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Nedgine Paul Deroly - 2018 Obama Foundation Fellow

Referring to herself as "a proud daughter of Haiti", Nedgine Paul Deroly attributes much of who she is today to her family, faith, and the community that has surrounded her since birth. Born in Haiti and raised in Connecticut, Nedgine played an active leadership role in community service and youth development programs within the Haitian community.She has earned earned a B.A. in History from Yale University and an Ed.M. in International Education Policy from the Harvard Graduate School of Education. She has also worked with Achievement First and Partners In Health which were particularly transformative in cementing her passion for equal educational opportunity and social justice grounded in community relationships. In 2014, she was named among the top global social innovators by Echoing Green, and she was selected for the Forbes Magazine “30 Under 30” Social Entrepreneurs in 2016.She joins the game changers of the world in the inaugural Obama Foundation Fellowship as the co-founder & CEO of Anseye Pou Ayiti, which is an organization that seeks to dramatically raise education outcomes in underserved and rural areas in Haiti by promoting teacher excellence and student success—all rooted in Haitian culture, customs, and community.The Obama Foundation Fellows exemplify the many ways one can improve our communities. These individuals are leaders working hand-in-hand with their communities to build better futures.This lifetime and life-changing opportunity includes guidance, skill-building and training courses, individual coaching and mentoring, participation in a global cohort of leaders, exposure to opportunities provided by other Foundation programming, and participation in four expense-paid gatherings (more details here).Over 20,000 people applied from 191 countries. Nedgine was selected as one of 20 inaugural Fellows who represent 11 countries around the world.By: Tammy for Haitiville.com| April 17, 2018

(Sources: Obama.org/fellowship and  https://naahpusa.org)

  

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Venezuela and Haiti Sign New Bilateral Deals

The agreements will see Venezuela and Haiti deepen their collaboration in agricultural production as well as in joint infrastructure projects

Caracas, November 28, 2017 (venezuelanalysis.com) – Venezuelan President Nicolas Maduro and his Haitian counterpart, Jovenal Moise, held bilateral talks in Caracas Monday where they signed fresh agreements in the areas of energy and agriculture.Known as the Energy and Agriculture Cooperation Agreement, the deal will see Venezuela and Haiti deepen their collaboration in agricultural production as well as in joint infrastructure projects. Further details have yet to be released.Both leaders also reaffirmed their governments’ commitment to the PetroCaribe program, an initiative created by former President Hugo Chavez Frias which sees Venezuela export oil to Haiti and other Caribbean and Central American nations at 40 percent of the market cost, with the remainder payable via 25-year low interest loans.The trip marks President Moise’s first visit to Venezuela since taking office in February on behalf of the right-wing "Bald Heads" (PHTK) party. The businessman was elected to office last November to replace fellow PHTK member, Michel Martelly, as president - though the elections were marred by accusations of fraud.Speaking during a meeting at Miraflores Presidential Palace, the Haitian leader paid tribute to the historic bonds uniting the two countries.“We have been in permanent partnership since the beginning of our history and we thank the people and the Venezuelan president,” he said, alluding to Haiti’s support for Venezuelan independence leader Simon Bolivar, who subsequently abolished slavery in the South American country.President Maduro, for his part, pledged his solidarity with the Caribbean island, which has been rocked by severe natural disasters in recent years.“We will always be together, Haiti and Venezuela. I ratify all of our support, love, and solidarity [for the Haitian people],” he declared.Under the leadership of Chavez and Maduro, the Venezuelan government has moved to strengthen ties with Haiti in recent years via PetroCaribe and other regional integration initiatives. Nonetheless, bilateral agreements between the two countries have been dogged by reports that the Haitian government has embezzled millions of dollars in Venezuelan aid.Between 2011 and 2014, Venezuela helped finance 234 projects in Haiti to the tune of US$1.2 billion.By: Lucas Koerner for Venezuelanalysis.com | November 28,2017
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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

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Haiti - Humanitarian : $250,000 donation from Haiti to Antigua and Barbuda and Dominica

