🔴 Stanley Lucas ak Cyrus Sibert LIVE -- Analyse hebdomadaire de la conjoncture en Haiti sur @tripotaylakay (29 Mai 2022)
https://youtu.be/fXB4fBEw-uk via @YouTube
In this instalment from correspondent, Cyrus Sibert in Haiti, he interviews Dr Ernst Robert Jasmin, North Departmental Director of the Ministry of Public Health. The interview was conducted in Haitian Creole.
The current situation
In early January, the US Centers for Disease Control and Prevention (CDC) adopted a Level 4 Travel Warning against Haiti advising that travellers avoid the country “due to kidnapping, crime, civil unrest, and COVID-19”.
This was a very high-level advisory widely expected to impact the economy of the country.
Since December 2021, Haiti has been facing what has been described as a “fever epidemic” that affects the majority of the population. According to testimonies, the whole country is affected by this disease which seems seasonal but whose symptoms curiously resemble the Coronavirus.
Due to the small number of people tested, the statistics on this latter disease remain low. It should be noted that this wave of fever corresponds in timeline to the spread of the Omicron variant.
Accustomed to fever epidemics, the majority of the Haitians people see nothing new and continue to go about their business without being worried.
It is in this context that the Ministry of Public Health reported recently: 153 new cases for 577 new tests, 0 deaths; 12 new hospitalisations; 89% of people are already cured.
Overall, a total of 176,038 tests have been administered, there have been 30,162 confirmed cases, 814 deaths, 5,408 people hospitalised and 25,152 people cured. In percentage terms: positivity rate 17.13%, fatality rate 2.70%.
By mid-February, 149,814 people have received a first vaccine dose; 81,790 received their 2nd dose; 341 had a single dose vaccine and 99,237 people were fully vaccinated.
According to our observations, based on the statistics, between the report of January 2022 and that of February 14, 2022, statistical differences in confirmed COVID-19 cases coincide with the so-called “fever epidemic.”
Over this period, there have been 20,233 tests, 3,358 new confirmed cases, 34 deaths, 377 people hospitalised and 1,375 new people who have recovered from the virus.
The low medical coverage and the insignificant quantity of tests carried out, combined with the scepticism of the Haitian population regarding the existence of COVID-19, have prevented experts from having a real idea of the scale of the impact in Haiti.
It should also be noted that February 4, 2022, marked the third year since a case of cholera was first recorded in Haiti. Public authorities are now celebrating what they consider to be a victory over a disease imported into Haiti by MINUSTAH soldiers.
Since its introduction in 2010, cholera has infected more than 819,000 people and claimed nearly 10,000 lives.
The impact of the Coronavirus on the Haitian health system.
If COVID-19 has since its appearance caused an overflow and extreme pressure on health and hospital care systems around the world, in Haiti it has had the opposite effect and there is even a claim that it have been certain positive aspects. This can be surmised from an interview with Dr Ernst Robert Jasmin, North Departmental Director of the Ministry of Public Health.
Translation of our interview with Dr Ernest Jasmin:
“The appearance of COVID-19 caused a lot of stress at the beginning, taking into account what we observed in developed countries and big cities like New York. Because our capacity of care is modest, we had to cancel a lot of activities and direct our resources towards the management of COVID-19.
In a context where we did not have enough equipment and the health personnel were afraid of the disease, there was a form of fear. The population was worried and expected the worst. But, with what we have, we had to face it. Thus, the Ministry of Health provided some support and some of our institutions were 60% ready to deal with the disease.
The Haitian Ministry of Public Health's Coronavirus Preparedness and Response Plan gives a detailed idea of the preparations.
Unlike other countries, paradoxically, we have recorded a drop in patients at the level of healthcare institutions. At the beginning the population had (avoided) the health institutions in order not to be tested.
Why?
People were afraid that their illness would be called COVID-19. So many of our compatriots preferred not to know their real condition.
In addition, the epidemic caused a drop in attendance for other programmes such as: Child Health, Maternal Health, Routine Vaccination, HIV/AIDS, Tuberculosis. Patients of all kinds fled hospitals for fear of contracting the disease in health centres.
Later, scepticism around COVID-19 vaccines caused a lot of fear. People were afraid of being vaccinated without their knowledge. All injections were refused. This has negatively affected traditional vaccination campaigns against other diseases. We had to insist and convince the patients that it had nothing to do with COVID-19.
Health workers had to innovate to be able to continue to provide HIV/AIDS and tuberculosis patients with their drugs, without forcing them to enter hospitals. Rumours about COVID-19 and fake news significantly diminished patient confidence.
At the level of medical personnel, the rate of absenteeism is high, especially among the elderly or those at high risk.
