haiti case study part one


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  • Created by: bainesr16
  • Created on: 13-12-22 16:17
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  • Haiti Cholera Case Study: Excluding Responses
    • Earthquake (12th Jan 2010 - magnitude 7.0)
      • epicentre - 16 km southwest of Port-Au-Prince
        • 70% of buildings in Port-Au-Prince collapsed (poor quality as many were in slums)
          • camps had poor living conditions: overcrowding, poor access to clean water and poor sanitation
      • killed 230,000 people and injured 300,000
        • left families vulnerable, potentially losing sources of income --> forcing them into worse living conditions
      • 1.3 million people were displaced --> 1,000 camps were set up
        • camps had poor living conditions: overcrowding, poor access to clean water and poor sanitation
        • people were forced to migrate - spreads the disease (disease diffusion - esp. expansion)
      • damaged water supplies and sanitation networks
        • forced people to drink from the Artibonite river --> spread cholera
        • sewage entered water supplies --> spread cholera
      • UN aid workers from Nepal temporarily migrated to Haiti to help those impacted
        • it is thought that they brought Cholera to Haiti --> Haiti had not had a cholera epidemic for 100 years before this
    • Hurricane Tomas (5th November 2010)
      • caused rapid flooding and overflowing toilets
        • sewage was not contained away from drinking water and homes --> spread of contaminated water --> spread of cholera
    • environmental factors affecting the spread of cholera
      • Haiti is in a sub-tropical region
        • V. Cholerae likes warm, aquatic environments so the disease could reproduce and spread quickly
      • Communities on the Artibonite River had the first cases and it was the most rampant there
        • implies that the river is intrinsic in the spread of cholera
      • La Nina (warming) in the seas and Artibonite River
        • May have activated dormant cholera bacteria and allowed it to spread from the sea to the river where it infected local communities
    • human factors affecting the spread of cholera
      • high population density --> 1.6 million people lived in camps and 86% lived in slums
        • neighbourhood effects (Hagerstrand) --> an individual is in direct contact with a larger volume of people allowing for more disease diffusion (contagious diffusion)
      • poverty - 80% lived below the poverty line
        • could not afford healthcare (including the costs of travelling the hospital or missing work --> increased mortality
        • high population density --> 1.6 million people lived in camps and 86% lived in slums
          • neighbourhood effects (Hagerstrand) --> an individual is in direct contact with a larger volume of people allowing for more disease diffusion (contagious diffusion)
      • lack of access to healthcare - 40% of the population have access to basic healthcare
        • could not afford healthcare (including the costs of travelling the hospital or missing work --> increased mortality
      • poor sanitation
        • limits the effectiveness of responses as there is a fundamental lack of good sanitation infrastructure
        • creates ideal conditions for the bacteria --> spreads and infects more people  creating more contaminated waste --> positive feedback cycle
      • Over reliance on the river
        • leaves communities vulnerable to diseases that rely on water like cholera

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