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CONTEXT
The humanitarian crisis in Haiti has deepened, reaching unprecedented severity by late 2025 due to escalating gang violence, the near collapse of state institutions and natural disasters such as Hurricane Melissa which caused extensive flooding and infrastructure damage.
Rampant violence has led to massive displacement and insecurity. As of October 2025, 1 412 199 Haitians (12% of the population) are internally displaced. Since 2021, 701 614 Haitians have been deported from the Dominican Republic, including 226 668 between January and October 2025, further straining border health facilities and host communities.
The health system is near collapse and under compounded pressures. In Port-au-Prince, only 37 of 100 inpatient health facilities remain functional. Nationwide, just 26% of 268 inpatient facilities are fully operational, severely restricting access to essential health services. Looting, insecurity and chronic fuel shortages continue to undermine service delivery.
Armed violence continues to cause high casualties and injuries. Between January and September 2025, at least 6760 people were killed, including 2481 by lynching, and a further 50 621 were injured. Hôpital Universitaire La Paix (HUP) in Port-au-Prince treated 6365 trauma cases between January and October 2025, many linked to gunshot wounds and explosions. The lack of trauma centres, staff and supplies limits the country’s ability to respond.
Gender-based violence (GBV) remains widespread and underreported. From January to August 2025, 6450 cases were recorded, of which 56% involved sexual violence. Women (79%) and girls (14%) are the main survivors, with most incidents reported in the Ouest department.
In late October 2025, Hurricane Melissa worsened the crisis, affecting thousands across the Grand Sud and Ouest departments. Flooding destroyed agricultural lands, damaged health infrastructure and forced over 15 000 people into temporary shelters. Several health facilities reported water infiltration, power shortages and concerns over increased cholera risk due to poor water, sanitation and hygiene (WASH) conditions.
Cholera transmission persisted in 2025, with nearly 4000 suspected cases as of November 8, mainly in the Ouest Department and internally displaced persons (IDP) sites. Mortality remains high and, without sustained funding, there is risk of resurgence in 2026.
The ongoing security crisis, displacement, disasters, continued cholera epidemic and lack of resources have left large parts of the population without access to essential health care. Despite these challenges, PAHO/WHO continues to support the Ministry of Public Health and Population (MSPP) in maintaining life-saving health services, strengthening disease surveillance and coordinating emergency responses