Although cholera cases decreased by nearly half from July to August following the predictable spike during the rainy season, on average, cholera infected more than 500 people and killed three people each day in September. Although these numbers are still well below previous peaks, they should not provide false confidence, as a decreased caseload in March and April did previously. Cases could increase quickly at almost any time, as cholera is a highly cyclical disease. Indeed, Haiti Libre reported just this week that Medecins Sans Frontieres (MSF) has seen a significant increase in their case load in Port-au-Prince. Romaine Gitenet, MSF head of mission, told Haiti Libre that “"In one month we went from less than 300 admissions per week to over 850, which suggests a worsening situation in the coming weeks.” Also worrisome is the continued lack of support to the United Nation’s cholera appeal as humanitarian relief efforts continue to dwindle as funds run out.
The United Nations Office of the Special Envoy for Haiti (OSE) released updated figures on the status of donor countries’ aid pledges earlier this week. The analysis reveals that just 43 percent of the $4.6 billion in pledges has been disbursed, up from 37.8 percent in June. This increase of $230 million is much larger than the observed increase in aid disbursement from March to June, when total disbursements increased by only $30 million. Also, an additional $475 million of aid money has been committed, meaning more money is now in the pipeline for Haiti. This increase is certainly a positive development, yet the overall levels of disbursement remain extremely low. The $4.6 billion in pledges was for the years 2010 and 2011, which means that donors have only a few months to fulfill their pledges.
While $1.52 billion was disbursed in 2010, this year, less than 30 percent of that—$455 million—has been disbursed. The United States, which pledged over $900 million for recovery efforts in 2010 and 2011, has disbursed just 18.8 percent of this (PDF). Of countries that pledged over $100 million dollars, only Japan has achieved 100 percent disbursement.
But it is important to go beyond the level of disbursements to see how much of this money has actually been spent on the ground and how it has supported both the Haitian public and private sectors. The following analysis shows that much of the money donors have disbursed has not actually been spent on the ground yet, that the Haitian government has not received the support it needs, and that Haitian firms have largely been bypassed in the contracting process.
Just 10 percent of funds disbursed by the Haiti Reconstruction Fund, which received nearly 20 percent of all donor pledges, have actually been spent on the ground. The Interim Haiti Recovery Commission has approved over $3 billion in projects, yet most have not even begun. Budget support for the Haitian government is set to be lower in 2011 than it was before the earthquake in 2009. Finally, only 2.4 percent of U.S. government contracts went directly to Haitian firms, while USAID relied on beltway contractors (Maryland, Virginia and DC) for over 90 percent of their contracts.
Disbursed By Donor Doesn’t Mean Spent on the Ground
The international community has set up a number of institutions that aim to centralize aid flows and projects, in particular the Interim Haiti Recovery Commission (IHRC) and the Haiti Reconstruction Fund (HRF). The HRF has received roughly 20 percent of donor funds.
Our analysis of the Haiti Reconstruction Fund’s annual report revealed that despite public announcements touting a 71 percent disbursal rate at the Fund, in reality, closer to 10 percent had actually been spent on the ground, much of which was on consultant fees.
The HRF report notes that “The Trustee has transferred funds totaling US$197 million in respect of those approved projects and associated fees to the Partner Entities,” and an additional $40 million is set to be transferred. Together the $237 million is equal to 71 percent of the total funds raised. However, as the HRF notes, this money has not actually been spent on the ground, but simply transferred to their Partner Entities (the World Bank, UN and the Inter-American Development Bank - IDB). The disbursement of funds from those organizations is just $35 million, or about 10 percent of the total contributions received. The IDB, which has received $37 million in HRF funds, has yet to actually disburse any of this total.
We have noted the many scandals that have dogged MINUSTAH’s presence in Haiti since the beginning to the most recent, which involve the video-taped rape of an 18-year-old man, and MINUSTAH troops having sex – and fathering children – with Haitian minors and women. Protests have erupted following these new scandals, and signals from the Haitian government and prominent political figures in Haiti have signaled an impatience with the open-ended Mission.
