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	<title>Symptom Advice .com &#187; family medicine residency</title>
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		<title>Maine medical team battles cholera in Haiti</title>
		<link>http://symptomadvice.com/maine-medical-team-battles-cholera-in-haiti/</link>
		<comments>http://symptomadvice.com/maine-medical-team-battles-cholera-in-haiti/#comments</comments>
		<pubDate>Sat, 12 Feb 2011 17:00:45 +0000</pubDate>
		<dc:creator>Symptom Advice</dc:creator>
				<category><![CDATA[cholera symptoms]]></category>
		<category><![CDATA[cap haitien]]></category>
		<category><![CDATA[cholera epidemic]]></category>
		<category><![CDATA[family medicine residency]]></category>
		<category><![CDATA[medical team]]></category>
		<category><![CDATA[roadblock]]></category>
		<category><![CDATA[united nations office]]></category>

		<guid isPermaLink="false">http://symptomadvice.com/maine-medical-team-battles-cholera-in-haiti/</guid>
		<description><![CDATA[A medical team from Maine got home early Thursday &#097;&#102;&#116;&#101;&#114; a grueling &#8211; &#097;&#110;&#100; harrowing &#8211; trip to Haiti. The five-member team from &#116;&#104;&#101; Maine-Dartmouth Family Medicine Residency in Augusta spent &#116;&#104;&#114;&#101;&#101; long days trying to save cholera victims in Cap Haitien, &#116;&#104;&#101;&#110; had to &#103;&#101;&#116; &#111;&#117;&#116; of &#116;&#104;&#101; city &#116;&#104;&#114;&#111;&#117;&#103;&#104; violent street demonstrations &#097;&#110;&#100; [...]]]></description>
			<content:encoded><![CDATA[<p></p><p><img src="http://symptomadvice.com/wp-content/uploads/2011/02/1297530051-45.jpg%3Fw%3D500" style="clear:both;clear:both;margin:0 15px 15px 0" />
<p>A medical team from Maine got home early Thursday &#097;&#102;&#116;&#101;&#114; a grueling &#8211; &#097;&#110;&#100; harrowing &#8211; trip to Haiti.</p>
<p>The five-member team from &#116;&#104;&#101; Maine-Dartmouth Family Medicine Residency in Augusta spent &#116;&#104;&#114;&#101;&#101; long days trying to save cholera victims in Cap Haitien, &#116;&#104;&#101;&#110; had to &#103;&#101;&#116; &#111;&#117;&#116; of &#116;&#104;&#101; city &#116;&#104;&#114;&#111;&#117;&#103;&#104; violent street demonstrations &#097;&#110;&#100; roadblocks.</p>
<p>&#8220;&#101;&#118;&#101;&#114;&#121; roadblock we passed, there were crowds of people with Maine-Dartmouth Family Medicine Residency machetes &#097;&#110;&#100; sticks running at us,&#8221; &#115;&#097;&#105;&#100; Dr. Chiedza Jokonya of Cape Elizabeth, a pediatrician &#097;&#110;&#100; faculty member &#119;&#104;&#111; led &#116;&#104;&#101; medical mission.</p>
<p>Jokonya&#8217;s team included Nina Miller, &#097;&#110;&#111;&#116;&#104;&#101;&#114; faculty member, &#097;&#110;&#100; &#116;&#104;&#114;&#101;&#101; primary care residents &#8211; Suhas Pinnaka, Prativa Basnet &#097;&#110;&#100; Lalaine Llanto.</p>
<p>Twice a year, Jokonya leads a weeklong medical mission to Haiti&#8217;s capital city, Port-Au-Prince. &#116;&#104;&#105;&#115; time, &#116;&#104;&#101; United Nations &#097;&#115;&#107;&#101;&#100; &#116;&#104;&#101; team to go north to Cap Haitien, where &#116;&#104;&#101; cholera epidemic was overwhelming medical personnel. &#116;&#104;&#101; team agreed.</p>
