The world has the tools to end Haiti’s crisis – it’s time to use them

“I often feel that I cannot even find words any longer to describe the situation. Is it alarming, is it acute, is it urgent? It is all of that and even more.”

The phrase she ultimately settled on was “strikingly horrific.”

Haiti is currently facing a protracted and worsening humanitarian crisis – with gang violence expanding beyond the capital of Port-au-Prince, civilians are increasingly bearing the brunt of this terror. Additionally, Haiti is one of five countries worldwide experiencing famine-like conditions.

Woeful crisis response

Amidst this horror, Haiti’s humanitarian plan is only nine per cent funded, making it the least funded humanitarian response plan in the world according to Ms. Richardson.

But despite these challenging and protracted circumstances, Ms. Richardson was also keen to emphasise that political will and funding could ensure that the current crisis does not have to be Haiti’s future.  

Haiti’s destiny does not need to be misery and despair,” she said. “As much as Haiti has spiralled down in a negative [way], Haiti can quickly spiral up again.”

Beyond the figures

Over 1.3 million people have been displaced in Haiti as a result of violence – the  largest number in Haiti’s history – and almost half of the country is suffering from emergency food insecurity.   

These numbers have become so big that it can be hard to conceive of the actual human impact behind them.

“All of that is just figures. Beyond every figure, there is a mother, a child, a father, a young person,” she said.

Sometimes these numbers also obscure certain livelihoods. For example, the number of 1.3 million displaced obscures those left behind, perhaps because they physically could not flee as violence encroached on their neighborhood.  

Ms. Richardson said that she has heard many stories like this.

“These could be people in a wheelchair or an elderly relative that they simply have to leave behind. They cannot move with them.”  

Ask yourself, what more can you do?

Ms. Richardson said that there is much about Haiti’s current situation that she finds frustrating – most specifically the fact that the international community has identified the solutions to mitigate, if not completely stop, the crisis.

“We have tools, but the response from the international community is not on par with the gravity on the ground,” she said.  

For example, the Multinational Security Support mission (MSS) has half of the personnel and very little of the equipment it needs to fulfil its mandate.

Additionally, while sanctions on political leaders with gang ties are slowly taking hold, they are insufficient. Similarly, the international community is not doing enough to stop the flow of guns.  

“These tools need to be given the proper support and investment in order to carry out their full mandate. There has to be a way of stopping arms coming into Haiti,” Ms. Richardson said.

Calling on States to ask themselves what more they can do to end the humanitarian crisis, Ms. Richardson said that the world must multitask.  

‘A divided heart’

Ms. Richardson will be taking a new post in Libya as of 1 September , and as she prepares to leave behind her years of work in Haiti, she told journalists that she has a divided heart.

On the one hand, this is a humanitarian crisis of “striking” proportions that the world seems to have forgotten. But. if the international community was able to embrace the solutions before them, the crisis could end. 

Haiti can turn the page

We cannot do what we do if we are not optimistic. Of course, we think that there are solutions. Of course, we think that the future is brighter than the present.”

Ms. Richardson said that this optimism comes in part from Haiti’s “honourable and brilliant” past and from the resistance she has seen on the ground.  

“Every condition is there to turn the page…Haitians are extremely ready for this, for the country to have a more positive echo in the international community.” 

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Novel device: ‘Surface mapping’ a reliable diagnostic tool for gut health

Non-invasive sensors laid on the skin’s surface to measure bioelectrical activity could offer a better alternative for patients suffering with poor gut health.

Stefan Calder, a recent PhD graduate at the Auckland Bioengineering Institute (ABI), at Waipapa Taumata Rau, University of Auckland is the lead and joint-first author for two papers published in prestigious scientific journals this month on gut health. Stefan says gastric disorders are increasingly prevalent in humans, but reliable non-invasive tools to objectively assess gastric function are lacking.

“Many people suffering with chronic gut issues are on a constant diagnostic treadmill of antibiotics or proton pump inhibitors until they are sent for an endoscopy. A reliable surface-based recording could bridge the gap between symptom-based diagnostics and the more invasive minor surgery tests.”

Like the rhythmic beatings of the heart, gut movements depend on bioelectrical activity – but the electrical activity in the gut has been much more difficult to reliably detect. Researchers at ABI and the Faculty of Medical and Health Sciences’ Department of Surgery have employed a novel device using a sticky patch of sensors and a recording device and associated techniques to create a new and reliable non-invasive tool to map electrical waves from the stomach.

healthcare

Coined “Body Surface Gastric Mapping” (BSGM), the method has proven a reliable detector of gastric slow wave activity and has now led to an exciting and unexpected discovery identifying two distinct disease subgroups in chronic nausea and vomiting syndromes.

BSGM has shown to reliably record bio-electrical activity on the gut’s surface and accurately detect changes in both the frequency or rhythm, and direction of electromagnetic waves with intricate detail.

The degree of difference in bio-electrical activity between healthy people and patients with chronic nausea and vomiting syndromes defined by the novel gastric mapping device was set to explore. While previous surgical and non-invasive studies have shown that gastric dysfunctions are associated with abnormal bio-electrical slow waves, the researchers found surprising results.

“Approximately two-thirds of the symptomatic patient group had completely normal bio-electrical activity, while the rest had abnormal activity. We realised there were two sub types of what was previously considered a single disease.

“This may go on to explain or further classify that single disease into two diseases based on different mechanisms. For example, abnormal bioelectrical activity is likely to point to something intrinsically wrong with the stomach itself, but for those patients who show a completely normal slow wave propagation, their issue is likely arising from somewhere else.

“This idea of recording electrical activity on the body’s surface has been around for a long time. ECG machines, recording electrical activity have gained diagnostic acceptance for the last 100 years, but in the gut that is not the case. Through these studies we have validated a device and process that can reliably and accurately evidence bioelectrical activity in the stomach. We also show that bioactivity in the stomach can be a useful biological marker for disease.

“With this bio-electrical information on hand to inform clinical guidance or treatment, people experiencing chronic vomiting or nausea may be directed to different pathways and may receive diagnosis and more appropriate treatment options sooner.”