of color from the U.S., it’s been group by group.”

Initially, Toussaint expressed qualms about the prospect of organizing the demonstration because she hadn’t planned a protest before. But the reaction from students, especially Haitian students like sophomore Fatima Julien, made it abundantly clear her decision to highlight this issue was necessary.

“After finding out about the TPS removal, I was like ‘Shit, what are we going to do…What can I do?’” Julien said. “Then finding out about the sit-in I harassed all my social media followers saying ‘Come: if you’re a social justice type I’m taking attendance.’”

“Being here, especially during the chant,” Julien continued, “I got a little emotional but it was good. It feels nice to be able to say that I was here and that my friends know about it.”

Julien, who immigrated to the U.S. two years ago, has family members who will be directly affected by the decision: a sister will have to return and cousins that were trapped under the rubble of the massive 2010 earthquake, will also be forced out of the U.S. In light of their trauma, Julien expressed trepidation about them returning to Haiti.

Despite those fears, she also made it clear she and her family would continue fighting to ensure everyone remained in the states.

Albert Saint Jean addresses attendees.

The sit-in was planned to operate with the goals of bringing attention to the TPS matter and educating attendees on ways to help those affected going forward. Albert Saint Jean, the New York organizing fellow at the Black Alliance for Just Immigration (BAJI) and Ellie Happel an NYU Law graduate, both provided information on the latter.

Saint Jean recommended students reach out to organizations such as Haitian Women for Haitian refugees, Haitian Americans United for Progress and, the one he’s a part of, BAJI. “Because we’re actually in the communities doing work, helping people to get legal access,” he explained.

He added that often the help impacted communities need isn’t complex and can be as simple as assisting a family with filing paperwork.

Similarly, Happel suggested that helping the Haitian community could be very doable right here at NYU — with NYU Law and undergrads collaborating to monitor what’s happening in Congress, in Haitian neighborhoods and responding accordingly.

After the sit-in’s moment of silence for Haitians affected by the cholera epidemic the nation is still recovering from, attendees began to gather their belongings to leave. HASA president, Fabrice Juin, left those gathered with a final message.

“I personally only see things like these — sit-ins — as beneficial and productive if every single one of you leaves the space with more knowledge and ready to help physically and tangibly,” Juin said. “Thank you for showing up but I also want to let you know pay attention and ask yourself ‘What can I do in my own way to help the cause?’”

By: Arimeta Diop for NYUlocal.com | December 11, 2017

UN to Haiti: 'Proof is in the pudding' on Corruption

PORT-AU-PRINCE, Haiti (AFP) — The United Nations, which last month launched a fresh mission to promote long-term development in Haiti, has had it with nice words: when it comes to corruption and human rights, "the proof is in the pudding.""They have said they want to fight corruption, so they have to take responsibility," insisted Susan Page, who is heading the UN Mission for Justice Support in Haiti (MINUJUSTH)."I'm going to take them at their word, but I'm also going to help them if that is really what they want," the American career diplomat said.Elected president after an electoral crisis that paralyzed the country for two years, Jovenel Moise insists he is going to use his time in office to clean up Haitian politics."Corruption, in all its forms, eats away and atrophies the economy, it profoundly weakens the political foundations and destabilizes society's social tissue: corruption is a crime against development," the president, who took office earlier this year, told the UN general assembly in New York in September.The concern is that his words are taking their time in being translated into action. In late August, a minister was sacked over corruption allegations, but no legal action has yet been taken.The new UN mission starts just as one of the symbols of financial waste in Haiti resurfaces: on Thursday, the Senate will debate a parliamentary report accusing a dozen former ministers, who held office between 2010 and 2016, of "fraud on a grand scale.""We'll see how they react, not just in regard to the report but in general," said Page, pointing to Haitian institutions in charge of fighting corruption and money laundering."Will they strengthen the capabilities of agents in these organizations? Really put investigations in place which they will then pursue to the very end? Will they bring people to justice? We will see."Gnawed away by corruption, the country's justice system is notoriously slow-moving. Its prison population, 400 percent above capacity, is one of the highest in the world.Maintaining the rule of law also demands a real commitment to improving conditions in detention centers, but there, too, MINUJUSTH will not take the lead."It's an age-old problem that the Haitians will have to sort out themselves," said Page. "We are here to support, not to do it for them. They need to have the political will to do it."Restoring the UN's image in Haiti during this new mission will prove almost as big a task as overhauling its justice system.The 13 years of the preceding UN mission, known as MINUSTAH, were blighted by sex crimes perpetrated against Haitian woman and children by UN police and peacekeeping troops, as well as a cholera epidemic sparked by Nepalese peacekeepers that has already claimed 10,000 lives.MINUJUSTH is the UN's sixth peacekeeping mission in Haiti over the past 25 years, a country where there is very little risk of civil war, regional conflict or terrorist attacks. The label "peacekeeping" exasperates many Haitian politicians, who may support the drive against corruption but also want a debate to redefine the UN mandate.Aware of that debate, Page prefers not to take sides: "The UN Security Council considers it necessary to keep a certain level of stability here and to tackle the great challenges which threaten long-term development... that is not a mandate for development – that is to enable a transition between a peacekeeping mission and a lasting development."

By: Jamaicaobserver.com | November 29, 2017

Millions at risk of famine in post-hurricane Haiti

It's been almost a year since southern Haiti was devastated by Hurricane Matthew.It has also been almost eight years since an earthquake killed more than 300,000 people and left hundreds of thousands homeless.But a recent visit to a UNICEF treatment centre in the south shows everything continues to go wrong in the country.Dozens of malnourished children visit the centre daily, struggling against diseases and the endemic poverty that is so deeply entrenched in Haiti.Half of the country's population is malnourished. According to the World Food Programme, 1.32 million people are in Phase 3 Crisis, which means they are severely food insecure. Additionally, three million people are in Phase 2 Stress, which mean they are food insecure.Unfortunately, this is nothing new.Haiti has been struggling to feed its people for years. It is one of the poorest countries in the world.Natural disasters only deteriorate the situation. Hurricane Matthew had a devastating effect on food production. Agricultural plots, seeds and irrigation systems were destroyed.One year on, not much has changed.Everyone we spoke to repeated the same phrase over and over again: "I used to have … but now it's gone."It was very little, but at least some had a business, or seeds, or nets and other sources that would help them feed themselves. But they were destroyed by the hurricane.The UN has some small programmes assisting farmers, and is currently working on long-term development ones. But that's not enough to get people out of the current crisis.The UN appealed for more than $56m for food security. I have been told that less than 50 percent of that was provided by donor countries.

