Haiti Quake Updates

There will be a second wave, there must be a second wave and it must come now or it will be too late. There have already been too many tragic deaths in the immediate aftermath of the quake, but now there will be thousands of unnecessary, preventable deaths from the consequences of the lack of medical care from infection, gangrene and tetanus. There is simply a lack of infrastructure.

There are few ambulances or EMTs in Haiti and I have only seen one or two in the streets. There is barely fuel, with prices shooting up to $800 USD a gallon at one point, in a country where a good wage is $100 a month, where 900 gallons of diesel to run the hospital generators were stolen from the back gate before the military arrived. The initial effort by FEMA providing $36 million for search and rescue was critical to save lives. Now 11 days later, there is a need for emergency medical response teams to find and scoop and transport the thousands remaining strewn about the city. According the USAID daily report, there was only $50,000 spent on emergency medical response to date.

It is dire, even the dogs are hungry. They chewed to the bone a leg of a dead man sticking out of the rubble.

Last night flying back on a C 17 Air Force transport, I spoke to Miami firefighters who surveyed the city and reported that they saw no search and rescue teams any longer, only two ambulances and two pieces of heavy equipment. But when they walked through tent cities and streets and they found hundreds of patients who needed to get to a hospital for emergency care but had no way of getting there, now way of being identified and were not aware of available resources or hospitals. Cell phones work only occasionally, there is a breakdown of communication infrastructure. One hospital they visited remained nearly empty with doctors roaming the streets looking for patients.

The immediate burden on the hospital campus has been addressed, but there are thousands tucked in corners of alleyways, under tarps, in tent cities all over Port-au-Prince and surrounding areas that have not had medical care, still with open fractures, gaping wounds, crush injuries that are stuck without knowledge of where medical facilities are, or any way to get transported and afraid to leave their meager belongings unattended on the sidewalk or by their tent or tarp.

Yesterday I heard about Jackmel, a nearby city, where 30 critical victims needing amputations or emergency surgical care have been trapped by damaged roads and isolated since the quake with no food, water, and medical care waiting for 11 days to get evacuated. I worked yesterday with General Keen to find a way to get those patients mobilized. And those are only the ones I have heard about, how many more are there? There are thousands more unattended who now are at risk of unnecessary death from gangrene and infection and tetanus, thousands more who could have their limbs or lives saved if we can get to them in time.