name: Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - (Supported by: Help Brings Hope for Haiti) -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - (Supported by: Renew Haiti)
mgt_contact changed.
mgt_phone changed.
address: c/o 2617 Prospect Rd. Tampa, FL 33629 Up the mountain from Trou du Nord GPS COORDS: 19°35'0.91"N-72° 5'19.79"W -> c/o 3816 W. Morrison Ave. Tampa, FL 33629 Up the mountain from Trou du Nord GPS COORDS: 19°35'0.91"N-72° 5'19.79"W
other_contacts changed.
make_payable_to: Help Brings Hope for Haiti, Inc. -> Renew Haiti, Inc.
email changed.
client_contact_name: Help Brings Hope for Haiti, Inc. -> Renew Haiti
client_contact_address: 2617 Prospect Rd -> 3816 W Morrison Ave
client_contact_phone: (813) 258-5558 -> (813) 832-4244
client_contact_email: HBHH123@gmail.com -> info@renew-haiti.org
mission: DR. MAKLIN EUGENE VISITS THIS SITE EVERY WEDNESDAY We have a guest house across the street on the church property, it is nice and secure. It has 2 bedrooms, bathroom and a kitchen/living area. It can sleep 2 in each bedroom plus there is a pullout queen sofa. The fee is $30 a day which includes all meals and snacks. The cook is amazing! We can provide pick up and delivery to airport in Cap ->

notes: 4/19/11 CHHN update from Hannah Cholera: No cholera cases in last two months. Water: (already gained data on this-well is far away, no access to purified water, use rain water) ----------------------------------------------- 2/1/11 CHHN - Hannah Non-cholera supplies delivered recently including gen. meds, toothpaste, ivsets, soap and scrubbing brushes ----------------------------------------------- 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 4/28/11 HEAS post from Patricia Eddy (We have had) an increase (in cholera pts). We have had NO cases for months. We had 8 new cases yesterday in St. Suzanne, in the Nord Est Region. --------------------------------------------- 4/19/11 CHHN update from Hannah Cholera: No cholera cases in last two months. Water: (already gained data on this-well is far away, no access to purified water, use rain water) ----------------------------------------------- 2/1/11 CHHN - Hannah Non-cholera supplies delivered recently including gen. meds, toothpaste, ivsets, soap and scrubbing brushes ----------------------------------------------- 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 2/1/11 CHHN - Hannah Non-cholera supplies delivered recently including gen. meds, toothpaste, ivsets, soap and scrubbing brushes ----------------------------------------------- 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 4/19/11 CHHN update from Hannah Cholera: No cholera cases in last two months. Water: (already gained data on this-well is far away, no access to purified water, use rain water) ----------------------------------------------- 2/1/11 CHHN - Hannah Non-cholera supplies delivered recently including gen. meds, toothpaste, ivsets, soap and scrubbing brushes ----------------------------------------------- 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 2/1/11 CHHN - Hannah Non-cholera supplies delivered recently including gen. meds, toothpaste, ivsets, soap and scrubbing brushes ----------------------------------------------- 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

name: Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Unit - CTU" (MSPP)(Supported by: Help Brings Hope for Haiti) -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - (Supported by: Help Brings Hope for Haiti)

notes: 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/19/11: Phone and Email conversations with Dr. Will Conner and Hillary It is now clear that the cholera pts are being seen at the Public Clinic not at the HBHH Clinic. I (Lpar) will create another facility record for the CTU which is "supported" by Plan Haiti (this even needs to be confirmed). The HBHH clinic does have a doctor who reports that pt load has almost doubled (going from 850 to 1500 pts per month) ------------------------------------------- 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/7/11 Email from Hillary Aubin they were running at a 7% fatality rate as of last week and they said many patients are dying before they can get to the clinic. --------------------------------------------------- 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/7/11 (Lpar note: Correction- they do have 1 doc) ------------------------------------ 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