After providing urgent humanitarian aid to Turks & Caicos Islands, badly affected by the passage of hurricanes Irma and Maria (630 generators, 1,000 sheets of plywood, 4,500 tarpaulins, 2,000 gypsum boards and 4,000 sheets among others). Permanent Representative of Haiti to the UN, Ambassador Denis Regis at the last high-level donor conference for the Caribbean in New York, announced Haiti's assistance to the Antigua and Barbuda Islands and Dominica $ 250,000 each.In his speech, Ambassador Regis explained "[...] The Republic of Haiti, having been hit hard by a series of deadly natural disasters over the last 10 years, [...] knows from experience the multiplicity of obstacles to which is faced the reconstruction and rehabilitation of critical infrastructure, especially in countries such as ours or structural handicaps are legion and the public investment capacity is so precarious [...][...] in response to the recent call by the CARICOM countries, I have the honor to announce that the Government of Haiti, despite the difficult economic and financial situation of the country, but fully involved in international solidarity is pleased to contribute US $ 250,000 to the reconstruction efforts of each of the sister nations of Antigua and Barbuda and Dominica, so hard hit by hurricanes Irma and Maria [...][...] These contributions, although modest, are nonetheless a testimony of friendship and fraternity, in the tradition of mutual aid and regional solidarity of the Caribbean Community, and in the spirit of international cooperation [...]"By: HL/ PI/ HaitiLibre | November 30,2017

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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

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Trump Administration Ends Temporary Protection for Haitians

The Trump administration is ending a humanitarian program that has allowed some 59,000 Haitians to live and work in the United States since an earthquake ravaged their country in 2010, Homeland Security officials said on Monday.

Haitians with what is known as Temporary Protected Status will be expected to leave the United States by July 2019 or face deportation.

The decision set off immediate dismay among Haitian communities in South Florida, New York and beyond, and was a signal to other foreigners with temporary protections that they, too, could soon be asked to leave.

About 320,000 people now benefit from the Temporary Protected Status program, which was signed into law by President George Bush in 1990, and the decision on Monday followed another one last month that ended protections for 2,500 Nicaraguans.

Haiti, the poorest country in the Western Hemisphere, is still struggling to recover from the earthquake and relies heavily on money its expatriates send to relatives back home. The Haitian government had asked the Trump administration to extend the protected status.

“I received a shock right now,” Gerald Michaud, 45, a Haitian who lives in Brooklyn, said when he heard the news. He has been working at La Guardia Airport as a wheelchair attendant, sending money to family and friends back home. He said he feared for his welfare and safety back in Haiti now that his permission to remain in the United States was ending.

“The situation is not good in my country,” he said. “I don’t know where I am able to go.”

Haitians are the second-largest group of foreigners with temporary status. The protection is extended to people already in the United States who have come from countries crippled by natural disasters or armed conflict that prevents their citizens from returning or prevents their country from adequately receiving them. The government periodically reviews each group’s status and decides whether to continue the protections.

The Obama administration renewed the protections for Haitians several times, after determining that conditions in Haiti remained precarious. But the Trump administration, which has sought greater controls on immigration, has said that the program, which was intended to provide only temporary relief, has turned into a permanent benefit for tens of thousands of people.

In a statement, the Department of Homeland Security said that after meeting with Haitian government officials and Haitian communities in the United States, it had decided to let the protections end.

“Since the 2010 earthquake, the number of displaced people in Haiti has decreased by 97 percent,” the statement said. “Significant steps have been taken to improve the stability and quality of life for Haitian citizens, and Haiti is able to safely receive traditional levels of returned citizens.”

The protection for Haitians was most recently extended in May, by John F. Kelly, the Homeland Security secretary at the time. He allowed only a six-month extension, a shorter one than is typical, saying that the Haitians “need to start thinking about returning.”

The decision on Monday by Elaine Duke, the acting secretary, set a termination date of July 2019 to give people time to make arrangements to leave.

The largest group of Temporary Protected Status beneficiaries, nearly 200,000 people, are from El Salvador. The Department of Homeland Security is scheduled to announce next month whether it will rescind or renew protection for that country, which is plagued with gang violence and high unemployment. The protection applies to Salvadorans who were in the United States without permission on Feb. 13, 2001, and was granted after deadly earthquakes in their home country.

Though Ms. Duke ended protections for Nicaraguans last month, she continued, at least for now, protections for Hondurans despite pressure from Mr. Kelly, now President Trump’s chief of staff, to end them.

Others who now benefit include people from Nepal, Somalia, Sudan, South Sudan, Syria and Yemen. In 2016, the Obama administration decided to end temporary protection for citizens from three West African countries that had been devastated by the Ebola virus several years ago.

The United States offered the protection to Haitians after the earthquake in January 2010 that killed hundreds of thousands of people, displaced more than a million and led to a cholera outbreak. Haitians who entered the United States within a year of the disaster qualified for the status.

