Haiti Relief & Reconstruction Watch

Haiti Relief & Reconstruction Watch

Haiti: Relief and Reconstruction Watch is a blog that tracks multinational aid efforts in Haiti with an eye towards ensuring they are oriented towards the needs of the Haitian people, and that aid is not used to undermine Haitians' right to self-determination.

In July of 2014, Jacqueline Charles of the Miami Herald reported on then Prime Minister Laurent Lamothe’s “Hillary Clinton”–style campaigning:

But Lamothe’s schedule reflects a Hillary Clinton-like method of raising a future candidate’s profile without officially announcing for office. And that is prompting concern and panic in Haiti where observers say the presidential posturing is intensifying a crisis prompted by legislative and local elections that are three years behind schedule.

In order to run, Lamothe would need certification that he has not misused government funds. But the opposition-controlled Senate is unlikely to support giving him the décharge, leaving opponents and some supporters of President Michel Martelly to see delaying the Oct. 26 elections until next year as key. Martelly will rule by decree, practically guaranteeing that Lamothe will get the needed clearance. Opponents believe the delay would lead to Martelly’s downfall.

Six months later and indeed the long overdue elections remain unscheduled, and the entire lower chamber and an additional one-third of the Senate’s terms expired earlier this month. That has left Martelly to rule by decree until elections are held. As for Lamothe’s presidential candidacy, after his resignation in December, he told Charles:

“We wanted to show people what progress was happening in the country and of course that led to a misperception that I am trying to run for president…I always said it, I told that to the president, I told that to the press, I was always clear I was not a presidential candidate.”

Today, the Nouvelliste reports that one of the ten remaining senators, seen as close to Martelly, Andris Riche, has made a request to the relevant authorities to obtain the décharge for Lamothe.

In July of 2014, Jacqueline Charles of the Miami Herald reported on then Prime Minister Laurent Lamothe’s “Hillary Clinton”–style campaigning:

But Lamothe’s schedule reflects a Hillary Clinton-like method of raising a future candidate’s profile without officially announcing for office. And that is prompting concern and panic in Haiti where observers say the presidential posturing is intensifying a crisis prompted by legislative and local elections that are three years behind schedule.

In order to run, Lamothe would need certification that he has not misused government funds. But the opposition-controlled Senate is unlikely to support giving him the décharge, leaving opponents and some supporters of President Michel Martelly to see delaying the Oct. 26 elections until next year as key. Martelly will rule by decree, practically guaranteeing that Lamothe will get the needed clearance. Opponents believe the delay would lead to Martelly’s downfall.

Six months later and indeed the long overdue elections remain unscheduled, and the entire lower chamber and an additional one-third of the Senate’s terms expired earlier this month. That has left Martelly to rule by decree until elections are held. As for Lamothe’s presidential candidacy, after his resignation in December, he told Charles:

“We wanted to show people what progress was happening in the country and of course that led to a misperception that I am trying to run for president…I always said it, I told that to the president, I told that to the press, I was always clear I was not a presidential candidate.”

Today, the Nouvelliste reports that one of the ten remaining senators, seen as close to Martelly, Andris Riche, has made a request to the relevant authorities to obtain the décharge for Lamothe.

