On the Ground in Haiti

Friday, July 02, 2010

On the Ground in Haiti

By John A. Carroll, M.D.

(Read the original posting here)

My wife Maria and I worked in Haiti during part of the months of May and June. We stayed in a guesthouse-orphanage just outside of Port-au-Prince.

A lady named Yolande lived right across the street from us.

Yolande is 78 years old and lives under a blue tarpaulin which encloses a small pup tent inside.

During the earthquake on January 12 her shack, which was located several miles away, was so damaged that she had to move out. Yolande suffered some leg injuries at the time of the quake and still has one lower leg wrapped in a rag. But Yolande smiled and told me that her legs were "much better".

One afternoon shortly after we arrived, I entered an opening in Yolande's blue tarp. The stifling heat, humidity, mosquitoes, and flies were overwhelming.

The tarp was fastened to thin wooden poles and tied above with shoe laces and other fragments of cloth.

Yolande's family brings her rice and vegetables when they can and she cooks in a metal bowl over pieces of charcoal.

I found Yolande to be a practical and pleasant woman. She did not complain about her living arrangements and even said that Americans are the most charitable people in the world. I sure did not feel that way right then as I hurried out from under the tarp so I could get a breath of cooler air in the street.

During this time of the year in Haiti, the rain comes in torrents in the late afternoon or evening, and now this rain seeps through Yolande's tarp and leaks into her tent. So on top of roasting, Yolande and her family are wet much of the time too.

These hardships are not isolated to Yolande.

Haiti has an estimated 9 million people with one third of the population living in the capital, Port-au-Prince. In this city there are over one thousand tent cities, and an estimated 1.5 million people are still homeless five months after the quake. Many people told me that they are simply too afraid to move back inside of their houses. If their houses are still standing, the walls may have been fissure (cracked) and people fear they will collapse on top of them.

Several miles from us downtown Port-au-Prince looks like a nuclear bomb struck it. The once beautiful Haitian National Palace is collapsed and the majority of nearby Haitian government ministry buildings downtown were destroyed in the 47 second earthquake. Haiti's tax building is pancaked just across from the Palace with its director's body and many employees still inside under tons of concrete.

A densely populated tent city now sits in front of the vacant Palace in Port-au-Prince's largest square called Champs de Mars. A young man who identified himself as Carlos told me some of their problems after I walked through his section of the tent city. Carlos seemed fatalistic and did not see any end in sight to their misery.

Rape is common in Port-au-Prince's tent cities and seldom gets reported. Poor women in tent cities have no rights.

Fountains and small decorative pools in Champs de Mar have turned into large toilets filled with stagnant sewage. Kids play nearby with their family's tent abutting these toxic cesspools. Sewage drainage and treatment facilities are more or less nonexistent.

In the chaotic months following the quake, millions of dollars flowed into Haiti from generous people all over the world. (One out of two American households gave to the Haitian relief efforts.)

And five billion more dollars from the international community has been pledged to Haiti over the next two years. Bill Clinton who is UN Special Envoy to Haiti. Recently Mr. Clinton along with Haitian officials have been in charge of the Interim Haiti Reconstruction Commission. One of the objectives of this Commission is to allocate these funds to ensure that the money is used in a transparent fashion for Haiti's post earthquake reconstruction.

Mr. Clinton and Haiti's Prime Minister Bellerive announced the Commission's first approved spending projects:

- $45 million from Brazil and Norway in direct funds for the Haitian government, closing a quarter of its estimated $170 million budget shortfall.

- $1 million from the Clinton Foundation for buildings that can be used as storm shelters in the quake-ravaged towns of Leogane and Jacmel, which are often in the path of Atlantic hurricanes.

- A $20 million fund to provide loans to small- and medium-sized Haitian businesses.

But despite international pledges of some $5 billion over two years at the United Nations donors' conference for Haiti in March, only a fraction has actually been delivered - just $40 million from Brazil.

