notes: 12/16/10 Post on HEAS from Amber Munger The report from the Lagon health committee, backed by the nurse auxiliary who staffs the clinic, was that there has been no consistent support for the Lagon clinic. There is a CTC in the nearby town of Gwo Moun, however, the nurse auxiliary claims that Gro Mourne was too far away for many people served by the Lagon clinic. They agreed that patients should be transported to the Gro Mourne clinic after being treated at the Lagon clinic because Gro Mourne was well staffed and had a much better capacity than the Lagon clinic. However, they were very concerned that patients who arrive at the Lagon clinic are not able to be treated because the clinic is not receiving regular supplies. That day at the clinic there had only been two patients, one of whom died that morning and one still there. One person at the clinic told A29's coordinator that there were people with cholera in the village of Gayette who were not seeking treatment because they had heard that the clinic had no supplies and Gro Mourne was too far for them to try to make it. A29's coordinator went to gayette to confirm if this was the case. In Gayette he found 3 people with cholera who all confirmed that they would not go to the Lagon clinic because it had no supplies. A29 coordinator convinced one of them to go to the clinic but the other two remained and said that they would seek care in La Source Chaude the following day. A29 observes that there is a need for coordination between the Gro Mourne and Lagon clinics. MSF and PAHO brought supplies to the Lagon clinics a few weeks ago but according to the folks staffing the Lagon clinic, those supplies have run out. At a minimum, it would be helpful if the nurse auxiliary of the Lagon clinic were kept informed of whether any supporting organizations will commit to providing materials to this clinic. A29 can coordinate with the clinic, but encourages health based NGOs in Gro Mourne to please respond (either directly to the nurse in Lagon or to A29). There are two nurse auxiliaries in Lagon. There information is as follows: Louissant Evlyn - 3775-3740; Sanitas Lizette - 3787-5841. You can contact A29's Coordinator Hebert Pierre for more information on the clinics at 3820-9678. For English/Kreyol and computer communications, you can contact me at the numbers listed below --------------------------------------------------- 12/6/10 Email from Amber Munger Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678. -> 12/16/10 Post on HEAS from Amber Munger The report from the Lagon health committee, backed by the nurse auxiliary who staffs the clinic, was that there has been no consistent support for the Lagon clinic. There is a CTC in the nearby town of Gwo Moun, however, the nurse auxiliary claims that Gro Mourne was too far away for many people served by the Lagon clinic. They agreed that patients should be transported to the Gro Mourne clinic after being treated at the Lagon clinic because Gro Mourne was well staffed and had a much better capacity than the Lagon clinic. However, they were very concerned that patients who arrive at the Lagon clinic are not able to be treated because the clinic is not receiving regular supplies. That day at the clinic there had only been two patients, one of whom died that morning and one still there. One person at the clinic told A29's coordinator that there were people with cholera in the village of Gayette who were not seeking treatment because they had heard that the clinic had no supplies and Gro Mourne was too far for them to try to make it. A29's coordinator went to gayette to confirm if this was the case. In Gayette he found 3 people with cholera who all confirmed that they would not go to the Lagon clinic because it had no supplies. A29 coordinator convinced one of them to go to the clinic but the other two remained and said that they would seek care in La Source Chaude the following day. A29 observes that there is a need for coordination between the Gro Mourne and Lagon clinics. MSF and PAHO brought supplies to the Lagon clinics a few weeks ago but according to the folks staffing the Lagon clinic, those supplies have run out. At a minimum, it would be helpful if the nurse auxiliary of the Lagon clinic were kept informed of whether any supporting organizations will commit to providing materials to this clinic. A29 can coordinate with the clinic, but encourages health based NGOs in Gro Mourne to please respond (either directly to the nurse in Lagon or to A29). There are two nurse auxiliaries in Lagon. There information is as follows: Louissant Evlyn - 3775-3740; Sanitas Lizette - 3787-5841. You can contact A29's Coordinator Hebert Pierre for more information on the clinics at 3820-9678. For English/Kreyol and computer communications, you can contact me at the numbers listed below Although the numbers have stabilized and even decreased in Communes Anse Rouge and Terre Neuve, we still have preventable cholera deaths on a regular, daily basis, due to a lack of education about cholera prevention and treatment. A29 is supporting a house to house community education campaign in 22 hard to reach villages in the region. We are seeking partnership with a health based NGO who has medical staff that can give a two day training for 30 cholera agents, supported by A29. We also seek support in the form of informative leaflets that can be left with each household, aqua-tab and soap. If other health based NGOs are able to provide other forms of support to the region, A29 would be happy to facilitate the implementation of health based programs in the region. We have a good relationship with an extensive community network of peasant groups that reach every corner of Communes Anse Rouge and third section Terre Neuve. --------------------------------------------------- 12/6/10 Email from Amber Munger Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678.

