The Uses of Haiti’s Poor Children: Guinea Pigs for Cholera Vaccines

A child stricken with cholera is being treated at a cholera treatment center in Carrefour, an area just outside of Port-au-Prince June 6, 2011.  Credit: Reuters/Swoan Parker

By Dady Chery
Haiti Chery | Black Agenda Report | SF Bay View | Erzili Danto Salon

English | French

Haiti’s Ministry of Health finally gave in and officially announced that a vaccination campaign against cholera is scheduled to start in January 2012.  This happened after one year of pressure from the United Nations’ Pan American Health Organization (PAHO) and the recent takeover of Haiti’s prime-ministerial position by Clinton aide and UN employee Garry Conille.

Cholera is eminently curable, and the cure is clean water.

If Haitians are still getting cholera at the rate of over 10,000 a month, this is because they are continuing to drink surface water from sources previously considered safe but that have become contaminated.  So why are the Pan American Health Organization (PAHO), Medecins Sans Frontieres (MSF), Paul Farmer, and Partners in Health (PIH) so eager to administer vaccines to Haitians and so slow to promote waste treatment and water purification?

By contrast to MSF and PIH, 900 Cuban health experts, working out of their mobile medical units in 40 Haitian communities, are promoting disease prevention. So far, Cuban Medical aid to Haiti has been vastly more successful than aid from NGOs.

As an example, consider the massive post-earthquake aid contributed by Cuba’s relatively small staff.

Comparative Medical Contributions in Haiti by March 23, 2010

MSF

Canada

United States

Cuba

No. of Staff 3,408 45 550 1,504
No. of Patients Treated 54,000 21,000 871 227,143
No. of Surgeries 3,700 0 843 6,499

The relatively small Cuban-led medical brigade has also treated 30 to 40 percent of Haiti’s cholera patients.

Since the cholera vaccination campaign is quite futile, it is not surprising to find that this campaign is not a part of Cuba’s medical aid.

Unlike the diseases against which people are traditionally vaccinated, cholera is not communicable.  In other words, with a minimum of good hygiene, cholera cannot be caught from casual contact with someone. According to Dr. Renaud Piarroux:

[Cholera] can be provoked by close contact with somebody suffering from cholera, but it’s easy to protect oneself from this kind of transmission by good hygiene. This is why medical staff rarely get ill despite the fact that they have numerous contacts with people suffering from cholera.

Tourists also don’t get cholera.  Vaccines are not recommended to those entering areas where cholera is endemic because clean water and good hygiene are best, and cholera vaccines are demonstrably unreliable.

Cholera vaccines:

  • Protect only a fraction (usually about 45%) of the people who are vaccinated.
  • Typically confer protection only for a few months, since the cholera bacteria rapidly change their DNA.
  • Do not protect at all against strains of cholera other than those targeted by the vaccination.
  • Often do not work on children less than 3 years old.

Nevertheless PAHO began to promote a cholera vaccine for Haiti almost from the day the cholera epidemic hit the country in Fall 2010.  PAHO was supported in this by Harvard scientists with financial interests in the sale of cholera vaccines. The same scientists also helped the UN to cover up the source of Haiti’s cholera for many months. Paul Farmer still enjoys considerable trust from Haitians because he founded PIH, but like Garry Conille, he is now a UN employee and Clinton aide. He also hails from Harvard. He needs to explain why he is promoting these useless vaccines so much more enthusiastically than waste and water treatment.

The aim of the much-touted new vaccination campaign is to inoculate 100,000 Haitians — mostly children — with 200,000 doses of a vaccine called Shanchol, at $1.85 per dose. This is evidently not the true cost of the vaccine, which will be marketed in India for $12 per dose. Such vaccines are typically developed for use by travelers and military personnel from developed countries, but they are tested on the poor from under-developed countries and financed from public or charitable funds.

Development of Shanchol was financed by the Gates Foundation.  Its manufacture was by an Indian company called Shantha Biotechnics, which has been purchased by the large French pharmaceutical company Sanofi-Aventis (also called Sanofi Pasteur).

As recenly as early September 2011, Shantha Biotechnics still lacked the WHO approval required for UN agencies to buy the vaccine, because the WHO had continued to argue that cholera vaccines are unnecessary.  Miraculously, Shanchol was quickly “pre-qualified” by the WHO on September 29th.  Transparency has been lacking from the pre-qualification of Shanchol for use in Haiti, and previous pre-qualifications of this vaccine for use in other countries are known to have benefited from the recommendations of scientists with commercial interest in the vaccine.

Despite the claims that the vaccine will alleviate the cholera in Haiti, hardly anything is known about the effects of vaccines on endemic cholera, apart from the fact that, so far, Shanchol has been ineffective. So this vaccination campaign is actually an experiment designed to test Shanchol, and Haitian children will be the guinea pigs.

Unsurprisingly, the campaign will start with some of Haiti’s poorest children: those from Cite Soleil.

Parents who agree to submit their children to this campaign will be taking a big chance. The children will be made to drink two doses, each of 175 billion killed cholera bacteria.  Preparations of Shanchol for use in the developing world often contain a toxic mercury-based preservative called thiomersal that causes autism in children.  In particular, Shanchol has 300 micrograms of thiomersal, which is six times higher than the WHO upper limit of thiomersal content. Moreover, vaccines are notorious for shortcomings such as contaminations of lots that can result in many problems, including death.

And if you think the campaign will ever end, think again.  Cholera bacteria change.  PAHO is already predicting 250,000 new cases of cholera in Haiti next year. Once the vaccinations begin, they will become a yearly event:  another carnival.

Updated on January 15, 2012. DC

Source:  Haiti Chery (English)

Copyright © 2011-2013 by Dady Chery. All Rights Reserved. Dady Chery is a journalist, playwright, essayist and poet, who writes in English, French and her native Creole. She is the Editor of Haiti Chery.


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