A variety of American groups, including the Congressional Black Caucus, the United States Chamber of Commerce and immigrant advocacy organizations had urged the Trump administration to extend the protections again. On Monday, Senator Bill Nelson, Democrat of Florida, called the decision “unconscionable.”

“There is no reason to send 60,000 Haitians back to a country that cannot provide for them,” he wrote on Twitter. “I am strongly urging the administration to reconsider.”

Ileana Ros-Lehtinen, a Republican congresswoman from South Florida, said on Twitter that she had traveled to Haiti after the earthquake in 2010 and after Hurricane Matthew in 2015. “So I can personally attest that Haiti is not prepared to take back nearly 60,000 TPS recipients under these difficult and harsh conditions,” she said.

Those with temporary protection constitute about half of the estimated 110,000 Haitians living in the United States without permanent permission, according to the Pew Research Center. Since Mr. Kelly signaled that Haiti might lose its special designation, thousands of Haitians have crossed the border between the United States and Canada to apply for asylum in Quebec.

Nearly 30,000 children have been born in the United States to Haitians with protected status. Those children are citizens and entitled to stay. Some of their parents may seek to avoid deportation by claiming it would cause extreme hardship to a United States-born child, but that option is limited.

Most will soon have to make a wrenching decision: take their children back to Haiti; leave them with relatives or guardians in the United States; or remain in the country illegally and risk arrest and deportation.

Mark Silverman, an attorney and director of policy at the Immigrant Legal Resource Center in San Francisco, said that if they are arrested, they would be entitled to deportation hearings. And contesting their cases “gives them at least seven to 10 years,” he said, because of the long backlogs in the immigration courts.

The decision is sure to be felt in Haiti, where remittances from the Haitian diaspora totaled $2.36 billion in 2016, an increase of 7 percent over the previous year, according to the World Bank. That money represented more than one-fourth of the country’s national income.

But Dan Stein, president of the Federation for American Immigration Reform, which lobbies for restrictions on immigration, said the cancellation of temporary protections for Haitians was “long overdue.”

“The notion that this would be reflexively renewed again and again is a corruption of the entire concept,” said Mr. Stein, adding, “it’s not a refugee program or an immigration program.”

“It’s supposed to be reviewed and it’s supposed to be temporary,” he said.

One of the younger beneficiaries of the program, Peterson Exais, barely survived the earthquake. He arrived in the United States when he was 9 years old to receive emergency medical care after surviving for days under the rubble. He endured more than a dozen surgeries and has become a promising dancer at a magnet school in Miami.

Now 17 years old, he dreams of pursuing studies at the Juilliard School.

“This is very devastating for me,” he said on Monday. “I might not be able to give all that I could give back if I went back to Haiti.”

By: Mariam Jordan for Nytimes.com | November 20,2017

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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

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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]
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".

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.

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

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

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UN Ending 13-year Military Peacekeeping Mission In Haiti

