{"id":239,"date":"2012-03-28T15:23:22","date_gmt":"2012-03-28T19:23:22","guid":{"rendered":"http:\/\/web.colby.edu\/contemporary-issues\/?page_id=239"},"modified":"2012-05-09T23:08:31","modified_gmt":"2012-05-10T03:08:31","slug":"cholera-in-haiti","status":"publish","type":"page","link":"https:\/\/web.colby.edu\/contemporary-issues\/cholera-in-haiti\/","title":{"rendered":"Cholera in Haiti"},"content":{"rendered":"<div>\n<h2>Case Study: Cholera Outbreak in Haiti<\/h2>\n<p>This section focuses on the 2010 cholera outbreak in Haiti. \u00a0By comparing how both major news sources and ethnographic studies covered the cholera outbreak, we learn how these differing accounts influence how the disease is studied and understood. \u00a0This portion outlines how the cholera outbreak affected the Haitian community, while also examining this contemporary health issue as a result of wider structural problems of poverty, oppression, and corruption.<\/p>\n<h2>What is Cholera?<\/h2>\n<p>Cholera is an acute intestinal infection caused by ingesting food or water that is contaminated by the bacterium, <a href=\"http:\/\/www.who.int\/topics\/cholera\/about\/en\/index.html\" target=\"_blank\">Vibrio cholorae<\/a>.\u00a0 The major <a href=\"http:\/\/www.cdc.gov\/cholera\/general\/\" target=\"_blank\">symptoms<\/a> of cholera are diarrhea and vomiting, which can lead to extreme dehydration.\u00a0 When the dehydration is not treated, a person can develop acute renal failure <span style=\"color: #000000\">and\u00a0<\/span>severe electrolyte imbalances, and\/or<span style=\"color: #000000\"> enter a\u00a0c<\/span>oma.\u00a0 If the individual continues to be untreated, the severe dehydration can ultimately lead to death.<\/p>\n<h2>Testing and Treatment<\/h2>\n<p>Cholera is tested through a culture of a stool specimen or a rectal swab. Less than 20% of people who have cholera develop typical cholera with signs of moderate or severe dehydration (WHO, 2012). \u00a0People who have\u00a0severe cases must be treated and evaluated quickly through a rehydration therapy.\u00a0 The rehydration therapy replenishes lost fluids and salts so that electrolyte levels are balanced.\u00a0 Antibiotics are administered in severe cases to reduce fluid requirements and duration of illness.<\/p>\n<h2>Spread of Cholera<\/h2>\n<p>The first case of cholera was reported on October 16, 2010. \u00a0Haiti, whose infrastructure was destroyed by the devastating earthquake that struck in January 2010, had very little health or governmental resources available. \u00a0With deplorable living conditions and poor sanitation, Haiti had little strength to fight the cholera outbreak. \u00a0Housing camps were set up for internally displaced persons (IDP) who lost their homes and livelihoods in the earthquake. \u00a0These camps, which lacked adequate access to water and toilets, later became key brewing areas for cholera.<\/p>\n<p><strong>Prime Conditions for Cholera in Haiti:<\/strong><\/p>\n<ul>\n<li>40.5% of camps lacked access to water<\/li>\n<li>30.3% lacked a toilet<\/li>\n<li>On average, each toilet in the camp was shared by 273 people<\/li>\n<li>20% of IDP camps had a clinic; mean walking distance to nearest camp was 27 minutes<\/li>\n<li>Haiti ranked lowest (147th) on the 2002 Water Poverty Index<br \/>\n(Schuller 2011: 6)<\/li>\n<\/ul>\n<p style=\"text-align: center\"><a href=\"http:\/\/web.colby.edu\/contemporary-issues\/files\/2012\/03\/Screen-Shot-2012-05-08-at-9.19.50-PM.png\"><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter  wp-image-3603\" src=\"http:\/\/web.colby.edu\/contemporary-issues\/files\/2012\/03\/Screen-Shot-2012-05-08-at-9.19.50-PM.png\" alt=\"\" width=\"563\" height=\"420\" \/><\/a><\/p>\n<p>The World Health Organization was a key player in trying to control the cholera outbreak. \u00a0In partnership with the Global Task Force on Cholera Control, WHO performed a country report on Haiti&#8217;s outbreak, which explains:<\/p>\n<blockquote><p>&#8220;The rapid spread of the disease was mainly due to the lack of immunity and the very limited access of the population to safe water and basic sanitation in a context of internal migrations after the January 2010 earthquake. A limited spread was observed in internal displaced persons camps with access to water and sanitation&#8221; (WHO 2011: 1).