Even though other pledges are supposed to be delivered soon, I spoke to no Haitians during our entire time in Haiti who trusts that the money will be spent properly. People that I spoke with don't really trust Mr. Clinton any more than they do their own fragmented and dysfunctional government. Many are very angry with Haitian President Preval for his perceived lack of leadership and poor communication through Haiti's largest crisis in its history. They also feel he is cuddling up to international powers for business interests that will exclude the majority of poor Haitians.

And why should 9 million poor Haitians trust any one? They and their ancestors have been on the short end of the stick since Haiti was founded as a Republic more than 200 years ago. The corrupt Haitian state is considered to be a fact of life... not unlike corrupt Illinois politics.

So what do "we" do with hundreds of thousands of displaced and homeless Haitian people? Although Haitians are a tough lot, they are not as resilient as our defense mechanisms would like us to believe. And on top of this earthquake which was "biblical" in size, the U.S. National Oceanic and Atmospheric Administration has predicted a terrible tropical storm season coming Haiti's way in several months.

But so far (as of this writing) the Haitian government has relocated only about 7,000vulnerable people to two safer camps. The relocation is slow because the crippled government doesn't have enough money to complete a job that includes not just setting up new tents, but providing work, schools and services.

First of all, should the tent cities continue to exist? Are they good enough?

No. These places are inhuman and horrible. Lack of food and water, lack of security, and the rain are a few reasons.

And the rain is quickly bringing more problems.

Malaria and typhoid fever were everyday occurrences in the area of the city where I was working. Stagnant dirty puddles of water are everywhere and are good breeding grounds for mosquitoes who will carry disease. I saw a teen-aged boy scooping up water in his hands drinking from a puddle in the road. Medical and public health interventions will not help the majority of Haitians unless their dangerous living environment is changed.

Also, heavy rains tempt unstable hillsides to unleash their mud. And serious flooding and mudslides could endanger not only Haitians but relief workers also.

Port-au-Prince, before the earthquake could have accommodated 300,000 people, not three million people. There has been decades of urban decay. This city is doomed right now unless a paradigm shift in thinking takes place.

We need to be honest and understand that many people are dying now and are still going to die no matter what is done. I saw children starving in front of me. I often wondered what good was my stethoscope in times like this.

So what needs to happen? What interventions will minimize the final death count? How can Haiti's problems be prioritized and triaged appropriately? What can be done to give some dignity to the life of over one million displaced Haitians? How do we stop the violence aimed at Haitian society's unfortunate losers?

Haitians tell me they want jobs. Who would have thought?

Jobs earn them money to repair their lives and their family's lives. Jobs allow one parent to stay at home during the day and take care of their babies and toddlers. Kids suffer alot mentally and physically when they are alone or being watched by a neighbor who is already swamped with problems. Children are literally down in the dirt and sewage and their chances for survival diminish without a parent home.

Mother's can breastfeed if they are home. And when mother's breastfeed, they save money because they do not need to purchase milk. And if they purchase powdered milk, they may accidentally prepare it with dirty water which can sicken their children.

With the billions of dollars that hopefully will come to Haiti, big firms with heavy equipment should be hired. Skillful urban planners from all over the world need to work with the Haitian government.

And most importantly poor Haitians need to be hired.

Hundreds of thousands of young, strong Haitian men and women that live in the capital would jump at the chance for a job. Hire them and pay them fairly so they can feed their families while they make a new and better Haiti. The billions of dollars of international pledges need to go for displaced Haitians while they perform the back breaking reconstruction of Haiti.

Pay Haitians in tent cities to repair or rebuild their own homes--the structures where they were living pre earthquake. Or pay the man that rents the home to these people. And these homes need to be earthquake proof homes using Western building codes. Earthquakes don't kill people, bad buildings do.

The huge mounds of rubble on the Port-au-Prince streets needs to be cleared so the streets can be navigated by cars and big equipment.

The traffic jams in the capital now slow progress for everyone.

Many people have returned to their neighborhoods after inspections found their homes safe, but often return to the tent camps when word of aid distribution spreads. So food and water distribution needs to be local--- brought to people in their neighborhoods as their homes are rebuilt.

