parish: -> St. Louis du Nord
town: Port-de-Paix -> St. Louis du Nord

name: Northwest Haiti Christian Mission (NWHCM) USA Clinic "CHOLERA TREATMENT CENTER - CTC" (Supported by: MTIl) -> Northwest Haiti Christian Mission (NWHCM) USA Clinic "CHOLERA TREATMENT CENTER - CTC" (Supported by: MTI)

notes: 12/12/10 Lpar Note: CHHN is no longer tracking due to coverage by MSF France. 11/18/10 L. Teltoe: Although the below post from HEAS indicates that PAHO is responding, I am leaving the needs/urgency level as is until the kind of assistance/response is confirmed. It does not necessarily mean that PAHO will be able to satisfy all their needs. A confirmation of the kind of help they get is required before changes are made to the needs list/urgency status. -------------------------------------------------- HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> Cholera Bed Capacity: 300 per PAHO list dated 12/6/10 ------------------------------------------------- 12/12/10 Lpar Note: CHHN is no longer tracking due to coverage by MSF France. 11/18/10 L. Teltoe: Although the below post from HEAS indicates that PAHO is responding, I am leaving the needs/urgency level as is until the kind of assistance/response is confirmed. It does not necessarily mean that PAHO will be able to satisfy all their needs. A confirmation of the kind of help they get is required before changes are made to the needs list/urgency status. -------------------------------------------------- HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: 11/18/10 L. Teltoe: Although the below post from HEAS indicates that PAHO is responding, I am leaving the needs/urgency level as is until the kind of assistance/response is confirmed. It does not necessarily mean that PAHO will be able to satisfy all their needs. A confirmation of the kind of help they get is required before changes are made to the needs list/urgency status. -------------------------------------------------- HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> 12/12/10 Lpar Note: CHHN is no longer tracking due to coverage by MSF France. 11/18/10 L. Teltoe: Although the below post from HEAS indicates that PAHO is responding, I am leaving the needs/urgency level as is until the kind of assistance/response is confirmed. It does not necessarily mean that PAHO will be able to satisfy all their needs. A confirmation of the kind of help they get is required before changes are made to the needs list/urgency status. -------------------------------------------------- HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

parish: Port-de-Paix ->
town: St. Louis de Nord -> Port-de-Paix
name: Northwest Haiti Christian Mission (NWHCM) USA Clinic "Cholera Treatment Center - CTC" (Supported by: MTI & MMRC Global) -> Northwest Haiti Christian Mission (NWHCM) USA Clinic "CHOLERA TREATMENT CENTER - CTC" (Supported by: MTIl)
other_contacts changed.

notes: HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> 11/18/10 L. Teltoe: Although the below post from HEAS indicates that PAHO is responding, I am leaving the needs/urgency level as is until the kind of assistance/response is confirmed. It does not necessarily mean that PAHO will be able to satisfy all their needs. A confirmation of the kind of help they get is required before changes are made to the needs list/urgency status. -------------------------------------------------- HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS POST: Re: NWHCM Needed Supplies at St. Louis du Nord Tuesday Thursday, November 18, 2010 12:54 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> We have report now that PAHO is engaged in assisting this area and thus this thread is now concluded. Thanks everyone for their assistance. Jim ------------------------------------------- From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> From Caroline Seguin with MSF France: 11/18/10 We are currently running a CTC in Port de paix, but we rae very worried of the situation of the axe between Port de Paix and Cap Haitien. We will do explo mission there as soon as possible, this week end or next monday. --------------------------------------------- HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.
other_contacts changed.

notes: HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS POST 11/17/10: From Paul Sebring (MMRC Global) - Emergency Request List: Lactated ringer IV Potassium Chloride Azithromycin & Doxy IV Zofran Angiocaths 20, 22 and 24 gauge EZ IO gun and needles Tubing ORS Buckets Bleach Mops Body bags Cots Alcohol pads Tape Tourniquets Gloves- especially size medium Chuks CUPS Adult diapers Children diapers Infant diapers Electrolyte test strips Hand Sanitizer For staffing we would need about 12-15 nurses and 4 docs Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.
other_contacts changed.

