18109: (Chamberlain) Rescued Town (fwd)

[Bob Corbett <corbetre@webster.edu>]

From: Greg Chamberlain <GregChamberlain@compuserve.com>

   By MICHAEL NORTON

   THOMONDE, Haiti, Jan 25 (AP) -- Seven years ago, most children in this
town had the orange hair and swollen bellies of the chronically underfed,
and only 20 percent were immunized against childhood diseases.
   Now, they get hot school lunches and have access to a well-equipped
clinic thanks to a partnership of the Haitian Health Ministry, U.S.
humanitarian groups and the University of Miami.
   "This is a model of what a U.S. medical school can do," said Dr. Arthur
Fournier, co-founder of Project Medishare and a University of Miami
professor.
   Its tin-roofed houses sprawling over a plateau, the town of 38,000
people is a three hours' drive from the capital plus a three hours' walk up
a rutted road that vehicles cannot traverse.
   Most residents don't have jobs and the nearest hospital is hours away.
   "Old and young, people wasted away and died. It was too late to save
them when they got to the nearest hospital," said a former mayor, Jean
Delva Souverne, who appealed to the University of Miami for help.
   Thomonde's slow recovery started when Souverne asked the university for
a generator. When the school agreed in 1996, it sent a team to the town and
discovered the extent of its problems.
   "We all would have died if it had not been for Medishare," said
Archillean Saint-Louis, a 60-year-old farmer whose wife and six children
all had tuberculosis about a year ago.
   Project Medishare turned a dilapidated dispensary that was seeing fewer
than 10 patients a day into a bustling clinic where two Haitian doctors,
two nurses and a laboratory technician treat more than l00 patients a day.
   The project also developed a partnership with Harvard professor Paul
Farmer's Partners in Health HIV/AIDS treatment center in nearby Cange to
train 48 health workers who go door-to-door in the area searching for
illness and making sure patients take prescribed medicines.
   Such visits have also led to more than 96 percent of children under 5
being immunized.
   At least 200 people have been saved over the past two years, estimates
Fournier, whose group plans to build a 15-bed hospital.
   Hunger is being tackled with a hot lunch program provided by World
Vision, a U.S.-based Christian aid group.
   Still, the medical situation in the Central Plateau district where
Thomonde and several other towns are situated remains serious.
   Thirty-three percent of Thomonde's people are malnourished, compared to
11 percent in the plateau's other towns. Thomonde's mortality rate for
children under 5 is 187 deaths per 1,000 live births, compared to 89 in the
other towns -- and 8 in the United States, and 4 in Sweden.
   "We are not medical missionaries. We are committed to sustained medical
care assumed by Haitians themselves," said Medishare's other co-founder,
Barth Green, another University of Miami medical professor.
   Every year, some 50 first- and second-year University of Miami medical
students come to Haiti and work with Project Medishare, which last February
received a three-year grant of $750,000 from the Miami-based Green Family
Foundation.
   Fournier said the relationships he and the students have formed in
Thomonde are one of the most rewarding aspects of the job. "Haiti is doing
more for us than we are doing for Haiti," he said.
   He arrived in Haiti on his 98th visit in November, with more than a
dozen doctors, health care experts and development specialists on a trip
financed by the Green Family Foundation.
   University of Miami President Donna Shalala, who was health secretary
under President Clinton, also came to see what more can be done.
   "We can't solve Haiti's medical problems, but we can develop workable
models and train Haitians to implement them," she said.
   The planned hospital would cost $400,000 to build, and its yearly
operating costs will run about $150,000. If it gets needed funding, it will
have an outpatient clinic, facilities for minor surgery, a laboratory,
dental office, pharmacy and staff housing.
   Claudy Bernard, a 30-year-old Voodoo priest and healer, sends patients
to Project Medishare when he cannot heal them with traditional medicine.
   "We're partners," Bernard said. "That's what I call progress."