Political issues

But that's not the only problem. Nine months ago, Haiti's new President Jovenel Moise took office, with the promise to increase support to the country's agricultural sectors.Farmers denounce that only 6.9 percent of next year's budget has been assigned to assist communities in desperate need of help. Moise has also raised taxes and that's why demonstrations have been ongoing in the capital for months.The president was elected in an electoral process in which only 20 percent of the population voted."Moise has very little support. The only ones that are keeping him in power are the United States, France and the international community," a source told me in Port-au-Prince.And the budget?"It's been designed to benefit the elite and to continue strangling the poor," said economist Camille Charlemers."It is what keeps us dependent on foreign aid. Without food production, Haiti needs to import almost everything."And of course there is massive corruption. A recent investigation showed how politicians, including the presidents and prime ministers, allegedly embezzled around $2bn from a Petrocaribe deal with Venezuela.Haiti is currently paying off that debt while millions are going hungry.Some historians have said that the country has been condemned since it was born, adding that the first black republic was a bad example. They say that 'slaves' were not supposed to have a nation and that's why a brutal embargo was imposed by France, Spain, the US and the UK.Over 200 years later, Haiti continues to struggle, a victim of the ruling elites that profit from the enormous poverty rates in the country, and of an international community that, for whatever reason, continues to fail.By: Teresa Bo for Aljazeera.com | November 28, 2017

UN 'Will Walk With Haiti' On Path Towards Sustainable Development, Senior Official Pledges

United Nations Deputy Secretary-General Amina Mohammed and UN Special Envoy for Haiti Josette Sheeran wrapped up a three-day visit to the island on Sunday, pledging more help to defeat cholera and assist the Government in achieving the broader aims of the UN 2030 Agenda for Sustainable Development.“The UN will walk this path with Haiti,” Ms. Mohammed said on Twitter, referring the work under way inside Haiti towards becoming an emergent country by 2030, the finish line agreed by all nations to achieve of the Agenda and its landmark 17 Goals, knows as the SDGs.The high-level delegation was dispatched by Secretary-General António Guterres to reaffirm the commitment of the United Nations to the Haitian people in a “new spirit of partnership.”In an opinion piece late last week in the Miami Herald, the UN chief said the partnership would stretch across the UN's work on the island – including to continue addressing Haiti's cholera challenge and the “unacceptable incidents” of sexual exploitation and abuse by UN personnel – and aims to help Haiti move “from an emergency approach to durable solutions, from assistance to investment support, from handouts to hand-to-hand cooperation for sustainable development, to democracy and dignity for all Haitians.”On Saturday, Ms. Mohammed echoed the “new spirit of partnership” set out by Mr. Guterres, saying: “We come to try to find another way to do things better; because in the past, we have fallen short. We were not able to do what we had planned,” she said in a joint press conference with Haitian President Jovenel Moise in the capital, Port-au-Prince.The visit of the two UN officials comes just after the appointment of Susan Page, of the United States, as the Special Representative of the Secretary-General and Head of the UN Mission in Support of Justice in Haiti (UNMIJUSTH), which succeeded the UN Stabilization Mission, known as MINUSTAH, on 16 October.The role of the new UN mission is to assist the Haitian Government to strengthen the rule of law institutions, to continue to develop the capacity of the national police and to promote human rights.

UN reaffirms commitment to eradicating cholera

As a key part of the visit, the two UN officials met families affected by cholera and coping with lack of access to water and sanitation.Ms. Mohammed and Ms. Sheeran also co-Chaired a High-Level Cholera Committee meeting (HLCC) alongside Haitian Prime Minister Jack Guy Lafontant. The Haitian Government and the UN representatives jointly expressed their determination work in partnership to achieve zero transmission of cholera. They further expressed their commitment to achieving the SDGs, including improving access to water, sanitation and healthcare.While cholera transmission has dropped dramatically, from over 18,000 new cases per week at the onset of the epidemic in 2010, to 250 per week this year, success will require more funding to maintain the highly effective work of emergency response teams, and commitment to the fight against cholera in the medium and long-term, the officials jointly agreed.Urging UN Member States and partners to provide comprehensive support, the Deputy Secretary-General emphasized during the meeting that “addressing the root causes of cholera in Haiti is critical to achieving the Sustainable Development Goals (SDGs). Additionally, in the immediate term, we urgently require funding to ensure continued operation of the rapid response teams; failure to do so risks losing the gains achieved to date.”The Deputy Secretary-General and the Special Envoy also witnessed the efforts of the “many heroes” working to eradicate the disease. Their visit was also an opportunity to learn about successful cholera control programmes, including in communities that ended open defecation, mobilized to build toilets, and raised awareness of the importance of sanitation.By: UN News Centre | November 5, 2017

'Shameful': UK and US Under Fire Over Blocked Funds For Haiti Cholera Victims

China, France and Russia also among major UN donors resisting appeal to spend $40m of UN money on victims of cholera epidemic, claim lawyers

          

Human rights lawyers have accused the UK and other large donors of blocking the release of a multimillion-dollar UN fund to provide relief to victims of a cholera epidemic that has killed 10,000 people in Haiti.The outbreak, which affected hundreds of thousands of Haitians, was caused when infected UN peacekeepers from Nepal brought the disease to the country in 2010.

