January 15, 2010
© Julie Remy
More than 2,000 patients have been treated so far at Doctors Without Borders/Médecins Sans Frontières (MSF) locations in Port-au-Prince. Teams are now focusing their attention on expanding surgical capacity, as needs are huge. More than 300 patients have been transferred from MSF's Martissant health center to Choscal hospital, a facility in the Cité Soleil district, where they are expected to receive surgery soon. The rest of the medical staff on the ground are still responding to the hundreds of people at their clinics who need immediate first aid and more basic care for their wounds.
© Julie Remy
“Triage, stabilization of the wounded, and referrals for surgical needs are the medical priorities,” said Dr. Mego Terzian, MSF emergency cell staff.
Each of MSF's existing three medical facilities in Haiti's capital have been partially damaged: the health center in the Martissant slum, the 60-bed La Trinité trauma hospital, and the 75-bed emergency obstetric hospital Maternité Solidarité. Medical care under tents continues in front of what was La Trinité trauma hospital and rehabilitation center in the Pacot area of Port-au-Prince. More than a thousand patients have received primary medical care there.
Equipment that could be salvaged from the damaged health facilities at Maternité Solidarité hospital has been taken to Choscal. It is a race against time because infected wounds need rapid interventions. Inflatable operating theatres, with more surgical specialists are en route. But there are major issues of access and transport, with the staff delayed in the air and on the roads.
Due to the high death toll caused by the earthquake, dead bodies are piling up in Port-au-Prince. “The dead bodies represent a medical issue in the sense that it’s a factor of stress for the survivors," said Dr. Terzian. "But in this context, as the cause of the death, it is not an infectious factor. There is no risk of epidemics linked to bodies.”
© REUTERS/Joel Trimble, courtesy alertnet.org
There are overwhelming needs across the city and the MSF teams are getting reports of very serious damage and casualties from the smaller towns near the capital. They will be trying to get out into those areas to establish what MSF might contribute. Mobile clinics are being planned. The teams are also looking at obstetric care, which has always been a priority for MSF and which needs sustaining. Mental health in the wake of this scale of disaster is another area where provisions need to be made.
© 2013 Doctors Without Borders/Médecins Sans Frontières (MSF)