<\/p><\/blockquote>\n<\/div>\n<div id=\"attachment_509\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.nytimes.com\/interactive\/2012\/03\/31\/world\/americas\/how-the-haiti-cholera-epidemic-spread.html\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-509\" class=\" wp-image-509   \" src=\"http:\/\/web.colby.edu\/contemporary-issues\/files\/2012\/03\/Screen-Shot-2012-04-04-at-3.02.35-PM.png\" alt=\"The New York Times included this multimedia picture to explain how cholera spread from the rural plateau to the capital city\" width=\"540\" height=\"301\" \/><\/a><p id=\"caption-attachment-509\" class=\"wp-caption-text\">The New York Times included this multimedia picture to explain how cholera spread from the rural plateau to the capital city.<\/p><\/div>\n<blockquote><p>&#8220;Cholera most definitely played a role in individual families&#8217; migration decisions. \u00a0People are, have been, and will continue to move around. \u00a0Cholera tipped the balance in favor of leaving the camps&#8221; (Schuller 2011: 13).<\/p><\/blockquote>\n<h2>Number of Cholera Cases<\/h2>\n<p>Within the first week of the initial cholera outbreak, cholera ravaged thousands of individuals lives. The diagram below illustrates the rapid spread.<\/p>\n<div id=\"attachment_651\" style=\"width: 616px\" class=\"wp-caption aligncenter\"><a href=\"http:\/\/www.nytimes.com\/interactive\/2012\/03\/31\/world\/americas\/how-the-haiti-cholera-epidemic-spread.html\" target=\"_blank\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-651\" class=\" wp-image-651    \" src=\"http:\/\/web.colby.edu\/contemporary-issues\/files\/2012\/03\/Screen-Shot-2012-04-04-at-3.03.17-PM.png\" alt=\"http:\/\/www.nytimes.com\/interactive\/2012\/03\/31\/world\/americas\/how-the-haiti-cholera-epidemic-spread.html?ref=americas\" width=\"606\" height=\"290\" \/><\/a><p id=\"caption-attachment-651\" class=\"wp-caption-text\">The New York Times visually describes the rapid spread of cholera cases by analyzing both the number of cases and the geographic locational spread of the outbreak.  <\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Case Study: Cholera Outbreak in Haiti This section focuses on the 2010 cholera outbreak in Haiti. \u00a0By comparing how both major news sources and ethnographic studies covered the cholera outbreak, we learn how these differing accounts influence how the disease &hellip; <a href=\"https:\/\/web.colby.edu\/contemporary-issues\/cholera-in-haiti\/\">Continue reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":1841,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"open","template":"","meta":{"ngg_post_thumbnail":0,"footnotes":""},"_links":{"self":[{"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/pages\/239"}],"collection":[{"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/users\/1841"}],"replies":[{"embeddable":true,"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/comments?post=239"}],"version-history":[{"count":46,"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/pages\/239\/revisions"}],"predecessor-version":[{"id":524,"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/pages\/239\/revisions\/524"}],"wp:attachment":[{"href":"https:\/\/web.colby.edu\/contemporary-issues\/wp-json\/wp\/v2\/media?parent=239"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}