In June, the UN secretary general, António Guterres, asked member states to allow him to repurpose $40.5m (£30m) of leftover money to the Haiti cholera fund, which he said could have an “immediate impact in saving lives”.The appeal to reallocate unspent money designated for Haiti in 2015-16 has met with strong resistance from major donors. None of the five UN security council’s permanent members, which includes the US and the UK, approved the proposed funding reallocation. The UN Haiti cholera multi-partner trust fund, which gathered more than $2m, now lies almost empty.Brian Concannon, executive director of the Boston-based Institute for Justice and Democracy in Haiti (IJDH), said: “We have had conversations with the UK about cholera for years. They have been saying, ‘This is a matter of principle and we need to expect the rule of law.’”“Now that the money is on the table, the fact that the UK is not reallocating it is very concerning. No one else is going to step up.”Concannon, who was in the UK this week to meet the all-party parliamentary group on Haiti, said: “We’re asking the UK to take a leadership role in the UN security council. All the [permanent security council members] spend hundreds of millions of taxpayers dollars on the UN. But the UN is flouting its legal responsibilities towards the people of Haiti on cholera.”The UN only admitted its role in the outbreak last year. Former UN secretary general Ban Ki-Moon issued a carefully worded apology and said that the UN and member states had a “moral obligation” to relieve the Haitian suffering. The agency promised to raise $400m from member states to provide assistance to the Haitian victims. Since the fund was set up, however, only about $2.6m has been collected. The UK has donated $623,000 to this fund. Its share of the unspent $40.5m would be more than double that amount, at $2.3m.The IJDH works with thousands of cholera victims through the Bureau des Avocats Internationaux, a Port-au-Prince based human rights law firm. A lawsuit the groups filed on behalf of 5,000 cholera victims in a New York federal court in 2013 was dismissed by a judge, on the basis of UN immunity. After an appeal, the UN second circuit court of appeals in New York upheld the decision in 2016.Concannon is also working with the US Senate, to mobilise support for reallocating the funds. Democratic and Republican lawmakers have in the past criticised the Obama administration and the UN for failing to ensure Haiti’s victims were helped.Concannon said it was “shameful” the UN couldn’t come up with even a tenth of the amount originally promised. “The underspend idea wasn’t supposed to be the end result, but low-hanging fruit.“People in the UK or the US can forget about people in Haiti, but the people in Haiti cannot forget people in the UK or US.”Mario Joseph, a lawyer with BAI, said: “Imagine what would have happened if the Nepalese had brought the disease to the UK? What would be the reaction here – would there be the same disregard as people have shown the people of Haiti? For that reason alone, the UK should take a leadership role.”A Foreign and Commonwealth Office spokesperson said: “The UK recognises the devastating impact that cholera has had on the Haitian people, and we welcome the crucial role the UN is playing to eradicate it. The UK is the fourth largest donor to the UN trust fund, in addition to other contributions to tackling cholera in Haiti.“It is for each UN member state to decide how to use returned unspent peacekeeping funds. We call on all countries to volunteer contributions to the UN trust fund from whatever source is appropriate for them.”By: Karen McVeigh for TheGuardian.com | November 2, 2017

A New Chapter for the Disastrous United Nations Mission in Haiti?

The year the United Nations Stabilization Mission in Haiti (MINUSTAH) came to the country was a deadly one for my family. In February of 2004, Haiti’s first democratically elected President, Jean-Bertrand Aristide, was forced out of office for a second time, having been reinstated, and then reëlected, after a 1991 military coup. This time, Aristide was replaced by Gérard Latortue, a former United Nations official, who called those who took up arms against Aristide “freedom fighters.” (Their leader, Guy Philippe, is serving a nine-year sentence in a U.S. prison after pleading guilty to receiving multimillion-dollar bribes from cocaine traffickers.)

That April, claiming that the situation in Haiti constituted “a threat to international peace and security in the region,” the U.N. Security Council passed Resolution 1542, establishing the Brazil-led MINUSTAH. The mission, which officially began in June, 2004, lasted thirteen years and five months, and cost more than seven billion dollars, before officially ending this past Sunday.

Part of MINUSTAH’s mandate was to assist the transitional government in insuring “a secure and stable environment.” This is where my loved ones and others came into the mission’s crosshairs.

I spent the first twelve years of my life in an impoverished neighborhood in Port-au-Prince called Bel Air, where many Aristide supporters live. My eighty-one-year-old uncle, a minister, had called this neighborhood home since the nineteen-fifties, and was there on September 30, 2004, when protests began on the thirteenth anniversary of the first coup d’état. In response, the Haitian national police and MINUSTAH soldiers conducted joint raids in Bel Air that led to dozens of mostly unreported injuries and deaths. The following month, U.N. soldiers and Haitian riot police climbed up to the roof of my uncle’s church and killed some of his neighbors below. My uncle was forced to flee to Miami, where he died in the custody of U.S. immigration officials after being denied asylum.

Bel Air was not the only area subjected to these raids. During one of their bloodiest operations in Cité Soleil, another poor and densely populated neighborhood in the capital, MINUSTAH used more than twenty-two thousand bullets and seventy-eight grenades, among other artillery, to kill seven alleged gang members. No other deaths were acknowledged despite further raids until early 2007, when the mission head at the time, Edmond Mulet, brushed off such killings as collateral damage. This combat terminology was not incidental. MINUSTAH was a continuous military operation in a country in which there was no war.

There would be more collateral damage. In October, 2010, nine months after an 7.0-magnitude earthquake nearly flattened Port-au-Prince and the surrounding areas and killed more than three hundred thousand people, and while more than a million people were still displaced or living in makeshift tent camps, Nepalese peacekeepers stationed in the north of Haiti allowed raw sewage from their base to leak into one of Haiti’s largest and most intensively used rivers, causing a cholera epidemic. The U.N. at first refused to investigate the source of the outbreak and instead blamed Haiti’s lack of sewerage and water-treatment facilities. More than ten thousand people have died from cholera since 2010, and more than eight hundred thousand have been infected.

It took the U.N. six years to acknowledge its role in the cholera epidemic, and even though the former Secretary-General, Ban Ki-moon, declared last December that the U.N. needed to “do the right thing”, the U.N. continues to reject victims’ legal claims by citing immunity. The U.N. has also failed to deliver on Ban’s promise of a four-hundred-million-dollar fund to halt the spread of cholera and compensate the “most affected” victims. The fund has only raised $2.7 million, and the current U.N. Secretary General, António Guterres, seems unwilling to provide direct payments to the cholera victims and their families, many of whom have lost their sole breadwinner.

Neither the U.N.’s impunity nor the lack of accountability would surprise the women and boys and girls, many as young as twelve, who have told of being raped—one boy says that he was gang-raped—by MINUSTAH peacekeepers, who, according to the Associated Press, have used sex rings, offers of food, and other methods to trap their victims. Unacknowledged “MINUSTAH babies” and their destitute mothers are treated as though they do not exist. Though MINUSTAH rapes remain underreported, those who have come forward have had to confront the same type of repudiation faced by the initial cholera victims. Their rapists were rarely punished. They were simply sent home.

MINUSTAH has now been replaced by MINUJUSTH, a smaller mission which began on Monday. MINUJUSTH , the United Nations Mission for Justice Support in Haiti, has a mandate to “help the Government of Haiti strengthen rule-of-law institutions, further develop and support the Haitian National Police and engage in human rights monitoring, reporting and analysis.” MINUJUSTH, which will will consist of twelve hundred and seventy-five officers and support personnel, seems like a rebranding effort, an attempt by the U.N. to give itself a clean slate and erase MINUSTAH’s past. But if the U.N. were serious about justice and human rights in Haiti, it would wind down its presence in the country by having MINUJUSTH also investigate the damage done to both individuals and entire communities by MINUSTAH. Or, better yet, assign an independent body to do so, then offer the warranted compensation for the extrajudicial and civilian killings, the sexual assaults, and the introduction of cholera.