cat_notes: You can purchase deep cell batteries in PaP at Eko Depot. Inverter batteries. Velario Canez in Delmas has both the Trojan T-105 batteries (~US $125 each) as well as the sealed Trojan 225 batteries which are probably in the $225 price range for each. The T-105's have a use life of about 2 years in Haiti because people don't maintain them i.e., check the electrolyte. The T-225's are sealed gel batteries (no maintenance) and should be good for 4-6 years. Hope this helps. -> Heather.Roland@thedacare.org Nurse trying to get down to help. Just needed a place to save her email. Lpar 1/6/11 You can purchase deep cell batteries in PaP at Eko Depot. Inverter batteries. Velario Canez in Delmas has both the Trojan T-105 batteries (~US $125 each) as well as the sealed Trojan 225 batteries which are probably in the $225 price range for each. The T-105's have a use life of about 2 years in Haiti because people don't maintain them i.e., check the electrolyte. The T-225's are sealed gel batteries (no maintenance) and should be good for 4-6 years. Hope this helps.

notes: 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/5/11 CHHN Update ALERT! Desparate need of additional staff (only has 1 nurse, no doc now) ------------------------------------------- 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTU (St. Suzanne) is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 1/1/10: Note from Hillary Frank Aubin They are averaging 24 a week. However, many are dying before they reach the doctor. Its possible that once a tent is set up they will know to go to the Tent for help sooner and they will have a larger pt population ------------------------------------- NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

name: Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Unit - CTU" (MSPP)(Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Unit - CTU" (MSPP)(Supported by: Help Brings Hope for Haiti)
address: c/o 2617 Prospect Rd. Tampa, FL 33629 Up the mountain from Trou du Nord GSP COORDS: 19°35'0.91"N-72° 5'19.79"W -> c/o 2617 Prospect Rd. Tampa, FL 33629 Up the mountain from Trou du Nord GPS COORDS: 19°35'0.91"N-72° 5'19.79"W
notes: 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> NOTE BY LTEL 1/1/11: Per PAHO/MSPP list dated 12/22/10 this site is documented as a "PLANNED CTU (UTC)" to be supported by "Merlin/Plan". Bed capacity listed as "10". No contact information for the supporting organizations was provided. ------------------------------------------------ 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ---------------------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD --------------------------------------------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. --------------------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------------------------------------------------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

cat_notes: You can purchase deep cell batteries in PaP at Eko Depot. -> You can purchase deep cell batteries in PaP at Eko Depot. Inverter batteries. Velario Canez in Delmas has both the Trojan T-105 batteries (~US $125 each) as well as the sealed Trojan 225 batteries which are probably in the $225 price range for each. The T-105's have a use life of about 2 years in Haiti because people don't maintain them i.e., check the electrolyte. The T-225's are sealed gel batteries (no maintenance) and should be good for 4-6 years. Hope this helps.

cat_notes: -> You can purchase deep cell batteries in PaP at Eko Depot.

notes: 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/21/10 Email from Dr. Eugene Maklin Given the state of the road there, I would suggest that we make Cotelette a CTC. There is not traffic in those areas. People should walk to come to St-suzanne. There is a piece of land close to Cotelette clinic. I think we could use it to put the CTC. But I'm afraid we might not be able to find tents, cots in order to make that happens. They promised to give tents, cots etc to St-Suzanne, people haven't received them yet. ----------------------------------------------- 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. Cotelete School 19°32'52.70"N 72° 4'43.51"W ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