Yesterday, Radio Kiskeya made public a letter from leaders of the station to Lucien Jura, spokesperson of the presidency, alleging that President Martelly had personally given cash to journalists at a meeting in December. The letter begins: Radio Tele Kiskeya hereby wishes to protest - to the president of the Republic and to you [presidential spokesperson Lucien Jura] in particular - the ignoble act of corruption that you were both responsible for last December 23 when, following a reception which you invited journalists with National Palace accreditation to, you delivered envelopes to them containing fifty thousand gourdes (50,000.00 Gdes) and forty thousand gourdes (40,000.00 Gdes).  According to the information received from the concerned parties, the president of the Republic, Michel Joseph Martelly, personally offered them "a little gift that's so modest that it's not worth mentioning." Subsequently, he referred them to his spokesperson, Lucien JURA, and to Esther FATAL, head of the communication office of the Presidency, who personally delivered to each one of them the ignoble seal [envelope with presidential seal] beneath the glare of the palace cameras. The letter reports that 3 Radio Kiskeya journalists received the payment and have been “severely sanctioned.” The letter continues, writing that the actions at the National Palace reflect “the general level of deterioration of moral values at both the state level and within all of society, including the press unfortunately.” Today, Shearon Roberts, an assistant professor of Mass Communication at Xavier University of Louisiana, writes about the situation facing Haitian journalists, five years after the earthquake: Haiti’s media landscape had been divided before the earthquake along political lines. The disaster brought media factions together as news organizations faced limited resources, ongoing political-socio-economic crises and a strong adversary in the government of President Michel Martelly. “The Haitian state does not want freedom of the press that is not in their interest,” said Liliane Pierre-Paul, president of the Association National de Médias Haïtiens (ANMH), Haiti’s largest media organization. “They do no wish to respect transparency. They do no want to have awareness among the population, and they do not approve of our reporting that denounces their behavior in government.”
Yesterday, Radio Kiskeya made public a letter from leaders of the station to Lucien Jura, spokesperson of the presidency, alleging that President Martelly had personally given cash to journalists at a meeting in December. The letter begins: Radio Tele Kiskeya hereby wishes to protest - to the president of the Republic and to you [presidential spokesperson Lucien Jura] in particular - the ignoble act of corruption that you were both responsible for last December 23 when, following a reception which you invited journalists with National Palace accreditation to, you delivered envelopes to them containing fifty thousand gourdes (50,000.00 Gdes) and forty thousand gourdes (40,000.00 Gdes).  According to the information received from the concerned parties, the president of the Republic, Michel Joseph Martelly, personally offered them "a little gift that's so modest that it's not worth mentioning." Subsequently, he referred them to his spokesperson, Lucien JURA, and to Esther FATAL, head of the communication office of the Presidency, who personally delivered to each one of them the ignoble seal [envelope with presidential seal] beneath the glare of the palace cameras. The letter reports that 3 Radio Kiskeya journalists received the payment and have been “severely sanctioned.” The letter continues, writing that the actions at the National Palace reflect “the general level of deterioration of moral values at both the state level and within all of society, including the press unfortunately.” Today, Shearon Roberts, an assistant professor of Mass Communication at Xavier University of Louisiana, writes about the situation facing Haitian journalists, five years after the earthquake: Haiti’s media landscape had been divided before the earthquake along political lines. The disaster brought media factions together as news organizations faced limited resources, ongoing political-socio-economic crises and a strong adversary in the government of President Michel Martelly. “The Haitian state does not want freedom of the press that is not in their interest,” said Liliane Pierre-Paul, president of the Association National de Médias Haïtiens (ANMH), Haiti’s largest media organization. “They do no wish to respect transparency. They do no want to have awareness among the population, and they do not approve of our reporting that denounces their behavior in government.”