Haiti’s current President, Jovenel Moïse, whose two heavily contested election cycles are often touted as a MINUSTAH success, told the Miami Herald in an interview this month that “the conversion of MINUSTAH to MINUJUSTH is the recognition of the progress made by our country in recent years. Today, Haiti is no threat to regional and global peace and security.” To fill in the gap being left by MINUSTAH, Moïse plans to revive the defunct Haitian Army, whose history of human-rights abuses, the coup d’état against Aristide, in 1991, and its subsequent reign of terror led to an earlier United Nations mission, UNMIH, in 1993.

Moïse’s proposed budget for 2017, which calls for new tariffs and increased taxes on goods and services, has been a subject of mounting protests in Haiti. MINUJUSTH, like its predecessors, will likely find itself facing angry Haitians, or training those who do. Why should Haitians trust another group of U.N. “peacekeepers” who claim to promote the same human rights, justice, and rule of law that have been so blatantly violated by their colleagues? The U.N. may want to leave MINUSTAH’s dark chapter behind, but Haitians will have to suffer the consequences of the group’s actions for generations to come. And no new mission, under whatever acronym, will change that.

Edwidge Danticat is the author of many books, including, most recently, “The Art of Death: Writing the Final Story.”

By: Edwidge Danticat, The New Yorker | October 19, 2017

UN Peacekeepers Leave Haiti: What Is Their Legacy?

As the controversial 13 year peacekeeping mission in Haiti wraps up, Al Jazeera examines what the mission leaves behind.

A UN peacekeeper argues with a supporters of 2010 presidential candidate Michel Martelly in Port-au-Prince [File: Gulliermo Arias/AP Photo]

PEACEKEEPERS IN HAITI

• What will be their legacy?
• Why were they there?
• What has taken so long?
• Why are they leaving now?
• What have Haitians said about the mission?

The United Nations peacekeeping mission in Haiti lowered its blue flag on Thursday, 13 years after it began.While the mission has been credited with helping bring stability to the poorest country in the Western Hemisphere, it has also been mired in controversy.The mission is blamed for bringing cholera to the country, and at least 134 of its peacekeepers have been involved in sexual abuse scandals.As the last of the thousands of peacekeepers who were in the country leave, Al Jazeera answers some of the key questions about why the blue helmets were there and what they are leaving behind.  

What will be their legacy?

The presence of UN troops in Haiti has been a point of controversy on the island since the UN Stabilization Mission in Haiti (MINUSTAH) mission first began in 2004.UN officials have praised the mission for helping to re-establish law-and-order in the country marred by political unrest and bolster Haiti's democratic institutions. MINUSTAH has also helped recruit and train a new civilian police force, something that was virtually nonexistent before their arrival.However, critics argue the mission's forces have done more harm than good, pointing to the peacekeepers' involvement in the country's 2010 cholera outbreak and sex abuse scandals as evidence.Cholera outbreakThe source of the waterborne disease, which killed more than 9,000 people, was traced to a UN base.Al Jazeera's Fault Lines investigated the outbreak in 2010. The film - Haiti in a Time of Cholera - helped further expose the source of the disease on the island, and put additional pressure on the UN to investigate the allegations, and eventually admit its role in the outbreak.In August 2016, the UN for the first time acknowledged that it played a role in the spread of the disease.The UN at the time promised to respond to the epidemic with a "significant new set of UN actions".

A demonstrator spray paints the message in Creole "We demand justice for all cholera victims" on a building outside the UN headquarters in Haiti [File: Dieu Nalio Chery/AP Photo]

In a report, the then UN Secretary-General, Ban Ki-moon, said that "the preponderance of the evidence does lead to the conclusion that personnel associated with [a UN peacekeeping] facility were the most likely source".Ban said the way the UN handled the outbreak "leaves a blemish on the reputation of UN peacekeeping and the organisation worldwide".He added: "For the sake of the Haitian people, but also for the sake of the United Nations itself, we have a moral responsibility to act and a collective responsibility to deliver."Ban created a $400m voluntary trust fund for Haiti's fight against cholera. The fund was also supposed to partially compensate victims of the disease.But earlier this year, The New York Times revealed that the fund only received a few million dollars and was nearly empty.In a statement in June, the UN deputy secretary-general said that "without additional resources, the intensified cholera response and control efforts cannot be sustained through 2017 and 2018".

REWIND: Haiti in a Time of Cholera (25:37)

Rape and other forms of sex abuseUN troops have also been implicated in sexual abuse scandals in Haiti since the MINUSTAH first began.Most recently, a UN report obtained and revealed by The Associated Press in April documented the sexual exploitation of nine children on the island from 2004-2007 at the hands of at least 134 peacekeepers.Al Jazeera later spoke to Maria Kalichi*, who had been raped by a peacekeeper when she was 17 years old. She became pregnant as result of the rape."I want justice by finding the person who did this," she told Al Jazeera."I want to hear what he has to say to me … I am walking around the streets feeling destitute because of the UN."A leaked report in 2015, found that UN peacekeepers in Haiti engaged in "transactional sex". At least 229 women said they traded sex for money and goods likes food and medicine.In 2012, at least two peacekeepers from Pakistan were jailed and fired from the army after raping a 14-year-old boy.Other cases of rape and other instances of sexual abuse have been reported and documented by the UN during the mission's 13-year term.In September, a UN fund to help the survivors of sexual abuse by peacekeepers worldwide grew to $1.5m after more than 10 countries made contributions.

FAULT LINES: Haiti By Force (25:18)

Why were they there in the first place?

MINUSTAH, running since 2004, was the latest installment in a series of UN peacekeeping missions in the country, which shares a landmass with the Dominican Republic.  

After 13 controversial years, the UN's mission in Haiti ends

Peacekeepers first arrived in Haiti, home to 10.8 million people, in September 1993 as part of The United Nations Mission in Haiti (UNMIH).The mission had a mandate to modernise the Haitian army and establish a new national police force two years after Haiti's elected president, Jean-Bertrand Aristide, had been removed from office during a coup d'etat.After Aristide was restored to office in October 1994 following the UN-sanctioned, and US-led, "Operation Uphold Democracy" launched the month before, the mission's mandate was expanded to include helping to stabilise the government.However, UNMIH, which concluded in June 1996, appeared to have failed to deliver long-term stability. A decade later, history repeated itself as Aristide was overthrown for a second time.

Following Aristide's removal, Justice Boniface Alexandre assumed office as acting president.Alexandre appealed to the UN for help in ending the violence that had gripped Haiti in the wake of the political revolt, causing crime and murder rates to spiral.MINUSTAH, launched on June 1, 2004, in response to the crisis, led to the deployment of 6,700 UN-sanctioned troops - and 1,622 UN police - in Haiti.

Why has it taken so long for them to leave?