The Haitian government’s stated support for MINUSTAH’s presence has always been key to its ability to remain in Haiti. A classified Embassy cable by then-Ambassador Janet Sanderson, written in October 2008, and recently made available by Wikileaks, describes how the Haitian government questioned the Mission’s purpose years ago. Then-President René Préval appears to have sought to have MINUSTAH’s mandate changed from a Chapter 7 to a Chapter 6 designation:
2. (C) UNSRSG Hedi Annabi tells me that Haitian President Rene Preval intends to seek a change in the MINUSTAH mandate from Chapter 7 to Chapter 6 status. Arguing that bringing MINUSTAH here under Chapter 7 sends the signal to investors that Haiti is a "war zone," and ups insurance rates, Preval told Annabi on October 1 that he is writing the UNSC President to request that the Council revisit this issue prior to vote on the extension of the MINUSTAH mandate. Annabi added that Preval briefly raised this issue with UNSYG Ban Ki Moon during his courtesy call at the UNGA last month; the SYG tried to dissuade Preval but noted that this matter was more in the purview of the UNSC rather than the SYG's office.
In July, one Haitian fell ill with cholera every minute. In August, after the "second peak" from the May/June rains receded, that rate has slowed and yet still one Haitian falls ill every two minutes. In our report, "Not Doing Enough: Unnecessary Sickness and Death from Cholera in Haiti", we noted that funding was withdrawn from the cholera response right as the rainy season was about to begin, despite the predictable spike in cases from the increased rains. Thankfully, the case load has receded some, as Jacqueline Charles of the Miami Herald pointed out yesterday:
Health experts anticipate that Haiti might experience one more deadly peak before the end of this hurricane season. After that, there are chances that the disease might become endemic in Haiti with frequent peaks over the years.
Recently, health organizations and the Haitian government have sounded the alarm over the lack of funding to combat cholera in Haiti. Al Jazeera's Craig Mauro spoke with Romain Gitenet of the health organization Doctors Without Borders, who explained:
"We just noticed that the funding for cholera is decreasing, and some actor, well some funder, who was giving money, stopped giving money which is something we don't understand."
As NGOs have retreated from the field, Haiti's Ministry of Health has taken over many of their operations and has become stretched thin. As Charles writes:
“Funding is not enough to fight against cholera in the upcoming months,’’ said Dr Gabriel Thimothé, executive director of Haiti’s Health Ministry, which lacks money to provide even basics, such as water at treatment centers.
ABC News released an explosive report today which appears to confirm one of many allegations that Haitians have been making for weeks regarding gross sexual misconduct by Uruguayan peacekeeping forces who participate in the United Nations Stabilization Mission in Haiti (MINUSTAH). Journalist Ansel Herz, reporting from Port Salut, uncovered a disturbing scene recorded on a cell phone video, showing the Spanish-speaking troops in sky-blue hats and military fatigues laughing as they pin an 18-year-old Haitian youth down on a mattress on the floor, and--as a photograph captured from the video seems to suggest--sexually assault him.
While largely focusing on one particular case of purported sexual assault, ABC News does seem to independently corroborate these complaints raised in the Uruguayan news media: "Sinal Bertrand, a Haitian parliamentary deputy from the Port Salut area, said he began talks with U.N. officials last week about other allegations against the soldiers by residents of Port Salut, ranging from sexually exploiting young women to environmentally polluting the area." ABC also interviewed a local mechanic in Port Salut who denies that the troops provide more security: "They aren't useful to us at all...They just go back and forth to the beach, nothing more here in Port Salut. They just check out the young girls."
A January 2006 cable recently made available by Wikileaks describes Haitian business leaders’ efforts to pressure MINUSTAH to crack down on slums, in particular Cite Soleil (site of the July 5, 2005 operation that resulted in dozens of unarmed civilian deaths and injuries, including of children). In the cable, then-Charge d’Affairs to the post-coup interim regime (and now Executive Vice President for the Clinton Bush Haiti Fund), Timothy Carney, describes how the business leaders also “pleaded” with him for more ammunition for the police:
Â¶2. (SBU) SUMMARY: Leaders of the Haitian business community told Charge that they would call a general strike for Monday, January 9 to protest MINUSTAH,s ineffectiveness in countering the recent upswing of violence and kidnappings. Representatives will also meet with UNSRSG [Special Representative to the UN Secretary General] Juan Gabriel Valdez to pressure him to take action against the criminal gangs. They also pleaded with the Charge for more ammunition for the police. Charge told the group to be ready to assist Cite Soleil immediately after a MINUSTAH operation, if it were to take place, and countered that the problem of the police was not a a lack of ammunition, but a lack of skills and training. Clearly, the private sector is worried about the recent upsurge in violence. END SUMMARY.