notes: 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/20/10 Email from Père Medenel Angrand via Patricia Eddy The death toll mounts in Sainte-Suzanne. Only today, we received 11 cases of cholera. Monday 13 on December at this time, December 20, we received in total 50 cases of cholera, that is to say in eight days only. The help is urgently needed. The assessment of mortality is 3 cases. Note that these three people who died have not been lucky enough to arrive at the CTC because they lived far from Cotelette and there was no transportation to take them to St. Suzanne . There must be 4 to 5 hours of running time to leave this place to get to Sainte-Suzanne. The majority of cases come from Cotelette, Bois Blanc and Foulon. In this case, taking into account the position away from Cotelette to the CTC in Sainte-Suzanne, it is urgent that we have a CTC in Cotelette. In addition, the CTC is not equipped. There is not enough sleeper or sickbed. We have only for sickbed and We receive an average day 10 people. Today we get 11. Maybe tonight the number will rise. Then we need pole serum, intracat 18, intracat 20, intracat 24, intracat 16, more chlore, Aquatabs, oral serum. So far, there is no electricity in the CTC. I send you some pictures describing the condition of reception of patients in the center. The patients are lying on the floor because there are not enough beds. We beseech you, if you can do it, you can contact a few organizations like MEALEN, WHO, USAID and MEDECIN SAN FRONTIERE( Doctors Without Borders), so they can come to our aid. We can not rely only on the MSPP. ------------------------------------------------------ 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- ------------------------------------------ 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/16/10 Email from Dr. Pierre via Patricia Today I spoke to DrJean-Denis on electricity for the CTU. So, to solve the problem temporarily, I proposed a solution, ie feed the CTU with the energy we have at the rectory.But you know that our system can not supply the rectory, the residence of visitors and the health center in same time , especially if there is no strongsolar energy during the day. In this case, we need gas to run the generator each day for 8 hours. Does the MSPP can help? I do not know. ---------------------------------------------------- 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

name: Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Center - CTC" (MSPP)(Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Unit - CTU" (MSPP)(Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake
notes: 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC(he mispoke-meant CTU)means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/14/10 CHHN Update Keeps around 4 pts. per night 6 deaths total MSPP gave supplies 12/13/10 to set up CTU Received some LRs and IV kits from CHHN early Dec. WORKING BY CANDLELIGHT AT NIGHT - NEED BATTERIES FOR SOLAR POWER Need Chorox and sprayers. CNNH will get them chlorox Dec. 15th STAFF: 1 doc, 1 nurse, 3 support staff Needs medical volunteers Guest house availabel for 4-5 people Can get supplies from Cap Haitien -------------------------------------------------------- 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

name: Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne (Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne - "Cholera Treatment Center - CTC" (MSPP)(Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake
notes: 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ----------------------------------------- 12/15/10 Email from Father to Patricia The CRO means Centre of Orale rehydration. The CTC means Processing center of Cholera. We have already these two center installed by the MSPP. Only, they are not equipped. The CRO is placed at l' entered of the village under a small tent and the CTC is placed at the new room of the dispensary public which you have visited the chance of at the time of your last visit. This room n' d' does not have; electricity. There are solar panels, a inverter, but the battrie to make walk l' inverter is defective. The evening one lights bourgies to light the rooms. I am present at with dimensions l' equip with MSPP for the activiver for a better service. ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/15/10 Email from Hannah Dr Pierre informed us that the MSPP has made them an official CTU and gave them supplies on Monday, but no help with staff. He said that they are working by candlenight at night because there is not enough solar power to cover them overnight. There is one doctor, one nurse and 3 support staff covering this now 24hour facility (keeping around 4 patients overnight). ------------------------------------------------- 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
mission: DR. MAKLIN EUGENE VISITS THIS SITE EVERY WEDNESDAY -> DR. MAKLIN EUGENE VISITS THIS SITE EVERY WEDNESDAY We have a guest house across the street on the church property, it is nice and secure. It has 2 bedrooms, bathroom and a kitchen/living area. It can sleep 2 in each bedroom plus there is a pullout queen sofa. The fee is $30 a day which includes all meals and snacks. The cook is amazing! We can provide pick up and delivery to airport in Cap

notes: 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." Dr. Kaplan suggested HBHH focus on the transportation aspect of getting pts to Trou du Nord. ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today 12/10/10 Email from Patricia 4 new cases of cholera were reported 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/14/10 Email from Dr. Pierre via Patricia "... I want to inform you that cases are increasing daily inSainte-Suzanne. The MSPP has fianl; no way a CTC and a CRO in Sainte-Suzanne.The CLC is the new local Public Health Centre. Last night we had 4 cases of cholera.This morning we received 2 cases." ------------------------------------------------------------ 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today -------------------------------------- 12/10/10 Email from Patricia 4 new cases of cholera were reported -------------------------------------------- 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/10/10 Email from Patricia 4 new cases of cholera were reported 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/12/10 Email from Dr. Pierre via Patricia Yesterday we met new cholera cases after the first message I sent you.Bous and can recognize a total of 6 cases of cholera from Thursday to Friday of this weekend. there are no new cases today 12/10/10 Email from Patricia 4 new cases of cholera were reported 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/10/10 Email from Patricia 4 new cases of cholera were reported 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/15/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/6/10 Report from CHHN 9 total have come to the clinic, 6 in total deaths Have referred to MERLIN working with MSPP in Nord Est but no contact accourding to clinic as of Nov. 24th. Team unable to reach for update today. Need Equipment for ORP, cots, tent, ORS, aquatabs, chlorine. Refers pts to Tru du Nord by NO transportation available. (see below). 1 doc, 1 nurse -------------------------------- 12/5/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