<p>&#8220;&#116;&#104;&#101;&#121; desperately needed help up north,&#8221; &#115;&#097;&#105;&#100; Jokonya.</p>
<p>As of early &#116;&#104;&#105;&#115; week, &#116;&#104;&#101; cholera outbreak had &#107;&#105;&#108;&#108;&#101;&#100; 1,034 people in Haiti &#097;&#110;&#100; hospitalized 16,799, according to &#116;&#104;&#101; United Nations Office for &#116;&#104;&#101; Coordination of Humanitarian Affairs.</p>
<p>When &#116;&#104;&#101;&#121; arrived in Cap Haitien, Jokonya &#115;&#097;&#105;&#100;, &#116;&#104;&#101; situation was chaotic. &#101;&#118;&#101;&#114;&#121;&#111;&#110;&#101; was &#103;&#101;&#116;&#116;&#105;&#110;&#103; IVs, &#119;&#104;&#101;&#116;&#104;&#101;&#114; &#116;&#104;&#101;&#121; needed them or &#110;&#111;&#116;, &#097;&#110;&#100; supplies were limited.</p>
<p>&#8220;We spent a day &#106;&#117;&#115;&#116; organizing triage,&#8221; Jokonya &#115;&#097;&#105;&#100;.</p>
<p>Then &#115;&#104;&#101; &#097;&#110;&#100; &#116;&#104;&#101; residents worked day &#097;&#110;&#100; night, sometimes using flashlights, to treat cholera patients, some of &#119;&#104;&#111;&#109; arrived &#115;&#111; dehydrated from vomiting &#097;&#110;&#100; diarrhea &#116;&#104;&#097;&#116; &#116;&#104;&#101;&#121; could &#110;&#111;&#116; be saved.</p>
<p>&#8220;&#116;&#104;&#101; residents worked 72 hours straight with maybe a couple hours of sleep. &#097;&#108;&#108; of them had patients dying on them,&#8221; &#115;&#104;&#101; &#115;&#097;&#105;&#100;. &#8220;We couldn&#8217;t &#115;&#116;&#111;&#112;. &#105;&#102; we stopped, there was &#110;&#111;&#098;&#111;&#100;&#121; to &#115;&#101;&#101; &#116;&#104;&#101; patients.&#8221;</p>
<p>The people at &#116;&#104;&#101; hospital were grateful for &#116;&#104;&#101; help, &#115;&#104;&#101; &#115;&#097;&#105;&#100;. But anger in &#116;&#104;&#101; city&#8217;s streets &#109;&#097;&#100;&#101; it difficult to leave.</p>
<p>&#8220;On &#116;&#104;&#101; &#116;&#104;&#105;&#114;&#100; day, when &#116;&#104;&#101; U.N. was supposed to pick us up, that&#8217;s when &#116;&#104;&#101; violence erupted,&#8221; &#115;&#104;&#101; &#115;&#097;&#105;&#100;.</p>
<p>Street demonstrations began in Cap Haitien on Monday over suspicions &#116;&#104;&#097;&#116; &#116;&#104;&#101; cholera was brought to Haiti &#098;&#121; U.N. peacekeepers from Nepal. Protesters threw rocks, blocked roads &#097;&#110;&#100; set fires, forcing &#116;&#104;&#101; airport to be closed.</p>
<p>The protests spread to Haiti&#8217;s capital Thursday as protesters blocked roads &#097;&#110;&#100; attacked foreigners&#8217; cars.</p>
<p>Jokonya&#8217;s team left &#116;&#104;&#101; city Tuesday &#098;&#121; truck &#097;&#102;&#116;&#101;&#114; recruiting local men to provide security. &#116;&#104;&#101;&#121; passed &#115;&#101;&#118;&#101;&#110; roadblocks, where &#116;&#104;&#101;&#121; had to &#115;&#116;&#111;&#112; &#097;&#110;&#100; move logs &#097;&#110;&#100;, in one case, move a parked truck.</p>
<p>&#8220;We were stuck &#098;&#101;&#116;&#119;&#101;&#101;&#110; groups of people,&#8221; &#115;&#104;&#101; &#115;&#097;&#105;&#100;. &#8220;There were fires along &#116;&#104;&#101; &#119;&#097;&#121;.&#8221;</p>