The cable describes how the business leaders (Reginald Boulos, President of the Haitian Chamber of Commerce and Industry; Rene-Max Auguste, President of the American Chamber of Commerce; Gladys Coupet, President of the bankers’ association, and Carl Auguste Boisson, President of the petroleum distributors’ association) wanted MINUSTAH to systematically sweep through Cite Soleil, one of Haiti’s poorest slums:
Â¶5. (SBU) Representatives of the private sector will also meet one-on-one with UNSRSG Juan Gabriel Valdez to pressure him personally to take action against the criminal gangs in Cite Soleil. Boulos argued that MINUSTAH could take back the slum if it were to work systematically, section by section, in securing the area. Immediately after MINUSTAH secured
Cite Soleil, Boulos said that he and other groups were prepared to go in immediately with social programs and social spending. NOTE: Boulos has been active in providing social programs in Cite Soleil for many years. END NOTE.
Carney warned them that this would “inevitably cause unintended civilian casualties”. But rather than a warning that such an operation should be out of the question, considering the “inevitable” civilian deaths it would entail, Carney merely cautioned that the business leaders should follow up the raid with “social programs and social spending”, presumably to calm the expected outrage among Cite Soleil residents:
Â¶6. (SBU) The Charge cautioned that such an operation would inevitably cause unintended civilian casualties given the crowded conditions and flimsy construction of tightly packed housing in Cite Soleil. Therefore, the private sector associations must be willing to quickly assist in the aftermath of such an operation, including providing financial support to families of potential victims. Boulos agreed.
As a new child sex abuse scandal involving Uruguayan MINUSTAH troops unfolds (without coverage in the English language media), and new scientific studies emerge linking MINUSTAH to the origin of the current cholera epidemic, recently Wikileaked cables from the U.S. Embassy in Port-au-Prince spell out MINUSTAH’s importance to the U.S. government in a more direct fashion than probably any previously released documents. A confidential October 2008 cable from then-Ambassador Janet Sanderson begins:
The UN Stabilization Mission in Haiti is an indispensable tool in realizing core USG policy interests in Haiti. Security vulnerabilities and fundamental institutional weaknesses mean that Haiti will require a continuing - albeit eventually shrinking - MINUSTAH presence for at least three and more likely five years. Haiti needs the UN presence to fill the security gap caused by Haiti's fledgling police force's lack of numbers and capabilities. It needs MINUSTAH to partner with the USG and other donors in institution-building.
It goes on to state:
MINUSTAH is a remarkable product and symbol of hemispheric cooperation in a country with little going for it. There is no feasible substitute for this UN presence. It is a financial and regional security bargain for the USG. USG civilian and military assistance under current domestic and international conditions, alone or in combination with our closest partners, could never fill the gap left by a premature MINUSTAH pullout.
The cable expands on these points later on, noting in detail how the U.S. government benefits from Latin American and other nations’ contributions to the Mission in funds and troops:
CEPR Co-Director Mark Weisbrot has filed his latest Guardian column from Port-au-Prince. It highlights ongoing forced evictions following a tense stand-off over the weekend between residents of Camp Barbancourt 17 and actor Danny Glover and other activists, on the one side, and the camp’s landlord, on the other.
Port-au-Prince, Haiti -- At this sprawling IDP (Internally Displaced Persons) camp of battered tents and tarps here in the neighborhood of Barbancourt in Port-au-Prince, a confrontation was underway. A landlord who claimed ownership of the land on which some 75 families had been living since the earthquake was very angry. A crowd of hundreds had gathered and a man in his thirties said that the landlord had beaten him and destroyed his tent.
“These people have been here for 19 months and I want them out of here!” the landlord shouted. He was yelling in English now because a group of activists had arrived, including the actor and human rights campaigner Danny Glover. They were defending the camp residents, but the landlord wasn’t having it.
Meanwhile a group of heavily armed troops from MINUSTAH – the UN military force that has occupied the country for the past seven years – arrived on the scene. They were tense and sweating in the morning heat, and as the standoff continued and the crowd spilled into the street, another contingent of troops arrived, bringing the total to about fifteen.
A new paper from the Center for Economic and Policy Research argues that cholera treatment and prevention efforts in Haiti have fallen woefully behind, leading to thousands of preventable deaths, even though the dramatic rise in new cases this spring and summer was entirely predictable. The paper, “Not Doing Enough: Unnecessary Sickness and Death from Cholera in Haiti”, by researchers Jake Johnston and Keane Bhatt, argues that it is not too late to bring the 10-month old cholera epidemic under control and save thousands of lives by ramping up treatment and prevention efforts. Below is the Executive Summary of the paper, to read it in its entirety, click here.
