2010年11月19日星期五

The U.N. acknowledged the black fluid was overflow from the base, but said it contained kitchen and shower waste

The U.N. said it is up to the private contractor and local mayor to ensure its dump sites are safe. Sanco Vice President Marguerite Jean-Louis said it is up to the mayor and the U.N. Mirebalais Mayor Laguerre Lochard, who is running for Senate on Sunday, said he complained several times to the U.N. that the site was not safe but never received a response.

Jean-Louis said her company emptied the septic personalized nfl jerseystanks on Oct. 11, after the first shift of Nepalese troops arrived, and did not return again until after the outbreak began. At some point in mid-October, neighbors said a new Sanco driver they did not recognize came one day and dumped outside of the usual pits.

Sanco returned to the base after the AP had been there for hours. There was more waste than usual, Jean-Louis said, possibly because the soldiers overlapped during their rotations.

Following protests at the base days later, the U.N. Washington Redskins Jerseyopened the compound to the AP. The Nepalese soldiers acknowledged, after repeated questions and revised statements, that the base had undergone an extensive clean-up and that they had replaced the broken pipe. Aboveground pipes from uphill latrines ran over a drainage canal to the river. The U.N. spokesman acknowledged what looked like human waste at the bottom.

The U.N. is now reviewing all sanitation systems at its military, police and civilian installations, officials told the AP this week.

The U.N. said none of the Nepalese soldiers had shown signs of cholera, which some news outlets misreported as saying the soldiers had specifically tested negative for it. Pugliese confirmed on Oct. 30 that they had not been tested for the disease.

The U.N. also tested environmental samples the soldiers took from the base. It says they came out negative at an independent laboratory in Santo Domingo.

But the Santo Domingo lab, Cedimat, has been under contract to MINUSTAH, the U.N. mission's name in French, Chicago Jerseysince 2004, said Dr. Maximo Rodriguez, the doctor whose name appears on the tests. Rodriguez is a general medicine doctor whose specialty is treating obesity. Cedimat is a patient-treatment facility. In fact, the test results were written on forms meant for people: The results provided to the AP by the U.N. had the "patient's" name listed as "Minustha Minustha (sic)" — age 40, male.

Rodriguez said "anyDallas Jersey well-equipped laboratory" can do tests for cholera. But epidemiologists say examining environmental samples for cholera takes extra expertise, because the disease can be hard to isolate.

"A positive test is informative, a negative test doesn't really prove anything," said Dr. Arthur Reingold, chairman of Global Public Health and Infectious Diseases at the University of California-Berkeley School of Public Health. He is an adviser to the World Health Organization and a former CDC epidemiologist.

The idea that cholera was imported to Haiti by the U.N. carries unique implications.

For decades, and especially since the Jan. 12 earthquake,Oakland Jersey Haiti has depended on foreign governments, aid groups and the U.N. for everything from rebuilding to basic services. The U.N. has had five peacekeeping missions in Haiti since 1993, the current one arriving six years ago.

Some Haitians see the peacekeepers as the only hope for security in a nation where towns are ruled by drug lords and coups d'etat are more common than elections. Others resent heavily armed foreign armies on their soil and see the soldiers as a threat to national sovereignty and pride.

The peacekeepers have saved lives in floods andNew York Jersey defeated kidnapping gangs. They have also killed people in protests and accidents and had an entire unit dismissed for paying for sex, many with underage Haitian girls.

Earlier this month, Dr. Paul Farmer, who founded the medical aid group Partners in Health and is U.N. deputy special envoy for Haiti, called for an aggressive investigation into the source of the cholera, saying the refusal to look into the matter publicly was "politics to me, not science."

The CDC acknowledges politics played a role in how the investigation unfolded.

"We're going to be really cautious about the NepalGreen Bay Packers Jersey thing because it's a politically sensitive issue for our partners in Haiti," said CDC commander Dr. Scott Dowell.

The CDC agrees that the movement of pathogens from one part of the world to another is an important public health issue. Its scientists are working on samples of bacteria from 13 infected Haitians to sequence the cholera strain's genome, the results of which will be posted on a public database.

But the U.S. government agency has several caveats. First, it has not taken environmental samples or tested the Nepalese soldiers. Second, it will not go public with its analysis until all its studies are complete. And third, it may not get enough information to say exactly how cholera got into the country.

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