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The United Nations Office for the Coordination of Humanitarian Affairs (OCHA) has raised alarms over a sharp increase in cholera cases in Haiti, particularly in the Port-au-Prince metropolitan area. Pétion-Ville, a key economic and educational center, has become a major hotspot for the disease. Farhan Haq, Deputy Spokesperson for UN Secretary-General Antonio Guterres, revealed that between September 21 and 25, 40 suspected cases and three deaths were reported in Pétion-Ville alone. This surge coincides with the imminent start of the new school year, heightening concerns about further transmission. In total, 66 suspected cases have been recorded in the capital and surrounding communes in recent days, marking a significant escalation compared to previous weeks. Young adults, who are highly mobile due to work and daily activities, constitute the majority of cases, raising fears of the disease spreading to other areas such as Delmas, Tabarre, and Carrefour. Nationwide, over 3,100 suspected cholera cases have been reported this year. In response, local health teams are conducting investigations, collecting samples, distributing water purification tablets, and launching awareness campaigns in affected neighborhoods like Brisetoux and Bobin. OCHA, in collaboration with Haitian authorities and partners, is intensifying efforts to monitor cases and mobilize health workers to curb the outbreak’s spread.

A groundbreaking report released on Monday by the World Bank and the Pan American Health Organisation (PAHO) has issued a stark warning: the lack of resilience in primary healthcare (PHC) systems across Latin America and the Caribbean (LAC) could result in catastrophic losses, both in human lives and economic stability. The report, titled “No Time to Wait: Resilience as the Cornerstone of Primary Health Care in Latin America and the Caribbean,” was unveiled during PAHO’s 62nd Directing Council, attended by health ministers and high-level delegates from the region. The study highlights that a 25–50 per cent reduction in PHC delivery due to a health emergency, such as a pandemic or natural disaster, could lead to up to 165,000 preventable deaths and economic losses ranging from US$7 to 37 billion over one to five years. Among the projected fatalities are 11,300 maternal deaths, 10,000 child deaths, and over 149,000 deaths from noncommunicable diseases (NCDs), alongside 14 million unintended pregnancies. Dr. Jarbas Barbosa, PAHO Director, emphasized that building robust PHC and resilience are inseparable. “Without resilient PHC, the next crisis will disproportionately affect the poorest and most marginalized communities,” he stated. The report defines resilience as the ability of health systems to maintain essential services equitably before, during, and after shocks, including pandemics, hurricanes, and floods. The COVID-19 pandemic exposed the region’s vulnerabilities, with LAC accounting for 30 per cent of global COVID-19 deaths despite representing only 8.5 per cent of the world’s population. Essential services like maternal care, childhood immunization, and chronic disease treatment plummeted by up to 50 per cent, with some countries experiencing gaps for over two years. The region, prone to hurricanes, floods, and vector-borne outbreaks, remains heavily reliant on hospital-centered, fragmented health systems with insufficient investment in PHC. Jaime Saavedra, World Bank’s Director of Human Development for LAC, stressed that strengthening PHC is one of the region’s greatest health challenges. The report outlines a five-point action plan to build resilience, including expanding equitable care models, embedding public health functions within PHC, and ensuring sustainable financing. PAHO urges health leaders to prioritize PHC resilience as a political and economic imperative.