A 11,849-word article by journalist Janet Reitman in the new issue of Rolling Stone provides a sometimes fascinating and always disheartening overview of relief and reconstruction in Haiti since the earthquake. Reitman, who has recently been in the news herself over her new book, Inside Scientology, spent months researching the report, both in the U.S. and in Haiti, and so she is able to cover a good deal of ground. Much of her focus falls on the failings of various initiatives by often prominent individuals and organizations, which often contrast with their public images and their stated goals and intentions. Addressing the role of big NGO’s, for example, Reitman writes
On top of the earthquake, aid workers in Haiti are contending with a cholera crisis, a disease of poverty spread through poor sanitation and contaminated drinking water. These are all things that NGOs like the Red Cross have expertise in fighting, but larger structural issues often trump their best intentions. Because international NGOs get most of their money from large government agencies, they are beholden to the broader policy imperatives of their funders. "The big problem is that most NGOs are only really accountable to their donors, when we should really be accountable to the people we're trying to serve," says Dr. Louise Ivers, senior health and policy adviser for Partners in Health, a Boston-based NGO that has worked in Haiti for 25 years. Some organizations, she notes, "exist only to write grant proposals that respond to specific donor requests. If your mandate is just to follow the money, then the money determines what happens."
CHF International is one NGO that comes in for scrutiny further on:
[American field-office director for CHF International, Ann] Lee admits that [CHF], a vast NGO with relief operations in 25 countries around the world, has never done "micro-urban planning," as she calls it — nor have the half dozen or so other NGOs planning similar projects in Port-au-Prince. "It's a complete learning experience for all of us," she says. All that's needed to make the project a reality, she adds, are more funds.
As was reported in the Brazilian and other Latin American press, but generally ignored by English language media (save for brief mentions by Americas Quarterly and Haiti Libre), new Brazilian Defense Minister Celso Amorim made public remarks the other day regarding a possible draw down of Brazilian troops from MINUSTAH.
As Haiti Libre and other outlets have noted, Amorim’s remarks are significant in part because Amorim was “the 'artisan' of the participation of Brazil in the Minustah [UN Mission for Stabilization in Haiti]” during his previous tenure as Foreign Minister.
Haiti Libre goes on to report that
Already in 2010, as Foreign Minister under the government Lula, Amorim expressed the necessity of replacing the military presence in Haiti by engineers and social workers to collaborate in the development and the economy of Haiti.
Amorim’s remarks are the latest sign that an end to the UN Mission, so widely unpopular in Haiti, may soon be on the horizon. As we’ve noted in various earlier posts, MINUSTAH has been controversial from its start, when it often appeared to aid police in their post-coup crackdown on Fanmi Lavalas members, social movement activists, and others in the wake of the 2004 U.S.-backed coup. The Blue Helmets have since killed innocent civilians in violent raids on slums, attacked journalists, and seen over 100 troops expelled from Haiti over child prostitution and related charges. These are just the documented crimes, which are supplemented by other suspicious incidents. But the Mission’s popularity undoubtedly hit a new low following the cholera outbreak last October, which quickly was traced back to a MINUSTAH camp in Mirebalais.
Haiti may thankfully be spared the heavy impact of Tropical Storm Emily, as the storm seems to have weakened as it hit Hispaniola’s mountains. Health workers and others have been tracking the storm’s progress with trepidation, as it was heavy rains in June that led to a resurgence in cholera cases. Unfortunately, even a weakened storm may still bring strong rains, and more cholera. The PBS Newshour's Talea Miller reported yesterday:
A tropical storm bearing down on Haiti threatens to make daily life more miserable for tens of thousands homeless still living in tent camps and could deepen the cholera epidemic that has already killed more than 5,800.
Tropical Storm Emily was on a path toward the Dominican Republic and Haiti Wednesday, and forecasts predicted heavy rains and possible flooding -- perfect conditions for the spread of water-borne diseases like cholera.
"[The weather service] is talking about possibly 10 inches in Haiti. That's a huge amount of water," said Julie Sell, spokesperson for the Haiti mission at the American Red Cross. "In a country where people are frequently using the same water sources to bathe, [such as] as a toilet, and to drink, the last thing you want is standing water."