mission: -> DR. MAKLIN EUGENE VISITS THIS SITE EVERY WEDNESDAY

notes: 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/15/10 Clarification Email from Patricia re roads Transportation from St. Suzanne to Trou du Nord is a problem for 2 reasons; 1.the road up the mountain is terrible, (1 hour walk one way from the city of St. Suzanne to Trou du Nord, those villages that are farther away, the roads are even worst and can take another 1-2 hour walk one way TO St. Suzanne then another hour walk to Trou du Nord. 2. The pastor has one car that is not dependable. may have one or two other cars at different times in the village. ---------------------------------- 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem. The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem.(Lpar Note: Have bad road and only 1 vehicle (priest's) for village per CNNH) The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/3/10 Partial email from Dr. Maklin About making St-Suzanne a CTC, it is a good idea. And it is a good place for those surrounding areas. But Dr Jean Denis hasn't given us his words yet. I agree that Trou-du-Nord is not too far from St-Suzanne. But the transportation is a problem. The mayor of St-Suzanne has a piece of land for that, in case we consider making St-Suzanne a CTC. We would only need tents, etc. According to what I see, if St-Suzanne is a CTC, I think we will need a permanent personnel including Doctors, nurses, Health agents. A medical team can come to help also. And we will need funds to pay the personnels, etc. FR. Medenel let me know that there is another death at St-Suzanne today. If the numbers continue increasing, we will oblige to consider making St-Suzanne a CTC. ---------------------------------- 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

parish: -> St. Suzanne
name: Our Lady of Lourdes Clinic and Cotellete Clinics (Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake -> Dispensaire Notre Dame de Lourdes; Paroisse St. Suzanne (Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake
notes: 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 12/2/10 Began treating cholera patients Nov. 25, 2010 From Nov. 25 - Dec 1, 2010 7 have died. As of 12/2/10 2 patients are in clinic No bed capacity Refer patients to Trou du Nord Normally treats an avg. of 900 patients per month. There is no ambulance service. Some travel 1-2hrs by foot, motorcycle, car or donkey STAFF: 1 Haitien Doc, 1 religious Sr. that is a nurse Clinic does provide Mobile Med. Clinics to the community. Community has rec'vd education on Cholera prevention A Helicopter can be landed in a football field next to the clinic and school Water source: 2 working wells There is only 1 car in the village, but supply pick up might be possible. Priority supplies: Serum oral Aquatabs, antibiotics, IV fluids, clothing and protection for doctor and infirmieres, face mask, gloves, etc. ----------------------------------------- 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

notes: Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 11/29/10 Juline and Eugene went to St. Suzanne today where they delivered some supplies (soap, aquatabs, and maybe ORS ). Dr. Maklin checking to make sure they were educated on proper sanitization for the remains of the dead due to cholera. ------------------------------------------- Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

notes: 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> Re: St. Suzane Clinic Urgent Action required Monday, November 29, 2010 5:33 AM From: Maklin Eugene To: Capbham@aol.com I wanted to confirm for you that they buried the dead bodies in St-Suzanne last night. Eugene Maklin MD ----------- 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

notes: 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 11/29/10 Email from Patricia Eddy Please contact Fr. Medenel at: +509 (382) 58232 <pmedenelang@hotmail.com> or our Doctor in the clinic : Dr. Djenane Pierre djenanepierre@hotmail.com>, 509-3825-2810 They need help getting the dead bodies transported from St. Suzanne. There is no transportation to to remove the dead bodies. ----------------------------------------------------- 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

