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. Rogers, Maxi Raymonville, John G. Meara

Research output: Contribution to journalArticle

28 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)745-750
Number of pages6
JournalWorld Journal of Surgery
Volume35
Issue number4
DOIs
StatePublished - Apr 2011
Externally publishedYes

Fingerprint

Haiti
Earthquakes
Emergency Medical Services
Health
Emergencies
Delivery of Health Care
Needs Assessment
District Hospitals
Health Facilities
Bone Fractures
Debridement
Public Health
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

McIntyre, T., Hughes, C. D., Pauyo, T., Sullivan, S. R., Rogers, S. O., Raymonville, M., & Meara, J. G. (2011). Emergency surgical care delivery in post-earthquake haiti: Partners in health and zanmi lasante experience. World Journal of Surgery, 35(4), 745-750. https://doi.org/10.1007/s00268-011-0961-6

Emergency surgical care delivery in post-earthquake haiti : Partners in health and zanmi lasante experience. / McIntyre, Thomas; Hughes, Christopher D.; Pauyo, Thierry; Sullivan, Stephen R.; Rogers, Selwyn O.; Raymonville, Maxi; Meara, John G.

In: World Journal of Surgery, Vol. 35, No. 4, 04.2011, p. 745-750.

Research output: Contribution to journalArticle

McIntyre, T, Hughes, CD, Pauyo, T, Sullivan, SR, Rogers, SO, Raymonville, M & Meara, JG 2011, 'Emergency surgical care delivery in post-earthquake haiti: Partners in health and zanmi lasante experience', World Journal of Surgery, vol. 35, no. 4, pp. 745-750. https://doi.org/10.1007/s00268-011-0961-6
McIntyre, Thomas ; Hughes, Christopher D. ; Pauyo, Thierry ; Sullivan, Stephen R. ; Rogers, Selwyn O. ; Raymonville, Maxi ; Meara, John G. / Emergency surgical care delivery in post-earthquake haiti : Partners in health and zanmi lasante experience. In: World Journal of Surgery. 2011 ; Vol. 35, No. 4. pp. 745-750.
@article{362ff055daac4926b0bbb01914754ace,
title = "Emergency surgical care delivery in post-earthquake haiti: Partners in health and zanmi lasante experience",
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.",
author = "Thomas McIntyre and Hughes, {Christopher D.} and Thierry Pauyo and Sullivan, {Stephen R.} and Rogers, {Selwyn O.} and Maxi Raymonville and Meara, {John G.}",
year = "2011",
month = "4",
doi = "10.1007/s00268-011-0961-6",
language = "English (US)",
volume = "35",
pages = "745--750",
journal = "Presentations from the 9th Annual Electric Utilities Environmental Conference",
issn = "0364-2313",
publisher = "Springer New York",
number = "4",

}

TY - JOUR

T1 - Emergency surgical care delivery in post-earthquake haiti

T2 - Partners in health and zanmi lasante experience

AU - McIntyre, Thomas

AU - Hughes, Christopher D.

AU - Pauyo, Thierry

AU - Sullivan, Stephen R.

AU - Rogers, Selwyn O.

AU - Raymonville, Maxi

AU - Meara, John G.

PY - 2011/4

Y1 - 2011/4

N2 - 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.

AB - 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.

UR - http://www.scopus.com/inward/record.url?scp=79952190112&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79952190112&partnerID=8YFLogxK

U2 - 10.1007/s00268-011-0961-6

DO - 10.1007/s00268-011-0961-6

M3 - Article

C2 - 21249359

AN - SCOPUS:79952190112

VL - 35

SP - 745

EP - 750

JO - Presentations from the 9th Annual Electric Utilities Environmental Conference

JF - Presentations from the 9th Annual Electric Utilities Environmental Conference

SN - 0364-2313

IS - 4

ER -