But missing from the report was any mention of the role the U.S. government played in undermining Haiti’s provision of potable water. As described in great detail elsewhere, the U.S. government, under the Bush administration, directed the Inter-American Development Bank, in a highly unusual move, to withhold loans to the Aristide government that would have provided hundreds of millions of dollars for a potable water project, among other purposes. The Aristide administration was even forced to pay interest on the loans, despite their non-disbursal (in other words, the “loans” actually took money from Haiti while offering nothing in return).
On July 21, President Martelly declared “my government is against forced evictions,” but as of yet has done little to stop this systematic violation of rights. The UN Office for the Coordination of Humanitarian Affairs (OCHA ) reports that over 125,000 people face the imminent threat of eviction every day. Yesterday, the residents of Camp Django in Delmas protested (click for photos) for their right to adequate shelter and for Martelly to live up to his promises after having faced the constant threat of eviction for months (follow developments on Twitter under #noevictions). In June, Bill Quigley and Jocelyn Brooks of the Center for Constitutional Rights, reported:
Last Saturday, a group of five men, some armed with guns, stormed into the camp and threatened the residents. Four of the men were wearing green t-shirts that read “Mairie de Delmas” (The Office of the Mayor of Delmas).Last Thursday, Jeena Shah gave an update on Camp Django:
The Mayor’s men told the people that they would soon destroy their tents. They bragged they would mistreat people in a manner worse than “what happened at Carrefour Aero port,” referring to the violent unlawful eviction of a displacement camp at that location by the same mayor and police less than a month ago.
The Mayor’s men pushed their way through the camp, collecting the names and identification numbers of heads of household and marking tents with red spray painted numbers.
When the men pounded on the wooden door of the tarp covered shelter where 25-year-old pregnant Marie lived with her husband, she tried to stop them from entering. Marie tried to explain that her husband was not home. But the leader of the group, JL, violently slammed open the wooden door of her tent into her stomach, causing her to fall hard against the floor on her back.
Three days later, Marie remained in severe pain and bed ridden, worried sick about her baby.
Jeena Shah, a BAI attorney, arrived at Camp Django while government agents were still there. Jeena asked JL [the leader of the group] who had sent his group to Camp Django and why they had marked the tents with numbers. JL was evasive, repeating over and over that “the government” had sent him. Finally he stated that “the National Palace,” a reference to current President Michel Martelly, had sent him.
At around 9 am this morning, two truckloads of police officers along with one of the mayor’s agents returned to the camp. By this time, Camp Django residents had begun protesting just outside of their camp. The police officers proceeded to beat camp residents with their batons and boots and arrest them. Several victims required medical attention. One family’s tent – that of the camp leadership’s spokesperson, who had spoken out against the Mayor’s past threats against the camp – was ransacked by police officers as they searched for her to arrest her. The mayor’s agent and police officers were unaccompanied by a judicial officer, and neither did they present any judicial order to evict the residents, as required under Haitian law.What happened to Camp Django was not an isolated incident. In mid-July some 500 families were forcibly evicted, illegally, from the area around Sylvio Cator Stadium in Port-au-Prince. The UN Office of the High Commissioner for Human Rights characterized the eviction as not respecting the right to adequate housing and added that “the former camp residents will be much more vulnerable than they were in the camp.” Amnesty International added that:
“Port-au-Prince's Mayor must stop these illegal forced evictions of earthquake victims until adequate alternative housing can be found for all the displaced families,” said Javier Zuñiga, Special Advisor at Amnesty International.
“By pushing families out in the street for a third time since last year’s earthquake, Haitian authorities have failed to protect their rights to an adequate standard of living and basic shelter.”
Last Friday, as the board of the Interim Haiti Recovery Commission (IHRC) was meeting, the Haiti Reconstruction Fund (HRF) released their first annual report. (Note: we obtained a copy by asking one of the report’s media contacts for one; the report itself unfortunately has still not been made publicly available.) The report, which received cursory but positive media coverage, touted the high level of aid disbursement and the flexibility with which the HRF can operate, while rightly noting that the wider international community was failing to keep up. As AFP reported:
At an international donors conference held in New York in March 2010, 55 donors pledged $4.58 billion in grants in 2010 and 2011 for rebuilding the country. But as of June, donors had disbursed $1.74 billion, just 38 percent of the pledges, the World Bank said.In releasing the report, the HRF also pointed to major reconstruction projects, such as the Neighborhood Housing Reconstruction Project as “highlights of the work done so far”.