A United Nations Security Council delegation is set to arrive in Haiti beginning a three-day visit to discuss the ongoing political crisis in the country. Thousands of protesters, who have taken to the streets of the capital to call for the president’s resignation, planned to go to the airport to greet the visiting members.  On Monday, Haiti’s Foreign Minister, Duly Brutus addressed the Security Council in New York, asking for “the Security Council as well as all of our partners in the international community to continue to back the government” of President Martelly. But the international community’s overt support for Martelly has already had a negative impact on the political crisis, as Jacqueline Charles of the Miami Herald reported earlier this week:   The U.S. had hoped a last-minute deal brokered between Martelly and several opposition political parties would have allowed for lawmakers’ terms to be extended for up to four months, and an electoral law to be passed. But parliament dissolved before either measures could be voted after pro and anti-Martelly senators failed to show up to provide the necessary 16 member quorum. Biden commended Martelly’s “efforts to reach a negotiated agreement,” while recognizing that he had “made several important concessions in order to reach consensus, and expressed disappointment that Haiti’s Parliament did not pass an electoral law before lapsing on January 12,” said the statement from the White House. Hours before the signing of the deal, the U.S. Embassy issued a press release stating U.S. support for Martelly should he have to rule by decree. Many believed that statement, and later U.S. Ambassador Pamela White’s appearance in the parliament chambers on the night of the aborted vote, were deal changers that helped encourage senators not to show up. Both were widely condemned as un-welcomed interference in Haitian domestic politics.
A United Nations Security Council delegation is set to arrive in Haiti beginning a three-day visit to discuss the ongoing political crisis in the country. Thousands of protesters, who have taken to the streets of the capital to call for the president’s resignation, planned to go to the airport to greet the visiting members.  On Monday, Haiti’s Foreign Minister, Duly Brutus addressed the Security Council in New York, asking for “the Security Council as well as all of our partners in the international community to continue to back the government” of President Martelly. But the international community’s overt support for Martelly has already had a negative impact on the political crisis, as Jacqueline Charles of the Miami Herald reported earlier this week:   The U.S. had hoped a last-minute deal brokered between Martelly and several opposition political parties would have allowed for lawmakers’ terms to be extended for up to four months, and an electoral law to be passed. But parliament dissolved before either measures could be voted after pro and anti-Martelly senators failed to show up to provide the necessary 16 member quorum. Biden commended Martelly’s “efforts to reach a negotiated agreement,” while recognizing that he had “made several important concessions in order to reach consensus, and expressed disappointment that Haiti’s Parliament did not pass an electoral law before lapsing on January 12,” said the statement from the White House. Hours before the signing of the deal, the U.S. Embassy issued a press release stating U.S. support for Martelly should he have to rule by decree. Many believed that statement, and later U.S. Ambassador Pamela White’s appearance in the parliament chambers on the night of the aborted vote, were deal changers that helped encourage senators not to show up. Both were widely condemned as un-welcomed interference in Haitian domestic politics.
Last July, in a stirring and rare demonstration of bipartisanship, the U.S. House and the Senate passed a bill dedicated to increasing transparency and accountability around the billions of dollars of U.S. government funds allocated to assistance to Haiti since the January 2010 earthquake.  On August 8, President Obama signed the Assessing Progress in Haiti Act and the clock began ticking down for the State Department to produce the first of several comprehensive reports detailing the government’s assistance efforts, as mandated by the new law. Assessing Progress instructed the State Department to complete a first report by the end of 2014.  While it’s not clear that that deadline was met, the Department’s Office of the Haiti Special Coordinator posted their report on their web page by the time the fifth anniversary of Haiti’s earthquake rolled around on January 12. The reporting requirements outlined in Assessing Progress are far-reaching and fairly concrete.  It’s therefore not surprising that the report is truly massive in size, consisting of a general report on the results of U.S. assistance to Haiti and 17 attachments, many of which are PDFs of spreadsheets containing detailed quantitative and qualitative information about U.S. aid programs. The question is: Is all of this information useful to those seeking an answer to the oft-repeated question, “Where did the money go?”  The answer is undoubtedly yes, but it doesn’t take more than a rapid survey of the report to see that the information provided is, in many cases, incomplete.  Furthermore, there are instances where State’s reporting may formally comply with the letter of the law, but not with its clear intent of providing lawmakers and the public with a better idea of the concrete results of U.S. Haiti assistance. We’re not going to attempt a thorough analysis of this report at this time.  A rigorous and complete assessment requires considerable input from stakeholders, in particular those on the ground in Haiti.  For now we’ll share a few general observations regarding the report’s contents, highlighting what we see as the good, the bad and the murky.
