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Doctors Without Borders: It's Not Clear Who Is In Charge In Haiti
Doctors Without Borders is having to deal with a major slowdown in operations, saying it's unclear about who is in charge in Haiti. Doctors Without Borders has now performed 400 surgeries and given primary care to 3,000 people on the ground in Haiti, but the organization is facing a 48-hour delay as its planes are being diverted from Port-au-Prince airport by U.S. Forces, who are now effectively controlling the capital’s airport.
The medical coordinator of Médecins Sans Frontières (MSF) Loris De Filippi said today their personnel has been operating within 24 hours of the quake, yet now MSF’s operations are on the verge of being stopped because the organization ran out of basic things required to assure minimal quality of care. MSF was in the process of constructing an inflatable hospital, but planes carrying missing parts were delayed at the airport. As the result, MSF had to have some parts transported overland from the Dominican Republic.
De Filippi said hundreds of lives are on the line due to delays despite millions of dollars in aid being poured into Haiti from all over the world. But what is causing these potentially life-threatening delays?
Many speculate it is the lack of general understanding on the part of the most senior rescue officials about who is really in charge in Haiti. MSF’s chief emergency coordinator Benoit Leduc was at a loss to explain who is responsible for the aid operation in Haiti during today’s teleconference, adding that it is changing all the time who is controlling. Incidentally, the French government accused the United States today of essentially "occupying" Haiti as thousands of troops flooded the country to control aid operations and security.
“This coordination issue so far is not existing, or not efficient at this stage. It’s an issue. I don’t really know who is in charge,” said Leduc. “We are doing our best to treat people who are just in front of our gates, and we are like “heads down” on the operating table so far. What’s happening with coordination, I don’t think we have a clear idea, because such a mechanism is not really in place right now.”
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Most RecentMost Recommended Comments (14)
at 16:55 on January 18th, 2010
This is typical of most operations I have been involved with, where the UN was supposed to be the coordinator.
Often during peacekeeping operations Commander's are left to their own vices without direction or control by UN Headquarters.
Rwanda and Bosnia were examples of this.
In this case, the PM has declared a State of Emergency, which is to last until the end of the month.
To be fair the US Military has been given control of the airport. This is mainly due to the fact that the US is probably the only one capable of handling the massive amounts of flights into the country.
Port-au-Prince airport used to process about three flights a day prior to the quake. At present it is handling close to 500.
The US is also in the process of making the port of Port-au-Prince workable.
Along with the multitude of starving and thirsty Haitians, there is a big problem with security, which will be provided by military forces of the U.S. and also Canada.
A couple of aircraft carriers belonging to the US, along with its compliment of US Marines will arrive in Port au Prince later on this week.
The HMCS Athabasca and Fraser from the Canadian Navy are also to arrive sometime tomorrow. They will come with some 500 soldiers. Canada's Disaster Assistance Response Team is already on the ground as is the Canadian Contingent Commander, Lieutenant General Laroche.
Canada has also committed a battle group based on the Royal 22nd Regiment (R22eR) Vandoos. These are French speaking Canadians who will be able to learn Creole fairly quickly as well.
Canada's total commitment of troops will be approximately 2000 soldiers, plus the DART team (about 250).
While at present things are slowed down a bit and everyone wants to do their bit, this relief operation is immense and will eventually work well.
Criticism is well and good, but I suspect there is a lot of infighting among agencies as to who thinks they are in charge. This will eventually settle.
at 17:30 on January 18th, 2010
You raised some very good points. The strain on the airport must be tremendous. Having said that when the Secretary of State for the U.S. can fly before two cargo planes from MSF, there seems to be something wrong with that...
at 17:59 on January 18th, 2010
I agree with you and Bill Clinton landed there today as well. There may be security reasons for this though. It is hard to make a judgment without all of the details.. Of course it would be a career-ending move to stop either Bill or Hillary Clinton from landing.
at 14:41 on January 19th, 2010
the clintons were landing with supplies and aid not by themselves
at 19:21 on January 18th, 2010
Here is an excerpt of an article, published in USA Today, that may further explain what is going on at the Port au Prince Airport.
Source: usatoday.com
at 19:50 on January 18th, 2010
Interesting that Doctors Without Borders is doing that much public complaining.