Dr. Paul Farmer, UN Deputy Special Envoy for Haiti and Chair of the Department of Global Health and Social Medicine at Harvard Medical School, released a new book last week to coincide with the 18-month anniversary of the Jan. 12, 2010 earthquake. In addition to containing a dozen short essays by various contributors, Haiti After the Earthquake provides Farmer's firsthand account of his relief and reconstruction efforts as a diplomat and co-founder of the NGO Partners in Health, which has over a quarter-century of experience in Haiti.
Farmer is perhaps unique in his successful straddling of distinct, and at times, conflicting spheres of international development. While having authored numerous indictments of U.S. policy toward Haiti, in early 2009 he contemplated accepting a position in the Obama State Department to coordinate overseas health initiatives or to run the U.S. Agency for International Development (USAID). Shortly thereafter, former President Bill Clinton, who was appointed UN Special Envoy to Haiti in April 2009, asked him to be his deputy at the United Nations. He was apparently undeterred by Farmer's prior denunciations of the "cynical realpolitik of Bill Clinton's presidency" of the 1990s. In particular, Farmer had characterized as an "abomination and a crime" Clinton's continuation of "his predecessor's policies" of indefinite detention of Haitian asylum seekers in a Guantánamo Bay naval base, which "resembled a dungeon." Farmer and Clinton have since forged a camaraderie as the Clinton Foundation assisted Partners in Health in its AIDS initiatives in Haiti in 2003, and, in "an honorable gesture," the foundation "declined to work in Haiti under the regime installed after the coup" in 2004 against Jean-Bertrand Aristide, the democratically elected president (28). Clinton then spurred Farmer to launch a major rural health initiative in Rwanda, where Farmer currently resides, and in the book, Farmer refers to Clinton as a "mentor and colleague" (27).
While delving into some history and politics, Haiti After the Earthquake's aim is narrower than Farmer's previous works like The Uses of Haiti. Farmer's overriding concern, as related in the book, is how to "build back better," considering that "the quake offered a chance to do reconstruction right" (38, 100). The book often highlights Farmer's endeavors to promote a principled, Haitian-driven agenda within elite spheres of policymaking. He explains how he accepted Clinton's honorary post at the UN, despite its "huge, largely military, presence in Haiti" (38). Farmer had strongly condemned the UN-bolstered de facto government after the coup d'etat, and in the book, he continues to express his "doubts about the peacekeeping mission in Haiti, stemming from the events of 2004 and after" (41). Although he delimited his own agenda within the UN to health, education and food security, his ambitions and influence are much broader. Upon entering the UN, he "insisted on bringing Haitians onto the team—none had been proposed," while hoping to "move the [UN's] focus from military assistance to development assistance, from security to human security, towards freedom from want" (37-38).
U.S. diplomatic cables now released from Wikileaks make it clearer than ever before that foreign troops occupying Haiti for more than seven years have no legitimate reason to be there; that this a U.S. occupation, as much as in Iraq or Afghanistan; that it is part of a decades-long U.S. strategy to deny Haitians the right to democracy and self-determination; and that the Latin American governments supplying troops – including Brazil – are getting tired of participating.
One leaked U.S. document shows how the United States tried to force Haiti to reject $100 million in aid per year – the equivalent of 50 billion reais in Brazil’s economy – because it came from Venezuela. Because Haiti’s president, Préval, understandably refused to do this, the U.S. government turned against him. As a result, Washington reversed the results of Haiti’s first round presidential election in November 2010, to eliminate Préval’s favored candidate from the second round. This was done through manipulation of the Organization of American States (OAS), and through open threats to cut off post-earthquake aid to the desperately poor country if they did not accept the change of results. All of this is well-documented.
Earlier this week the French Embassy in Haiti announced an extension of their local procurement program in Haiti. Since 2005 France has worked with local farmers to try and stimulate local production by purchasing food aid locally. This new initiative significantly increases the amount to be purchased locally with France now committed to buying over 1,000 metric tons of rice from local producers in 2011.
The problems with traditional food aid are described by the embassy:
In Haiti, close to three million people now depend daily on food aid programs in order to eat. But, paradoxically, this support, made up essentially of agricultural surpluses imported from Western nations, is a double-edged sword: though it may be essential to the survival of nearly 30% of the country’s inhabitants, it also deprives Haitian farmers of a big part of their clientele. These local farmers thus find themselves squeezed between food aid that’s generously offered by Western countries, and the very low-priced commercial imports (as they are subsidized by the producer countries and taxed little by Haiti) by large traders : as they are unable to match these prices, these farmers thus abandon their land and move to the miserable slums of big cities… Where they swell the ranks of the food aid dependent population.
