Haiti quake injured at risk, food handouts improve

PORT-AU-PRINCE, (Reuters) – Foreign doctors treating  the injured from Haiti’s catastrophic earthquake fear more  could die as emergency medical relief winds down, but food  distribution was smoother yesterday using a coupon system.

Nearly three weeks after the magnitude 7.0 earthquake  killed up to 200,000 Haitians and left up to 1 million more  homeless, a huge U.S.-led international relief operation has  been struggling to help injured and hungry survivors.

Foreign medics are worried about what will happen to their  Haitian patients, many with amputated limbs, after overseas  doctors leave the country at the end of emergency rotations.

With Haiti’s previously fragile health system in ruins  after the quake, they see weak and recovering victims going  back to the hundreds of crowded and dirty survivors’ camps that  carpet the devastated capital, where the risks of infection and  of illnesses like tuberculosis and AIDS are high.

“People will fall through the cracks and there will be a  lot more deaths,” said Richard Wenzel, an infectious disease  expert working in Port-au-Prince.

Local doctors and medical staff were among quake victims,  including more than 100 nursing students buried under the  rubble of a five-story nursing school that collapsed in the  Jan. 12 quake.

Adding to the worries of U.S. officials, Haitian  authorities have arrested 10 American citizens caught trying to  take 33 children out of the country without documents proving  adoptions had taken place or that the children were orphaned by  the quake.

The five men and five women, from an Idaho-based charity  called New Life Children’s Refuge, were in custody in  Port-au-Prince after their arrest late on Friday at the  Malpasse border crossing with the Dominican Republic.

They denied any wrongdoing. “The truth ultimately is that  we came here to help the children, and we know that God will  reveal truth,” Laura Silsby, a leader of the group, told CNN.

She earlier told Reuters the group had permission from the  Dominican Republic to bring the children to an orphanage there. Haitian Prime Minister Jean-Max Bellerive told CNN in an  interview broadcast yesterday that he was worried about the  risk of illegal adoptions and child trafficking.

“We have already reports of a lot of trafficking (of  children) and even of organ trafficking,” he said, although  citing no specific cases.

On a more positive note, a coupon-based system to feed the  masses of homeless Haitian earthquake victims was expanded in  Port-au-Prince on Sunday, bringing a new sense of order to a  relief effort hampered by often chaotic food distributions.
More than 200 U.S. troops fanned out around a sprawling  refugee camp in the capital’s Champs de Mars plaza at dawn yesterday for the distribution of 55-pound (25 kg) bags of rice.

About 1,650 bags of rice were handed out without incident  from the back of trucks in a distribution operated by Catholic  Relief Services, said Jacques Montouroy, spokesman and  logistics coordinator for the aid group.

The rice was given only to women who had received numbered  coupons from relief workers who had identified those most in  need in the sprawling camp.

“You have to install discipline. … This is the only way  for food to trickle down to everybody,” said Montouroy.
In recent weeks, some food handouts turned unruly and  violent, with mobs of hungry, desperate quake survivors  overwhelming aid workers and their U.N. peacekeeper escorts.

In some cases, U.N. troops have used tear gas and Mace  spray and fired warning shots to try to restore order, but  without proper control, aid workers say children, the sick and  elderly often miss out on getting the help they need.