Last July, in a stirring and rare demonstration of bipartisanship, the U.S. House and the Senate passed a bill dedicated to increasing transparency and accountability around the billions of dollars of U.S. government funds allocated to assistance to Haiti since the January 2010 earthquake.  On August 8, President Obama signed the Assessing Progress in Haiti Act and the clock began ticking down for the State Department to produce the first of several comprehensive reports detailing the government’s assistance efforts, as mandated by the new law. Assessing Progress instructed the State Department to complete a first report by the end of 2014.  While it’s not clear that that deadline was met, the Department’s Office of the Haiti Special Coordinator posted their report on their web page by the time the fifth anniversary of Haiti’s earthquake rolled around on January 12. The reporting requirements outlined in Assessing Progress are far-reaching and fairly concrete.  It’s therefore not surprising that the report is truly massive in size, consisting of a general report on the results of U.S. assistance to Haiti and 17 attachments, many of which are PDFs of spreadsheets containing detailed quantitative and qualitative information about U.S. aid programs. The question is: Is all of this information useful to those seeking an answer to the oft-repeated question, “Where did the money go?”  The answer is undoubtedly yes, but it doesn’t take more than a rapid survey of the report to see that the information provided is, in many cases, incomplete.  Furthermore, there are instances where State’s reporting may formally comply with the letter of the law, but not with its clear intent of providing lawmakers and the public with a better idea of the concrete results of U.S. Haiti assistance. We’re not going to attempt a thorough analysis of this report at this time.  A rigorous and complete assessment requires considerable input from stakeholders, in particular those on the ground in Haiti.  For now we’ll share a few general observations regarding the report’s contents, highlighting what we see as the good, the bad and the murky.
(Updated January 20, 2015, 12:10 p.m. to include a response from the American Red Cross - see below.) Two years ago, we noted that the American Red Cross’ (ARC) annual update on its response to the Haiti earthquake raised a number of questions, and seemed
(Updated January 20, 2015, 12:10 p.m. to include a response from the American Red Cross - see below.) Two years ago, we noted that the American Red Cross’ (ARC) annual update on its response to the Haiti earthquake raised a number of questions, and seemed
En français   (Note: A number of the links below are for PDF or Excel files.) Number of people killed in the earthquake in 2010: over 217,300 Minimum number of Haitians killed by the U.N.–caused cholera epidemic: 8,774 Number of years it took after the introduction of cholera for the international community to hold a donor conference to raise funds for the cholera response: 4 Amount pledged for cholera eradication: $50 million Amount needed: $2.2 billion Number of years it would take to fully fund the cholera-eradication plan at current disbursement rate: 40 Number of Haitians who died from cholera through the first 8 months of 2014: 55 Number who have died since, coinciding with the start of the rainy season: 188 Number of new cholera cases in 2014, through August: 9,700 Projected number of cholera cases for all of 2014, after the United Nations reduced their estimate in September 2014: 15,000 Minimum number of new cholera cases since that announcement: 14,000 (through December 8) Number of U.N. lawyers who were present during oral arguments in a federal court in New York to argue in favor of the U.N.’s immunity: 0 Number of members of the U.S. Congress who wrote to Secretary General Ban Ki-moon last month urging the U.N. to respond justly to cholera claims: 77 Humanitarian funding appeal for 2014, by the United Nations: $157 millionPercent of appeal covered, as of December 30, 2014: 54 percent