notes: 12/6/10 Email from Amber Munger Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678. -> 12/16/10 Post on HEAS from Amber Munger The report from the Lagon health committee, backed by the nurse auxiliary who staffs the clinic, was that there has been no consistent support for the Lagon clinic. There is a CTC in the nearby town of Gwo Moun, however, the nurse auxiliary claims that Gro Mourne was too far away for many people served by the Lagon clinic. They agreed that patients should be transported to the Gro Mourne clinic after being treated at the Lagon clinic because Gro Mourne was well staffed and had a much better capacity than the Lagon clinic. However, they were very concerned that patients who arrive at the Lagon clinic are not able to be treated because the clinic is not receiving regular supplies. That day at the clinic there had only been two patients, one of whom died that morning and one still there. One person at the clinic told A29's coordinator that there were people with cholera in the village of Gayette who were not seeking treatment because they had heard that the clinic had no supplies and Gro Mourne was too far for them to try to make it. A29's coordinator went to gayette to confirm if this was the case. In Gayette he found 3 people with cholera who all confirmed that they would not go to the Lagon clinic because it had no supplies. A29 coordinator convinced one of them to go to the clinic but the other two remained and said that they would seek care in La Source Chaude the following day. A29 observes that there is a need for coordination between the Gro Mourne and Lagon clinics. MSF and PAHO brought supplies to the Lagon clinics a few weeks ago but according to the folks staffing the Lagon clinic, those supplies have run out. At a minimum, it would be helpful if the nurse auxiliary of the Lagon clinic were kept informed of whether any supporting organizations will commit to providing materials to this clinic. A29 can coordinate with the clinic, but encourages health based NGOs in Gro Mourne to please respond (either directly to the nurse in Lagon or to A29). There are two nurse auxiliaries in Lagon. There information is as follows: Louissant Evlyn - 3775-3740; Sanitas Lizette - 3787-5841. You can contact A29's Coordinator Hebert Pierre for more information on the clinics at 3820-9678. For English/Kreyol and computer communications, you can contact me at the numbers listed below --------------------------------------------------- 12/6/10 Email from Amber Munger Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678.

notes: 12/6/10 Email from Amber Munger PIH was responding to the watchboard. It would have been much more helpful if PAHO would have informed everyone that they intended to respond to the watchboard by visiting the site and sending supplies rather than reporting back the day after they visited. They obviously planned the visit the day before they went, meaning that about 48 hours passed between the time that they decided to go and the time that they reported with us. During that time JHPRO, PIH and others made plans to go that would have been a wasteful use of resources had we not caught them. Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678. -> 12/6/10 Email from Amber Munger Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678.

notes: 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678. -> 12/6/10 Email from Amber Munger PIH was responding to the watchboard. It would have been much more helpful if PAHO would have informed everyone that they intended to respond to the watchboard by visiting the site and sending supplies rather than reporting back the day after they visited. They obviously planned the visit the day before they went, meaning that about 48 hours passed between the time that they decided to go and the time that they reported with us. During that time JHPRO, PIH and others made plans to go that would have been a wasteful use of resources had we not caught them. Karine from MSF emailed me today and said that ORS/OPS had also sent supplies to the Lagon clinic. I dont know who that is or what supplies. In the meantime, AMURT is reporting that they sent a doctor to La Source Chaude that was there for three days, but I did not hear this from Hebert or MSPP. ---------------------------------------------------- 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678.

notes: 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678. -> 12/2/10 Email Posted on HEAS from Amber Munger Lagon Clinic We now have information that the clinic in Lagon has had several cholera patients, 10 of which have died. Although no inventory was taken at the clinic, we are told that several patients have left the clinic because of a lack of materials and are staying at their homes in the village despite repeated pleas by the nurse auxiliary that they stay at the clinic. The nurse auxiliary who volunteers at the Lagon clinic gave us the following information: Since 6 November there have been 81 cholera patients. 10 have died. 8 of those died at the clinic and 2 died at their home. Today, our coordinator counted 23 cholera patients at the Lagon clinic. The nurse said that there were "many" more affected by cholera but that they would not stay at the clinic because there were no supplies that could help them. A29's coordinator did not enter the clinic to take an inventory of the supplies that were there. However, members of the Lagon Health Committee approached A29's coordinator and asked for help, reiterating that there were no supplies for the cholera patients. They have requested a tent and basic CTC supplies for the clinic. They said that Dr. Carlo with MSPP visited the Lagon clinic weeks ago and said that MSPP was planning to send material assistance the following week, but no assistance has come. The health committee says that there are no NGOs coordinating with this clinic other than A29, (which is not a health organization, only an organization that connects community clinics with resources). Lagon is in a very remote location with the only "road" access coming from Gro Mourne. It may be technically in Commune Terre Neuve but one of the main trade routes to the village is connected through COmmune Anse Rouge. A29 works with peasant networks in this region. As we deem this situation urgent, A29 is requesting assistance from other organizations in securing basic cholera supplies, and personnel for the Lagon clinic. It seems relevant to make the Lagon clinic a CTC as there are no other clinics within an hours walk from Lagon and there are no transport vehicles that stay in the village on a regular basis. Town of Anse Rouge Clinic The clinic was still closed yesterday. However, Dr. Carlo, in his meeting with our coordinator today, announced that the Town of Anse Rouge clinic would reopen to cholera patients as early as tomorrow. The "clinic" is actually at the site of the burned down hospital and to our knowledge has not seen cholera patients since the epidemic began. Other clinics in Commune Anse Rouge remain closed to cholera patients. Some clinics had closed completely when the cholera numbers peaked. THose clinics have now re-opened but refer cholera patients to La Source Chaude or Gonaives. Article 29 Organization is gathering daily and bi-weekly information on the cholera situation in the Commune and coordinating with MSPP and other organizations who can help with supplies for the clinics. If your organization has information to add to this report, or can provide training materials, personnel, or supplies, please contact Amber Munger via email or telephone for more information (English and Kreyol only). If your organization is on the ground in Haiti and can provide direct assistance in Anse Rouge please contact Hebert Pierre (kreyol only) at 3820-9678.