Wednesday, October 28, 2015

Last Day of Our Wellness Program- Haiti

Last Day of the Wellness Program
Haiti family Initiative Wellness Program
Jacmel, Haiti

Friday, August 9, 2013- today is the last day of our Wellness Program.  Our five- week program is over. Our doctors leave tomorrow and camp closes today. As we leave our hotel, I am filled with anxiety.  I expect a difficulty day.  I anticipate the neighbors are also anxious about our departure.

When we arrive at the compound, there are already too, too many people waiting for us. They are everywhere. There is lots of tension at the camp.  People know we are leaving tomorrow. Today is the last day these people will receive free medical care for another year. So all of our 100 medical cards have been given out by 600AM.  But there are plenty more who want to see the doctors. People are begging me to let them in even though they don’t have a ticket.  They are desperate. They are pulling on my sleeves, pleading with me for anything and everything.

Too many others wandered into the compound for no other reason than to score some free medicines or pick up a free pair of eyeglasses.  If supplies are going to be given away, today is the day to score a handout.  So lots and lots of people have made their way through the gate, encroaching on our limited space. 

We tried our best to keep the gate closed.  But people still sneak in. They are everywhere. They are becoming a bit aggressive.  And while I do not think anyone would purposely hurt us, I worry about the growing crowd and their hopes of leaving with something tangible.  If there is just the perception that we are giving something out, we could have a riotous situation.

We had a group who gathered right outside the medical clinic.  We chased them away several times but they quickly return. Now we demanded that they leave.

People are on the benches, waiting to be called to the intake bench.  People are on the benches right outside the clinic.  For some reason, people are lined up right against the wall, just waiting.  They don’t have a medical card and they aren’t waiting for the doctor.  They tell me they are here, waiting for their children in the camp.  But this is a ridiculous statement as no one looks after their children. They are waiting in case just in case we have some supplies to give out. 

Now there is a crowd that is gathering right outside the medical clinic. This is a younger crowd, maybe 15 or 20 people and they will not comply with my request to leave.  They are demonstrating a slight attitude of defiance.  They are not willing to surrender an opportunity to get something for free. Much to everyone’s surprise, I had to take someone by the arm and escort him out of the compound. I had to break up these clusters of people and I had to do this quickly. So I ask Max, Jeams, Lucien, Monell and Antoine to help me kick people out.

“The only people who can be in the compound are the people who have a ticket to see the doctors.” I tell them.  This would now bring our crown down to a manageable group of 200 down to 50 people.

The men start to help but they don’t quite have my idea of what it means to kick someone out.  They aren’t aggressive people by nature.  So it is hard for them to take control. And this moment calls for ugly American behavior.  So I have to resort to my loud, aggressive, high school principal voice and we begin to clear the crowd. After half an hour, we have cleared everyone out.  Several of us stand guard at the gate.

By noon, the final lunch of smelly sardines, beans and rice has been served and cleaned up.  Adeline wants to keep the plastic bowls for her family dishes.  She is grateful for the gift of 100 chipped plastic bows. The camp kids have all gone home. The last patients have been given an ample supply of medicines and the medical clinic is now closed and we are all focused on cleaning up and putting the summer program to bed.

Now it is just the volunteers and the translators. I really wanted the neighbors to leave because I have a big problem on my hands and I don’t want people interfering with our situation.  We have hundreds of dollars of medicines that expired in March.  I have to make a decision as to what to do with all of this stuff.    I can give them to the local hospital; I can offer them to local doctors and pharmacies.  I can discard them.  Or I can store them for another year and leave next year’s volunteers with the burden to take care of this problem.

So we put phone calls in to every connection we have. We were able to find a doctor who took a whole suitcase of medicines back to his practice.  The nearby orphanage took lots of supplies and medicines. The local hospital and the pharmacy would not even touch the medicine.  There are few laws in Haiti and apparently the expired medicine law seems to be strictly enforced.  So now I have no other choice but to discard this pile of drugs.

There is no good trash collection solution in Haiti.  People just throw their trash everywhere.  The landfill is the local beach.  I didn’t want all of these antibiotics ending up in the water.  I didn’t want the yardman to burn the medicine for us.  This quantity needs to be handled in a secured incinerator.  Otherwise, all those chemicals would be floating through the air for every mosquito to ingest and then become immune to them.

I call on the mayor and he comes over.  He puts in a few phone calls and he assures me, he will take the drugs and incinerate them in a safe, secure manner.  I am not comfortable with his reassurance but it is the best option I have.  So the translators and I empty bottle after bottle of antibiotic drugs in a hazardous waste bag.  This kills me as so many people could have benefited from all this medicine.  What a lost potential.

We clean up, lock up and wander across the street together to the local cafĂ© for one last beer together.  I take a moment to look back at the Salvation Army Compound and think to myself, “what a shithole.  I’m going to miss this place”.


The other volunteers and the translators decide to make the journey up to swim at Basin Blue Falls.  I hop on a motorcycle and head back to the hotel. I am not interested in the falls and really, I could use a few minutes to myself.  The Wellness Program is finished and so am I.