MINUSTAH was originally set up to support Haiti’s transitional government for a period of six months, with the aim of establishing a stable and secure environment following Aristide's removal.The mission was extended with adjusted mandates in the months and years that followed in order to allow peacekeepers to "adapt to the changing circumstances … and evolving requirements as dictated by the political, security and socioeconomic situation prevailing in the country", according to the UN.By the beginning of 2010, it appeared the mission had achieved its goals as violence had largely been removed from Haiti's politics and the country was experiencing economic growth.However, a devastating 7.0 magnitude earthquake hit the island on January 12, 2010, killing more than 220,000 people.The natural disaster destroyed vast swathes of Haiti's capital city, Port-au-Prince, and decimated the fragile Haitian economy.In response, the UN added additional peacekeepers and police officers to its mission as it sought to support the country in its efforts to rebuild following the earthquake.Force numbers have been gradually reduced in the last seven years, by a series of resolutions.

A UN peacekeeper from Paraguay patrols the streets of Port-au-Prince, 2011. [File: Ramon Espinosa/AP Photo]

Why are they leaving now?

The UN Security Council (UNSC) unanimously adopted a resolution in April of this year, ordering the removal of peacekeepers from Haiti by mid-October.The April 13 resolution sanctioned the gradual withdrawal of the 2,370 peacekeepers stationed in Haiti, according to The Los Angeles Times.The resolution was the result of a US-led review into the cost and effectiveness of the UN's current peacekeeping operations.Nikki Haley, the US representative to the UN, told the UNSC prior to the vote that the political context was right for the withdrawal of a military presence in Haiti.

The "peaceful transition of power" demonstrated by Haiti's November 2016 presidential election showed the country had made an "important step towards stability and democracy", she said.As such, developments warranted an amended approach focused on fostering "the independence and self-sufficiency of the Haitian people".The peacekeeping mission will officially end on October 15 when a new UN mission made up of nearly 1,300 international civilian police officers, and about 350 civilians will begin in an effort to help the country reform its political system.In a recent interview with Al Jazeera, Sandra Honore, head of MINUSTAH, said the UN is winding down the mission because it has achieved its aims."It is a vote of confidence in the Haitian people," she said."It is an indication of the recognition by the Security Council that the stabilisation work which was entrusted to the mission did in fact produce positive results."

What have Haitians said about the mission? 

Though February's presidential election seems to demonstrate Haiti is more politically stable now than when MINUSTAH began, a number of Haitians recently told Al Jazeera the mission has done little to improve their lives.Mothers who say they have had children, fathered by peacekeepers, also say they feel abandoned.

"After years of running around and false promises from the UN, nothing has happened,"  Saintil Benite, a mother, told Al Jazeera."They make us do a lot of stuff but there's no results," she said.Another mother, Roselaine Duperval, added that the mission has failed those people it sought to serve."I am very angry that the UN is leaving as it's left us with nothing," she said."They should take responsibility. They know about the kids. They did DNA tests and they told us they're positive but never give us the results."

Children play in the street while UN peacekeepers from Brazil patrol in Port-au-Prince [File: Dieu Nalio Chery/AP Photo]

As peacekeepers leave, Haiti continues to experience political turbulence.Protests last month over the government's new budget plans brought much of the country to a halt.The government has defended its plans, which include increased taxes on fuel and property, saying the money raised will be invested in improving public services and infrastructure.*Name changed to protect identity

WATCH: UN peacekeepers pulling out of Haiti with controversial legacy (2:40)

By: Al Jazeera and news agencies | October 6,2017

Rochester Family Torn Apart After Dad Deported

 

Reginald Castel was deported last Tuesday. The United States government flew him to Haiti in shackles, leaving him on an island he had not seen since he was 8 years old. He does not speak the language of his native country. When the plane landed, he knew no one there.

Castel, 44, went to Gates-Chili High School, sold cars for Vision Hyundai and lived with his family on Bay Street. His sole memory of Haiti was of the house with a metal roof where he lived as a boy. He was in despair as he flew to the island, handcuffed with 12 other Haitians and 49 men from the Dominican Republic.

“I was scared to death,” he said. “I am on the plane just praying to God.”

The plane landed in Haiti’s capital, Port au Prince. The deportees were handed over to Haitian officials who were friendly, at first. When the American officials left, deportees were told to hand over any money in their pockets if they wanted to call someone to pick them up. If no one came, they would be taken to prison.

Castel only had 8 cents, but he was allowed to call his mother in Greece. She had been frantically trying to find a relative or friend to go and get him. She told him that someone had managed to track down his estranged father, whom he had not seen or spoken to since he left Haiti at age 8.

It was his father who arrived to pick him up.  “I did not even recognize the man,” Castel said.  “One of the officials told me it was my father.”

 

They hugged each other. His father doesn’t speak English so they were unable to communicate much. Castel said his father pointed to his heart to express love. He pointed to his head to say don’t stress and don’t worry.  “He said ‘it has been a long time,’” said Castel. “I understood that.”

They left the facility with Castel’s one bag. It contained the clothes he was wearing  when immigration officials took him into custody on Aug. 10, a pack of oatmeal, some legal papers and a 30-day supply of insulin to treat his severe diabetes.

Until Aug. 10, Castel was among more than 900,000 immigrants in the United States living under final orders of removal, or deportation, that had not been enforced. Deportation officials generally focused on people considered to be a threat to national security.

 “They didn’t make me a priority under George Bush or Obama,” Castel said, by phone, from a home of his father’s friend in Port au Prince. Under the Trump administration, things have changed.

“With the executive order from President Trump, everybody with a removal order is at risk,” said Wedade Abdallah, program director for immigration for Legal Aid Society of Rochester.

Castel was subject to deportation because he pled guilty to a felony in 1999, after a dispute with his friend Reginald McQueen turned violent. Castel said that McQueen started chasing him with a knife and he ran to his truck to get a gun. “I defended myself,” he said. “I shot Reginald.”

 

At the time, Castel was a permanent resident with a green card, having come to the United States with his mother at age 8. He was eligible for citizenship, but hadn’t filled out the paperwork. His public defender advised him to plead guilty to assault to avoid risking the lengthy prison sentence that could result from being found guilty in a trial.

The lawyer did not tell him that a guilty plea, and his lack of citizenship, would make him eligible for deportation. Castel served six years in jail. When he was released, the U.S. Department of Homeland Security picked him up and held him in a detention center for 18 months as he appealed his deportation order.He was granted deferral of removal under the Convention Against Torture act because a judge ruled that his lack of ties in Haiti, combined with his need for daily insulin would likely cause him to die in the impoverished country. He was released in 2007 under an order of supervision.The federal government appealed this deferral and won, reinstating the deportation order against him. In 2011, Castel lost his final appeal. But he was not deported.

