Cautious optimism on public health in post-earthquake Haiti

Vertefeuille, John; Dowell, Scott F.; Domerçant, Jean Wysler; Tappero, Jordan W.

doi:10.1016/s0140-6736(13)60051-3

Cited by 12 publications

(9 citation statements)

References 4 publications

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“…Currently available OCVs are not 100% efficacious, induced immunity wanes over time thereby requiring periodic booster dosing, and today's globally available OCV supply is not sufficient to vaccinate the entire Haitian population with the required two-dose regimen. In addition, evidence from the routine childhood expanded program for immunizations and recent nationwide vaccine campaigns in Haiti has demonstrated varying ranges of coverage 34–37. Although rapid expansion of effective OCV coverage to 50% of Haitian population (10 million doses of administered vaccine or more) by year 5 may avert an additional 6,000–24,000 cases (Table 5), such rapid expansion is likely beyond the country's current capacity.…”

Section: Discussionmentioning

confidence: 99%

Modeling the Effect of Water, Sanitation, and Hygiene and Oral Cholera Vaccine Implementation in Haiti

Fung¹,

Fitter²,

Borse³

et al. 2013

The American Society of Tropical Medicine and Hygiene

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In 2010, toxigenic Vibrio cholerae was newly introduced to Haiti. Because resources are limited, decision-makers need to understand the effect of different preventive interventions. We built a static model to estimate the potential number of cholera cases averted through improvements in coverage in water, sanitation and hygiene (WASH) (i.e., latrines, point-of-use chlorination, and piped water), oral cholera vaccine (OCV), or a combination of both. We allowed indirect effects and non-linear relationships between effect and population coverage. Because there are limited incidence data for endemic cholera in Haiti, we estimated the incidence of cholera over 20 years in Haiti by using data from Malawi. Over the next two decades, scalable WASH interventions could avert 57,949–78,567 cholera cases, OCV could avert 38,569–77,636 cases, and interventions that combined WASH and OCV could avert 71,586–88,974 cases. Rate of implementation is the most influential variable, and combined approaches maximized the effect.

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Section: Discussionmentioning

confidence: 99%

Modeling the Effect of Water, Sanitation, and Hygiene and Oral Cholera Vaccine Implementation in Haiti

Fung¹,

Fitter²,

Borse³

et al. 2013

The American Society of Tropical Medicine and Hygiene

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“…13 , 25 , 30 Additional public health priorities were determined by examining public health programs in need of investment in the medium to long-term time frame. 31 , 32 Developing workforce and emergency response capacity within public health were some of the areas included in these longer term efforts. Although disease burden was a factor in determining areas of focus, it was not the only consideration, as MSPP priorities, including expanding access to public health services for all Haitians, also influenced the process.…”

Section: Introductionmentioning

confidence: 99%

Applying a New Framework for Public Health Systems Recovery following Emergencies and Disasters: The Example of Haiti following a Major Earthquake and Cholera Outbreak

Fitter¹,

Delson²,

Guillaume³

et al. 2017

The American Journal of Tropical Medicine and Hygiene

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Abstract.Emergencies can often directly impact health systems of an affected region or country, especially in resource-constrained areas. Health system recovery following an emergency is a complex and dynamic process. Health system recovery efforts have often been structured around the World Health Organization’s health systems building blocks as demonstrated by the Post-Disaster Needs Assessment. Although this structure is valuable and well known, it can overlook the intricacies of public health systems. We retrospectively examine public health systems recovery, a subset of the larger health system, following the 2010 Haiti earthquake and cholera outbreak, through the lens of the 10 essential public health services. This framework illustrates the comprehensive nature of and helps categorize the activities necessary for a well-functioning public health system and can complement other assessments. Outlining the features of a public health system for recovery in structured manner can also help lay the foundation for sustainable long-term development leading to a more robust and resilient health system.

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“…25 After these back-to-back crises, in early 2011 MSPP, CDC, and other organisations identifi ed seven measurable public health eff ect goals to transform health services and disease outcomes. 26 With the aim to achieve an AIDS-free generation, in 2011, MSPP and PEPFAR-Haiti expanded HIV counselling and testing sites for pregnant women, implemented a case management programme for all HIV-infected women to reduce loss to follow-up, and in 2012 adopted the B+ option that provides all HIV-infected pregnant and breastfeeding women with lifelong ART irrespective of CD4 cell count. 6,27 HIV testing of pregnant women has increased by 74%, from 128 540 in 2010, to 223 626 in 2013.…”

Section: Global Health and The Us Centers For Disease Control And Prementioning

confidence: 99%

Global health and the US Centers for Disease Control and Prevention

2014

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Cautious optimism on public health in post-earthquake Haiti

Cited by 12 publications

References 4 publications

Modeling the Effect of Water, Sanitation, and Hygiene and Oral Cholera Vaccine Implementation in Haiti

Modeling the Effect of Water, Sanitation, and Hygiene and Oral Cholera Vaccine Implementation in Haiti

Applying a New Framework for Public Health Systems Recovery following Emergencies and Disasters: The Example of Haiti following a Major Earthquake and Cholera Outbreak

Global health and the US Centers for Disease Control and Prevention

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