A U.N. peacekeeping mission in Haiti that has helped maintain order through 13 years of political turmoil and catastrophe is coming to an end as the last of the blue-helmeted soldiers from around the world leave despite concerns that the police and justice system are still not adequate to ensure security in the country.The U.N. lowered its flag at its headquarters in Port-au-Prince during a ceremony Thursday that was attended by President Jovenel Moise, who thanked the organization for helping to provide stability. After a gradual winding down, there are now about 100 international soldiers in the country and they will leave within days. The mission will officially end on Oct. 15.Immediately afterward, the U.N. will start a new mission made up of about 1,300 international civilian police officers, along with 350 civilians who will help the country reform a deeply troubled justice system. Various agencies and programs of the international body, such as the Food and Agricultural Organization, will also still be working in the country."It will be a much smaller peacekeeping mission," said Sandra Honore, a diplomat from Trinidad and Tobago who has served since July 2013 as the head of the U.N. mission in Haiti known as MINUSTAH, its French acronym. "The United Nations is not leaving."MINUSTAH began operations in Haiti in 2004, when a violent rebellion swept the country and forced then-President Jean-Bertrand Aristide out of power and into exile. Its goals included restoring security and rebuilding the shattered political institutions. In April, the Security Council deemed the country sufficiently stable and voted to wind down the international military presence, which then consisted of about 4,700 troops.Many Haitians have viewed the multinational peacekeepers as an affront to national sovereignty. U.N. troops are believed to have inadvertently introduced the deadly cholera bacteria to the country and have also been accused of causing civilian casualties in fierce battles with gangs in Port-au-Prince and of sexually abusing minors.But the mission, with additional help from the U.S. and other nations, is also credited with stabilizing the country, particularly after the January 2010 earthquake, and building up the national police force."The job may not be complete but they have essentially done much of what they were originally designed to do in terms of preventing any kind of armed takeover of the state, in terms of increasing the safety of civilians," said Mark Schneider, a senior adviser with the Center for Strategic and International Studies in Washington. "It takes work to maintain that and Haiti needs to maintain that."MINUSTAH, Schneider said, has been key in helping Haiti develop a credible civilian national police from "almost zero" to its current level of about 15,000 officers, which most experts believe is still too small for a country of nearly 11 million. The police force was intended to replace the army, which was disbanded by Aristide in 1995 because of its repeated role in a series of coups and that the Haitian government is now seeking to reconstitute over international objections."Haiti needs an atmosphere of peace so we can take responsibility for ourselves," said Haitian Sen. Jacques Suaveur Jean. "We don't need foreign soldiers."The new U.N. mission will consist of seven police units that can respond to major incidents, in addition to officers deployed throughout the country to advise and assist their Haitian counterparts. Civilians will also be working with the government to improve the country's justice system, which the State Department said in this year's annual human rights report has serious flaws, including severe prison overcrowding, prolonged pretrial detention and an inefficient judiciary.Honore, in an interview ahead of Thursday's ceremony, cited the training and hiring of police officers as one of the U.N. successes.MINUSTAH had already been scaling back before the Security Council voted to end the mission. In the aftermath of the earthquake, which killed 96 U.N. personnel, including former head of mission Hedi Annabi, the number of troops reached more than 10,000. But when Honore arrived there were about 6,200 soldiers from around 20 countries, a figure that dropped again by nearly a third within two years.The cholera outbreak, which started in October 2010 after peacekeepers from Nepal contaminated the country's largest river with waste from their base, killed an estimated 9,500 people and irrevocably damaged the reputation of the organization in Haiti. Many critics felt the U.N. did not adequately respond to the outbreak, something the organization sought to later remedy."It was a fundamental error because it undermined the image not just of MINUSTAH, but of the international community," Schneider said.By: Evens Sanon, Associated Press | October 5, 2017

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Fighting Cholera With a Smartphone

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'Anywhere But Haiti': Asylum Seeker Retraces His 15,000-km Odyssey To Canada

Travelling by boat, bus and on foot, treacherous journey from Brazil ends at Roxham Road, Que.When Pierre left Cap-Haïtien for South America, he never imagined he'd wind up in the woods of upstate New York.But nine years and 10 countries later, he stepped into Canada and was arrested by the RCMP.He had survived a two-and-a-half-month, 15,000-kilometre odyssey from Brazil to Roxham Road with his wife and seven-year-old son, through some of the most dangerous territory in the Americas.By plane, by boat, by bus, taxi or on foot, the destination was always the same: "Anywhere but Haiti."Pierre is not his real name. CBC News has agreed to protect the identities of the 30-year-old Haitian and his family to prevent any potential impact on their asylum claim in Canada.

Building a life in Chavez's Venezuela

A self-described socialist, Pierre left Haiti in 2008 to study in Venezuela. He made a new life for himself in Hugo Chavez's Venezuela, where he worked as a warehouse manager.Pierre left Haiti to study music in Venezuela in 2008, later studying accounting and administration. (submitted by Pierre)When the revolutionary president died in 2013, Pierre went south to Manaus in the Brazilian state of Amazonas.But work dried up, so in 2016 he decided to head north to "conquer the American dream."It's a path countless others have taken —  a backwoods channel for waves of undocumented Latin Americans, Africans, South Asians, Haitians and Cubans seeking a better future.It's also a route fraught with exhaustion, fear, robbery, rape and death.Panama Cuba Crossing the Gap 

Desperate journey through the Darien Gap

With his wife and child, Pierre set out on June 16, 2016, crossing into Venezuela from Brazil."It wasn't easy to get into Colombia, but with a lot of tenacity we managed," he said.From there the family boarded a bus to the Colombian port town of Turbo, where the South American stretch of the Pan-American Highway ends.There they joined a group of 100 or so other migrants - Cubans, Africans and other Haitians ready to make the same desperate journey."From Turbo, we took a little boat," Pierre recalls. "Many people died because some boats sank.  But we arrived at the entrance to the Darien Gap."The Darien Gap is a lush rainforest on the border of Colombia and Panama, thus named because it's a break in the Pan-American highway.Migrants must travel through the untamed wilderness on foot.Darien Gap "Crossing the Darien Gap was a very cruel experience," says Pierre.  "I spent six days in the mountains with no food and no water.""So as not to get dehydrated, my family and I had to drink our own urine."The migrants also had to avoid snakes and other wild animals lurking in the dense forest."Many people died," Pierre says. "But we had to go on because otherwise, we'd die too.  Whenever my son thinks about it, he cries."This video was taken by other Haitian migrants while crossing the Darien Gap.