En français   (Note: A number of the links below are for PDF or Excel files.) Number of people killed in the earthquake in 2010: over 217,300 Minimum number of Haitians killed by the U.N.–caused cholera epidemic: 8,774 Number of years it took after the introduction of cholera for the international community to hold a donor conference to raise funds for the cholera response: 4 Amount pledged for cholera eradication: $50 million Amount needed: $2.2 billion Number of years it would take to fully fund the cholera-eradication plan at current disbursement rate: 40 Number of Haitians who died from cholera through the first 8 months of 2014: 55 Number who have died since, coinciding with the start of the rainy season: 188 Number of new cholera cases in 2014, through August: 9,700 Projected number of cholera cases for all of 2014, after the United Nations reduced their estimate in September 2014: 15,000 Minimum number of new cholera cases since that announcement: 14,000 (through December 8) Number of U.N. lawyers who were present during oral arguments in a federal court in New York to argue in favor of the U.N.’s immunity: 0 Number of members of the U.S. Congress who wrote to Secretary General Ban Ki-moon last month urging the U.N. to respond justly to cholera claims: 77 Humanitarian funding appeal for 2014, by the United Nations: $157 millionPercent of appeal covered, as of December 30, 2014: 54 percent
On October 23 Haiti’s cholera victims finally had their first court hearing regarding their suit against the UN.  However, no one from the UN showed up.  Since 2011, representatives of the victims have sought to obtain reparations from the UN given the ov
On October 23 Haiti’s cholera victims finally had their first court hearing regarding their suit against the UN.  However, no one from the UN showed up.  Since 2011, representatives of the victims have sought to obtain reparations from the UN given the ov
“The freedom to demonstrate and freedom of expression are rights guaranteed by international conventions, enshrined in the Haitian constitution and supported by the law,” Sandra Honoré, the head of the United Nations Stabilization Mission in Haiti (MINUSTAH), said last month following a week of protests across the country, which resulted in a number of reported deaths. Honoré added that the Haitian government must ensure that “offenders are prosecuted.” But Honoré may have an opportunity to lead by example after videos from Haitian media surfaced over the weekend showing a U.N. soldier firing a handgun in the direction of protesters. The video shows him discharge his weapon multiple times, then aggressively try to prevent a cameraman from filming him. In a statement today, Amnesty International condemns this episode as well as injuries suffered the day before by protesters allegedly at the hands of the Haitian National Police. Protests calling for the resignation of both the president and prime minister have been occurring nationwide over the last month in response to the government’s failure to hold elections?—?now more than three years overdue. In an attempt to quell the unrest, Haitian Prime Minister Laurent Lamothe resigned Saturday night, after President Martelly signaled Friday that he would accept the recommendations of a presidential advisory committee, which had called for Lamothe’s ouster. U.S. State Department officials Thomas Shannon and Tom Adams were in Haiti last week, apparently helping pave the way for the resignation. “The political climate in Haiti is getting tenser and tenser. It is imperative that the Haitian National Police and the MINUSTAH are able to cope with the situation in a way that ensure protection of human rights. People must be allowed to exercise their right to freedom of expression and peaceful assembly, without fear of being shot at,” said Chiara Liguori, Caribbean researcher at Amnesty International.
“The freedom to demonstrate and freedom of expression are rights guaranteed by international conventions, enshrined in the Haitian constitution and supported by the law,” Sandra Honoré, the head of the United Nations Stabilization Mission in Haiti (MINUSTAH), said last month following a week of protests across the country, which resulted in a number of reported deaths. Honoré added that the Haitian government must ensure that “offenders are prosecuted.” But Honoré may have an opportunity to lead by example after videos from Haitian media surfaced over the weekend showing a U.N. soldier firing a handgun in the direction of protesters. The video shows him discharge his weapon multiple times, then aggressively try to prevent a cameraman from filming him. In a statement today, Amnesty International condemns this episode as well as injuries suffered the day before by protesters allegedly at the hands of the Haitian National Police. Protests calling for the resignation of both the president and prime minister have been occurring nationwide over the last month in response to the government’s failure to hold elections?—?now more than three years overdue. In an attempt to quell the unrest, Haitian Prime Minister Laurent Lamothe resigned Saturday night, after President Martelly signaled Friday that he would accept the recommendations of a presidential advisory committee, which had called for Lamothe’s ouster. U.S. State Department officials Thomas Shannon and Tom Adams were in Haiti last week, apparently helping pave the way for the resignation. “The political climate in Haiti is getting tenser and tenser. It is imperative that the Haitian National Police and the MINUSTAH are able to cope with the situation in a way that ensure protection of human rights. People must be allowed to exercise their right to freedom of expression and peaceful assembly, without fear of being shot at,” said Chiara Liguori, Caribbean researcher at Amnesty International.