While the EU and the WFP have begun efforts to increase local procurement of food aid, the U.S. has lagged behind its peers. In December of 2010 the Robert F. Kennedy Center for Justice & Human Rights—in partnership with Partners In Health and Zanmi Lasante released a report looking at U.S. food aid policies in Haiti, entitled “Sak Vid Pa Kanpe: The Impact of U.S. Food Aid on Human Rights in Haiti.” The preface notes:
U.S. food aid—bound by requirements that U.S. assistance earmarked for food be based on the “donation” of U.S.-produced food delivered by U.S. shipping companies—is either given out to the poor (as direct food assistance) or sold by NGOs to support their overhead and operating costs (a process known as monetization). This type of food aid can undermine local production of food by falsely reducing the price of food that can be garnered by farmers, often leading to financial ruin and forcing people to abandon agriculture as a livelihood altogether. If done differently, food aid could be effectively tailored to address urgent needs without harming the local economy, while also encouraging local agriculture and production, for example through the use of local or regional purchase of commodities by donor countries.
The paper gives a series of recommendations to the U.S. about ways in which they could change their food aid policies to greater promote Haitians’ human right to food. The US has, however, taken small steps to increase flexibility in food aid. But not only are the resources not sufficient, but Haiti has not been included in the US’ Department of Agriculture Local and Regional Procurement Pilot Project despite the obvious need. Instead, the U.S. Agency for International Development (USAID) has relied on cash transfers through the Emergency Food Security Program. Last year a USAID funded study acknowledged that “LRP (Local and Regional Procurement) can stimulate local production, increase income-generating opportunities along the marketing chain, while simultaneously reducing dependence on imported foods whose market structures are less competitive than locally-produced foods.” Although USAID has focused on cash transfers, the USAID study notes that a “significant portion of the transfer spent on food will be directed towards imports, which will increase household food security but will not simultaneously stimulate domestic production.”
The AP’s Trenton Daniel reported over the weekend on the rise in cholera cases that have been seen since heavy rains hit Haiti early in June. Daniel reports:
The number of new cases each day spiked to 1,700 day in mid-June, three times as many as sought treatment in March, according to the Health Ministry. The daily average dropped back down to about 1,000 a day by the end of June but could surge again as the rainy season develops.
According to data from the Health Ministry, over 5600 people have now died from cholera, while over 380,000 have been sickened. In addition, throughout June, on average 8 people were dying each day, up from an average of 3.5 in May. As Daniel points out, however, “[t]he precise total is unknowable since many Haitians live in remote areas with no access to health care.”
Yet despite the renewed strength of the epidemic, there are signs that the health sector is being stretched thin:
The disease faded in winter and spring, when rain is less frequent, and many aid workers moved on. U.N. troops in Haiti turned their attention to the country's many other pressing problems.
Now there is a fear among aid workers who remain that there won't be enough resources if the latest surge gets much worse.
"If the cases continue on the same path we could see a lot of health-worker fatigue," said Cate Oswald, a Partners in Health co-ordinator. "The health care force is already stretched thin."
After heavy rains hit Haiti last month, the Red Cross and Doctors Without Borders (MSF), among others, issued statements saying they would be reopening cholera treatment centers (CTCs) in the capital to respond to the renewed outbreak. Updated lists released in late June by the Health Cluster, however, reveal that the decline in the number of CTCs has continued throughout the beginning of the rainy season. Table 1 shows the evolution of CTCs in each department over the last four months. The only department that saw an increase in the number of CTCs was the Ouest department, and even there it was only by one. While more than one CTC was reopened in the Ouest, nearly the entire gain was offset by the closing of other centers. Although the number of CTCs has fallen, the total capacity of cholera facilities (including CTUs) seems to be holding steady, according to partial numbers from the Health Cluster. This may be further evidence that those health providers that have continued to operate have been forced to stretch resources to make up for the exit of other organizations.
Last Thursday, in the Dominican Republic, every westbound bus traveling on the transportation artery Autopista Las Américas (The Americas highway) was stopped upon its arrival in the capital city of Santo Domingo between 7 a.m. to 10 a.m., according to Listín Diario. A joint operation between immigration officials, the National Police and the Dominican Army set up checkpoints, which led to the detainment of “dozens” of “illegal Haitians.”