Smuggled across Nicaraguan border

After 15 days in Panama and a bus ride to Costa Rica, authorities stopped them at the Nicaraguan border."It was really tough to get across," says Pierre."We had no papers."Nicaragua.jpgStuck at the border and living in tents, Pierre paid smugglers nearly $3,000 US to get him and his family into Nicaragua.Pierre's wife Others were not so lucky."Some were ripped off and never did get across," he says. "There were many bandits who raped people when they were going through the forests."Once in Nicaragua those that made it took a bus through Honduras and Guatemala to Mexico.Pierre says Mexican authorities gave them passage on the condition they move on to the USA.But arriving at the American border in Tijuana, Pierre was detained and spent nine days in lockup.Upon release, he moved his family to Florida.TIJUANA.jpg 

Taste of the American dream

AIRPORT.jpgPierre got a work permit while his U.S. asylum claim was processed, working as a check-in manager at the Orlando airport and at Disney World."I worked and waited for the [asylum] process to run its course," Pierre says. "But when Donald Trump came to power things got complicated."He was worried that without permanent status, he and his family could be deported at any time.Then Prime Minister Justin Trudeau tweeted his support for refugees during Trump's efforts to enact a travel ban from Muslim-majority countries, and Pierre turned his eyes northward.

To those fleeing persecution, terror & war, Canadians will welcome you, regardless of your faith. Diversity is our strength #WelcomeToCanada— @JustinTrudeau

"When [Trudeau] said, 'Canada's ready to welcome refugees,' I said, 'Well, if that's the case, I'll come to Canada,' because I'm looking for a better life."So the family flew to Plattsburgh, N.Y., and boarded a bus to the border, crossing into Canada illegally at Roxham Road and making an asylum claim."When [Trudeau] said, 'Canada's ready to welcome refugees,' I said, 'Well, if that's the case, I'll come to Canada,' because I'm looking for a better life."- Haitian asylum seeker Pierre, 29They spent 24 hours in a temporary camp near the border, then two weeks living in the shelter set up at Montreal's Olympic Stadium.The family now has an apartment, and Pierre is trying to get a work permit while he awaits his Immigration and Refugee Board hearing.

Accusations, beatings and stabbings back home

In his asylum claim, Pierre says he can't go back to Haiti because his family is being targeted by a gang of street criminals.BROTHER.jpg He says the trouble started in 2009 when a woman in his neighbourhood accused his father of witchcraft and threatened to have a gang attack him with machetes.Pierre says his father fled but the gang beat up his mother.  He has copies of statements to the local police to help prove his story and a picture of his mother after the beating.He claims the same group of thugs attacked him for his political views in 2010 on a visit home, accusing him of trying to organize an uprising against the government.Then just this year, Pierre says his brother was stabbed by the gang and had to move his family to another part of the country."It's a country with no justice," Pierre says.  "If I go back there they'll kill me."Cap-Haitien 

'Such a cruel journey'

Sitting in a coffee shop near Jarry Park in Montreal's Villeray neighbourhood, Pierre sketches out a drawing of his long journey on the back of one the myriad documents and forms that make up his refugee case file.The map fills the page.  His home country is conspicuously absent.Pierre sketches his journey from Brazil to Roxham Road."We left the U.S. because we were scared they'd deport us to Haiti," he says."In Haiti most people are unemployed. It's miserable. There are kidnappings all the time."Pierre hopes the Canadian government will give extra consideration to those like him who have come so far."Such a cruel journey," he says.  "It was a very hard road to get here."By: Simon Nakonechny | September 26, 2017

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Haiti-Based Sunrise Airways Expands Fleet

Fast-growing Haiti-based airline Sunrise Airways has continued its fleet expansion with a new Boeing 737.The 168-seat aircraft is being acquired through a wet lease agreement with Czech Republic-based Travel Service.Sunrise will deploy the new aircraft on its routes from Orlando and Miami to Port-au-Prince, Haiti.Sunrise is launching its new Orlando service Oct. 18, with Miami flights set to launch Nov. 14.