name: Northwest Haiti Christian Mission (NWHCM) USA Clinic "Cholera Treatment Center - CTC" -> Northwest Haiti Christian Mission (NWHCM) USA Clinic "Cholera Treatment Center - CTC" (Supported by: MTI & MMRC Global)
notes: HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: Center for the treatment of Cholera (CLC): a center set up for the treatment of cholera with a staff recruited for this 40 to 300 beds which receives the sick suspects of cholera. In the case ideal, there are tents for rehydration iv and tents or rooms for the phase of re-convalescensce. Capable of processing of complications such as pulmonary edema. Open 24 on 24/ 7 on 7. Receives the sick who come spontaneously and cases referred to it. MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.
other_contacts changed.

parish: -> Port-de-Paix
notes: HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- This site is a CTC per the MSPP/PAHO/Health Cluster list dated 11/13/10: CTC DEFINITION: MANAGING ORGANIZATION: Northwest Haiti Christian Mission/Medical Teams International ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.
other_contacts changed.

name: Northwest Haiti Christian Mission (NWHCM) USA Clinic in St. Louis de Nord, "Cholera Treatment Center - CTC" -> Northwest Haiti Christian Mission (NWHCM) USA Clinic "Cholera Treatment Center - CTC"
notes: 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS POST 11/17/10: Emergency Assistance Requested: St Louis du Nord Wednesday, November 17, 2010 1:09 PM From: "Jim Wilson, MD" To: "Haiti Epidemic Advisory System" <haiti-epidemic-advisory-system@googlegroups.com> I spoke with Paul Sebring this afternoon to get the details of the situation along the Port de Paix - La Pointe - St Louis du Nord coastline. Situation is grave, and the medical team at NWHCM is in bad need of relief. As we saw in Arcahaie and Lafito, the mountain communities are affected as well, which contributes ultimately to the level of severity they are seeing upon arrival. -Jim] Coastal communities along the highway between Port de Paix, La Pointe, and St Louis du Nord are experiencing significant, ongoing medical response strain now as communities in the mountainous region to the south walk up to eight hours for care and are often near-death upon arrival. Many cannot be saved. In St Louis du Nord, a community with an estimated total population of 20,000, has one medical facility at the North West Haiti Christian Mission that has been supported by medical teams from groups such as MTI and MMRC Global. The situation there is now imminent collapse of medical response capacity as patient demand has exceeded staffing and materiel availability. The team consists of one medical student and five nurses managing patient flow across 3 buildings: 1. critical care, where IV therapy is performed (currently @65 patients in-house) 2. oral rehydration (currently @35-40 patients) 3. pre-discharge monitoring (currently @35-40 patients) Length of stay for the typical critically ill presenting patient is 72-96 hrs in critical care followed by 24 hrs in oral rehydration, followed by 24 hrs in pre-discharge observation. They are stepped back up if condition deteriorates. Most patients stay in-house for 48-96 hrs. The team is seeing persistently elevated patient flow of 150 per day, many of whom have walked up to 8 hrs down from the mountains for care. The latter group is usually the most critically ill. Approximately 50% of the patients they see require IV therapy. Daily mortality has ranged from zero to 11 deaths. The team does not turn people away, and they are about to open a fourth area / tent to house another 25 patients. To-date, the team estimates they have used approximately 8,000 liters of IV fluid since their arrival a week ago Monday (10 days), which represents 8 shipments. Currently, they are using approximately 450 liters of IV fluid daily and producing 2 to 3 dump trucks of medical waste daily. The team is now at its limit with no backup support identified yet. They have been working 20-24 hr shifts for the last 10 days. There is serious concern they will make mistakes due to fatigue, and one medical responder was possibly infected and treated already. The floors are constantly wet from vomiting, diarrhea, and bleach. The HEAS has sent out an emergency request for medical personnel and materiel. Landing pad for helo is available on-site. 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> 11/16/10 HEAS POST: Facility is being managed/supported by MTI and has been awaiting a PAHO drop that was delayed due to flight disruption due to the civil unrest in the north. Appropriate Poc for the facility is les mcauley or alex areces of MTI Brenda L Zimmerman www.grassrootsunited.org Nov 16, 2010, at 9:34 PM, Lori Boyko wrote: Who can help???? Spoke with representative from MMRC who is in direct contact w/teams on ground at NWHCM. NWHCM currently has approximately 24 hours worth of supplies to continue fighting the cholera in their area (St. Louis Du Nord 19.931698,-72.72063 ) and are forced to ration the supplies they do have (i.e.-make decisions about who gets to live & die). There is a field right near their compound that can accommodate the landing of a helicopter if someone is so inclined as to fly supplies in (they are reporting their area is currently quiet & safe), but they need to get replenishment of the following at a minimum as soon as possible: Ringers solution, IV Potassium Chloride,Ampicilan & IV Zofranm,Azithromycin & Doxy, caths 20,22&24 gauge,diapers(all sizes), CUPS,body bags Helicopter landing information: UN has landed a helicopter many times, so it works for helo. Coordinates for helo landing field are: 19.929822,-72.716081 . NWHCM currently has a variety of team members/small grassroots orgs helping on site including: MMRCGlobal, MedTeams International, Dr. Clayton Bell of Cloud Forest Medical (from Seguin, Haiti). This is the same facility where Heather Owen is located (just so everyone is clear on the facility to which I am referring). Lori Boyko -------------------------------------- HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

