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Haiti

Latin America and the Caribbean

World

Secretary General in Haiti for Cholera “Photo-op” as Transparency Questions Continue to Dog the UN

Last week, United Nations Secretary General Ban Ki-moon travelled to Haiti to raise awareness of the ongoing cholera epidemic that scientific studies have continually shown the U.N. troops in Haiti to be responsible for introducing. In an interview before his trip, Ban told Jacqueline Charles of the Miami Herald that the U.N. and international community had a “moral responsibility” to help Haiti eradicate the disease, already the world’s worst cholera epidemic having killed over 8,500 and sickened more than 700,000. Also last week, the U.N. quietly posted a document online (PDF) which provides information on its follow up to the Independent Panel of Expert’s recommendations, made in May 2011. The U.N. convened the panel in the aftermath of cholera’s introduction to study how it was introduced, how it can be stopped and efforts to prevent future epidemics.

In Haiti, during remarks at a church service in Las Palmas, the Secretary General told those present that, “I know that the epidemic has caused much anger and fear. I know that the disease continues to affect an unacceptable number of people.” Ban later ensured the Haitian people that, “You can count on me and the United Nations to do our part.”

But the visit by the Secretary General also put the spotlight on the U.N.’s own efforts to evade responsibility for cholera’s introduction, the subject of multiple lawsuits. "It is an insult to all Haitians for the Secretary-General to come to Haiti for a photo-op when he refuses to take responsibility for the thousands of Haitians killed and the hundreds of thousands sickened by the UN cholera epidemic," said Mario Joseph, Managing Attorney of the Bureau des Avocats Internationaux (BAI) and one of the leading lawyers working to hold the U.N. accountable for cholera’s introduction to Haiti.

In December 2012, Ban pledged to “use every opportunity” to raise funds for an ambitious $2.2 billion ten-year cholera eradication plan. Yet over a year-and-a-half later, the plan remains woefully underfunded. According to the U.N. Office of the Secretary General’s Coordinator for Cholera Response in Haiti, at the current rate of disbursement, it “would take more than 40 years to fund the water, sanitation and hygiene” sectors of the elimination plan. Even the $485 million needed for the critical first two years of the plan, now nearing its end, is only 40 percent funded.

As part of the Secretary General’s trip, Ban launched a “Total Sanitation Campaign.” While it was presented as another new effort, according to the Office of the Secretary General’s Coordinator for Cholera Response in Haiti, it “is part of the sanitation component of the overall elimination plan.” Further, the U.N. itself has committed just 1 percent of the funds needed for the eradication plan. Meanwhile, since the earthquake, the U.N. troops that introduced cholera have cost the international community well over the $2.2 billion needed to fully fund the plan.

The Independent Panel’s Recommendations

In October 2010, the U.N. appointed an independent panel of scientific experts to study the introduction of cholera to Haiti. The panel concluded that it occurred as “a result of human activity,” and likely began in a river near a U.N. troop base, but that the “outbreak was caused by the confluence of circumstances” and that no single party should be blamed. Two years later, after additional scientific research was published, the authors followed up with a report that determined the U.N. was the “most likely” source.

As part of the Independent Panel’s original report, the author’s offered seven recommendations for the U.N.: using prophylactic antibiotics or screening U.N. personnel deployed from cholera endemic regions, use of antibiotics or the cholera vaccine when deploying personnel to locations with concurrent epidemics, improving on-site treatment of fecal waste at U.N. installations, taking the lead in improving case management, prioritizing programs to provide piped drinking water and sanitation, investigating the potential of cholera vaccines and increasing the use of advanced microbial techniques to improve surveillance and detection of cholera.

Upon the report’s release in May 2011, Ban announced that he would convene another task force to review the report and “ensure prompt and appropriate follow-up.” The Task Force was made up of senior U.N. officials from various agencies, including personnel from the UN Haiti team. However there has been little information as to what has been implemented in the intervening three-years, at least until a nine-page fact sheet was posted online last week by the U.N.

Jake Johnston / July 23, 2014