From the badly affected Boston to besieged Haiti, the lifeline of COVID patients

“This can be devastating, not only in lives,” said Walton, a female doctor from Brigham and Women, in cooperation with Ansara, the HealthHealth International, a nonprofit-based Beverly-based organization that has brought expertise in design and construction to the organization. Lost but as an economic disaster. ” Hospital projects.

“There is almost no test to talk about in the country, and there are very few critical care beds,” said Ansara, who lives in Essex. “We have sounded the alarm about Haiti now about three months ago. We have no idea how many people have COFD disease. We have flown supplies to Haiti for weeks, but that is not nearly enough.”

In early June, the Haitian Ministry of Health predicted that 9,000 beds would be required for COVID patients, a figure 20 times more than 450 beds available at that time. The death toll in the country stood at 92 on Friday, with 5,429 cases confirmed, according to the World Health Organization, but these numbers are believed to be a small fraction of deaths and injuries.

Health officials say many Haitians are dying in their homes because of what they call a “fever epidemic,” and hospitals have avoided fear of stigmatization due to an illness they do not understand. But it appears to be widespread and profound.

“The stigma is very strong,” said Dr. Inobert Pierre, director of Haitian operations for Health Equity International, a Newton-based organization that runs St. Boniface Hospital in southern Haiti and partners with the Walton and Ansara group to add the COVID family. over there.

“You must be diagnosed with COVID or go to hospital because it is a death sentence,” said Walton. “If there is an effective therapeutic agent, I think the stigma will be significantly different.”

In addition to a maze of difficulties, social isolation is almost impossible in a country that badly needs work. Hand antiseptics are rare, and washing hands frequently is difficult.

In St. Boniface and the University Hospital in Mirebalais, Build Health International’s work to quickly accommodate the expected surge of COVID patients, was especially in a country where construction projects often suffer delays and defects.

Walton said at St. Boniface Hospital in Fond-de-Blanc, the organization added 36 new COVID beds and redesigned 14 extra beds for COVID patients. At the university hospital, three new wards with 50 COVID beds are added, all with oxygen tubes. 50 beds are now being reassigned to care for patients with the disease.

Bild Health International also assists both hospitals to plan for the second stage if the additional abilities become flooded with COVID patients.

“I think less than 20 percent of the country’s family has access to oxygen. Then, these are simple calculations, and what you have is a relentless disaster.

“The ventilators are not in the vacuum. Walton added:” If you don’t have oxygen, the ventilators don’t matter. “We allow others to deal with the problem of the ventilator. Oxygen was the very crucial component. “

In addition to the COVID beds and oxygen, a building is being constructed at the University Hospital to meet the needs of employees, including change and breaks.

“All of this will be completed in another two weeks with a total schedule of four weeks,” Walton said. “High-speed anywhere, but especially in Haiti.”

Conor Shapiro, president of the World Health Organization, said the design and construction support that St. Boniface Hospital received cannot be measured in simple square shots.

“When we started working with David and Jim seven years ago, we were a small rural hospital,” Shapiro said. “It has grown three or four times in terms of the number of patients we can serve. It made a difference in hundreds of thousands of lives. “

Maintaining this momentum is a priority for Massachusetts nonprofits, but attracting other support may be difficult at a time when the coronavirus has killed more than 125,000 people in the United States – not least because of the mixed heritage of the international response a decade ago to the Haiti earthquake.

“There is a lot of fatigue from donors in Haiti.“ We have seen many relief organizations withdraw and shrink over the past few years, ”said Ansara, who lost his son-in-law to COVID.“ Some individual donors are tired of listening to Haiti. They feel it is hopeless. “

However, Ansara Walton brought it out.

“It’s an effort that has gone on for generations, but there you have it: During my short tenure, I’ve seen a huge improvement,” said Walton, who lives in the South End in Boston.

Walton has been associated with Haiti since the 1990s when he was a student at Harvard Medical School, and the relationship has continued since. In 2009 he contacted Ansara, who retired from Shumut, by e-mail to cold contact.

I asked him, “Would you be willing to help?” Walton remembers that he was in the right place in his life, and he dug his teeth in something after retirement.

The couple collaborated in planning a 100-bed hospital for health partners in Boston. But then the earthquake came, and the project doubled in size to become the National Teaching Hospital in Miribales.

“I spent about three years building this hospital,” said Ansara. “For two years, I used to travel every week, leaving at 5:30 am on Monday to go to Haiti and back again on Saturday night.”

Now, with another crisis in Haiti, Walton recalled the beginnings of his commitment there and the deep impression that his needs and capabilities have brought on the young medical student.

“It was an amazing experience to see all the things I’ve been working on to play in front of my eyes,” said Walton. I thought, “That’s what I want to do. This is the work of my life. “

Brian MacQuarrie can be reached at [email protected].

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