The most common illnesses for which people go to hospital more easily, such as acute respiratory illnesses, have also seen a considerable drop. Still, health officials hope to observe these specific cases to assess and study the presence of the COVID-19 virus in the country.
There was a refusal to undergo tests.
Also, COVID-19 has caused the death of some health workers. Usually, we do not publish the list, but we have lost several co-workers.
On the positive side, this epidemic has strengthened the capacities of the systems. The epidemiological surveillance system is strengthened. Border control has improved.
There have been additions of equipment at the private or public level, training for staff who have become more experienced. The preparations and aid received to deal with COVID-19 have led to the strengthening of the hygiene and sanitation system within health institutions.
It's like cholera. This epidemic has considerably changed some hygiene habits which has a considerable impact on the spread of other diseases contracted by microbes in the intestine.
For example, the rate of cases of typhoid, intestinal parasitosis has dropped considerably. This is to explain certain correlations that exist between epidemics.
So, even when there are not many proven and certified cases, the preparations and changes brought about by information, education and communication campaigns can have effects on the spread or dissemination of other diseases.
Between December 2021 and the end of January 2022, the country has experienced a seasonal flu epidemic. Among those sick with this flu, the Ministry of Health has observed a modest increase in cases of COVID-19. Modest in number compared to other countries but serious in rate.
Unfortunately, if the fight against cholera had caused a change in behaviour, for COVID-19 we observe resistance on the part of the population.
The recent flu epidemic is proof of this. For instance, all Haitian families have had a member who has been a victim of flu or fever during the last two months.
But people do not quarantine themselves. There is no provision to protect people in their environment. The refusal to wear a mask is a real problem. People consider the mask as an obstacle to free speech including Creole expression "babouket" (knot around the mouth of horses or donkeys to easily dominate them). Haitians don't like it. So, if there is a serious variant of the COVID-19 virus, there would be carnage in Haiti.
Are you sure it is not the new OMICRON variant?
Doctor Jasmin replied:
There is a testing problem in Haiti because it is not systematic. In Haiti, the test rate is extremely low. Therefore, the number of cases identified is also low. And it surely gives a false appearance of reality. The population's refusal to undergo a COVID-19 test is one of the major obstacles for the health system to accurately determine the overall reality of COVID-19 in Haiti.
The aid received by the Haitian government has made it possible to strengthen health centres with protective equipment for staff, hospital beds, and oxygen. Above all, an oxygen generator to fill the oxygen tanks was provided by the Ministry of Health.
Insecurity posed a problem in terms of supply. Sometimes trucks had to face difficulties related to gangs and political unrest. Therefore, being able to produce oxygen on site was essential.
The Ministry of Health has hired additional technicians to deal with the epidemic.
All other services continue to provide health care to the population. Patients have begun to return to the health centres for the usual cases: high blood pressure, diabetes, dialysis, cardiology, maternity, childcare, other chronic pathologies or general medicine.
There was no discrimination between private and public institutions. They are all part of the care system. Even when there were not specialized care centres for COVID-19, the other centres received the necessary monitoring equipment with instructions to refer patients to hospitals.
In terms of overall lethality, he claims to have observed an increase in funerals in some cities across the country. The Ministry of Public Health has statistics on deaths in health centers. Other deaths can be traced through municipal records. But there are still many undeclared funerals in remote parts of the country. He pointed this out to funeral directors who confirm that they have observed an increase in non-violent deaths in the country.
There is no H1N1 epidemic in Haiti. Only a flu epidemic that seems to be seasonal, and we cannot say specifically that it is H1N1.
Even without a high number of recorded cases, COVID-19 has changed several medical practices in Haiti. Preparations, staff training and observation of the behaviour of the population allow us to say that we are better prepared than before.
He reported that herbal medicine serves as a means of defence for the population. There is a kind of community solidarity that allows the population to share their experience and knowledge in terms of using herbs against the symptoms, to strengthen their immune defence.
It is a pity that we will not have carried out a study on this aspect in order to list the leaves and the recipes used during this period. We could verify their chemical composition in the laboratory and document their method of use.
Still, the population believes in the medicinal capacity of these herbs and has made them an object of exchange and solidarity.
Regarding the vaccination programme against COVID-19, it's still ongoing. There was a shortage of Moderna vaccine stock in December. The government just received new doses of Pfizer and Jenssen which are available. WHO has approved interchangeability between vaccines. People who had their first dose with Moderna can receive their 2nd dose with Pfizer or Jenssen.
However, my concern is that the COVID-19 vaccination will affect other vaccination programs. Because, contrary to the criticisms of the sceptics, humanity has made a lot of progress thanks to vaccination. Serious epidemics are brought under control thanks to vaccination. Considering the fear that exists against COVID-19 vaccines, I would hate to see this drive people away and decrease the number of children vaccinated for other diseases.
This interview with Dr Jasmin allowed us to understand the refusal of other health centre managers to be interviewed. He said:
“As a Hospital Manager serving the population in the centre of the country, I do not see how I can say COVID-19 has negative consequences on my hospital. We do not provide care, we only test people with symptoms, in the vast majority of cases, they are negative. The few proven cases have been referred to the care centres.”
COVID-19 has impacted the Haitian health system by the invisible nature of its shadow hanging over Haiti and the refusal of its population to believe in it. All ofthis is in contradiction with international recommendations.
Video recording of the interview with Dr Jasmin:
For two decades players, referees and employees of the Haitian football federation were forced to have sex with visiting football officials. One of the visitors who accepted this “gift”, was the then @FIFAcom president Sepp Blatter.-
By Romain Molina For almost two decades, leading officials at the Haitian football association (FHF) built a vast network of sexual exploitation. This included rape of teenage girls and boys, abortions, blackmail and death threats. According to Haitian court documents in Josimar’s possession, at least one victim has committed suicide. The Fifa Goal Centre of La-Croix-des-Bouquets was like “hell on earth” according to victims. Concacaf or Fifa delegations visiting Haiti to attend refereeing courses or to inspect the progress of the Fifa Goal Centre were offered a player, a referee or an employee to have sex with. Some of football’s most senior officials, including Sepp Blatter, took advantage of this system. “You came to Haiti, you received a girl from the federation at your hotel. This is how it worked,” says the former captain of the national team and president of the players’ union, Ernso Laurence. He is one of the few who has spoken publicly about what went on inside FHF. ”I’ve been fighting against former president (Yves Jean-Bart) and his corrupt administration since 2007. I’ve spoken about all kinds of abuses, including the sexual ones.“ After a Guardian investigation, Yves Jean-Bart (74), was banned for life by Fifa in november 2020 for sexual abuse of 14 players, many of them minors. “Mr Jean-Bart’s behaviour is simply inexcusable, a disgrace for any football official,” said Vassilios Skouris, chairperson of the adjudicatory chamber of Fifa’s Ethics Committee. “Whilst claiming he was developing Haitian football, in particular women’s competitions and teams, Mr Jean-Bart did the exact opposite – he abused his position in order to satisfy his personal attitude of domination over the most fragile people, destroying the careers and lives of young promising female players.” “The Ranch” At the Fifa Goal Centre – known as “The Ranch” – some of the best young Haitian players, girls and boys, lived, trained and went to school from the age of 14. Dreaming of becoming professional footballers, these teenagers left their families to pursue their goal. The majority of the players came from some of the financially worst off families in Haiti, one of the poorest countries in the world. Today, several of these once promising players make their living as prostitutes after their experiences at “The Ranch”. When becoming part of the training programme, they had to surrender their passports to FA president Jean-Bart. From day one Jean-Bart held leverage over the vulnerable children who believed they were on their way to a career within the game they loved. “The only thing we knew was the centre and nothing outside of it. It was easy for him to manipulate and brainwash the young girls,” says one of the victims to Josimar. “Football is maybe the only option for these kids to make it out of extreme poverty,” remarks the former captain Ernso Laurence. “That was the leverage ‘Dadou’ (Jean-Bart’s nickname) held. With it, he could get what he wanted.” If you wanted to travel with the national team and obtain a US visa, a dream for millions of Haitians, Jean-Bart and his administration asked you for something in return. Most of the time, sex. “Our passports were confiscated all the time. That’s how they kept us. They took our passports, they blackmailed us for visas, for everything,” explains a former resident at “The Ranch”. “It was a nightmare. Our parents had to give us help but we couldn’t tell them the truth. We were also their hope for a better future.” So far 34 victims, many of them minors, have been identified. Compared to a ‘cartel organisation’ in a 45-page report by Fifa’s Ethics Committee, this system involved many predators and accomplices, like Rosnick Grant, president of the FHF’s referees commission and banned for life by Fifa for sexual abuse in july 2021. A report by Fifpro identified ten perpetrators. According to the survivors, at least twenty FHF employees were directly involved – as predators and/or facilitators. “What I don’t understand is how Fifa didn’t see what was happening,” says one of Jean-Bart’s victims. “We’re talking about two decades of abuse. It was an open secret in Haiti. How and why did Concacaf and Fifa close their eyes? It was impossible not to know.” As another victim points out: “They closed their eyes because they received girls when they came to visit us. It’s as simple as that. It was an entire system.” Boys and girls raped at the Fifa centre As already reported by Josimar, Rosnick Grant used young Haitian referees as sexual gifts for several Concacaf and Fifa officials, like Ronald Gutiérrez, the former director of development of referees at Fifa. For Jean-Bart, it