Since the emergence of cholera in Haiti in October 2010, the Ministry of Public Health and Population recorded 719,377 suspected cases and 8,767 cholera-related deaths as of 30 Nov 2014. Despite severe infrastructure and financial constraints, concerted Haitian and international efforts have succeeded in drastically reducing the number of reported cholera cases in Haiti – down from a peak of over 350,000 reported cases for 2011, to 21,916 reported cases for 2014, from 1 January to 30 November. The persistence of cholera in Haiti is mainly due to the lack of access to clean water and appropriate sanitation facilities, and although considerable improvements have been made in this regard, Haiti continues to host the largest cholera epidemic in the Western Hemisphere. Structural issues such as weak water, sanitation and health systems enable cholera, acute diarrhoea and other waterborne diseases to persist. (UNCT, 31 Dec 2014)
At the beginning of 2015, the number of suspected cases was 75 per cent higher than originally expected in the mid-term review of the 2014 Humanitarian Action Plan (i.e. 15,000). From 8 Nov to 31 Dec 2014, the total number of reported suspected cholera cases was 11 324, with 133 fatalities. This is an increase of 20 per cent compared to the same period in 2013. In the first half of 2014, cholera outbreaks were only reported in the northern departments whereas by the end of 2014, the epidemic had spread to nine (out of a total of ten) departments. The upwards trend continued at the beginning of 2015, with the number of cases being 50 per cent higher than during the same period last year. (ECHO, 16 Jan 2015)
Suspected cholera cases reported for January to March 2015 were above those observed in early 2012 (but lower than those reported in the first quarter of 2013). This was predominately due to large outbreaks in the metropolitan region of Port-au-Prince which then spread to other high-risk regions. According to the national authorities, 4,321 suspected cholera cases and 36 deaths were reported in January, 4,055 suspected cases and 46 deaths in February ,and 3,014 cases and 22 deaths in March. (UNCT, 31 Mar 2015)
For the period between Jan-Jun 2015, OCHA reported 17,949 new cases - a 273% increase compared with the same period last year. As of June 2015, cholera has caused 8,992 deaths since the outbreak in Oct 2010. (OCHA, 27 Jul 2015)
July 2015 saw the rise of cholera cases in the West, Centre, Artibonite and North departments. (OCHA, 31 Jul 2015)
Concern is growing about the rising numbers of cases in the department of Anse-à-Pitres, where the epidemic is spreading due to poor sanitary facilities in the south-eastern region. (GARR, 26 Nov 2015)
The health authorities reported an increase in the number of cholera cases for the month of November. Indeed, from November 22 to 28 (48th week), 1093 new cases and 13 institutional deaths were reported against only 268 new cases and 1 death in the 38th week (from Sept. 13 to 19). (OCHA, 30 Nov 2015)
The number of cases in 2015 up to epidemiological week 48 (30,080) exceeds the total number of cases registered in 2014, mainly due to an increase in cases registered during the first trimester of 2015. The rapid and timely response to this situation led to a decrease in cases in October and November of 2015. (PAHO, 23 Dec 2015)
According to the cholera figures released by the Minister of Public Health and Population (MSPP), 36,045 cholera cases and 322 deaths were recorded from January to December 2015. This represents, in comparison to 2014, an increase of 24% in the number of cases. In the last three months (October, November, December 2015), the upward trend of cholera persisted in the North and West departments. (OCHA, 31 Dec 2015)
During the first two months of 2016, the cholera epidemic has had a stable development in relation to the outbreak recorded at the end of 2015. The number of cases increased slightly compared to the same period in 2015, but the trend is downward since mid February. Nevertheless the return of the rain could be an important risk factor. In addition, the number of deaths has increased alarmingly: 15% more compared to 2015. (OCHA, 18 Apr 2016)