Our local paper carried an article about a team from a local Catholic Medical University, that has been in Haiti - doing operations - for 2 days. Yes, they had to travel from Santo Domingo, but they seem to be doing fine - lack of sleep not withstanding.
I know of team members from another group that flew to Santo Domingo yesterday. Not sure if Doctors Without Borders feel they deserve special treatment, but some of their complaints - given the circumstances - seem almost petty.
It is a chaotic situation, and circumstances can't be easy, but the locals are the ones that need help after all.
at 02:09 on January 19th, 2010
Doctors without borders work is interesting.They are doing excellent work.Situation at Haiti can't be easy for anyone to handle.Any how help is needed.
at 07:13 on January 19th, 2010
More U.S. Forces Arrive to Assist with Relief and Security in Haiti - William Ide, Voice of America. About 2,200 U.S. Marines arrived in Haiti on Monday, joining thousands more American forces who are on the ground or just off shore to assist with the country's growing relief needs following last week's massive earthquake. The troop deployments come as concerns over security grow and reports of looting and scuffles on the streets of Port-au-Prince continue. Marine Major General Cornell Wilson says Monday's deployment boosts the total number of American forces in Haiti to more than 7,000. U.S. commanders say more than 10,000 military personnel will be in the disaster zone in the coming weeks. Wilson says the Marines arrived aboard the amphibious ship USS Bataan, and that the sea-based force will conduct a broad range of operations where access is challenged. "The amphibious ships are loaded with helicopters, amphibious vehicles, trucks, generators and water purification units," said General Wilson. "The Marines and sailors will be supporting the interagency relief efforts led by USAID [the United States Agency for International Development]." General Wilson says the Marines will stay as long as they are needed and will work with U.N. forces and the government of Haiti to handle security issues.
at 07:13 on January 19th, 2010
Haiti Has a Leader in Charge, But Not in Control - Giles Whittell, Martin Fletcher and Jacqui Goddard, The Times. Tucked between Port-au-Prince airport and the giant UN compound is a one-storey building with no security or reliable communications and only two small suites of grubby offices. Before the earthquake hit, this was the headquarters of Haiti’s judicial police. It is now the seat of the Haitian Government and the office of President Préval, but it is seldom occupied, has no reception staff and people peer through the windows. Hillary Clinton, the US Secretary of State, insisted yesterday that Mr Préval remained in full charge of both Haiti and the aid effort that is still failing to reach those who need it most. Mr Préval himself declares that he is in charge of events and the UN says that it directs rescue teams and distributes aid according to information received from his administration. That administration’s ministerial buildings collapsed a week ago. Critics, and friends, of Haiti point out that it lacked a functioning government even before the earthquake. They are right in the most literal sense now. Six days after disaster struck, the operation to rescue Haiti descended into blame and finger-pointing yesterday as only a trickle of food, water and medical assistance reached hundreds of thousands of victims. Aid agencies and donor countries accused the US military of giving its own aircraft priority. Outside the airport, aid and rescue workers protested that nobody seemed to be in charge as looting and lawlessness rose sharply on the streets of Port-au-Prince.
at 07:14 on January 19th, 2010
Aid to Haiti Speeds Up, But Delays Plague Effort - Charles Forelle, Jose de Cordoba and Joe Lauria, Wall Street Journal. One week after an earthquake pulverized Haiti, emergency supplies of water, food and medicine are beginning to reach large numbers of the country's desperate survivors. The number of U.S. troops in Haiti is expected to reach about 10,000 by midweek to help transport emergency supplies, provide security and clear debris. In the interim, however, residents have perished as distraught relatives awaited rescue teams and equipment that didn't arrive in time. Homeless people still camp on the streets, wondering why aid is taking so long. "They say there's help, but it doesn't arrive," said Henock Volmidor, an unemployed hotel worker, at a makeshift refugee camp on Monday. It wasn't supposed to be this way. After the Indian Ocean tsunami in 2004 that killed at least 230,000 people in 13 countries, the United Nations and emergency-relief organizations vowed to avert the disorganization that plagued that effort. More than 300 charities showed up in Aceh, Indonesia, with little coordination between them. The U.N. established a rapid-response system to coordinate the work of its agencies with nonprofit organizations, an online database to track assistance and avoid duplication, and a special emergency-relief fund that released $10 million within 24 hours of the Haitian quake. The U.N. quickly sent to Haiti an assessment team whose tasks included dispatching search-and-rescue squads that arrived from Iceland, China, France and the U.S. Meanwhile, what was left of the Haitian government put out an urgent request to the U.S. ambassador for help.
