LEADER 05033nam 2200709 450 001 9910798398203321 005 20230808192718.0 010 $a1-5017-0363-3 024 7 $a10.7591/9781501703638 035 $a(CKB)3710000000648480 035 $a(EBL)4517892 035 $a(SSID)ssj0001655358 035 $a(PQKBManifestationID)16436138 035 $a(PQKBTitleCode)TC0001655358 035 $a(PQKBWorkID)14788781 035 $a(PQKB)10201031 035 $a(MiAaPQ)EBC4517892 035 $a(OCoLC)1080550132 035 $a(MdBmJHUP)muse58495 035 $a(DE-B1597)496420 035 $a(OCoLC)947119136 035 $a(DE-B1597)9781501703638 035 $a(Au-PeEL)EBL4517892 035 $a(CaPaEBR)ebr11248554 035 $a(CaONFJC)MIL951881 035 $a(EXLCZ)993710000000648480 100 $a20160903h20162016 uy 0 101 0 $aeng 135 $aur|nu---|u||u 181 $ctxt 182 $cc 183 $acr 200 10$aDeadly river $echolera and cover-up in post-earthquake Haiti /$fRalph R. Frerichs 210 1$aIthaca, New York ;$aLondon, [England] :$cILR Press,$d2016. 210 4$dİ2016 215 $a1 online resource (316 p.) 225 1 $aCulture and Politics of Health Care Work 300 $aDescription based upon print version of record. 311 $a1-5017-0230-0 320 $aIncludes bibliographical references and index. 327 $tFront matter --$tContents --$tPreface --$tIntroduction --$t1. Upheaval --$t2. Vibrio Cholerae --$t3. Rumors --$t4. Stealth --$t5. Hypotheses --$t6. Maps --$t7. Altered Reality --$t8. Journalists --$t9. Secrecy --$t10. Obfuscation --$t11. Speculation --$t12. Pandemics and South Asia --$t13. Report --$t14. Vodou and Cholera --$t15. Inquiry --$t16. Politics before Science --$t17. Nepal --$t18. Concealed in the Field --$t19. Quarantine and Isolation --$t20. The Wall Cracks --$t21. Answers --$t22. Sanitation, Water, and Vaccination --$t23. Struggles and Elimination --$t24. Rapprochement --$tEpilogue --$tNotes --$tBibliography --$tIndex 330 $aIn October 2010, nine months after the massive earthquake that devastated Haiti, a second disaster began to unfold-soon to become the world's largest cholera epidemic in modern times. In a country that had never before reported cholera, the epidemic mysteriously and simultaneously appeared in river communities of central Haiti, eventually triggering nearly 800,000 cases and 9,000 deaths. What had caused the first cases of cholera in Haiti in recorded history? Who or what was the deadly agent of origin? Why did it explode in the agricultural-rich delta of the Artibonite River? When answers were few, rumors spread, causing social and political consequences of their own. Wanting insight, the Haitian government and French embassy requested epidemiological assistance from France. A few weeks into the epidemic, physician and infectious disease specialist Renaud Piarroux arrived in Haiti. In Deadly River, Ralph R. Frerichs tells the story of the epidemic-of a French disease detective determined to trace its origins so that he could help contain the spread and possibly eliminate the disease-and the political intrigue that has made that effort so difficult. The story involves political maneuvering by powerful organizations such as the United Nations and its peacekeeping troops in Haiti, as well as by the World Health Organization and the U.S. Centers for Disease Control. Frerichs explores a quest for scientific truth and dissects a scientific disagreement involving world-renowned cholera experts who find themselves embroiled in intellectual and political turmoil in a poverty-stricken country. Frerichs's narrative highlights how the world's wealthy nations, nongovernmental agencies, and international institutions respond when their interests clash with the needs of the world's most vulnerable people. The story poses big social questions and offers insights not only on how to eliminate cholera in Haiti but also how nations, NGO's, and international organizations such as the UN and CDC deal with catastrophic infectious disease epidemics. 410 0$aCulture and politics of health care work. 606 $aCholera$zHaiti$xEpidemiology 606 $aEarthquake relief$zHaiti$xInternational cooperation 606 $aEmergency medical services$zHaiti$xInternational cooperation 606 $aHumanitarian assistance$zHaiti$xInternational cooperation 606 $aHaiti Earthquake, Haiti, 2010 615 0$aCholera$xEpidemiology. 615 0$aEarthquake relief$xInternational cooperation. 615 0$aEmergency medical services$xInternational cooperation. 615 0$aHumanitarian assistance$xInternational cooperation. 615 0$aHaiti Earthquake, Haiti, 2010. 676 $a614.514097294 700 $aFrerichs$b Ralph R.$01489918 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910798398203321 996 $aDeadly river$93710842 997 $aUNINA