GHESKIO - N Engl J Med

Published at www.nejm.org January 27, 2010 (10.1056/NEJMp1001015)
The Earthquake in Haiti — Dispatch from Port-au-Prince
Jean William Pape, M.D., Warren D. Johnson, Jr., M.D., and Daniel W. Fitzgerald, M.D.

At 4:53 p.m. on Tuesday, January 12, an earthquake killed or gravely injured hundreds of thousands of people in Port-au-Prince, Haiti. Even more were left homeless. The devastation is incomprehensible.

Chaos followed, since the centers of law, order, and functioning society were destroyed or suffered severe losses. The Haitian national palace, government ministries, and police stations collapsed with major losses of life. The headquarters of the United Nations was in rubble, and hundreds of staff members were missing. Banks, churches, food stores, hospitals, hotels, schools, and communications capabilities were destroyed.

As a result, piles of bodies lay in the streets. The only useful places for providing medical care were empty spaces — parks and fields. A city in need of hundreds of trauma centers had two or three.

Four staff members from the organization with which we are associated, the Haitian Group for the Study of Kaposi's Sarcoma and Opportunistic Infections (known as GHESKIO), died, several were severely injured, and many lost family members or were left homeless. A few GHESKIO staff members were able to reach our clinic in the center of Port-au-Prince on Wednesday, January 13. Several clinic buildings suffered severe damage and were not habitable. Others were damaged but usable.

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