U.S. Immigration and Customs Enforcement gave him permission to work legally and required him to check in periodically. Castel built a career, got married, stayed out of legal trouble and never missed a check-in appointment, including one in Batavia on Aug. 10. His wife Lashanda waited for him outside as he went into the meeting. When she saw him next, he was handcuffed in the back of a patrol car. He was not allowed to get out of the car to give her a hug goodbye.

Every time she saw him after that was through glass at immigration detention centers.

“How do they tear a family apart and think nothing of it?” Lashanda Castel asked. “Where is the humanity in this?”

The laws that led to Castel’s deportation have long been on the books. President Donald Trump is just enforcing them, as promised in his campaign. Five days after his inauguration, Trump issued executive orders directing executive departments and agencies  "to employ all lawful means to enforce the immigration laws of the United States.”

He criticized previous administrations for failing to remove people with deportation orders. “We cannot faithfully execute the immigration laws of the United States if we exempt classes or categories of removable aliens from potential enforcement,” the president wrote.

In the past undocumented immigrants who had long histories of obeying the law and living quiet lives were not deportation priorities.  Trump's executive orders have changed things, said Wedade Abdallah, program director for immigration for the Legal Aid Society of Rochester. “We are seeing a more unpredictable type of enforcement,” she said. "It could be anybody (with a final removal order) at this point." She said she would encourage any immigrant who has a final order of removal to speak to an immigration attorney.

“Make America great,” Lashanda Castel said, with bitterness. “Let’s get the immigrants out of here.” She believes the government ought to make allowances for people like her husband, who has turned his life around and stayed out of trouble for more than a decade.

Reginald McQueen, the man shot by Castel in 1999, agrees. He made a statement in support of Castel that appears in a petition asking Gov. Andrew Cuomo to pardon Castel for his crime. Such a pardon would make it possible to reinstate his green card. “An unfortunate incident occurred that caused me harm and got Reggie arrested. However, it was the result of a personal problem between us and we have become friends again,” McQueen wrote, adding that he does not want to see Castel deported. ”I am satisfied that he has paid his debt to society and to me and I don’t think he should be punished any more for what he did. I have my health back and my life back and I would like Reggie to have his life back, too.”

Castel’s life is now spent in a spare room in the home of his father’s friend, a man who speaks a bit of English. Electricity comes and goes, sometimes for days. Clean drinking water is hard to come by. It is hot. Castel has been warned not to go out alone. His lack of language skills makes him an obvious outsider and easy target for desperate criminals found in a country where people must survive on an average of $2.25 a day.

So he sits in the house, waiting for his father to get out of work. He has time to wonder about another deportee he met on the plane who also had no connections in Haiti because he had grown up in Bermuda. “I am pretty sure he ended up in prison,” he said. He wonders what would have become of him if his father hadn’t been found. And, most painfully, he misses his family. He and his wife have a blended family of seven children. His youngest child, a daughter, has taken the situation very hard. There has not been a time they’ve spoken on the phone that she was not in tears. “They took someone who is loved,” said his wife.

She also cries. But she knows that tears won't help her husband return to the United States. If getting him home proves impossible in the short term, she must find a way to get him a stable supply of insulin. Castel suffers with Type 1 diabetes that his physician assistant at Anthony Jordan Health Center called “severe, chronic and incurable.”  It requires daily insulin shots, which are extremely difficult to get in Haiti. Castel's plans to visit the Diabetes Association in Port au Prince have been disrupted by unrest and violence on the streets.

Lashanda Castel is trying to navigate the permits, licenses and fees that would allow her to ship insulin to Haiti. She has applied for her passport so she can visit her husband, though she is concerned about U.S. State Department warnings about the risks of traveling to Haiti, including violent crime, instability and lack of adequate medical facilities.

She is buoyed by a group of local supporters including Rochester City School Board President Van White, who is also an attorney and volunteered to submit Castel's petition for the governor’s pardon. The petition includes statements of support from his boss at Vision Hyundai, the bishop of his church and many friends and family members. Rochester City School Board member Mary Adams continues to rally community activists to fight for his cause and to lobby Gov. Cuomo to pardon him quickly.

Adams was among the people who went to the Buffalo Federal Detention Facility to try to block the bus when Castel was being taken away for deportation. They could not see him through the tinted windows of the bus, but he saw them standing, praying and protesting his deportation. “I felt hopeful,” he said. “I had people in my corner.”

Those people will host an “Updates and Organizing to Support Reggie Castel and Family” meeting at 6 p.m. Sunday at the Freedom School, 630 N. Goodman Street. All are welcome, said Adams, to join the effort to bring Castel home.

For now, he remains in Port au Prince. He has learned how to say “please,” “thank you,” “I’m hungry,” and “water” in Kreyol.  His hope for a return to Bay Street remains. His insulin is running out.

By: Erica Bryant | September 29, 2017

Food Vouchers Strengthen Nutrition and Local Markets in Haiti

Each week in southern Haiti, Lucamène Chéry puts on her uniform and stocks her market stall with local vegetables. Shoppers filter past, selecting products for their families. In exchange for the produce, Chéry accepts a unique form for payment—food vouchers—which allows the most vulnerable members of the community to access nutritious foods that they would otherwise be unable to afford.Haiti is the poorest country in the Western Hemisphere and half the country’s population lives on less than $1.25 per day. Heavily dependent on food imports, Haiti remains extremely vulnerable to price spikes in the global food market.The country also remains particularly susceptible to natural disasters, including Hurricane Matthew, which hit in October 2016 and continues to drive elevated levels of food insecurity in the worst-affected communities.Since 2013, USAID has collaborated with the Government of Haiti and CARE to establish a safety net system that boosts household food security, reduces child malnutrition and fosters greater household resilience to shocks. The most vulnerable families in five of Haiti’s 10 departments receive food vouchers, which are redeemable for local foods from vendors like Chéry. The vendors then trade in the vouchers for cash.Chéry is part of a network of nearly 1000 Haitian food vendors who supply local agricultural products—such as fruits, vegetables and tubers—to chronically food-insecure families participating in a USAID-supported program.A mother of five, Chéry previously struggled to afford enough food for her family. Now, with a dedicated customer base in the program, Chéry earns a significantly higher income that allows her to support her family while also investing in her children’s future and expanding her business."I’m able to pay the school enrollment fees for my children without difficulty, and I also raise chickens, turkeys, goats and cows," she says.Chéry also belongs to one of the program’s 1,200 community-led village savings groups. These groups provide more than 35,800 program participants—including more than 26,300 women—financial training as well as access to small loans that can be used to improve their businesses.The increase in business has encouraged Chéry’s husband to become more involved in their food vending business. "Now, he accompanies me when I go buy merchandise and he helps me sell it at the market," says Chéry.Each month, the voucher program provides more than 18,150 food-insecure households with access to healthy foods that they might otherwise be unable to afford. Community-managed programs that distribute information on health, hygiene and nutrition complement the vouchers for food.By relying on local vendors selling local products, the program strengthens markets, encourages the development of the country’s private agricultural sector and fortifies community resilience to shocks.By: USAID | September 26, 2017