address: 7271 Mayflower Pk Zionsville, IN 46077 -> 7271 Mayflower Pk Zionsville, IN 46077 Helicopter Pad Coordinates in Haiti 19.929822,-72.716081

name: Northwest Haiti Christian Mission (NWHCM) USA Clinic in St. Louis de Nord -> Northwest Haiti Christian Mission (NWHCM) USA Clinic in St. Louis de Nord, "Cholera Treatment Center - CTC"
notes: HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS Cholera Update 11/9/10 We opened a "diarrhea" clinic separate from our Medical clinic on Oct 30. We staffed it with NWHCM medical personnel and did our best to fight the sickness and overwhelming hours. No one wanted to say "Cholera" and we didn't have any presence here to actually test it. Sunday November 7 we had two deaths by noon, 4 by the end of the night. It was that morning that our staff just could not be pushed any further emotionally or physically. I asked for help that morning and had received reinforcements by 5 that afternoon. My opinion is that we waited way too long to call for help and too long to actually define our area as a CTC. I get the "too much information" as it can be difficult to sift through what is relevant to me. However, I find it interesting to know what is going on in other parts of Haiti and how people are dealing with it. my very humble "non medical" opinion, Heather Owen ---------------------------------- HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> HEAS Cholera update: Update on St. Louis du Nord Tuesday, November 9, 2010 7:14 AM From: "Jim Wilson, MD" From Heather Owen and the folks responding in St. Louis du Nord: "From early morning to 5pm yesterday they saw 60 people. Our overall numbers are still being counted... death toll up to 9." ------------------------- Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: twitter@ JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you. -> Twitter: @JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.

notes: twitter@ JaneilOwen -> twitter@ JaneilOwen -------------------------- In Northwest Haiti, medical emergencies are as commonplace as dusty roads. There is almost no more urgent or tangible way Northwest Haiti Christian Mission shares Christ’s love than treating the sick. Our medical ministry has grown from a small collection of medicines in the 1980s, to a far-reaching operation that today includes a general clinic, two operating rooms, a 24-hour birthing center, an ophthalmology clinic, a laboratory and a pharmacy. In addition, NWHCM medical teams regularly travel to offer mobile clinics in communities across the region. Our medical services have always been the most affordable in the area, and we offer care regardless of ability to pay. Most of NWHCM’s facilities are staffed year-round by trained Haitian doctors and nurses. Specialized surgeries are scheduled throughout the year with the help of visiting surgical teams. Since its inception, our clinic has been a landmark in the region and has treated thousands of patients, some of whom walked for days from remote towns to get there. NWHCM receives a steady stream of medical professionals from across the United States and Canada who come to serve on short-term trips. If you are interested in visiting our mission or coming on a medical trip, we welcome your involvement. Please contact us to find a trip that’s right for you.