As of July 2016, health officials have observed a resurgence of cholera cases in several towns, including in the departments of Artibonite, Center, Nippes, North and West. According to a report of MSPP, more than 823 alerts were recorded during the week of 17-23 July 2016, and about twenty towns are on red alert. The situation is reported to be more critical in the towns of Carrefour (109 cases), Port-au-Prince (83 cases), Tabarre (75 cases), Mirebalais (45 cases) and Verrettes (39 cases). (OCHA, 31 Jul 2016)
In October 2016, Hurricane Matthew devastated Haiti which saw an increase of cases in Grand’Anse (148 cases) , Sud (53), and North-Ouest (6 cases) , and Artibonite (28) in the aftermath. (WHO/PAHO, 11 Oct 2016)
On 14 October, the UN Secretary-General established the Haiti Cholera Response Multi-Partner Trust Fund to finance critical priorities of the new UN system approach to cholera in Haiti designed to support the country in overcoming the epidemic and building sound water, sanitation and health systems. (UN, 14 Oct 2016)
As of 24 October, 3,500 suspected cholera cases were reported to OCHA. UNICEF is working with Ministry of Health and PAHO to organize vaccination of 900,000 people in the most affected areas. (UNICEF, 1 Nov 2016)
The Ministry of Health, supported by UNICEF and PAHO/WHO delivered a cholera vaccination campaign in the South and Grand’Anse departments in November 2016, immunizing 807,395 individuals, including over 309,213 children aged 1–14 years. (UNICEF, 10 Jan 2017)
A new approach to cholera in Haiti was laid out in the report by the UN Secretary-General (A/71/620) published on 12 December 2016. The UN General Assembly welcomed and committed to this new approach on 16 Dec 2016.
On 6 February, the Government of Haiti and the Humanitarian Country Team (formed by the United Nations and humanitarian partners) launched an appeal for funds of US$ 291.5 million to cover the critical humanitarian needs of 2.4 million people, US$ 34.7 million of which would only be for cholera. (OCHA, 6 Feb 2017)
The latest data for cholera shows that the epidemic is still high: there were 41,421 cases registered and 447 deaths between January and 31 December 2016 (OCHA, 8 Feb 2017)
As of 7 March, UNICEF partners have been able to respond to 2,654 suspected cases since the beginning of the year, with 1,661 rapid responses in all ten departments; more than 89% of which were achieved within 48 hours. Approximately 112,000 individuals have been sensitised and more than 12,000 households have benefited from water treatment products. (UNICEF, 7 Mar 2017)
L’ouragan Matthew a frappé Haïti le 4 octobre 2016, laissant un bilan de 1,4 million de personnes ayant besoin d’une aide humanitaire, dont 806 000 personnes avaient besoin d'une aide alimentaire urgente "selon l'EFSA d'octobre 2016", des milliers de maisons, d'écoles et des installations de santé endommagées et des milliers de familles déplacées.
1. Le présent rapport est soumis en application de la résolution 2313 (2016), dans laquelle le Conseil de sécurité a prorogé le mandat de la Mission des Nations Unies pour la stabilisation en Haïti (MINUSTAH) jusqu ’au 15 avril 2017 et m’a prié de lui rendre compte de l’exécution du mandat au plus tard 30 jours avant la date d’expiration de celui-ci. Il fait le point sur l’évolution de la situation sur place depuis mon dernier rapport en date ( S/2016/753, du 31 août 2016) et présente les conclusions de la mission d’évaluation stratégique.
1. The present report is submitted pursuant to Security Council resolution 2313 (2016), by which the Council extended the mandate of the United Nations Stabilization Mission in Haiti (MINUSTAH) until 15 April 2017 and requested me to report on the implementation of the mandate not later than 30 days before its expiration. It covers major developments since my report dated 31 August 2016 (S/2016/753) and presents the findings of the strategic assessment mission.
II. Political developments
By Rebecca Shetler Fast and Ted Oswald
March 21, 2017
PORT-AU-PRINCE, Haiti – Hurricane Matthew hit the rural community of Wopisa-Gabriyèl, Haiti, hard in early October 2016, leading MCC to respond to sanitation needs identified by community leaders.