Sunrise will be flying the Boeing on its new Haiti flights from Orlando and Miami.

“Our continued fleet expansion speaks to the tremendous potential we see in growing our route network within and beyond the Caribbean region, while also providing our customers with the very best inflight services and amenities in the skies,” said Philippe Bayard, President of Sunrise Airways.”The Boeing 737 will features business and economy service, with 18 seats in Business.By: the Caribbean Journal staff

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10 New York campuses to help establish village in Haiti

Ten campuses in New York's public university system are part of a project to establish a sustainable village and learning community in Haiti.The State University of New York said Monday the campuses will work with five not-for-profit organizations under an $800,000 grant from the W.K. Kellogg Foundation.SUNY says the goal is to develop educational, economic and social programs, resources and other needed services on 40 acres (16 hectares) of land donated by a Nassau Community College professor emeritus. Each campus will bring a specific expertise, such as public administration, public health and performing arts.The University at Buffalo, which will contribute social work expertise, says the project also will provide hands-on training and education for SUNY students.By: Associated Press| September 26, 2017

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Video & Summary: President Jovenel Moise Addresses UN's General Debate, 72nd Session

Statement Summary:
JOVENEL MOISE, President of Haiti, said the mission of the United Nations had never been so important, and thus, it was necessary to adapt the Organization to modern realities on the ground.  Expressing support for any initiative that could contain crises and seek the peaceful resolution of conflicts, he encouraged the United Nations to move along the path of conflict prevention.  Haiti had always spoken out against the proliferation of nuclear weapons, and he condemned States’ blatant desire to acquire and increase nuclear arsenals.  He also expressed concern about the ongoing crises in Syria and Venezuela, as well as the conflict between Israelis and Palestinians.Haiti was deeply committed to the environmental facets of sustainable development, he said, and sought to build resilience against natural disasters that had consistently beleaguered its people and brother countries in the Caribbean.  His Government was committed to the Paris Agreement on climate change, and wished to see those countries most responsible for greenhouse gas production contribute the resources necessary for implementing that deal.  In the Caribbean, recent climatic events had drawn attention to the ways in which climate affected Haiti.  Such weather phenomena were due to the impact of humans on the environment, he stressed.  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 had taken steps to consolidate democracy and the rule of law, having made significant efforts to promote development and political stability.  Noting that corruption had “infected” and shrunk Haiti’s economy, and compromised its political situation, he said it was time that official development aid (ODA) and domestic resources upheld the interests of the Haitian nation.  Corruption had prevented basic resources from being allocated to citizens, depriving them of adequate energy distribution, quality education, drinking water and socioeconomic opportunities.  Haiti’s new leaders were waging an unwavering struggle against such behaviour.  Efforts were also under way to guarantee the independence of and increase the effectiveness of the judicial apparatus.While the international community had spent more than a decade supporting security in Haiti, and had provided help when disaster struck, he said Haiti was using all levers available to grow the economy, despite its limited resources.  It was striving to create decent jobs for young people, and had made human resources management part of the State reform process.  His Government was determined to provide opportunities to the most vulnerable members of society, to ensure they were not tempted to leave the country, many times under life-threatening conditions.  Haiti could not allow institutions to be weakened or corruption to widen the distance between citizens and the State.  Haitians were acutely aware that they were responsible for their country’s development, he continued.Addressing two phenomena stemming from the United Nations presence in Haiti — the odious sexual abuse and exploitation by peacekeepers and United Nations staff, and the cholera epidemic — he said the Organization was morally obliged to provide the recourses to ensure that cholera left the country.  Improving Haiti’s health system, including by eradicating cholera, was a priority for his Government.  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, he stressed, by shouldering all its responsibilities to remedy the situation, which had caused grave harm to the Haitian people.

