World Journal of Surgery

, Volume 35, Issue 4, pp 745–750 | Cite as

Emergency Surgical Care Delivery in Post-earthquake Haiti: Partners in Health and Zanmi Lasante Experience

  • Thomas McIntyre
  • Christopher D. Hughes
  • Thierry Pauyo
  • Stephen R. Sullivan
  • Selwyn O. RogersJr.
  • Maxi Raymonville
  • John G. Meara
Article

Abstract

Background

The earthquake that struck Haiti on 12 January 2010 caused significant devastation to both the country and the existing healthcare infrastructure in both urban and rural areas. Most hospital and health care facilities in Port-au-Prince and the surrounding areas were significantly damaged or destroyed. Consequently, large groups of Haitians fled Port-au-Prince for rural areas to seek emergency medical and surgical care. In partnership with the Haitian Ministry of Health, Partners in Health (PIH) and Zanmi Lasante (ZL) have developed and maintained a network of regional and district hospitals in rural Haiti for over twenty-five years. This PIH/ZL system was ideally situated to accommodate the increased need for emergent surgical care in the immediate quake aftermath. The goal of the present study was to provide a cross-sectional assessment of surgical need and care delivery across PIH/ZL facilities after the earthquake in Haiti.

Methods

We conducted a retrospective review of hospital case logs and operative records over the course of three weeks immediately following the earthquake.

Results

Roughly 3,000 patients were seen at PIH/ZL sites by a combination of Haitian and international surgical teams. During that period 513 emergency surgical cases were logged. Other than wound debridement, the most commonly performed procedure was fixation of long bone fractures, which constituted approximately one third of all surgical procedures.

Conclusions

There was a significant demand for emergent surgical care after the earthquake in Haiti. The PIH/ZL hospital system played a critical role in addressing this acutely increased burden of surgical disease, and it allowed for large numbers of Haitians to receive needed surgical services. Our experiences reinforce that access to essential surgery is an essential pillar in public health.

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Copyright information

© Société Internationale de Chirurgie 2011

Authors and Affiliations

  • Thomas McIntyre
    • 1
  • Christopher D. Hughes
    • 2
    • 3
  • Thierry Pauyo
    • 4
  • Stephen R. Sullivan
    • 5
    • 6
  • Selwyn O. RogersJr.
    • 7
  • Maxi Raymonville
    • 8
  • John G. Meara
    • 2
    • 3
  1. 1.Department of SurgeryKings County Hospital Center, SUNY Downstate School of MedicineBrooklynUSA
  2. 2.Department of Plastic SurgeryChildren’s Hospital Boston, Harvard Medical SchoolBostonUSA
  3. 3.Program in Global Surgery and Social Change, Department of Global Health and Social MedicineHarvard Medical SchoolBostonUSA
  4. 4.Harvard Medical SchoolBostonUSA
  5. 5.Department of SurgeryBrown University Warren Alpert Medical SchoolProvidenceUSA
  6. 6.Department of Plastic SurgeryRhode Island Hospital and Hasbro Children’s HospitalProvidenceUSA
  7. 7.Department of SurgeryCenter for Surgery and Public Health, Brigham and Women’s Hospital, Harvard Medical SchooolBostonUSA
  8. 8.Zanmi LasanteCangeHaiti

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