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Despite Decline In Cholera Cases In Haiti, Health Authorities Not Doing Enough, Aid Group Says

“Global and local health authorities are not doing enough to fight a cholera outbreak that continues to claim lives in Haiti, Doctors Without Borders said Thursday,” Agence France-Presse reports (6/15). Despite a decline in the number of cholera cases in Haiti “as the Caribbean nation leaves the annual rainy season,” “the Haitian government and health organizations must continue focusing efforts on stemming the outbreak as the height of the hurricane season nears, said Thierry Goffeau, head of mission for Doctors Without Borders in Haiti,” the Associated Press/New England Cable News writes (6/15).

New Research Suggests Local Strains Of Cholera May Have Contributed To Haiti's Epidemic

NPR’s “Shots” blog reports on efforts to determine the source of Haiti’s cholera epidemic, writing, “Most researchers currently believe that United Nations peacekeeping soldiers introduced cholera to Haiti in October of 2010,” but researchers from the University of Maryland report they “have found two very different cholera strains in some of the first Haitians to be struck by the disease.” According to the blog, “One is a so-called 01 serotype with close resemblance to the Nepalese strain, found in about half the patients sampled,” while “[t]he other is a type called non-01/O139 that has never been known to cause an epidemic; it was found in 21 percent of patients.”

New Cholera Cases After Tropical Storm Do Not Amount To Outbreak, Haitian Officials Say

Haiti has “reported new cases of cholera as aftermath of the tropical storm Isaac, but Public Health Ministry General Director Guirlene Raymond said that “so far the numbers do not match outbreak ratings,” Prensa Latina reports (8/30). “Donald Francis, in charge of the disease in the ministry [of health], said that there is a stability in the incidence of the disease in Haiti,” Bernama/NNN writes, adding, “According to official statistics, as of early July the number of cholera deaths since its appearance in October 2010 had risen to 7,418” (8/30).

Cuban Government Says Cholera Outbreak That Sickened 417, Killed 3, Has Ended

“Cuba’s government declared Tuesday that health workers had eradicated a cholera outbreak that infected 417 people and killed three, according to a statement from the country’s Health Ministry,” CNN reports (Oppmann, 8/28). The government said this year’s heavy rains and high temperatures raised the risk of waterborne diarrheal diseases, the Associated Press/Boston.com notes (8/28). The cholera outbreak began in Granma province’s Manzanillo, about 560 miles east of Havana, and the government said other cases “associated” with the outbreak occurred in other areas of the province, the neighboring provinces of Santiago de Cuba and Guantanamo, and in the capital of Havana, according to EFE/Fox News Latino. “Despite the fact that it said the outbreak was ‘concluded,’ the Cuban government is also saying it will maintain its vigilance to avoid ‘the recurrence of new cases,'” the news service writes (8/28).

Cholera Strain From Guinea Identified As More Toxic, Contagious

“Scientists say the cholera outbreak that struck more than 7,000 people in Guinea this year was caused by a more toxic and more contagious generation of the bacteria,” and they “suspect the same strain killed nearly 300 people and struck more than 22,000 others in neighboring Sierra Leone,” VOA News reports. “Through genetic sequencing of the cholera bacteria found in Guinea, epidemiologists working with the United Nations Children’s Fund [UNICEF] have identified them as atypical variants of the O1 El Tor strain,” the news service writes. Francois Bellet, a member of UNICEF’s regional office for West and Central Africa, “said this discovery raises the alert level, requiring stronger epidemiological surveillance, preparedness and response to cholera outbreaks in Guinea and throughout the region,” according to VOA (Palus, 12/20). “This type of strain was present in Zimbabwe in 2009, in the Lake Chad Basin in 2009, and is found in Haiti currently,” IRIN notes (12/18).

‘Repackaging’ Of U.N. Cholera Initiative Detracts Attention From Epidemic’s Origin

“Those following the two-year-old saga of the United Nations and cholera in Haiti were startled by” the U.N.’s announcement last week of a $2.2 billion initiative to help eliminate cholera in Haiti and the Dominican Republic, freelance journalist Jonathan Katz and Tom Murphy, editor of the development blog “A View From the Cave,” write in a Foreign Policy opinion piece. “Since [the crisis began in October 2010], scores of epidemiologists — including those appointed by the U.N. itself — have unearthed overwhelming evidence supporting the hypothesis that [U.N. peacekeepers] carried the disease and introduced it to Haiti through negligent sanitation,” they continue, adding, “In response, U.N. officials have ignored, dismissed, or mischaracterized it all.”

Some Diplomats, U.N. Observers Express ‘Concerns’ Over U.N. Appeal For Haitian Cholera Aid, Al Jazeera Reports

Following U.N. Secretary-General Ban Ki-moon’s announcement on Tuesday of a new initiative appealing for $2.2 billion over 10 years to fight cholera in Haiti and the Dominican Republic, Al Jazeera reports “there are concerns by some diplomats and U.N. observers that the funds necessary for the program would not be forthcoming from donors.” As part of the larger appeal covering the island of Hispaniola, in Haiti “[t]he new program dedicates $215 million from donors along with $23.5 million from U.N. funds towards programs in public health, capacity building, public education, and clean water systems,” according to the news service. However, “Haiti will need $500 million over the next two years for its own national cholera plan,” Al Jazeera writes, adding, “The funds allocated in the program would therefore cover only one year.”

Senator Leahy Calls For U.S. To Suspend Direct Aid To Haiti’s Government, Visas For Haitian Officials

Senator Patrick Leahy (D-Vt.), who chairs the Senate Appropriations Committee’s Subcommittee on the State, Foreign Operations, and Related Programs, “on Friday urged President Barack Obama’s administration to suspend direct aid to Haiti’s government and visas for its top officials until it ensures a fair and democratic outcome to disputed national elections,” Reuters reports.

Also In Global Health News: Cholera In Haiti; Food In Ghana; Health Care Access In Afghanistan; Violence Against Women In Somalia; Male Circumcision Study

CDC Report Documents Cholera’s Spread In Haiti Haiti’s cholera outbreak has spread across the country and infected more than 91,000 people, while more than 2,000 people have died as a result, the CDC said in its Morbidity and Mortality Weekly Report, which was published on Wednesday, the Los Angeles Times…

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