notes: ------------------------------------------------ 2/4/11 Email from Dr. Steve James MSF has now consolidated the Limbe district and have established their own CTC on the southern outskirts of the town of Limbe to which all health centers are to refer cholera patients. --------------------------------------------------- 2/4/11: HEAS post from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) ----------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> TO: haiti-epidemic-advisory-system@googlegroups.com Wednesday, October 26, 2011 7:37 AMMessage body Dear Ted and HEAS, In case this news is not circulating, we received word yesterday from the Haut Limbe Ebenezer Health Center (Seminaire Limbe), near Robillard, that Ebenezer's CTU has increased from 25 cholera patients in-house last week to 60 interned patients and are also feeling the strain of increasing demand for cholera relief. (We are currently in North Carolina and not due back to Haiti until end of June.) Steve Nancy B. James RN Stephen W. James MD Holistic Health Ministries in Haiti & the Caribbean ABC International Ministries/CBF Global Missions ------------------------------------------------ 2/4/11 Email from Dr. Steve James MSF has now consolidated the Limbe district and have established their own CTC on the southern outskirts of the town of Limbe to which all health centers are to refer cholera patients. --------------------------------------------------- 2/4/11: HEAS post from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) ----------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

notes: This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 2/4/11: HEAS post from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> ------------------------------------------------ 2/4/11 Email from Dr. Steve James MSF has now consolidated the Limbe district and have established their own CTC on the southern outskirts of the town of Limbe to which all health centers are to refer cholera patients. --------------------------------------------------- 2/4/11: HEAS post from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) ----------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112
cat_notes: 2/4/11- Email from Dr. Steve James. Please do not change the CTU back to CTC despite what PAHO says. Ebenezer has always been a CTU. It is a community health center owned by the local Scout troop of Haut Limbe under the auspices of the Haut Limbe Baptist Church. It has operated a general medical clinic under the supervision and registration of the Ministry of Health of the Department of the North (MSN/MSPP). The center has over 40,000 registered patients, consulting approximately 25,000 patients per year. It has an over-night facility for the stabilization of severely ill patients with a bed capacity of 40 patients. This facility became a cholera treatment center supported by the Doctors Without Borders until one week ago when they pulled out due to dropping numbers of cholera cases. The Ebenezer Health Center has continued to operate the Cholera Treatment Center under the supervision of the Haitian Public Health Department. Medical Ambassadors, and other NGO's have helped to support the work of the Ebenezer Health Center. Hope this information is helpful. MSF WAREHOUSE IS ON THIS CAMPUS SO THEY ARE GOOD WITH SUPPLIES! Lpar 12/7/10 Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment -> 2/4/11- Email from Dr. Steve James Yes, at the height of the epidemic it had over 100 patients, some sitting on benches with IV's running for lack of beds and places to hang IV bags. The 40 beds were used almost exclusively for cholera, with a few non-cholera admissions isolated from the cholera patients in private rooms. The center comfortably can hospitalize in beds 25 patients (3 large rooms and 2 isolation/single occupancy rooms) and with cots in halls and on porches and makeshift tent cared for average of 60 patients in the CTU until MSF arrived 3 weeks after onset of cholera cases when MSF provided a large tent and more medical personnel plus disinfection and medical supplies. MSF was a huge support to Ebenezer and was storing supplies at Ebenezer. MSF has now consolidated the Limbe district and have established their own CTC on the southern outskirts of the town of Limbe to which all health centers are to refer cholera patients. Ebenezer refers all cholera patients there unless the patients choose to stay at Ebenezer and/or are not stable enough to transfer (20 minute drive). Supplies at Ebenezer are good at present due to decreased needs, but will need continued supplies in the future, I am sure, so letting Hannah know of future needs for Ebenezer might be most helpful. MSF has promised to keep helping Ebenezer (if they can) with supplies but can not promise supplies due to their own demands. MSPP has been providing some supplies but also will come to Ebenezer at times to pick up medical supplies (LR) for them to take to other CTC's in the department as needed. I am copying this to Ebenezer's medical director Dr. Manno Mareus for future reference especially regarding supply needs. --------------------------------------------- 2/4/11- Email from Dr. Steve James. Please do not change the CTU back to CTC despite what PAHO says. Ebenezer has always been a CTU. It is a community health center owned by the local Scout troop of Haut Limbe under the auspices of the Haut Limbe Baptist Church. It has operated a general medical clinic under the supervision and registration of the Ministry of Health of the Department of the North (MSN/MSPP). The center has over 40,000 registered patients, consulting approximately 25,000 patients per year. It has an over-night facility for the stabilization of severely ill patients with a bed capacity of 40 patients. This facility became a cholera treatment center supported by the Doctors Without Borders until one week ago when they pulled out due to dropping numbers of cholera cases. The Ebenezer Health Center has continued to operate the Cholera Treatment Center under the supervision of the Haitian Public Health Department. Medical Ambassadors, and other NGO's have helped to support the work of the Ebenezer Health Center. Hope this information is helpful. MSF WAREHOUSE IS ON THIS CAMPUS SO THEY ARE GOOD WITH SUPPLIES! Lpar 12/7/10 Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment

