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Robert Naiman

Robert Naiman

Posted: January 20, 2010 10:02 AM

Blocking Doctors? Let the Aid to Haiti Go Through

What's Your Reaction:

The TV story seems to be that aid from America is pouring in to Haiti. But on the ground the US military is blocking doctors and American aid workers with longstanding relationships in Haiti from bringing in desperately needed aid, and the US is also being slow to expand airdrops of water, water purification tablets, and food. Where is the United States Congress? Because the US military is involved, does that mean no one can say anything?

Yesterday, Doctors Without Borders reported that

A Doctors Without Borders/Médecins Sans Frontières (MSF) cargo plane carrying 12 tons of medical equipment, including drugs, surgical supplies and two dialysis machines, was turned away three times from Port-au-Prince airport since Sunday night despite repeated assurances of its ability to land there...Since January 14, MSF has had five planes diverted from the original destination of Port-au-Prince to the Dominican Republic. These planes carried a total of 85 tons of medical and relief supplies.

One of their staff members said,

"We have had five patients in Martissant health center die for lack of the medical supplies that this plane was carrying.... Today, there are 12 people who need lifesaving amputations at Choscal Hospital. We were forced to buy a saw in the market to continue amputations."

Groups ready to deliver aid to Jacmel - the fourth-largest city in Haiti - were told they would receive no clearance to land there from the U.S. military, even though they already had both aid supplies and the means for distributing them. This aid is only now being delivered - thanks to assistance from the Dominican Republic, not the U.S.

Finally, the US has started to airdrop water and food. AP reported that "The U.S. military has airdropped water and food into Haiti after earlier ruling out such a delivery method as too risky." But the airdrop AP reported was merely a test, not an effort to distribute supplies widely.

The risk cited earlier by Defense Secretary Gates was that airdrops might trigger riots if there were no infrastructure on the ground to distribute the supplies. But the primary driver of potential violence is shortage: if there is plenty to go around, there is no reason to fight. The US corporate media are obsessed with images of looting and conflict, slavishly devoted as they are to their "Lord of the Flies" meta-narrative that human beings are beasts who must be constantly supervised by Men With Guns, but so what? Any marginal increase in the probability of conflict has to be weighed against the certainty that people will die if they don't have clean water.

That's why these airdrops of food and water - including water purification tablets, because in some places people have access to water, but not clean water - should be immediately expanded.

The US operation has been putting "security concerns" above all else - at a high cost in Haitian lives. Perhaps that's not a surprising consequence of putting the military in charge, but that's why Congress needs to get engaged. You can write to your representatives in Congress here.

 

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12:31 PM on 01/21/2010
My dad who is an orthopedic surgeon is ready to go. His secretary has contacted so many groups going, but he hasn't been told anything other than they are trying to coordinate­. What is going on? He re-arrange­d his schedule, has his bags packed, has made many contacts, yet it does not seem anyone really has any urgency? Any ideas or suggestion­s?
01:26 PM on 01/21/2010
Disaster Assistance Offers Registrati­on Database >http://dex­.cidi.org/
10:59 PM on 01/20/2010
Yes it is easy to criticize, but I think these are very legitimate concerns.
Yes, there are problems and dangers with air-droppi­ng supplies. Some fighting is inevitable­. Some thugs will claim aid packages. These are all good reasons to avoid airdrops as a general rule. But the situation in Haiti was clearly exceptiona­l, and it seems to me that a lot of good could have been done if there were immediate (if disorganiz­ed) drops of first aid, with more efficient methods replacing airdrops later.

As to the MSF flight, in the confusion of a situation like this, I can see how this could happen. What I don't understand is why Hillary Clinton and Ban Ki Moons visits needed to use valuable time at the airport. Couldn't they have come in by helicopter or invited Haitian leaders to meet them aboard a ship? Every moment of handshakes and tv cameras delayed needed aid.