At a ceremony yesterday afternoon, an advisory committee handed their report over to Haitian President Michel Martelly, requesting the removal of Prime Minister Laurent Lamothe among other actions aimed at resolving Haiti’s electoral crisis. Jacqueline Charles reports for the Miami Herald: The 10-page report, penned by an 11-member presidential commission, sets a timetable for Lamothe’s resignation. It also recommends replacing the head of the country’s Supreme Court and members of the body charged with organizing long-delayed elections. Dozens who have been arbitrarily arrested and deemed by human rights groups to be political prisoners should be released, the report said. The Herald released a copy of the report they had received, which is available here (PDF). The Haitian government and international community, mainly the United States and United Nations, have long blamed the electoral delay on opposition from the so-called “Group of Six” senators. With parliamentary terms set to expire January 12 and no solution to the electoral crisis, it appears as though the positions of both the government and international community are softening; however it might not be enough. The advisory commission was created by President Martelly following a week of increasingly large demonstrations throughout Haiti, calling on the president and prime minister to resign and for the holding of elections. Martelly is expected to make a decision on the recommendations by the end of the week. The moves come as the U.S. has taken on an even more visible role in trying to break the electoral impasse.   Just months after the U.S. ambassador to the U.N., Samantha Power, had laid the blame squarely on Haiti’s opposition for the delays, current U.S. Ambassador to Haiti Pamela White met with some opposition political parties on December 2 (although reportedly not Famni Lavalas, a party that has consistently won all of the elections that it's been allowed to participate in).  In a statement after the meeting, the U.S. embassy said that White was “extremely impressed with their analysis of the current political situation, dedication to Haiti's future and willingness to truly negotiate for the betterment of their country.” An opposition leader, Jean André Victor, told the press after the meeting with White: “We told Mrs White in no uncertain terms that the current crisis is one of Haiti's making, and it is up to Haiti to find a solution.” But U.S. diplomatic efforts continue. Haitian newspaper Le Nouvelliste reported last night that Thomas Shannon, an advisor to Secretary of State John Kerry, arrived in Haiti yesterday and will be holding meetings with various political players in the country. A visit from Kerry himself has yet to be confirmed but has been widely expected in the coming days.
At a ceremony yesterday afternoon, an advisory committee handed their report over to Haitian President Michel Martelly, requesting the removal of Prime Minister Laurent Lamothe among other actions aimed at resolving Haiti’s electoral crisis. Jacqueline Charles reports for the Miami Herald: The 10-page report, penned by an 11-member presidential commission, sets a timetable for Lamothe’s resignation. It also recommends replacing the head of the country’s Supreme Court and members of the body charged with organizing long-delayed elections. Dozens who have been arbitrarily arrested and deemed by human rights groups to be political prisoners should be released, the report said. The Herald released a copy of the report they had received, which is available here (PDF). The Haitian government and international community, mainly the United States and United Nations, have long blamed the electoral delay on opposition from the so-called “Group of Six” senators. With parliamentary terms set to expire January 12 and no solution to the electoral crisis, it appears as though the positions of both the government and international community are softening; however it might not be enough. The advisory commission was created by President Martelly following a week of increasingly large demonstrations throughout Haiti, calling on the president and prime minister to resign and for the holding of elections. Martelly is expected to make a decision on the recommendations by the end of the week. The moves come as the U.S. has taken on an even more visible role in trying to break the electoral impasse.   