Waterborne diseases a concern in Haiti following Hurricane Irma

Haiti (MNN) — When Hurricane Irma was barreling towards the Caribbean as the Atlantic’s strongest Category 5 storm ever recorded, many feared the worst for Haiti — the poorest nation among in the Caribbean Islands.Thankfully, Haiti did not take a direct hit from Irma, but as Josh Ayers with Food for the Hungry explains, “Because of the sheer size of Irma, she dropped quite a bit of rain…along [Haiti’s] northern coast there. There was some localized flooding, particularly along rivers and with storm surge along the coast. We did see quite a bit of flooding.”Nearly 40 percent of the Haitian population faces moderate to severe food insecurity. And now according to Haiti’s agriculture ministry, around 18,000 farming families have lost all their food crops to Hurricane Irma.Additionally, one of the biggest fears now is a resurgence of cholera in the nation. Ayers says, “You may recall after the 2010 earthquake that cholera was introduced to Haiti for the first time. So anytime you have large amounts of water flowing in a country that doesn’t enjoy the same level of infrastructure development that countries like the United States enjoys, you often see waterborne illnesses spike. So with the introduction of cholera in the last ten years there, that has become a key concern going forward in the future.”Cholera is contracted when a person consumes human feces, typically through accidental water contamination. It leads to a severe form of diarrhea and can cause death if not treated. And Haiti is extremely vulnerable to cholera outbreaks in natural disasters.“Our response effort at Food for the Hungry has been focused on those waterborne illnesses; particularly around hygiene promotion and hygiene kits, and so those kits consist of things like soap and basic hygiene materials. We dispatched a shipment from one of our partners in Georgia and those materials are on their way. They may have already arrived and we’ll be distributing those shortly.”FH works through the local church whenever possible, enabling them to be the hands and feet of Christ to their own communities. “Because the local church [in Haiti] is under-resourced, as you might imagine, Food for the Hungry can provide much-needed goods and finances to empower that local church to reach out to its neighbors.”As FH strives to stem an outbreak of waterborne diseases in Haiti following Irma, they’re asking for the Body of Christ to come alongside them in a few ways.First, Ayers says, “Your prayers would be welcomed for the local church as well as the local organizations who are responding, Food for the Hungry being one of those. We’ve been working in Haiti for decades. Most of our staff are local Haitians and so sometimes they’re families are impacted by these things. You can pray for our staff.”And finally, you can be a tangible support through generous giving, and know that your gift is going to resource the Haitian Church acting as the hands and feet of Christ to their neighbors in disaster recovery.By Lyndsey Koh | September 25, 2017

Haitian President Backs Paris Climate Accord, Calls On UN To Honor Commitments On Tackling Cholera

21 September 2017 – Addressing the United Nations General Assembly today, Jovenel Moise, President of Haiti, expressed deep commitment to the environmental targets in the global goals on sustainable development and said his island nation is seeking to build its resilience against the natural disasters and extreme weather events that consistently beleaguer its people and other countries in the Caribbean.“My Government is committed to the Paris Agreement on climate change,” Mr. Moise told delegations gathered for the Assembly’s annual general debate, adding that he wished to see those countries most responsible for greenhouse gas production contribute the resources necessary for implementing that accord.In the Caribbean, recent back-to-back extreme weather events had drawn attention to the ways in which climate affects Haiti. “Such weather phenomena are due to the impact of humans on the environment,” he stressed, and noted that in January 2018, when Haiti assumed the presidency of the Caribbean Community (CARICOM), it would organize a regional conference aimed at establishing an inter-State commission that would devise a strategy for addressing climate issues, such as the availability of climate insurance.More broadly, he said Haiti has taken steps to consolidate democracy and the rule of law, having made significant efforts to promote development and political stability. Noting that corruption has “infected” and eroded Haiti’s economy, and compromised its political situation, he said it is time that official development assistance (ODA) and domestic resources upheld the interests of the Haitian nation. In the meantime, Haiti’s new leaders are waging an unwavering struggle against corruption.Addressing two phenomena stemming from the UN presence in Haiti – heinous sexual abuse and exploitation by peacekeepers and other personnel, and the cholera epidemic – he said the Organization is morally obliged to provide the recourses to ensure that cholera left the country.Improving Haiti’s health system, including by eradicating cholera, is a Government priority for his Despite some progress, the number of cholera victims stood at 10,000 people and continued to grow. Further, there were tens of thousands of cholera orphans. The United Nations must live by and give tangible form to its noble ideals, including the announced ‘new approach’ to dealing with cholera, he stressed, by shouldering all its responsibilities to remedy the situation, which had caused grave harm to the Haitian people.Full statement (in French) available hereBy: UN News Centre | September 21, 2017 

In Haiti, a Building Fights Cholera

Next month marks the seventh anniversary of the cholera outbreak that ravaged Haiti. The disease, which can cause death within hours if left untreated, came less than a year after Haiti was rocked by an enormous earthquake that left hundreds of thousands dead and millions injured, displaced and destitute.

Haiti is prone to earthquakes and tropical storms — the island was spared the worst of Hurricane Irma last week — but the cholera outbreak was an anomaly; the disease had never before struck Haiti. It was brought in, it is widely believed, by United Nations peacekeepers from Nepal. One of the world’s most infectious waterborne diseases, cholera spreads quickly and has proved extremely difficult to contain in Haiti. Over 10,000 have died and nearly a million have been stricken to date.

But one organization has managed to nearly eradicate it in a large slum in Port-au-Prince that lacks clean water and sanitation.

One of the game changers that would surprise most people, including global health experts, was actually a building. It wasn’t just any building, but a very intelligently and beautifully designed one: the Cholera Treatment Center, operated by Les Centres Gheskio, an acronym that stands for the Haitian Group for the Study of Kaposi’s Sarcoma and Opportunistic Infections.

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Gheskio, founded in 1982 in the early days of the AIDS epidemic, provides primary care services free of charge to people suffering from tuberculosis, malnutrition, and other life threatening conditions in an area of the Haitian capital that is home to 60,000 Haitians. (Gheskio is a less well-known sister organization of Partners in Health, which focuses on Haiti’s rural population.)

After the 2010 earthquake, Gheskio’s multi-acre campus was badly damaged. So the organization erected emergency tents to serve as a makeshift cholera treatment clinic. Once cholera reached Port-au-Prince, patients showed up on foot or were carried in wheelbarrows, around the clock.