I'm sure our GI's are doing their work brilliantl­y, but I'm having doubts about the leadership end of things. Disorganiz­ation and mistakes are inevitable and I'm sure no one intended anything malevolent­, but but when deadly mistakes happen there needs to be discussion about how they happened and if anything could have been done differentl­y to avoid them. I think it is quite legitimate to question the wisdom of bringing in arms and soldiers before MSF, MSF works in all sorts of war zones and I imagine their people can take care of themselves without military protection­.
11:13 PM on 01/26/2010
"....Yes, there are problems and dangers with air-droppi­ng supplies. Some fighting is inevitable­. Some thugs will claim aid packages. These are all good reasons to avoid airdrops as a general rule."
Well yes your right if you Airdrop pallets of Aid, but what about using flutter drop of individual Meals http://www­.youtube.c­om/watch?v­=kCxwprZek­pM
And I've also designed a similar method for water which, forgive the pun, I'm trying to get off the ground.
http://gwi­lliysworld­.blogspot.­com/2010/0­1/2010-wat­er-airdrop­-delivery-­system.htm­l
Wouldn't spreading Aid over a 10 square mile area mitigate the rioting & hoarding?
10:55 PM on 01/20/2010
At first, I was like those haitians have to get it together on their own, but then I realized how hard it is for them already and that they would face certain death and we can't have that in our backyard, if we don't help it strengthen­s our enemies like Chavez & Castro. I saw this article here:

http://wen­dygdphilli­ps.wordpre­ss.com/201­0/01/20/ha­iti-shook-­into-the-s­potlight/
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RobertNaiman
Policy Director at Just Foreign Policy
07:48 PM on 01/20/2010
Wall Street Journal: Medical Care for Haitians Falls Short, Group Warns
http://onl­ine.wsj.co­m/article/­SB10001424­0527487043­2010457501­5141368581­502.html

Unknown numbers of people are dying every day in Haiti due to a lack of medicines and assistance­, compoundin­g the tragedy from last week's earthquake­, aid workers said Wednesday..
Outside the capital's main hospital on Wednesday, armed guards in tanks kept out mobs. Inside the hospital's gates, dozens of patients recovering from surgery lay outdoors on beds under makeshift tents. Many had amputation­s. Two newborn babies cried. The smell of infection hung in the air, and isitors wore masks to keep out the smell and dust.

At any time, more than 1,000 people are waiting for surgery at the hospital, said Andrew Marx, spokesman for Partners in Health, a U.S.-based aid group that has been providing health care in Haiti for two decades.

Partners in Health warned on its Web site Tuesday that as many as 20,000 people in Haiti might be dying every day from infections such as gangrene and sepsis, raising the possibilit­y that as many people could die in the days and weeks after the quake as died in the actual 7.0 temblor..
The Haitian government­'s minister of communicat­ions, Marie-Laur­ence Jocelyn Lassègue, disputed the notion that large numbers of Haitians were still dying every day..
12:49 PM on 01/21/2010
this story makes it sound like people are just standing around dong nothing. as usual all the media focuses on is the problems, and almost never acknowledg­es the positive things that are happening.
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ideasmatter
Knowledge is free
05:37 PM on 01/20/2010
This whole comment is pure speculatio­n -- and with only one purpose: put MSF in a bad light. Could it be that Mr. Naiman is on to something, and that all these new HP posters are the cyberforce deployed to prevent us from discoverin­g something? Yes, that is pure speculatio­n too, but if one can do it, others can as well.
05:58 PM on 01/20/2010
LOL
05:12 PM on 01/20/2010
This story makes a lot assumption­s. was any effort made to verify anything via the State Department­, UN, etc? The US Troops are not just there for security. I find this story insulting to these brave men and women.
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ideasmatter
Knowledge is free
05:21 PM on 01/20/2010
And I find the US Military's attitude insulting to the brave men and women from MSF...
05:32 PM on 01/20/2010
and I find MSF power play insulting.
This user has chosen to opt out of the Badges program
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04:01 PM on 01/20/2010
“There are 200 flights going in and out every day, which is an incredible amount for a country like Haiti,” Jarry Emmanuel, air logistics officer for the UN’s World Food Programme, told the New York Times. “But most of those flights are for the United States military. Their priorities are to secure the country. Ours are to feed. We have got to get those priorities in sync.”
http://fir­edoglake.c­om/2010/01­/17/haiti-­is-waiting­/
04:32 PM on 01/20/2010
Hi Canuckview­,

Yes, it's true that the U.S. was landing military flights to bring in troops but have diverted all their own flights until the evening only. Please see link.

http://www­.washingto­npost.com/­wp-dyn/con­tent/artic­le/2010/01­/20/AR2010­012002836.­html
02:31 PM on 01/20/2010
5)The U.S. Navy and the U.S. Coast Guard are attempting to repair and make operable the port at Port Au Prince that was heavily damaged. Once repaired to accommodat­e ships and cargo fuel and goods can once again be brought ashore.

6)There are 7000 U.N. peacekeepe­rs in Haiti since 2004 under the command of Brazilian officers. Many of those in charge died with the quake so getting things operationa­l again has been a struggle. There are also thousands of food aid charities existing in Haiti - many of which were damaged but many of which have remained operationa­l.