The sugar-producing East, from which the buses came, is a hub for thousands of Haitian migrants working under brutal conditions cutting cane. As was reported by Dominican Today, “When inspectors entered the buses and asked the Haitians for their ID, if they were in order, they weren’t bothered, but dozens of them that didn’t [have appropriate documentation] were escorted onto buses to clearing centers.”
This description gives a good idea as to how Dominican authorities ascertain whether or not one is in the country illegally—by targeting those who appear to be Haitian. Summary detentions and mass deportations of Haitians amount to a longstanding and ubiquitous dynamic in Dominican law enforcement. The seemingly straightforward protocol of asking for proper identification quickly becomes an exercise in discrimination, as many Dominican nationals also have difficulty obtaining valid documentation. A 2006 survey by the Dominican government’s National Office of Statistics found that 22% of children born during the previous five years did not have birth certificates, “and thus,” Unicef noted, “legally, did not exist.” The crackdown against illegal immigration is closely linked to efforts to remove those of Haitian descent from the country.
The human rights community has strongly opposed mass repatriations to Haiti. Earlier this year, Amnesty International demanded that the D.R. “immediately halt the mass deportation of Haitian migrants.” Last month, the UN Office of the High Commissioner of Human Rights appealed to all governments to “refrain from conducting returns to Haiti” [PDF]. Given the “current situation prevailing in Haiti,” the High Commissioners also asked governments to “renew, on humanitarian grounds, residence permits and other mechanisms that have allowed Haitians to remain outside the country.” Similarly, the ACLU, along with more than 50 other groups, has called on the U.S. to stop deportations to Haiti.
The Associated Press reports that Martelly has officially announced that Bernard Gousse will be his nominee for Prime Minister. As the AP notes, Gousse was “justice minister under the interim government that took power in 2004 after former President Jean-Bertrand Aristide was ousted. Critics accused him of persecuting supporters of Aristide.” Jacqueline Charles of the Miami Herald reported today on Gousse’s “rocky past” noting his “god awful” reputation as Justice Minister. Charles reports that his nomination “has sparked outrage among some parliamentarians, who repeatedly warned Martelly in meetings this week that Gousse was an unacceptable choice and his nomination would be rejected.” While the Miami Herald article scratches the surface of Gousse’s “rocky past”, one could go even further. The government and its supporters after the coup, while Gousse was justice minister, were responsible for some of the worst political violence in the hemisphere. The medical journal The Lancet estimated in 2006 that the dictatorship installed after the 2004 coup murdered around 4000 people in the greater Port-au-Prince area alone. At the same time the government jailed hundreds of Lavalas supporters and officials from the ousted, democratic government – sometimes for years, and often without charge, or on trumped-up charges that were later thrown out. Under Gousse, some media outlets that opposed the coup, such as Radio-Télé Ti Moun, were shut down, and some journalists arrested.
Gousse’s record as Justice Minister led 10 members of the US Congress to write to Secretary of State Condoleeza Rice in 2005:
First, it is obvious that interim Justice Minister Gousse must be removed immediately. He has clearly demonstrated that he is unwilling to conduct his duties in an objective and responsible manner. His continued presence in the government eliminates any chance that elections planned for later this year will be free and fair. Put simply, both his attitude and his actions have actually increased Haiti’s instability and have guaranteed that Haiti will remain volatile even after the elections.
Revelations about MINUSTAH are in the news again. First, a new study published in a U.S. Centers for Disease Control and Prevention (CDC) journal affirms that a MINUSTAH camp was the origin of the cholera outbreak which has killed over 5,500 people so far.
As AP reports:
"Our findings strongly suggest that contamination of the Artibonite (river) and 1 of its tributaries downstream from a military camp triggered the epidemic," said the report in the July issue of Emerging Infectious Diseases, a journal of the U.S. Centers for Disease Control and Prevention.
The article says there is "an exact correlation" in time and place between the arrival of a Nepalese battalion from an area of its South Asian homeland that was experiencing a cholera outbreak and the appearance of the first cases in the Meille river a few days later.
The remoteness of the Meille river in central Haiti and the absence of other factors make it unlikely that the cholera strain could have come to Haiti in any other way, the report says.
As we described in detail when suspicions first arose that Nepalese blue helmets had brought the cholera strain to Haiti, MINUSTAH rejected the claims and showed little interest in uncovering the truth about the cause of the epidemic. Cholera, meanwhile, continues to spread, recently increasing with the heavy rains: