1. Prosthetics & Orthotics in Haiti – Observations Al Ingersoll, BA, CP, P&O Programs Director

2. Mesi, Merci, Thank you!!! International P&O MUST be proud of response! 1,000+ Prosthesis fit in less than 6 months 100’s custom & pre-fabricated Orthotics

3. CHAOTIC? Current situation HiPOE Amputees Organizations Technology Injured Cost

4. #’s of people with amputations. Reports too high!  Pre-quake or Post?  Pre-quake capacity output very low  WHO #’s / Documentation  Media  Database effort  Outcomes

5. Recent earthquake amputation % 2008 Sichuan, China  One UK study of 3324 pt. - 5.5% (183) amp. 2005 Bam, Iran –  Iran study of 274 pt. = 2.9% amp 2005 Pakistan – UK study  6797 pt., 4057 admissions 150 amp (2.2%) 2004 Indian Ocean – no studies found

6. 1 1 10+ 1 1 P&O Providers as of September 2010 Pre-Quake 1 FT, 2 PT

7. HHH/HI Technology Dynacast ICRC OWW Otto Bock Proteor Seattle Mainly custom, little pre-fab Consumer, education & funding to sort out…

8. Challenges Apathy Corruption High costs Infrastructure absent Language Misperceptions Shipping/Customs Short term volunteer Weather

9. What Haiti P&O needs from International community. Long term ISPO Cat I & II  Funding available to hire!!! ISPO P&O Education Low cost durable gel liner KAFO joints $100 MP knee – more mountains Switzerland CUSTOM made and fit ORTHOTICS

10. Hispaniola P&O Education HiPOE - Dominican Republic & Haiti  History  Rationale – No ISPO Cat. I or II in Haiti Blended learning approach  Provider University of Don Bosco, San Salvador, El Salvador  New reality Haiti Ministry of Health & SEIPH approve? Start date?

11. HiPOE Univ. Degree  Partial option Length  1 - 5modules/6mo Costs  $1500 each Exam – ISPO cat II Jobs?

12. Most current HHH/HI stats 650 Persons w/Disability registered 300 LE Pros 300 LE Orth, 275 custom 72 UE Pros evaluated – not started Staff – ISPO Cat I = 3 International  Cat II = 10 - International  Cat III = 7 - Haitian

13. Healing Hands for Haiti Partnered w/Handicap International for P&O Am Red Cross / ICRC-SFD building – NEW! Outpatient therapy clinic opening soon Assist w/PM&R staffing, SCI, WHO Working Group meetings 380 Motivation wheelchairs Maintained employment of entire staff!!!

14. And many more!!!! MESI ANPIL