Port-au-Prince needs to be decentralized. The earthquake negatively influenced 80% of Haiti's economy because PAP was and is the hub of the country. Now the hub is critically ill. The capital is built over fault lines and this all could happen again. Three million miserable people living on top of each other need to be spread back out to Haiti's provinces.

But for people to move to the Haitian countryside or smaller cities outside of PAP, there has to be jobs, family members with adequate housing that can accept their homeless relatives, and some basic services like schools, roads, water, electricity, and medical care.

Trees need to be planted and gardens started in these communities. Listening to Haitian grass roots organizations and the Haitian farmer is very important. These people know what they need to stay alive.

The local Haitian community in the province needs to be involved in all decision points.

For­eign aid that flowed into Haiti after the quake has hurt the Haitian farmers. Most of the peo­ple in Haiti's central plateau (L'Artibonite) earn their liv­ing by grow­ing and sell­ing rice, Haiti’s sta­ple food. But the influx of for­eign food aid has meant that many Haitians can now get rice for free. As a result, the price of rice grown in Haiti has plummeted and the Haitian farmer finds himself in more trouble.

Several months ago even Mr. Clinton was quoted as saying, "...we made a devil's bargain" when he was President. He publicly apologized for forcing Haiti to drop tariffs on imported, subsidized US rice. His policy hurt Haitian rice farming and, as reported by Kim Ives, "seriously damaged Haiti's ability to be self sufficient".

And let us not forget that Haiti, believe it or not, is in the digital age. The Haitian people in the countryside have cell phones and access to the Internet. Many Haitians are adept at using both. This means that they still communicate with Haitian relatives, the diaspora, overseas.

Haiti's diaspora has sent back billions of dollars over the past few decades to needy Haitian relatives, but this obviously has not been enough. The diaspora need to physically come back to Haiti and revitalize Haiti's industrial sector. But they won't come back and invest in Haiti unless than can do so safely. Most diaspora tell me they fear for their personal safety in Haiti. Security everywhere needs to be improved. And the economic climate for joint business ventures, to stimulate Haiti's diaspora to invest in Haiti, has to be improved by the Haitian government.

In conclusion, Haiti was a severely damaged country before the January earthquake and is even more damaged now.

Haitians are a beautiful and wonderful people, but they are not as "resilient" as we would like to believe.

Yolande, the little old tent lady who lived near us, should not be living like this. If Yolande were your grandmother, you wouldn't refer to her as "resilient" as she suffers the Haitian heat and mosquitoes, would you?

The huge international monetary pledges need to be allocated in a transparent fashion to help these neediest Haitians.

From rubble to recovery

From rubble to recovery

Published: February 13, 2010

Foreign Direct Investment

(Read the original article here)

A huge recovery challenge lies ahead for Haiti after its devastating earthquake, but could the rebuilding programmes bring about an essential economic restructuring? Michael Deibert reports from Port-au-Prince.

The incremental economic progress that Haiti, an impoverished Caribbean nation of 9 million people, had been experiencing over the past several years was brought to a cataclysmic halt late on the afternoon of January 12, when a 7.0 earthquake centred just south of the capital city sent the pillars of state and industry crashing to the ground in a heap of dust.

In a matter of seconds, Haiti’s Palais National, Palais de Justice, Parliament and many government ministries were either totally or partially destroyed. The top command of the UN mission, whose troops had been supporting the government of president René Préval since his 2006 election, lost their lives, along with an estimated 200,000 Haitians. Factories collapsed onto their owners and workers alike, and entire neighbourhoods tumbled down the brooding mountains that surround the capital city’s bay.

Further devastation

Haiti, already desperately poor but having experienced its first sustained period of political calm and stirrings of foreign investment interest in many decades, seemed as if it would be reduced to an even graver level than it had been before: mortally wounded, traumatised, ungovernable. In addition to the buildings destroyed, Haiti had also lost some of those best placed to aid its tenuous economic recovery, among them one of the country’s most respected economists, Philippe Rouzier, as well as Jean Frantz Richard and Murray Lustin Junior, the director-general and director of operations, respectively, at the Direction Générale des Impôts, the country’s main tax office in the capital.

