Pathways to Health Systems Strengthening for the Bottom Billion

Authored by: Andrew Ellner , Gene Bukhman , Paul Farmer

Routledge Handbook of Global Public Health

Print publication date:  December  2010
Online publication date:  December  2010

Print ISBN: 9780415778480
eBook ISBN: 9780203832721
Adobe ISBN: 9781136838330


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At 4.53 p.m. on 12 January 2010, an earthquake measuring 7.0 on the Richter scale struck 16 miles from the centre of Port-au-Prince, Haiti. The quake’s shocks devastated the capital’s vulnerable infrastructure, crumbling buildings as grand as the President’s Palace and National Assembly, as well as countless humble homes. As of April 2010, the disaster had claimed the lives of more than 220,000 Haitians through crush injury, starvation, and the lack of basic medical care for communicable and non-communicable disease, and had profoundly and irrevocably impacted the lives of millions more through displacement and both physical and mental trauma (Government of Haiti 2010).

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