Just months after the U.S. ambassador to the U.N., Samantha Power, had laid the blame squarely on Haiti’s opposition for the delays, current U.S. Ambassador to Haiti Pamela White met with some opposition political parties on December 2 (although reportedly not Famni Lavalas, a party that has consistently won all of the elections that it's been allowed to participate in).  In a statement after the meeting, the U.S. embassy said that White was “extremely impressed with their analysis of the current political situation, dedication to Haiti's future and willingness to truly negotiate for the betterment of their country.” An opposition leader, Jean André Victor, told the press after the meeting with White: “We told Mrs White in no uncertain terms that the current crisis is one of Haiti's making, and it is up to Haiti to find a solution.” But U.S. diplomatic efforts continue. Haitian newspaper Le Nouvelliste reported last night that Thomas Shannon, an advisor to Secretary of State John Kerry, arrived in Haiti yesterday and will be holding meetings with various political players in the country. A visit from Kerry himself has yet to be confirmed but has been widely expected in the coming days.
From January through August of 2014, 69 Haitians died from cholera and some 8,628 fell ill, a 76 percent drop from the previous year, the United Nations reported. In October, at a high-level donor conference convened to raise money to help fight cholera, World Bank director Jim Kim told the assembled diplomats that the reduction in cases was “an achievement of which Haiti and its development partners can be proud.” The U.N. decreased their projections for the number of new cases in 2014 to 15,000 from 45,000 and proudly stated that the “case fatality rate is below the 1 per cent target rate set by the World Health Organization.”But the last few months have shown the optimism to be premature, at best. As heavy rains have hit Haiti, so too has a resurgence of cholera. With data through November 21, 2014 [PDF], the number of cases in 2014 has already shot past the 15,000 estimate to over 20,000. More worryingly, since the beginning of September, 135 Haitians have died from cholera, nearly twice as many as had died over the first 8 months of the year. Further, the much-watched case fatality rate stands at 1.3 percent over that time period, above the 1 percent target.Yesterday, Medecins Sans Frontieres (MSF), which has treated nearly 30 percent of those sickened by cholera in Haiti, warned that the response capacities inside Haiti were severely limited and unable to cope with the recent increase. “We have tried to refer patients to other cholera treatment centers, but we soon realized there were not enough beds,” explained Olivia Gayraud, MSF medical coordinator in Haiti. “The Martissant center was quickly overwhelmed by the number of patients, as national health structures are poorly prepared to react to cholera outbreaks, despite them being predictable during the rainy season,” she added.
From January through August of 2014, 69 Haitians died from cholera and some 8,628 fell ill, a 76 percent drop from the previous year, the United Nations reported. In October, at a high-level donor conference convened to raise money to help fight cholera, World Bank director Jim Kim told the assembled diplomats that the reduction in cases was “an achievement of which Haiti and its development partners can be proud.” The U.N. decreased their projections for the number of new cases in 2014 to 15,000 from 45,000 and proudly stated that the “case fatality rate is below the 1 per cent target rate set by the World Health Organization.”But the last few months have shown the optimism to be premature, at best. As heavy rains have hit Haiti, so too has a resurgence of cholera. With data through November 21, 2014 [PDF], the number of cases in 2014 has already shot past the 15,000 estimate to over 20,000. More worryingly, since the beginning of September, 135 Haitians have died from cholera, nearly twice as many as had died over the first 8 months of the year. Further, the much-watched case fatality rate stands at 1.3 percent over that time period, above the 1 percent target.Yesterday, Medecins Sans Frontieres (MSF), which has treated nearly 30 percent of those sickened by cholera in Haiti, warned that the response capacities inside Haiti were severely limited and unable to cope with the recent increase. “We have tried to refer patients to other cholera treatment centers, but we soon realized there were not enough beds,” explained Olivia Gayraud, MSF medical coordinator in Haiti. “The Martissant center was quickly overwhelmed by the number of patients, as national health structures are poorly prepared to react to cholera outbreaks, despite them being predictable during the rainy season,” she added.

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