“There was a lot of damage to this community in the storm,” says Previl Pierre, a local leader and community monitor in MCC’s environmental education program in the Artibonite region in central Haiti. “Many goats and cows died, and whole gardens were lost.”
Human Rights Council
21 March 2017
The Human Rights Council this afternoon held an interactive dialogue with Gustavo Gallon, the Independent Expert on the situation of human rights in Haiti, after hearing the presentation of his report. The Council also held an interactive dialogue with Kate Gilmore, Deputy High Commissioner for Human Rights, after she presented the report of the High Commissioner for Human Rights on the situation of human rights in Libya.
Par Cornelia Walther
Le nombre de cas suspects de choléra en Haïti est en baisse – il est passé de plus de 350 000 en 2011 à un peu plus de 41 000 en 2016. Chaque cas suspect de choléra déclenche une intervention rapide afin d’empêcher la propagation de la maladie. Objectif ultime : éliminer le choléra en Haïti à l’horizon 2022.
APERÇU DE LA SITUATION
The humanitarian context in Haiti remains challenging as the country continue to be affected by a convergence of humanitarian crises further aggravated by Hurricane Matthew and which has severely impacted the pre-existing humanitarian situation. Despite immediate humanitarian response provided so far, post Hurricane Matthew’s humanitarian needs are still high with an estimated 1.4 million people in need of humanitarian assistance. Additionally, 1.5 million vulnerable Haitians are currently food insecure and 280 K highly food insecure and in need of urgent food assistance.
Après un pic du nombre de cas suspects de choléra dans les départements du Sud et de la Grand Anse dans les deux mois suivant l'ouragan Matthew, le nombre de cas suspects de choléra a diminué drastiquement dans les deux départements au mois de décembre.
After a spike in the number of suspected cholera cases in the departments of Sud and Grand Anse in the two months following Hurricane Matthew, the number of suspected cases of cholera reduced drastically in both departments in the month of December. Meanwhile, there was a significant reduction in the number of suspected cases in the three departments where the incidence of cholera has been historically higher: Centre, Artibonite and Ouest.
The ECDC Communicable Disease Threats Report (CDTR) is a weekly bulletin for epidemiologists and health professionals on active public health threats. This issue covers the period 12-18 March 2017 and includes updates on cholera, measles and Legionnaires disease.
1.55 million people food insecure of which 280 000 severely
2 out of 3 farmers have lost ¾ of their stocks
Food insecurity halved in the hardest-hit areas
USD 19.3 million still needed to support 700 000 people under the 2017 Humanitarian Response Plan (HRP)
PORT-AU-PRINCE (13 mars 2017) – L’Expert indépendant des Nations Unies sur la situation des droits de l’homme en Haïti, M Gustavo Gallón, a conclu sa huitième visite officielle en Haïti pour y évaluer la situation des droits humains dans le contexte post-électoral.
Conseil des droits de l’homme
27 février-24 mars 2017
Point 10 de l’ordre du jour
Assistance technique et renforcement des capacités
Note du Secrétariat
L’Expert indépendant sur la situation des droits de l’homme en Haïti continue à considérer que la situation est complexe mais surmontable, à condition que tous les efforts pour y parvenir soient coordonnés dans une même direction.
PORT-AU-PRINCE (13 March 2017) – The Independent Expert on the situation of human rights in Haiti, Gustavo Gallón, has concluded his eighth official mission to Haiti to monitor the human rights situation within the post-elections context.
Port-au-Prince, 9 mars 2017
Mesdames et messieurs,
In October 2016, Hurricane Matthew–a category 4 storm–swept Haiti, the Bahamas and parts of the southern United States.
Au cours de l’année 2016, presque tous les départements du pays ont été affectés par différents chocs climatiques :
Situation in Numbers
3,200,000 total people affected (OCHA-HNO)
1,100,000 /# of children in need of humanitarian assistance (UNICEF)
1,600,000 /# of adults in need of humanitarian assistance (OCHA-HNO)
41,421 suspected cholera cases and 447 fatalities (MSPP – 1 Jan to 24 Dec 2016) of which approximately 50 children under five years old (UNICEF)