<p>When demonstrators threw stones or &#097;&#112;&#112;&#114;&#111;&#097;&#099;&#104;&#101;&#100; &#116;&#104;&#101; truck, &#116;&#104;&#101; local men got &#111;&#117;&#116; &#097;&#110;&#100; &#8220;talked them &#100;&#111;&#119;&#110;,&#8221; &#115;&#104;&#101; &#115;&#097;&#105;&#100;.</p>
<p>The team drove &#116;&#104;&#114;&#101;&#101; hours to Gonaives, where &#116;&#104;&#101; U.S. Embassy arranged to take them to Port-Au-Prince, &#115;&#104;&#101; &#115;&#097;&#105;&#100;. &#116;&#104;&#101;&#121; arrived in Boston late Wednesday &#097;&#110;&#100; got home early Thursday.</p>
<p>&#8220;I don&#8217;t &#107;&#110;&#111;&#119; what &#116;&#104;&#101;&#121; are going to &#100;&#111; &#105;&#102; &#116;&#104;&#101; (cholera) numbers increase,&#8221; Jokonya &#115;&#097;&#105;&#100;. &#8220;I sent &#111;&#117;&#116; appeals to groups of doctors to &#099;&#111;&#109;&#101; &#097;&#110;&#100; take our &#112;&#108;&#097;&#099;&#101;, but &#098;&#101;&#099;&#097;&#117;&#115;&#101; of &#116;&#104;&#101; violence, I don&#8217;t &#116;&#104;&#105;&#110;&#107; it will happen. &#116;&#104;&#105;&#115; &#105;&#115; &#116;&#104;&#101; &#109;&#111;&#115;&#116; frightening situation I &#104;&#097;&#118;&#101; ever been in in my life.&#8221;</p>
<p>Jim Schneid, Maine-Dartmouth&#8217;s chairman, &#115;&#097;&#105;&#100; &#116;&#104;&#101; medical residency was glad to &#103;&#101;&#116; &#116;&#104;&#101; team home.</p>
<p>&#8220;We were &#097;&#108;&#108; concerned for &#116;&#104;&#101;&#105;&#114; safety when &#116;&#104;&#101;&#121; were involved in &#116;&#104;&#101; unrest,&#8221; he &#115;&#097;&#105;&#100;. &#8220;&#116;&#104;&#101;&#121; &#097;&#108;&#108; knew there was a cholera risk when &#116;&#104;&#101;&#121; went &#100;&#111;&#119;&#110; &#108;&#097;&#115;&#116; week, &#097;&#110;&#100; &#116;&#104;&#101;&#121; &#097;&#108;&#108; had &#116;&#104;&#101; option when &#097;&#115;&#107;&#101;&#100; &#098;&#121; &#116;&#104;&#101; United Nations to &#110;&#111;&#116; participate. I&#8217;m very proud of &#116;&#104;&#101; group.&#8221;</p>
<p>While &#116;&#104;&#101; Maine-Dartmouth team was &#103;&#101;&#116;&#116;&#105;&#110;&#103; home, Nathan Nickerson of Portland was trying to find a &#119;&#097;&#121; to &#103;&#101;&#116; &#098;&#097;&#099;&#107; to Cap Haitien.</p>
<p>The executive director of &#116;&#104;&#101; Portland-based nonprofit Konbit Sante Cap Haitien Health Partnership was in Florida on Thursday, monitoring &#116;&#104;&#101; security situation &#097;&#110;&#100; hoping to &#102;&#108;&#121; to Cap Haitien as &#115;&#111;&#111;&#110; as today.</p>
<p>Nickerson, &#119;&#104;&#111; was in Haiti &#106;&#117;&#115;&#116; two weeks ago, hopes to help distribute medical supplies &#097;&#110;&#100; water disinfection kits. But he &#115;&#097;&#105;&#100; from Florida late Thursday &#116;&#104;&#097;&#116; it wasn&#8217;t clear &#119;&#104;&#101;&#116;&#104;&#101;&#114; security had been restored &#101;&#110;&#111;&#117;&#103;&#104; to reopen Cap Haitien&#8217;s airport.</p>
<p>McClatchy-Tribune Information Services</p></p>
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