The document outlines a strategic plan to eliminate cholera in Haiti within 10 years. It proposes using funds for treatment, education, and long-term infrastructure development. Key aspects include settling UN claims, improving waste treatment, increasing access to clean water and healthcare, and coordinating with neighboring countries. The goal is to end deaths from cholera and prevent future outbreaks through sustainable solutions.

1. Presentation prepared for the U.N. Haiti Cholera Settlement Fund
International Developoment Group’s Emergency Task Force
Abi Olvera, Akarsh Sharma, Katherine Rich, Theresa Bailey and Sohini Sircar

2. Background
• Cholera Outbreak in Haiti:
•
Following 2010 earthquake, UN affiliated forces stationed
in nation let untreated sewage from their camp leak into a
tributary and pollute surrounding water sources
• Cholera has spread to other countries including Haiti, the
United States, the Dominican Republic and Cuba

3. Problem
Cholera in Haiti
People
have died
People are People will
sick &
continue
dying
to get sick

4. Problem Components
People have died
due to cholera
People are sick
and dying
•UN image in the
international
community
•Families have
lost income
earners
•Highly infectious
• 6% of people in Haiti
have had cholera
• 1.2% case-fatality
•Lack of
knowledge,
resources, and
infrastructure
fuel this process
People will
continue to get
sick
•Scarce clean
water sources for
drinking water,
sanitation, and
hygiene
•Cholera spreads
with each new
case

5. Objective
People have died
due to cholera
People are sick
and dying
People will
continue to get
sick
Mission: We seek to eliminate cholera as a cause of
death in Haiti and prevent the possibility of the
reoccurrence of an outbreak within 10 years.

6. Strategic Approach
People have died
•UN Settlement
Fund Claims
Committee
•UN
Peacekeeping
Operation health
protocols
People are dying
•Clean water
•ORS
•IV
•Antibiotics
People will
continue to get
sick
•Education
•Supplies
•Infrastructure
•Regional
incentives

7. Strategy
People have
died
Claims
committee
UN
Peacekeeping
protocols

8. Claims Committee
$40 million allotted
Formula Driven:
Proof of Death + Number of Dependents + Age + Economic Loss
Ex. Father of five, aged 28: $3,000 - $4,000
8,000 have died so far

9. UN Peacekeeping Health Protocols
 Health screening and immunization of peacekeepers prior
to deployment by troop-contributing country
 After deployment, chief administration office responsible
for exams
 Cross check by setting up an internal committee to
investigate the UN officials
 Determine waste disposal protocol on a country-bycountry basis

10. Treatment strategies
People are sick
and dying
ORS
Clean water
reduce case–fatality rates to <1%
IV
antibiotics

11. Low-tech, Low-cost Solutions
 Clean Water
 Filtered
 Boiled
 Salt & sugar solutions
 IV fluids and kits

13. Strategy
People will
continue to get
sick
Education
Supplies
Infrastructure
Regional
Incentives

14. Education
 Curriculum:
 Cholera: Signs & Symptoms
 Water purification
 Waste treatment
 Hygiene: hand washing & food preparation
 ORS administration

15. Supplies
 Fuel
 Clean water containers
 Soap
 Filters
 ORS packets
 Vaccines

16. Method of Distribution
 Public campaigns
 Community health workers
 Community-based education programs
 Schools
 Door-to-door

17. Infrastructure
 Waste Treatment
 Urban

UNEP: Collective disposal through small sewer systems including a primary
treatment plant



Sanitary sewer system by gravity or under pressure optimal.
UNEP: Private disposal system through individual holding tanks, cesspools,
and septic tanks.
SOIL Toilets in slums
 Rural


Partners in Health $250,000 wastewater treatment systems installed in
clusters of rural populations, scaled to size
SOIL toilets for dispersed clusters

18. Infrastructure
 Healthcare system
 Cholera Treatment Centres
 Increase access

19. SOIL Toilets
 Pilot programs for optimal usage and PR
 Urban
 Rural
 Randomized testing:
 Up-front cost of toilet on sliding scale
 Monthly maintenance fee, reimbursement

20. Partner Countries

21. Distribution of Budget
Infrastructure: 65%
($1.95 Billion)
Treatment and Education: 25%
($750 Million)
Settlement Fund: 5% ($150 Million)
Regional Incentives: 5% ($150 Million)

22. Timeline
Year
1
Year
2
Year
3
Year
4
Year
5
Year
6
Year
7
Year
8
Year
9
Year
10
Infrastructure: 65%
($1.95 Billion)
Treatment and Education: 25%
($750 Million)
Settlement Fund: 5% ($150 Million)
Regional Incentives: 5% ($150 Million)

23. Rollout Plan

24. Limitations
 People have died
 Animosity towards the UN may not be absolved by settling personal claims
 Relations with other nations may still be permanently affected by this incident
 People are dying
 Plan does not include diagnostics
 Haiti’s health care infrastructure may prevent patients from obtaining treatment
 People will continue to die:
 More countries affected then we can sustainably support
 Haiti may not be able to consistently generate enough electrical energy to
adequately maintain all sewage treatment facilities

25. Advantages
 Sewage treatment plan is self-sustaining
 The infrastructure of Haiti will undergo rapid expansion
 The current proposal simultaneously improves the state of
neighboring nations like the Dominican Republic
 Engages the community in the solution
 Relatively low-cost, low technology solutions

26. Summary Slide
Our goal is to elminate cholera from Haiti
through treatment, prevention and
development of long-term infrastructure.

28. Problem
8,300 have
died due to
cholera
Cholera outbreak
in Haiti: people
are gettig sick
Inadequate water and
waste treatment & hygiene
Inadequate waste treatment by
PKO
Haiti lacks infrastructure

29. Stakeholders
•
•
•
•
•
•
•
•
•
Haitians with cholera and at risk for cholera
Haitian Government
UN
UN PKO
WHO
Partners in Health
SOIL
HAS
DINEPA

30. Solutions
8,300 Haitians who died as a result of the cholera epidemic as well as some 650,000
more survivors of the illness.
$2,220,000 ORS (.11cents per packet, 20 packets per person, 1,000,000 ppl)
$10,000,000 vaccine/yr (1.85 per vaccine, vaccines for 1,000,000)
$9,600 (.04per 200mg tablet)
$920,000 (7 per IV Ringer Lactate solution kit) *really 840,000 but a bit
more added just in case
[120,000 hospitalization per year]
$1,222,300,800 Full sanitation system (cost of treatment system for all of the domestic
water
$250,000 (300,000liters per day)
Hôpital Universitaire de Mirebalais (HUM) Mirebalais

31. Cholera Treatment Centres
 As of 30 November, 40 cholera treatment centres (CTCs)
were operational (100 to 200 beds each) and 61 cholera
treatment units (CTUs) were functional. Few oral
rehydration centres (ORCs) have been established so far
due to difficulties in implementing the response.

32. Vaccine Distribution
 Deputy director of PAHO, and arm of UN thinks that vaccines
for all newborns could be useful (60-70% effective and lasts 2
years)
 So we would need about 3 vaccines per kid to get them out of
the danger zone
 Densely populated urban areas and rural places since little
access to health care because vaccine is in short supply
 Need about 46% vaccination coverage and Zindoga
Mukandavire, David L. Smith & J. Glenn Morris Jr think it’s a
good idea

33. Strategic Approach
Treatment
Education
Infrastructure
Investment in Haiti’s neighbor