address: c/o 2617 Prospect Rd. Tampa, FL 33629 -> c/o 2617 Prospect Rd. Tampa, FL 33629 Up the mountain from Trou du Nord GSP COORDS: 19°35'0.91"N-72° 5'19.79"W
notes: Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. --------------------------- Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> 11/23/10 LTel: Americares has offered supplies - coordination of logistics getting there is currently happening. Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. ------------------------------- BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

region: Nord-East -> Nord-Est

current_population: 1000 ->
dc_population: -> 30

notes: Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> Email from Hillary Aubin 11/19/10 We have been told to anticipate 600 infected patients since our clinic services 30,000 people. --------------------------- Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> Posted on HEAS by Hillary Aubin 11/18/10 Reported first death in St. Suzanne. Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.

notes: BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> Note from Hilary at HBHH 11/18/10 so far St. Suzanne has not reported any cases but since it is in Trou du Nord it is just a matter of time. We are trying to get ahead of it and get supplies there ASAP. I am not sending medical teams until it is safer. BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

parish: Nord-East ->
region: Haiti, Caribbean -> Nord-East

notes: Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> BREAKING NEWS - http://www.hbhh.org/index.html HBHH team returns from trip to Haiti. Donations for Cholera outbreak needed. Chairman Patricia Eddy, Vice Chairman John Laurent, and new Executive Director Sr. Christa Rowe recently took a trip to Haiti October 22-24, visiting Fort Liberte, St. Suzanne, Cotelette, and Port-au-Prince. In response to the curent outbreak of cholera in the Artibonite region, HBHH has been offered free air transport for any medicines and supplies to help with this outbreak. We are accepting donations of IV fluids, Cipero, Tetracycline and Doxycycline, or funds to help us purchase these supplies. Contact us at 813.832.HBHH(4244) or at HBHH123 @gmail.com for more information -------- Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

notes: Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic. -> Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.

areas_served: St. Suzanne and those from surrounding villages who can travel to clinic; mobil Caritas clinic travels to remote villages -> St. Suzanne and those from surrounding villages who can travel to clinic; mobile Caritas clinic travels to remote villages

name: Our Lady of Lourdes Clinic and Cotellete Clinics (Supported by: Help Brings Hope to Haiti) - 2010 Haiti Earthquake -> Our Lady of Lourdes Clinic and Cotellete Clinics (Supported by: Help Brings Hope for Haiti) - 2010 Haiti Earthquake
mgt_phone changed.
address: 2617 Prospect Rd. Tampa, FL 33629 -> c/o 2617 Prospect Rd. Tampa, FL 33629
notes: Dr. als travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin and normally extends only to the nursing level. If the nurse must go to a critically ill person away from the clinic, it's unlikely that anyone will be available to fill in and help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurses. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurses can be brought to the sick. Even though hundreds of people were treated at the last medical mission, those were only the people who could either walk long distances or had family members and friends that could help them make the trip. Many more people knew of the medical clinic but could not leave their beds to take advantage of it. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. -> Dr. also travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin, with only 1 doctor and 1 nurse. If the doctor or nurse must go to a critically ill person away from the clinic, that leaves one person to help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one doctor, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurse. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurse can be brought to the sick. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. HBHH currently partners with Caritas by providing our doctor one day a week for their mobile clinic.
other_contacts changed.
current_population: -> 1000
make_payable_to: -> Help Brings Hope for Haiti, Inc.
hours: -> Monday-Saturday, emergency hours as needed
loading_dock: Unknown -> No
forklift: Unknown -> No
workers: -> 3
client_contact_address: -> 2617 Prospect Rd
client_contact_email: -> HBHH123@gmail.com
areas_served: -> St. Suzanne and those from surrounding villages who can travel to clinic; mobil Caritas clinic travels to remote villages
eligibility: -> none
temp_perm: Temporary -> Permanent

