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2011/4 (No 143)

  • Pages : 224
  • ISBN : 9782707170071
  • DOI : 10.3917/her.143.0184
  • Publisher : La Découverte

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Previous Pages 184 - 206



Social and health indicators reflect the political instability and the economic deficiencies from which Haiti suffers. For example, infant mortality, an important development indicator, highlights the country’s health deficiencies. Mortality has reached 86 per 1000 births. In other words, approximately one child in 12 dies before reaching the age of five. In such conditions, the outbreak of cholera in October 2010, in addition to the post-earthquake chaos, could only cause the country’s health situation to deteriorate into complete disorder. The geopolitical approach aims to evaluate the impact of the disease in the region from several perspectives and to recognize the spatial discontinuities in terms of prevalence and incidence. The objective is then to understand the laws that govern observed differences in impact and evolution by identifying the territorialization of healthcare access in Haiti. The progressive seizure of power by international health assistance groups raises the problem of Haitian public-health services running out of steam compared to the private sector, a change aggravated by the current health crisis.


  1. Spatial Progression of the Epidemic
    1. The Artibonite River: Epidemic Epicenter
  2. Water, a Powerful Means of Transport
    1. An Epidemic along the Riverbanks
  3. A Calendar Favoring Contamination
    1. Did Hurricane Thomas Accelerate the Spread of the Disease?
  4. What Healthcare Facilities Best Handle a Cholera Outbreak?
    1. Cholera Treatment Centers: Indispensable Facilities
    2. What Space Is Available for These Facilities?
    3. Treating Cholera: The Role of NGOs, and After?
  5. Importance of Healthcare Access
  6. International Aid Issues in Cholera Management
  7. Disparities in the Capital’s Urban District (Ouest Department)
    1. The Shantytowns: For the Most Part Spared by the Earthquake—and Overlooked by International Aid
    2. Medical Aid Concentrated in the Port-au-Prince Evacuee Camps
  8. How Was the Battle against Cholera Waged?
    1. A Local Public System Fueled by External Capital
    2. International Aid Breaking the Back of National Institutions
  9. Conclusion

To cite this article

Lucie Guimier, “ L'épidémie de choléra en Haïti : lecture géopolitique d'un enjeu de santé publique ”, Hérodote 4/2011 (n° 143) , p. 184-206
URL : www.cairn.info/revue-herodote-2011-4-page-184.htm.
DOI : 10.3917/her.143.0184.

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