By: UN News Centre | September 21, 2017

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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 

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The Financing of the new Haitian Parliament

Youri Latortue Senate President announced the reconstruction of the Parliament at the cost of about 3 billion Gourdes ($48 million). The new parliamentary complex will consist of 3 buildings, a 10-story building for the offices of parliamentarians including the working and meeting rooms of the Standing Commissions and the offices of the administration. The second one will comprise of three large hemicycles (Chamber of Deputies, Senate, and National Assembly), and finally the 3rd will include a four-story closed parking lot for parliamentarians and visitors...On Friday Sep. 15th, 2017, President Moïse wished to silence criticisms relating to the high budget of Parliament by stating that 50% of the 7.2 billion gourdes allocated to senators and deputies in the budget would be used for the reconstruction of Parliament in his message to the Nation regarding the publication of the budget.However, in reality, it is stated in the budget that the 7.2 billion Gourdes of the Parliament are divided 50/50 between the Senate and the Lower House, ie 3.6 billion for each Chamber. For the Senate 2 billion are devoted to the functioning and an "investments" heading has an envelope of 1.5 billion which will be allocated to the reconstruction of the Parliament. As for the budget of the lower chamber, it is essentially devoted to functioning and does not include any heading "investments". This means that only 50% of the estimated costs of reconstruction of Parliament will come from Parliament's budget and not all as Moïse said and the other 1.5 billion gourdes to complete the cost of the work, will have to come from other items in the State budget...If Senator Latortue evokes an amount of about 3 billion Gourdes for the new parliamentary complex, Clément Bélizaire, the Director of the Unit of Construction of Housing and Public Buildings (UCLBP) shows more reserved "We do not know yet how much will cost Parliament nor the firm that will carry out the work because adjustments have been requested," specifying that there will be no traditional call for tenders for the construction of the Haitian Parliament.SL/ HaitiLibre

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President Moïse in New York

Sunday, President Jovenel Moïse left the country to New York to take part in the debate of the 72nd Ordinary Session of the General Assembly of the United Nations, which will be held from 18 to 26 September 2017.On the sidelines of the general debate, the Head of State will meet with Antonio Gutteres, the UN Secretary-General, Luis Alberto Moreno, President of the Inter-American Development Bank (IDB) and Christine Lagarde, Director General of the International Monetary Fund (IMF), among others, to discuss the economic and social development priorities of his administration.He will also take advantage of his stay in the United States to speak with compatriots of the Haitian community in the metropolitan area of New York.To this end, the Consulate General of the Republic of Haiti in New York invites the Haitian community to a meeting with President Jovenel Moïse on Thursday 21 September 2017 from 7:00 to 9:00 p.m. at Medgar Evers College located 1650 Bedford Ave, Brooklyn, NY 11225.The Head of State will return to Haiti on Friday, 22 September.By: HL/ HaitiLibre | September 18, 2017

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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.

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.

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.

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.”

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‘How Would I Survive Going Back There?’

The woman wearing a mint-green dress with tiny pink flowers is trying not to cry.She is explaining that she has Temporary Protected Status, which was granted to 58,000 Haitians after the 2010 earthquake that devastated the country. She had been living in the United States for more than a decade when the quake struck, but found herself a beneficiary of the program that allowed Haitians to stay.So every 18 months, she renewed her status without much thought. Then came May, and an announcement from then-Homeland Security Secretary John F. Kelly. He told Haitian TPS holders that the program may soon come to an end. That they would be given a six-month extension, but they should prepare to leave the United States and return to Haiti by January 2018.His reasoning: Things were improving in Haiti since the quake killed more than 230,000 people and did an estimated $14 billion in damage to buildings and roads.Critics called the decision shortsighted. The effects of the earthquake are still visible. Many people still reside in tents and makeshift homes. A cholera outbreak followed in 2010, infecting at least 770,000 people and killing more than 9,200. And on Saturday, Hurricane Irma brought more heartache to the already devastated Caribbean island nation as reports of flooding began to surface.But for the woman in the mint-green dress, struggling not to cry, her reasons for wanting to stay are much more personal.The Washington area, where she has lived for more than two decades, is her home — and home to an estimated 800 Haitians with TPS. Her husband and 2-year-old daughter are there. Her job as a nurse is there. And her church, with its majority Haitian congregation, is there. So despite pleas from family and friends that she should follow the exodus of Haitians afraid of a return to Haiti and instead head to Canada, she will not.“I think it’s lack of faith for me to get up and leave,” said the woman, who spoke on the condition of anonymity because she feared she would become an easy target for deportation. “I have two sisters and a brother in Montreal. They ask me to come every time. ‘People are coming,’ they say. I say, ‘Is it easy to pack up and come?’ It is not. I don’t want to hear people tell me that kind of stuff.”