Cholera manifests with extreme diarrhea and vomiting. Virtually all liquid is excreted from the body, causing victims to die of dehydration within hours of full manifestation if untreated. It is relatively easy to treat, but patients must be rehydrated immediately. To prevent it from spreading, infected human waste must be managed carefully.

Gheskio’s founder, Jean W. Pape, an infectious disease specialist and native of Haiti, knew that eradicating cholera would take years. So even as the organization struggled to keep up with the influx of patients during the first year of the epidemic, he embarked on a long-term solution: building a permanent treatment center.

Gheskio turned to MASS Design Group, a Boston-based nonprofit organization that specializes in architecture that promotes dignity and justice in resource-limited settings. It has built hospitals, health-worker housing, schools and civic spaces around the world, including a tuberculosis hospital for Gheskio. MASS Design began by studying the conditions inside the tents.

Tents provide relative shade and privacy but offer limited light and poor ventilation, trapping warm air and compounding the smell of bodily waste. The materials become worn by rain, wind and sun, and must be replaced routinely. Because of the nature of cholera, the makeshift beds, fashioned out of old fiberglass school chairs and costly army cots, also didn’t last long.

Most problematic, Gheskio was relying on manual removal of human waste by an outside vendor. This was both costly and risky: The organization couldn’t ensure its disposal would not recontaminate the water table, risking the infection of others.

“We did some back-of-envelope calculations and found that over a 10-year span of time, which was then considered optimistic for how long it would take to get rid of cholera, the tents and manual waste disposal system they were then using would cost Gheskio in excess of $500,000,” according to a co-founder of MASS Design, Alan Ricks.

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Ricks estimated that MASS Design could build, for a comparable sum, a permanent structure that could be repurposed once the epidemic was fully contained. So MASS Design and Gheskio joined forces to raise philanthropic funding from the Deutsche Bank Foundation, Barr Foundation and individual donors, and began work.

One important innovation, developed with Fall Creek Engineers, based in Santa Cruz, Calif., was to bring a water-purification technology to Haiti called anaerobic baffled reactors. The reactors are a form of septic system that uses bacteria to treat sewage and contaminated water, turning it into clean water. Reactors, buried under the cholera center, force water through five chambers, each successively increasing the level of purification.

Each week, Pape receives a detailed report on the water quality. The system sanitizes and recycles 250,000 gallons of water annually, ensuring that the water is free enough of bacteria and other pathogens that it can be returned to the water table. This output is supplemented by separate, large cisterns to capture rainwater for drinking.

Many other details incorporated into the center also promote health, as well as comfort, beauty and pride. Above the reactors, for example, is a pavilion structure designed to maximize airflow. Rather than spending money on tents, furniture or waste disposal services — money that leaves the local economy — the organizations enlisted local artisans, whose metalwork is world renowned, to create perforated metal sheets, painted a chorus of blues, to wrap the building exterior. Waffle-like patterns of these sheets can be opened and closed to provide shade and privacy, or sealed completely during storms, as they were when Hurricane Irma neared Port-au-Prince last week.

The airflow is aided by large-diameter fans, like those in gyms and airports. The cement floor is smooth, free of crevices where bacteria can congregate, and sealed with epoxy. MASS Design interviewed many patients and staff members in an effort to design and create prototypes of beds that would be comfortable as well as easily sanitized and reused.

“What I love about MASS is their attention to detail,” Pape said. “They asked us everything that work and everything that doesn’t work. But most importantly, they are problem solvers.”

“The building looks absolutely extraordinary,” said Roger Glass, a cholera expert who is director of the Fogarty International Center for Advancing Science for Global Health at the National Institutes of Health and has visited the Gheskio campus. “For ventilation and coolness, it’s tremendous.”

Before encountering a hospital that MASS Design developed in Rwanda, Glass said, he had not seriously considered the relationship between health outcomes and building design. “If you had called me seven years ago to talk about buildings and health, I would have blown you off,” he said. Today, Glass is eager to see more collaborations with human-centered design firms, like MASS Design, in the field of global health.

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Comparing the treatment center to the tents, Pape is blunt: “It was like going from hell to paradise.”

Amie Shao, who helped lead MASS Design’s work in Haiti, reflected: “When we started, our goal was simply to help Gheskio do their work better in treating their patients in a more dignified setting. We realized, however, that architecture could not only help treat these diseases after the fact, but prevent the spread of disease in the first place by controlling recontamination. In all of our work, we seek to proactively challenge many of the underlying risks and issues that global health faces.”

To be sure, the cholera treatment center is not solely responsible for halting the spread in Gheskio’s target area. Gheskio also developed a robust water chlorination program and maintains its own factory to produce chlorine. The organization also supports and participates in broad efforts by the Ministry of Health to raise public awareness about symptoms and the risk of contamination throughout the country.

And Gheskio joined forces with Partners in Health to get cholera vaccines approved in Haiti. Euvichol, a vaccine that can be administered orally and lasts up to 30 days without refrigeration, costs less than $2 per dose. “We would need a budget of less than $50 million for universal coverage for all of Haiti,” Pape estimates.

Gheskio’s Cholera Treatment Center was ultimately built for $750,000. Pape now predicts that the organization will have recouped that cost in just three years. Haiti needs a modern, countrywide water and sanitation system, but it’s unclear where the money will come from. In the meantime, Gheskio’s center has saved many lives.

By uniquely combining patient care with on-site water treatment, Gheskio’s center also holds lessons for other regions struggling to contain cholera or facing it in the future. Globally, the World Health Organization estimates there are between 1.3 million and four million cases of cholera annually in 42 countries, with 21,000 to 143,000 cholera-related deaths each year. This year, Somalia saw a major resurgence of the disease, with over 50,000 people infected. About 1,000 died.

In the three years since Gheskio’s Cholera Treatment Center opened, the facility has remained in constant use because those outside the organization’s target area continue to be exposed to contaminated water. It has admitted over 10,000 patients to date, including over 7,000 who were hospitalized. Eighty-three percent of those patients came from outside of Gheskio’s catchment area.

While cholera reports in Haiti were on the rise in 2015 and 2016 at upward of 25,000 cases annually, the country saw a decrease in 2017, which Pape attributes to higher-than-normal rainfall in the region. Of the 100 beds, no more than a third were occupied at any time this year, with as few as a handful of patients at times. The risk for outbreaks remains high, however, and the disease’s countrywide eradication is still years away.

“Haiti’s recently elected government, and the president particular, is focused on universal oral cholera vaccine as well as home chlorination,” Pape reports. “If we get the vaccines and if we pursue home chlorination, I truly believe we can rid of cholera within four to five years.”

By: John Cary | September 12, 2017