With the arrival of the rainy season, cholera returns threatening more lives. With the rainy season now underway in Haiti, Médecins Sans Frontières (MSF) has seen an increase in the number of cholera patients. Admissions to MSF's treatment centers in Port-au-Prince and Léogâne have more than tripled in less than one month. New patients arrive daily at MSF's Cholera Treatment Centers (CTC). Marie* was admitted to the Martissant CTC on April 16. "I had diarrhea and was vomiting a lot, then I fainted. A relative brought me here because it is the center closest to where I live. The doctors told me that I had cholera and was dehydrated", she says. One hundred and thirty-four other people like Marie arrived at the MSF center in Martissant between Apr. 16 and 23 and nearly 400 at MSF's other CTCs in Port-au-Prince and Léogâne.  

Photo: Yann Libessart, MSF

Haiti © Yann Libessart, MSF.
Since the earthquake, MSF has opened five hospitals and fought a massive cholera epidemic throughout the country, an ongoing fight as MSF continues to treat patients for cholera as of May 2011. MSF had to reopen a CTC in Carrefour, in the southern part of the capital city, to deal with the new influx of patients and prevent the centers in Martissant, Delmas and Drouillard – closer to the city center – from being overwhelmed. With all its facilities combined, MSF currently has more than 200 beds in Port-au-Prince and more than 45 in Léogâne dedicated to cholera patients, and is prepared to open more sites based on the course of the epidemic. "Cholera is easy to treat but specialized treatment centers must be accessible and patients must be brought there as soon as possible once symptoms appear", says Sophie Duterne, doctor and MSF's medical coordinator in Haiti. "If left untreated, this disease can kill within a few hours. Treatment involves simple oral or intravenous rehydration, with antibiotics for the most severe cases. However, taking additional hygiene precautions and drinking disinfected water is still the best protection." Since the first cases were identified in October 2010, more than 500,000 Haitians have contracted cholera. Inadequate access to disinfected water and insufficient numbers of latrines provide fertile ground for cholera. The arrival of the rainy season further promotes the spread of the disease by flooding water and sanitation systems. "The sewers in my neighborhood are overflowing and we live in unhealthy conditions, without clean water or soap," says Marie. "I knew that I could contract cholera, but I had no choice." That is why along with treating patients, MSF continues to encourage Haitian health authorities and its international humanitarian partners to distribute disinfected water and soap and to install and maintain latrines so that Haitians can practice good hygiene and prevent the epidemic from spreading.   Since the epidemic began in October 2010, cholera has killed more than 7,000 people. Approximately 500,000 cases have been recorded representing around five per cent of the population. As soon as the first cases were confirmed, MSF set up an unprecedented effort across the country, treating more than 30 per cent of the total number of patients on its own.   * Name has been changed for confidentiality.

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