St. Boniface Hospital, Fond Des Blancs

11/30/10 Assessment by Dr. Inobert
Patients started arriving at hosp. Nov. 21
Serving population of 50,000
Currently 3 pts. 0 deaths
Staff: 6 docs, 35 nurses, non medical 42
Non-cholera pt. load is apprx. 250 with 55 hospitalized
Does provide weekly mobile clinics, but transportation is a problem.
6 cholera beds so far
Roads are passable, have small land strip
Can pick up supplies
NEEDS: large tent, rapid tests for diagnosis, bleach, IV ringer and supplies, urine bags, waste disposal kits, ORS
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Amy Kind is emailing questionnaire to Dr. Pierre Inobert for an update on the cholera situation at this site and to determine if they are a CTC site or stabilzing and transporting patients.

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From: leiderman @ mindspring.com
Reply-to: haiti-epidemic-advisory-system@googlegroups.com
To: haiti-epidemic-advisory-system@googlegroups.com
Sent: 11/15/2010 9:06:47 P.M. Central Standard Time
Subj: leiderman/castor: 2 cases cholera reported in aquin, southcentral coast

Dr. Aldy Castor just called from Port-au-Prince to say that there were two cases of cholera seen at the hospital in Aquin today. CDC people are in the city and staying overnight.

Dr. Castor is president of Haitian Resources Development Foundation P-au-P and Aquin, and a member of the Association of Haitian Physicians Abroad

thank you,

Stuart Leiderman

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http://www.haitihealth.org/index.php/news/

St. Boniface Hospital preparing for potential cholera outbreak in Fond des Blancs
...

The Haitian Ministry of health has instituted active surveillance for cholera
and we are required to report all cases of watery diarrhea in people 5 years of age and older. We anticipate that not all cases will make it to the hospital, thus we are making use of our network of community health agents to extend the surveillance to our large catchment area. Community health agents are volunteers in their communities responsible for basic health and wellness education, and monitoring. They have received a training session to identify cholera and will refer cases to the hospital. St. Boniface community health staff will be mobilizing in the coming days to visit each community post to reinforce this vital public health education initiative.

We are also ensuring that the hospital is prepared for patients with cholera. We are busy stocking IV fluids, antibiotics, and rehydration formulas to treat the illness. We have a planned isolation area for cholera patients to be treated in order to decrease the risk of infecting other patients at the hospital. Finally, clinicians will be trained in standard cholera treatment protocols.

...

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GPS Coord. Lat. 18.28333 Long. -73.13333

Internal Medicine, Infectious Disease
Pharmacy Services available
Has ER 3 beds
Has Ambulance Service
Accessible by helicopter
Accepting malnourished children from PAP and running feeding programs in refugee camps in coord. with Unicef

SECTOR: Rehabilitation
TYPE OF ACTIVITY: Inpatient rehabilitation for SCI and complex orthopedic patients
LOCATION: Fond des Blancs
IMPLEMENTING PARTNERS: Healing Hands for Haiti (rehabilitation support)
PROJECT STATUS: operational

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VOLUNTEERING W/ST. BONIFACE HAITI FOUNDATION:

The Foundation brings groups of individuals on trips to Haiti to experience life in the third world. We offer 6-day Immersion Trips, 8 to 10-day Work Retreats, and a variety of Medical Trips. Participants come from all walks of life and help in whatever way they can, sharing knowledge, goods, service, and experience with the poor. They also serve a vital role in transporting supplies to the hospital from the U.S.

Each trip is different, depending on the interests and skills of the participants. Some groups are focused on hospital support, others on educational and community projects, but always the emphasis is on experiencing Haitian life, on reflection and the sharing of impressions and discoveries. Participants from every walk of life are welcome. We live simply in Haiti, dormitory style, in clean quarters at the hospital. Communal meals are simple and wholesome. Water for washing etc. is often scarce. We drink bottled water only. In addition to work days, time is set aside for excursions into the countryside. The drive from the capital to the mountain village of Fond des Blancs averages about five hours, over roads that are often severely eroded.