was different. “He didn’t like to share the girls,” recalls one of his victims. “He was very jealous. He wanted us only for himself and his sexual impulses.” Jean-Bart did make an exception for a dear old friend, Sepp Blatter. “He loved president Blatter very much,” says a former board member of FHF. “He called him his personal friend.” They had known each other for years. Sepp Blatter was first elected Fifa president in 1998 and two years later, Yves Jean-Bart became president of the FHF. Over the years the two developed a close relationship. Since the very beginning of Blatter’s tenure, Haiti and its federation’s president were cherished by Zurich. The FHF was also one of the first federations to receive funds from the Goal programme. In April 2002, a ceremony was held to mark the completion of the first phase of the new Fifa Goal Centre, which included an administrative office, an auditorium with seating for 300 and a dormitory for up to 32 players in 16 air-conditioned rooms. It was in this centre, financed by Fifa at the cost of almost 1.5 million euro, that Yves Jean-Bart raped some of Haiti’s the most promising teenagers. According to court documents in Josimar’s possession, the former sports minister, Evans Lescouflair, along with other coaches under FHF contract, raped underage boys at the centre. “The three months I spent there were a nightmare,” recalls one of the victims who officially complained against Lescouflair and other FHF officials. “I was 14 when it happened. I ran away one night with some of my friends. I didn’t have a choice.” Evans Lescouflair has been accused by several underage alleged rape victims, including the family of a former youth international who committed suicide after having been sexually abused by the former sports minister. On Thursday 12 May, Lescouflair was summoned by a Port-au-Prince court, but didn’t show up. His lawyer wrote a letter saying his client was overseas for health reasons. However, Jacques Lafontant, Haiti’s government commissioner, issued an arrest warrant against him for raping children and other counts of sexual assault. “On this matter, everything happened at the ranch,” says Franck Vaneus, one of the lawyers of the victims, to Josimar. “The boys were facing a network of abusers there.” Whilst underage boys and girls were raped repeatedly at the centre, Yves Jean-Bart received the special Fifa Presidential Award in December 2004. Acknowledged for “his dedication,” he was also praised for organising a friendly game against Brazil the same year as a way “to bring together people and fight against discrimination in all its guises.” In 2011, after the terrible earthquake that killed more than 220 000 people and destroyed a large part of the country in 2010, the Haitian U17 women’s team received the Fifa fair play award in Zurich. Jean-Bart received the trophy, smiling together with the captain of the U17 squad at the time, Hayana Jean-François, a player that was one of many that was deprived of bonuses and had her passport seized by the federation. Three months later, in an interview with CNN, Jean-Bart claimed that 32 of the 50 people present at the national headquarters died during the earthquake In reality, only two FHF employees died, including the U17 coach, Jean-Yves Labaze. Sepp Blatter and Fifa didn’t say a word about the false claims and instead gave Jean-Bart more than 3 million US dollars to rebuild the federation. Blatter’s homage to Jean-Bart Former journalist, doctor and owner of Radio Galaxie, Yves Jean-Bart became one of the most powerful men in Haiti thanks to the beautiful game. “Football gives you access and political connections like no other sport,” comments Ernso Laurence. “You can’t imagine what it represents for us. Haiti is mad about football, absolutely mad. Jean-Bart knew that and with Fifa on his side, he was untouchable.” Jean-Bart had enjoyed a good relationship with the former president of the country, the late René Preval. In 2011 Michel Martelly was elected president and he wanted Jean-Bart ousted from the Haitian FA. “It wasn’t a secret that Martelly wanted to get rid of him,” says Pierre Richard Midy, an investigative Haitian journalist living in exile in South America after receiving death threats. “He didn’t like the way Jean-Bart was handling the federation. Jean-Bart was acting like a dictator who always wanted more money. Martelly didn’t like his attitude.” According to three presidential advisers at the time, Martelly personally asked them to find enough evidence to make a strong judicial case against Jean-Bart. Feeling the pressure, Jean-Bart asked Fifa for help on the grounds of political interference. So, in April 2013, during Sepp Blatter’s trip to Haiti, he paid a visit to president Martelly to “defend at all costs the work done” by Jean-Bart and his federation. Pressuring the state, Sepp Blatter even asked the government to give financial help to the FHF and appease the tensions. “Martelly knew he couldn’t do anything after that”, recalls one of his advisers. “Otherwise Haiti would be suspended for political interference and he couldn’t face it. It could’ve led to huge protests against him and his government.” Talking to the local press, Sepp Blatter heaped praise on Yves Jean-Bart, describing him “as not only a great doctor, but also a great president […] In the moments of turbulence in Haitian football in the last couple of years, it was necessary to be a good doctor to have the tenacity, that faith in the future, that formidable and exceptional energy, and that’s why I pay homage to you, Yves Jean-Bart.” Blue pills for the president