parish: -> Nord-East
name: St. Sizan and Cotellete Clinics (Supported by: Help Brings Hope to Haiti) - 2010 Haiti Earthquake -> Our Lady of Lourdes Clinic and Cotellete Clinics (Supported by: Help Brings Hope to Haiti) - 2010 Haiti Earthquake
notes: Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin and normally extends only to the nursing level. If the nurse must go to a critically ill person away from the clinic, it's unlikely that anyone will be available to fill in and help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurses. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurses can be brought to the sick. Even though hundreds of people were treated at the last medical mission, those were only the people who could either walk long distances or had family members and friends that could help them make the trip. Many more people knew of the medical clinic but could not leave their beds to take advantage of it. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare. -> Dr. als travels with Caritas mobile clinic to remote areas. Surgery/dentistry when medical mission teams are there -------------------------------------------------- Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin and normally extends only to the nursing level. If the nurse must go to a critically ill person away from the clinic, it's unlikely that anyone will be available to fill in and help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurses. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurses can be brought to the sick. Even though hundreds of people were treated at the last medical mission, those were only the people who could either walk long distances or had family members and friends that could help them make the trip. Many more people knew of the medical clinic but could not leave their beds to take advantage of it. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare.
other_contacts changed.

mgt_contact changed.
address: -> 2617 Prospect Rd. Tampa, FL 33629
other_contacts changed.
email changed.
client_contact_name: -> Help Brings Hope for Haiti, Inc.
client_contact_phone: -> (813) 258-5558

town: -> St. Suzanne

notes: Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: -> Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at: ------------------------------------------------- FROM THE SITE: For the people of St. Suzanne, a medical clinic is the closet thing they will see to a hospital. The clinic is where they can find people with some level of medical training and some level of medical supplies. Unfortunately, the treatment experience can vary widely. Staffing is usually thin and normally extends only to the nursing level. If the nurse must go to a critically ill person away from the clinic, it's unlikely that anyone will be available to fill in and help new arrivals. Medicine is available, but again the treatment coverage of a clinic's medical inventory is usually quite limited. To a certain extent this limitation is due to budget but to another it is due to the fact that there usually no ability to store medicines under controlled temperature conditions. Existing Services Currently, the medical clinic at St. Suzanne offers the services of three examining rooms, one nurse and a small storage room for its inventory of medicine. Villagers are expected to pay some fee for treatment if they are able, however, no one is turned away if even a small payment is not possible. Challenges Although a doctor has been hired for the clinic, there still is no one at the clinic with dental skills, nor is there any one with optical skills so that eye glass prescriptions could be made and matched against donated eyeware. In addition, there is no one available with lab technician skills who could run diagnostic tests on clinic patients. Goals HBHH has two main goals for the medical clinic at St. Suzanne: one is to increase the treatment capabilities available at the clinic and the other is to be able to bring medical services to people in remote villages that otherwise could not get to the medical care. Because the nearest hospital is so far away, roads are so bad and vehicles so scarce, it would make a huge difference to the level of medical care at the clinic if it had a lab that could run tests for the doctor and the nurses. In order to make that possible, the clinic will need to: establish a reliable source of power to run laboratory equiment; locate, acquire and ship the necessary equipment; find and sponsor a qualified laboratory technician and purchase the needed supplies so that tests can be conducted. Another upgrade in medical care would be to equip a room with dental equipment so that a Haitian dentist could be hired to make monthly visits to the clinic, where that room could be used as his treatment center. a clinic in haiti Although the mountain roads around the village of St. Suzanne are quite bad, another HBHH goal is to equip a vehicle as a mobile medical clinic so that the services of the doctor and the nurses can be brought to the sick. Even though hundreds of people were treated at the last medical mission, those were only the people who could either walk long distances or had family members and friends that could help them make the trip. Many more people knew of the medical clinic but could not leave their beds to take advantage of it. A mobile clinic would help to minimize the situation of sick people being beyond the reach of heathcare.
website: http://www.hbhh.org/ -> http://www.hbhh.org/medical_clinics.html

notes: Sponsored by Help Brings Hope to Haiti -> Sponsored by Help Brings Hope to Haiti - See the CAT Facility Record for donation collection sites and needs at:

name: St. Sizan and Cotellete Clinics -> St. Sizan and Cotellete Clinics (Supported by: Help Brings Hope to Haiti) - 2010 Haiti Earthquake