name: Ebenezer Community Health Center (MSPP) - "CTC - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International/MSF) -> Ebenezer Community Health Center (MSPP) - "CTU - CHOLERA TREATMENT CENTER"
mission: -> It is a community health center owned by the local Scout troop of Haut Limbe under the auspices of the Haut Limbe Baptist Church. It has operated a general medical clinic under the supervision and registration of the Ministry of Health of the Department of the North (MSN/MSPP). The center has over 40,000 registered patients, consulting approximately 25,000 patients per year. It has an over-night facility for the stabilization of severely ill patients with a bed capacity of 40 patients.
cat_notes: MSF WAREHOUSE IS ON THIS CAMPUS SO THEY ARE GOOD WITH SUPPLIES! Lpar 12/7/10 Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment -> 2/4/11- Email from Dr. Steve James. Please do not change the CTU back to CTC despite what PAHO says. Ebenezer has always been a CTU. It is a community health center owned by the local Scout troop of Haut Limbe under the auspices of the Haut Limbe Baptist Church. It has operated a general medical clinic under the supervision and registration of the Ministry of Health of the Department of the North (MSN/MSPP). The center has over 40,000 registered patients, consulting approximately 25,000 patients per year. It has an over-night facility for the stabilization of severely ill patients with a bed capacity of 40 patients. This facility became a cholera treatment center supported by the Doctors Without Borders until one week ago when they pulled out due to dropping numbers of cholera cases. The Ebenezer Health Center has continued to operate the Cholera Treatment Center under the supervision of the Haitian Public Health Department. Medical Ambassadors, and other NGO's have helped to support the work of the Ebenezer Health Center. Hope this information is helpful. MSF WAREHOUSE IS ON THIS CAMPUS SO THEY ARE GOOD WITH SUPPLIES! Lpar 12/7/10 Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment

notes: This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 2/4/11: Email from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 2/4/11: HEAS post from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

address: Seminaire Limbe 19.70594-72.402489 -> Seminaire Limbe 19.70594-72.402489 GPS given by Dr. Steve James 19.6988N/72.3567W
notes: This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 2/4/11: Email from Dr. Steve James FYI, this 10th case of suspected ascending paralysis occurred at the Ebenezer Community Health Center CTU, Haut Limbe, Dept. du Nord, GPS19.6988N/72.3567W, an MSPP/MSN facility. Dr. Emmanuel Mareus is the Medical Director. Since onset of the cholera epidemic in this community, this small community-run CTU has admitted 1844 cholera patients with severe dehydration, overall mortality 2.6% with 246 total cholera patients treated January 2011. As of today,the CTU currently has 3 patients interned for rescue IV perfusion. Steve James ----------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

name: Ebenezer Community Health Center (MSPP) - "CTU - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International and MSF) -> Ebenezer Community Health Center (MSPP) - "CTC - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International/MSF)
notes: This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> This site is designated as a CTC per PAHO list dated 12-6-10 -------------------------------------------------- This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

name: Ebenezer Community Health Center (MSPP) - "CTC - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International) -> Ebenezer Community Health Center (MSPP) - "CTU - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International and MSF)
notes: This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. (Changed to CTU - Lpar 12/11/10) --------------------------------------------------- 12/11/10 CHHN Notes Last update was 11/25/10 560 pts. total/ 40 in last 24hr 20 total deaths CHHN no longer tracking due to MSF supporting in supplies and staff ------------------------------------------------- 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

cat_notes: Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment -> MSF WAREHOUSE IS ON THIS CAMPUS SO THEY ARE GOOD WITH SUPPLIES! Lpar 12/7/10 Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment

