1. HAITI SHORT TERM MEDICAL MISSION BEFORE AND AFTER

2. DEMOGRAPHICS OVER 9.8 MILLION PEOPLE WITH OVER ONE MILLION CONCENTRATED IN PORT AU PRINCE POOREST COUNTRY WESTERN HEMISPHERE 80% POVERTY RATE 50% ILLETERACY RATE AT LEAST MOST HATIANS LIVE ON $2 PER DAY OR LESS

3. HEALTH ONLY 40% HAVE ACCESS TO BASIC HEALTHCARE LESS THAN 50% VACCINATED TO COMMON DISEASES BEFORE EARTHQUAKE HALF THE DEATHS DUE TO HIV/AID, RESP INFECTIONS, DIARRHEAL ILLNESS, MENINGITIS AND TYPHOID

4. HEALTH TB CASES 10 TIMES OTHER LATIN AMERICAN COUNTRIES 5% HIV INFECTION 30,000 MALARIA INFECTIONS EACH YEAR MOST HATIANS HIGH RISK FOR MAJOR INFECTIOUS DISEASES DUE TO LACK OF SANITATION, CLEAN WATER AND INFRASTRUCTURE

5. HEALTH BACTERIAL AND PROTOZOAL DIARRHEAL ILLNESS HELMINTHIC INFECTIONS ESPECIALLY CHILDREN MALNUTRITION MALARIA, LEPTOSOROSIS, DENGUE FEVER LACK OF HEALTH CARE PERSONNEL AND HOSPITALS GREATLY APPARENT AFTER EARTHQUAKE

6. Parish Twinning Program Rural mountainous Haiti in the North, Pendus Support for schools, Churches, and Primary Healthcare Support for a Nurse that delivers basic healthcare through a dispensary Periodic mission trips to Pendus with physicians

7. Dispensary in Pendus

16. St Joseph Hospital PAP 2003

17. Gift of Water

19. Alma Mater Hospital Gros Mornes

20. Alma Mater Hospital Gros Mornes 2008 Full time surgeon medical director three weeks per month salary $25,000 yearly GYN $21,000 Internist $21,000 Part time pediatrician $18,333 One doctor director AIDS program funded by UAID Radiology tech

21. Alma Mater Hospital Gros Mornes 2008 One xray machine Basic labs CBC, gram stains, malaria smears, AFB sputum and could send off cultures No chem analyzer Nurse anesthetists head nurse no workable anesthesia machine Total capital budget $340,000 per year Stike treatened as no one had been paid in four months.

25. OR

26. Maternity

27. Nursing Students Maternity

28. sterilizer

29. Record Room

31. Hospital Entrance

32. Ambulance Gros Mornes 2008

33. Earthquake 1/12/2010 Largest loss of life in modern history from natural disaster 45 seconds of earthquake leveled Port au Prince 250,000 people died Over a million people homeless Injured too numerous to count

34. Resuce efforts and healthcare Multinational response but efforts to bring relief greatly delayed due to lack of infrastructure and coordination Many amputees and injured released to live in streets no followup Basic healthcare needs not available to most

35. One month after earthquake

36. Father Rick St. Damiens Childrens

37. Adult tent wards outside childrens hospital

38. One month after Returning patients with wound infections Beginning to see more malaria, diarrheal illness Before one out of five deaths in children in haiti from diarrheal illness After earthquake now cholera epidemic Lack of clean water and sanitation before now greatly exacerbated

39. St Damiens with Italian tent hospital

40. Our acute care tent

41. Post op, mostly orthopedic

42. Patient transfer from Project Hope Ship

44. Port au Prince one Month after

45. Presidential palace

47. Cathderal collapsed

49. In Petionville, physicians home

51. Morning Rounds with Father Rick

52. Short term missions Before earthquake missions often a week After earthquake many short term missions were not weeks but months Value often spiritual for mission workers Longer mission stays different focus to develop continuity

53. Challenges Lack of basic healthcare facilities, supplies and personnel After natural disaster lack of infrastructure exacerbated Tragedy resutls in immediate loss of life and injury that is devasting but one month later the loss of what basic care available begins to show the consequences

54. What now Continued engagement of international community as well as mission work needed Almost one year now since earthquake and very little progress with choler epidemic now evident and still over a million homeless living with basics Before 97% of Haitians had to leave there homes to get safe water Now safe water is a hope and prayer.

55. Pancaked, basic construciton faulty in many ways

56. Nice tent city at Mathew 25 House