According to the International Organisation for Migration, as of early February at least 460,000 people were still living in 315 spontaneous settlements throughout Port-au-Prince, while the World Food Programme said that more than 1.6 million people had received ­supplies since the start of the earthquake response.

Economic focus

But Haiti’s industrious population knows a little something about struggle and perseverance, even in the face of such a devastating tragedy. Within days of the earthquake, the country’s market women, taxi drivers and other labourers had returned to the streets, resuming commerce among the hundreds of thousands camped out between the shells of ruined buildings. Capital residents began to flow back into Haiti’s countryside, seeking family solace among the loss.

From a terrible misfortune, some hoped that Haiti might still have set in motion the seeds for a new beginning. Despite the ousting of a popular prime minister last autumn, Haiti’s modest economic engine, buoyed by an extended period of relative political tranquillity and an improved security situation, continued chugging along under a new prime minister, Jean-Max Bellerive, seemingly bearing out a December 2008 UN report asserting that it was striking “how modest are the impediments to competitiveness relative to the huge opportunities offered by the fundamentals” in the country.

Last year, billionaire George Soros’s Economic Development Fund announced plans to create a $45m industrial park in Cité Soleil, one of the capital’s poorest neighbourhoods, while two new hotels were set to open along the country’s lush south coast.

At the same time, the OTF Group, a competitiveness consulting firm credited with breathing new life into Rwanda’s tourism, coffee and agro-industry sectors following the country’s 1994 genocide, praised the business opportunities in Haiti. Focusing on several key “growth clusters” to drive economic development, it hoped to help create 500,000 jobs in Haiti within three years.

Following the earthquake, though reassessed, the group said its conclusions did not necessarily need to be shelved, just pushed back for six months to a year.

“The outmigration from [Port-au-Prince] is a huge opportunity to reverse the migration trends of the past two decades,” says OTF director Robert Henning. “If reconstruction can create opportunities and jobs outside of the capital, this will achieve an important goal of redistributing the influence and economic weight of Haiti.”

Trade possibilities

Though the country’s interior has been severely deforested over the past few decades, local groups, such as the Mouvman Peyizan Nasyonal Kongrè Papay, have worked for years on reforestation and irrigation projects and some areas, such as the Artibonite Valley, remain relatively fertile. With Port-au-Prince’s harbour severely damaged and the likelihood of recurrent large-scale earthquakes extremely high, according to the US Geological Survey, international attention has for the first time begun to look seriously at developing Haiti’s long-neglected interior with manufacturing and agricultural initiatives.

A long border with neighbouring Dominican Republic, which lends itself to the possibility of free-trade zones, and possible ports that might conceivably be expanded around the country – including Miragoâne (in the country’s west), Saint-Marc (in the middle region) and Cap-Haïtien (in the north) – would seem to support this possibility for future investment.

Following a decision last year by the World Bank, the International Monetary Fund and the Inter-American Development Bank to cancel $1.2bn of Haiti’s debt – with the latter institution approving an additional $120m in grants for investments in key sectors such as infrastructure, basic services and disaster prevention, the G-7 countries told Haiti after a post-earthquake meeting in Canada in February that the country’s debts to the body did not need to be repaid.

New beginning

None of this in any way minimises the grievous shock – physical, psychological and economic – that Haiti’s people and its government have suffered because of those terrible moments in January. But, day by day, it appears to be picking itself up, dusting itself off and trying to decide where it will head from here.

“The extent of this disaster is also due to the fact that this country has not been managed, or rather has been ill-managed, for the past 50 years,” says Michèle Pierre-Louis, a civil society leader and former prime minister of Haiti. “Maybe after mourning our dead and saving the lives of the survivors, we should start thinking about ways to put together our energies, our solidarity, our creativity to rebuild our capital under some kind of strong leadership… [which] could eventually lead to rebuilding the entire country. Now is the time.”