parish: -> Limbe
other_contacts changed.
cat_notes: -> Moved over from duplicate record. From RF so not sure all info is correct so I decided to just put here. FROM RESOURCE FINDER: Address – Location: 19.6988° N, 72.3567° W Contact name: Dr. Emmanuel Mareus E-mail: Manno Mareus manno9 @ hotmail.com Department: Nord District: Limbé Commune: Haut Limbé Organization name: Dispensaire Communautaire Eben-Ezer Organization type: Mixed Category: Clinic Construction: Reinforced concrete Comments: Access HHFML File 5-24-10 Record 417. TENTATIVE DELETE - see 3610091 GROUPED GEOCODE PAHO Comment: |, Coord Source: ME/MSPP2010; 2009_MSPP_database || Reachable by road: Yes Can pick up patients: No Operational status: Operational Alert status: Cholera cases SERVICES: Internal Medicine Infectious Disease Pediatrics Postoperative Care Mental Health Lab Outpatient Care Emergency Services Cholera Treatment

notes: HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> This site is not listed as an 'official CTC' on the MSPP/PAHO/Health Cluster list but we are using this CTC item in the avails because the operations taking place on site meet the official criteria of a 'CTC'. 11/27/10 HEAS Post from Dr. Steve James FYI, I do not see the Haut Limbe Eben-Ezer Health Center (Département du Nord) on the maps. This is an MSPP/MSN UTC that has been hospitalizing severe cholera patients since 11-2-10 (as of noon today 11-27-10, 701 total severe gastroenteritis cases have been hospitalized, over 2000 suspected cholera cases not hospitalized treated with ORS and cholera treatment and prevention education without availability of chlorine tablets, and 20 hospitalized deaths). ------------------------------------------------ HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112
other_contacts changed.

notes: Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> HEAS POST: Re: health worker infections Friday, November 26, 2010 8:22 AM From: "Steve & Nancy James" <snjames8 @ yahoo.com> Add sender to Contacts To: haiti-epidemic-advisory-system@googlegroups.com The Ebenezer Health Center Haut Limbe treated this week a Haitian nurse who works at a clinic outside of Port Margot who required IV rehydration for severe gastroenteritis with severe dehydration. That clinic has been referring suspected cholera cases to the Port Margot CTC. This is the only case I know of so far. Steve James MD Nancy B. James RN Stephen W. James MD ---------------------------------------- Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112
other_contacts changed.

name: Ebenezer Community Health Center (MSPP) -> Ebenezer Community Health Center (MSPP) - "CTC - CHOLERA TREATMENT CENTER" (Supported by: Medical Ambassadors International)
address: -> Seminaire Limbe 19.70594-72.402489
notes: Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD --------------------------------- Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112
other_contacts changed.
capacity: -> 40

name: Ebenezer Community Health Center -> Ebenezer Community Health Center (MSPP)

notes: Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112 -> Email from Steve James: 11/17/10 Ebenezer Health Center of Haut Limbe, an MSPP clinic, now relatively small CTC, has hospitalized close to 300 patients, treating around 50 at a time, and is averaging about 300 liters IV Ringers/24 hours. Roads remaining closed, the CTC will most likely be out of IV fluids in the next 24 hours. Steve James MD Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112

region: -> Nord

notes: Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. -> Source from: http://www.baptiststandard.com/index.php?option=com_content&task=view&id=11798&Itemid=53 ... Steve James worked Oct. 22 in the Ebenezer Community Health Center in Haut Limbé on a day when no cholera cases were diagnosed. Nancy prepared and helped distribute educational materials to providers and educators in the local communities. They are working with Joel Dorsainville, coordinator of disaster relief services for the Haitian Baptist Convention, who is updating and coordinating efforts within the churches of Haiti. Next they plan to help two community health centers set up cholera treatment protocols and centers. On Oct. 24 the couple participated in a conference on a method of solar water disinfection called SODIS -- a simple procedure where contaminated water is filled in a transparent bottle and exposed to the sun for six hours. During that time UV radiation from the sun kills diarrhea-generating pathogens like cholera. The program has been operating in Haiti since January through the work of Medical Ambassadors of Haiti, a community health ministry and ministry partner to the Jameses. Also on Sunday, ministry funds from the Cooperative Baptist Fellowship and the American Baptist Churches were given to help purchase and transport medical supplies procured by Christian partners in the Dominican Republic. The funds will also help set up treatment centers to care for the very sickest, as well as to contain the spread of infection through health education, prevention and primary health care to partner community health centers. The Jameses said they have been in communication with CBF field personnel nurse Jenny Jenkins in the south in Grand Goave. To date she had reported one cholera case hospitalized in Grand Goave after the person arrived from the north. If large numbers of cholera cases develop in the north, the couple said, there is concern there will be a shortage of intravenous fluids, oral rehydration salts and antibiotics. The World Health Organization and international communities are working to address possible shortages. ---- Feb. 2, 2010 Journal - http://www.internationalministries.org/read/18112