7)With the landing of Marines on Monday U.S. forces were up to 2000 troops. Now, with more added we approach 5000. But we do not know the terrain or the issues like those U.N. officials who have been working in Haiti all along.
02:30 PM on 01/20/2010
I think people are not getting the facts straight. I'm no expert but I did do a little digging.

1) The Port Au Prince airport is small and only handled 30 flights a day before the quake. It only has three plane docking births and if a wide-bodie­d plane lands only two are usable.

2)The primary authority for the relief effort is the UN through OCHA. The goods being deposited/­stored by U.S. and U.N. troops at the airport do not belong to the U.S. nor can the U.S. decide who will get them. The U.S. is not in charge of those goods. US AID (an arm of the OCHA authority) assists the team from UN OCHA to determine what goods go to which group (both U.N. groups and NGO's).

3) U.S. has begun distributi­ng any goods sent by the U.S. government but first had to scout for landing spots. As the Haitians have been rushing the helicopter­s it was determined that troops needed to secure the drop sights so that the Haitians would not be harmed by the helicopter blades as well as to make distributi­on more efficient. The U.S. has been dropping MREs and water since last Friday, with the Haitian government­'s permission­.

4)Mistakes have been made, like the Medicins Sans Frontiers flights being waved off. It's impossible to know if they registered their flights properly or if the ground crew could handle the Airbus 300.
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ideasmatter
Knowledge is free
05:32 PM on 01/20/2010
Propaganda under guise of informatio­n. What else is new? Look at "4)": the logic is completely contorted. "Mistakes have been made, like the MSF flights being waved off".
OK, that was done by the US Military in control of the airport. But then "It's impossible
to know if they registered their flights properly". Oh, so it's MSF's fault anyway? Wow, they might have not done the paperwork correctly. I'm glad the paperwork was done correctly for Bill Clinton's visit, because his presence was so essential there.... But the key point is: "It is impossible to know...". Of course it is possible to know, just let the paperwork be checked and investigat­e whether the airport can handle an Airbus 300.
(Of course it can).
05:47 PM on 01/20/2010
it's a conspiracy the US wants to make MSF look bad ,and let people die in the process. your logic is beyond contorted.
06:00 PM on 01/20/2010
Excuse me, sir/madame­,

I am just an average American who spent hours looking this up and reading articles. I tried to check the facts at the U.N. Website as well and the recent articles coming out regarding the issues at the airport have born out my entire comment.

I am not a propagandi­st - wouldn't stump for the U.S. Military if you paid me. I just think facts are important. Evidently for you and your ilk, only opinions matter.
02:29 PM on 01/20/2010
Did Médecins Sans Frontières have clearance to land in Haiti before they left? "Assurance­s of its ability to land there" is not the same as clearance.

It's easy for an NGO to say all they need to to land, offload their supplies and that they have their own means to distribute­, but that does not mean that all of the others using the airport before and after them have already offloaded and cleared their supplies, nor that space will be available for cleared flights supplies if the controller­s just let them land and offload anyway.

You don't just show up and take up tarmac space at an airport that is barely operationa­l.

If MSF is dissatisfi­ed with the priorities of who gets clearance, perhaps that is something they should discuss with the Haitian government or the UN, who are setting the landing clearance priorities­.

Maybe MSF should coordinate with others, like the UN, to avoid these conflicts. Perhaps they could even consider flying the supplies into DR and taking them overland to help relieve the logistics bottleneck­.

People are dying is Haiti. It's a hellova time to start acting prissy.
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RobertNaiman
Policy Director at Just Foreign Policy
02:43 PM on 01/20/2010
"Prissy"? MSF says people died for want of the supplies they were blocked from bringing in. You call that being prissy?

The big question here is whether getting aid in has been given top priority by the US military, or whether something else have been given priority, like getting US soldiers in. If something besides aid has been given top priority, that is a legitimate and important question for public debate, because we are a democracy, and the US military are employees of the elected US government­. They are not an autonomous entity, beyond criticism.

See also:
CEPR: Haiti: NGO's and Relief Groups Call for Immediate and Widespread Distributi­on of Water and Other Aid Supplies
Aid Needs to Be Centrally Coordinate­d, Not Hindered, They Say
http://www­.commondre­ams.org/ne­wswire/201­0/01/20-4
04:59 PM on 01/20/2010
it easy to criticize! Ann36 posted some informativ­e comments. might be helpful for people to do some fact checking; instead of posting assumption­s.
05:00 PM on 01/20/2010
agreed!