Deep Roots in the Community’

An estimated 11 million people live in Haiti, the poorest country in the western hemisphere. A Category 5 hurricane like Irma could cause flooded roads and mudslides, which could destroy houses built on hillsides — a repeat of the devastation caused by the earthquake in 2010 and when Hurricane Matthew hit the country in October 2016.It is for that reason that many Haitians with TPS in the United States say returning to Haiti is not an option. In August, Canadian officials reported a surge in Haitians crossing the border from the United States. According to the Quebec immigration ministry, as many as 150 Haitian asylum seekers are arriving in Canada each day after making border crossings from New York into Quebec. According to the Canadian Broadcasting Corp., about 700 Haitians were waiting to be processed for claims of asylum from the United States this year.Canadian soldiers are building tent villages near U.S. borders to house Haitian asylum seekers. Olympic Stadium in Montreal is being used to house refugees, the CBC reported.The growing panic can be seen across the country. Haitian radio stations and other media outlets talk about the issue almost nonstop. Marleine Bastien, executive director of the Haitian Women of Miami, said that more than 32,000 Haitians with temporary status live in Florida. Many have been living in the United States for up to 20 years.“We are talking about people who have deep roots in the community,” Bastien said. “These are people who own homes, who have reached the American Dream to own a home, and started business. Eighty-five percent of them are working.”“I receive calls every day,” Bastien added. “ ‘Marleine, what should I do? Should I put my house to sale? Do I take my children to a country still reeling under remnants of an earthquake, a country where the entire south peninsula has been destroyed? Where people are dealing with food scarcity because Hurricane Matthew destroyed crops?’ ”“The heart-wrenching questions the families are asking are difficult to answer,” she said. “How do you tell a parent what to do with U.S.-born children? How do you answer a mom sitting in front of you with tears in their eyes?”Jean St. Ulmé, senior pastor at Eglise Baptiste Du Calvaire in Adelphi, Md., said he is also dealing with similar questions.“It is a sad situation. They don’t know what will happen,” St. Ulmé said. “ They don’t have anything in Haiti. They come here for a better life. They are afraid to go back.”

Health Concerns

The woman in the mint-green dress is a member of St. Ulmé’s congregation. She and her husband, who is also in the country on temporary status, pray every morning before the sun comes up and again at night before midnight. It is the same prayer: That the U.S. government will not return to Haiti the more than 58,000 Haitians living here.She was 18 when she left Haiti in 1995 on a visitor’s visa. “Since then, I’ve never been back. I have no house there,” said the woman, who is now 40. “I wouldn’t know how to live there. How would I survive going back there?”She rubs her swollen belly. Her second child is due in three weeks.Now she can no longer hold back her tears.“My child is a U.S. citizen,” she says. “Would you take my child from me? Would you send me back and take my child? What would she become? Would you break a family?”The health-care system in Haiti is terrible, she says. Patients wait on hospital beds with no sheets, clutching brown paper bags of medicine they brought with them, hoping doctors not stopped by strikes will see them. In Haiti, she said, “You call 911, the ambulance has no gas to come help you. There is no security. There is no place to render justice.”Rony Ponthieux doesn’t want to go to Canada either, but the prospect of returning to Haiti is not one he can see. He has lived in the United States since 1999, and he and his wife were granted TPS after the 2010 earthquake.

While here, he has gone to school and become a registered nurse. Since 2015, he has worked at Jackson Memorial Hospital in Miami.“I have two children born here,” Ponthieux said. “The eldest son is 16, going on 17. I have a girl who . . . spoke at Washington in Congress. She was giving some speeches. She is gifted. She just turned 10. She was champion spelling bee for her school.”Moving to Canada would be a last option. “I heard the news. I see the borders. I don’t think it’s a good idea.”On the other hand: “If I go to Haiti, I would struggle to live. To take care of children will be hard. If I leave children here, it will be family separation. It is not good to leave children here.”But, he added, “Imagine children born here and go to a place with no pure water. No shelter. No food. No house in Haiti. It would be a bad situation.”September 9, 2017

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Accreditation of two new ambassadors

 President Jovenel Moïse, received the credentials of two new Ambassadors accredited in Haiti, at the National Palace. They are their Excellencies André Frenette of Canada and Oscar Chàvez Valiente of the Republic of El Salvador.The two new diplomats renewed their country's commitment to maintain close ties of friendship and strengthen cooperation between Haiti and their countries.The Head of State also reassured these ambassadors on his willingness to work by common agreement to the harmonious development of relations between his Haiti and these two friendly countries.Subsequently, after the delivery of their credentials to the President of the Republic of Haiti, they made a floral offerings to the Haitian National Pantheon.HL/ HaitiLibre

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