Thanks to Lucie Lecomte for sending the link to this report in AlterPresse: Haiti-Cholera: The urgency comes, according to a report by the French expert Renaud Piarroux. Excerpt from the edited Google translation:
Public Assistance Hospitals of Marseille (APHM) wants an immediate revival of alert/response to avoid major outbreaks of cholera in Haiti, in a report published Thursday, August 4, 2016 and transmitted to AlterPresse.
The revival of the alert component / would answer, she said, to offset the increase of cholera, in a context where the vulnerability of the Haitian population is identical to that which prevailed at the beginning of the epidemic in October 2010.
It calls for doubling the number of teams in the field and increasing the allocation of inputs in this study by the French expert Renaud Piarroux and Dr. Stanislas Rebaudet.
"In 2014, it did not take much in that cholera transmission was completely stopped (...) Unfortunately, since then, the funds for the fight fell drastically and cholera is rebounding."
Securing the budget for field teams to provide a medium-term visibility, boosting the implementation of small projects, and improving access to drinking water guided by the results of investigations conducted in response to alerts are among the recommendations.
The APHM calls for an orientation of sustainable improvement activities access to clean water, larger to areas already identified as at high risk of cholera.
We must strengthen epidemiological surveillance and better adapted to the fight against cholera, improve the management of cases by creating a pool of skilled caregivers in the treatment of cholera to strengthen ailing health facilities.
It also recommends improving the management and security of burials in communities to prevent outbreaks related to funerary practices.
It stresses the need to "fully review the diagnostic approach to ensure a microbiological diagnosis and rendering results in less than 48 hours, including travel time."
It urges to objectively assess the impact that the first campaigns of vaccination against cholera before launching new campaigns.
The report indicates that almost six years after the beginning of the cholera epidemic and more than three years after the launch of a disposal plan that has never received funding related challenges, the vulnerability of the Haitian population has not decreased.