at 07:15 on January 19th, 2010
Haiti Earthquake Relief is Stifled by Chaos in Port-au-Prince - Mary Beth Sheridan and William Booth, Washington Post. Security has emerged as one of the most formidable challenges in this earthquake-shattered capital, officials said Monday, limiting the ability of the United Nations and relief officials from elsewhere to distribute the food and medicine beginning to pile up at the airport. The U.N. Security Council on Monday unanimously endorsed a proposal from Secretary General Ban Ki-moon to send 3,500 more peacekeepers to Haiti to assist in the humanitarian relief effort, but it was not clear how soon they would arrive. Pentagon officials, meanwhile, said they had about 1,700 troops in Haiti, the vanguard of an estimated 5,000 American soldiers and Marines expected to be in the country by midweek. "Security is the key now in order for us to be able to put our feet on the ground," said Vincenzo Pugliese, a U.N. spokesman. He said a lack of security had limited peacekeepers' access "to the operational theater" - the city beyond the U.N. compound's walls. The acknowledgement came as the streets here filled with people scrambling to survive six days after a 7.0-magnitude earthquake destroyed the Haitian capital. The European Commission, the executive body of the European Union, estimated that 200,000 people were killed in the earthquake, far more than the 50,000 estimated over the weekend. The new figure is based on information from the Haitian government, but officials cautioned that it was still only an estimate.
at 07:17 on January 19th, 2010
U.S. Task Force Commander for Haitian Relief Says Logistics Remain Stumbling Block - Dana Hedgpeth, Washington Post. Lt. Gen. Ken Keen said progress is being made to get supplies, equipment and other aid to Haitians a week after an earthquake hit this country of 3.5 million people, but said more needs to be done to get planes in faster, repair damaged ports and set up medical facilities to treat the severely wounded. "No one's kidding themselves," said Keen, who is the commander of the U.S. military operation here. "This is an enormous task. We have challenges." As the joint task force commander for Operation United Response, Keen is in charge of the 10,000 U.S. military troops being sent here to help with the humanitarian relief effort in Haiti. He also will help in coordinating the aid efforts from foreign countries. So far, roughly U.S. 1,400 military troops are on the ground in Haiti, with another 5,000 personnel on ships working with helicopter crews to bring aid ashore. Of the 10,000 troops headed here, about 4,000 to 5,000 will eventually be positioned in the island nation. "We want to have enough people in Haiti but not a footprint here," he said, adding that more forces on land require logistics and space.
at 07:18 on January 19th, 2010
U.N. Chief Asks Security Council to Authorize More Troops, Police for Haiti - Margaret Besheer, Voice of America. U.N. Secretary-General Ban Ki-moon, just back from a tour of earthquake devastated Haiti, has asked the Security Council to boost the U.N. stabilization mission by as many as 3,500 troops and police as soon as possible. Mr. Ban said the "heartbreaking scenes" he saw on Sunday in the Haitian capital compel the United Nations and the international community to act "swiftly and generously" now and over the longer term. He said most important in the coordination of the massive relief effort is to remove obstacles to reaching those in need and avoid wasting resources. To better support the effort, Mr. Ban has requested the U.N. Security Council temporarily boost the 9,000 U.N. peacekeepers and police in Haiti. "I recommended that the Security Council raise the number of U.N. police officers in the mission by 1,500, or 67 percent, over current levels. I also recommended that the Security Council boost the number of troops by 2,000, a nearly 30 percent increase, for six months," he said. Mr. Ban's decision exceeded the estimates of senior officials, who said Sunday that he would ask for an increase of about 1,250 troops and police.
at 12:31 on January 19th, 2010
Don't blame the US Military. They can only do so much. They are the best at their jobs and should be commended for what they are doing. It's sad that we have to witness a fight over who to save first, the injured or the starving. They all need help, and it seems nobody should take precedence over another. I think everybody is doing the best they can.