FAQs and Answers to Inquiries on Our May 29 NEJM Article “Mortality in Puerto Rico after Hurricane Maria”
In response to the overwhelming media response and inquiries, the authors have prepared this document to answer frequently asked questions (FAQs) and a separate one for inquiries on statistics. These are also available at the data hub for the study’s anonymized data and analysis.
What is the bottom line?
• We estimated that the mortality rate (the number of deaths per 1000 people per unit time) remained high for months after the hurricane. This suggests that people continued to suffer even after the hurricane passed.
• Our data suggests that about one third of those that died after the hurricane died from delayed or interrupted medical care, as reported by the surveyed households.
Anna Maria Barry-Jester, FiveThirtyEight, June 4
Sheri Fink, The New York Times, June 2
Widely different estimates of Hurricane Maria’s death toll in Puerto Rico have led to confusion. Here is a guide to the tallies, what accounts for their differences and how a new study aims to provide a more definitive account: Read more
, PBS Nova Next, June 1
Hurricane Maria ravaged Puerto Rico almost a year ago, but scientists are still trying to unpack the many layers of damage it inflicted on the island. Read more
Separar els fills dels pares: la nova política de Trump per aterrir els refugiats (Separate the Parents from the Children–in Catalan)
Cristina Mas, Ara, June 1
Quan Miriam G. va decidir fugir d’Hondures per demanar asil polític als Estats Units per a ella i el seu fill de 18 mesos sabia que les coses no serien fàcils. Però el que ni tan sols li havia passat pel cap és que la policia d’immigració se li emportés el nen. Read more
The Economist, May 31
MARIA was a brief visitor to Puerto Rico. The category-4 hurricane made landfall at 6am on September 20th last year and 11 hours later she was gone. She left a trail of destruction. Some 300,000 people were displaced; and the death toll? No one knows for sure. Read more
Sheri Fink, The New York Times, May 29
As hurricane season begins this week, experts are still trying to count the number of deaths caused by last year’s devastating Hurricane Maria in Puerto Rico. Read more
Washington Post, May 29
CAGUAS, PUERTO RICO — Miliana Montanez cradled her mother’s head as she lay dying on the floor of her bedroom here, gasping for air and pleading for help. Read more.
CBS News, with reporting in video by David Begnaud
Just about nobody believes Puerto Rico’s official death toll for Hurricane Maria. Researchers and journalists alike generally accept that the island’s tally of 64 people killed by the storm last September is a massive undercount, so obviously inaccurate that the Puerto Rican government has agreed to review and revise its figures. Read more
Jacqueline Bhabha, International Journal of Law, Policy and the Family
Children on the move are having their #Us Too moment. Over the past months, momentous developments point to a more intense engagement with the needs and rights of refugee and other migration-affected children than has previously been evident. As with #Me too, many of the most central claims – the pervasive presence of abuse, the scale of the problem, the striking power imbalances that have perpetuated the problem’s relative invisibility – are not new or surprising per se. It is the avalanche of evidence, the mobilization of affected constituencies, and the sobering realization of the extent and consequences of previous denial that are disquieting.
In the case of #Us Too, most striking…
Publishers Weekly, April 2
In her slim but weighty treatise on the nature of “distress migration,” in which people flee “political instability and state failure,” Harvard School of Public Health professor Bhabha passionately argues that developed nations are morally obligated to address the migration spurred by the Syrian Civil War. Read more
Despite the abolition of Roma and African American slavery, criminalization and demonization continues.
An op-ed by Margareta Matache and Cornel West on the solidarity between the Roma and African-American communities on the 500th anniversary of the Roma slave trade in Romania.
Harvard Educational Review
The Summer 2017 issue of the Harvard Educational Review (HER) includes “Reclaiming Adolescence: A Roma Youth Perspective,” a paper about the FXB Roma Program research in Serbia in partnership with the Center for Interactive Pedagogy. Go to the link for the paper.
To further highlight the team’s work, Margareta Matache, Jacqueline Bhabha, and Arlan Fuller contributed an op-ed to Voices in Education, the HER blog. Go to the blogpost, “Writing Romani Youth Lives.”
Unaccompanied child refugees in Greece desperate to reach the UK and other parts of northern Europe are being forced to sell their bodies in order to pay smugglers to help them with their journeys, according to a new report from Harvard University.
The report, from Dr Vasileia Digidiki and Prof Jacqueline Bhabha at the university’s centre for health and human rights, reveals what they describe as a “growing epidemic of sexual exploitation and abuse of migrant children in Greece”.
Weatherhead Center Blog
In recognition of International Roma Day, Weatherhead Faculty Associates Jacqueline Bhabha and Jennifer Leaning, and their colleague, Roma Program Director Margareta Matache, discuss the annual conference and their team’s research on a disenfranchised people.
In one of the popular Madeline children’s stories, the well-known redheaded French schoolgirl runs away with her friend Pepito to join a caravan of Gypsies who train them to perform in their traveling circus.
This week the Lancet-American University of Beirut (AUB) Commission on Syria, which FXB director Dr. Jennifer Leaning co-chairs, published its first health policy paper, “Health workers and the weaponisation of health care in Syria: a preliminary inquiry.”
The conflict in Syria presents new and unprecedented challenges that undermine the principles and practice of medical neutrality in armed conflict. With direct and repeated targeting of health workers, health facilities, and ambulances, Syria has become the most dangerous place on earth for health-care providers. The weaponisation of health care—a strategy of using people’s need for health care as a weapon against them by violently depriving them of it—has translated into hundreds of health workers killed, hundreds more incarcerated or tortured, and hundreds of health facilities deliberately and systematically attacked.
Syria’s civil war, now under a fragile cease-fire, has claimed hundreds of thousands of lives and left widespread devastation, including a health care system in crisis. Rebuilding that system will require replacing at least 1,000 doctors, nurses, and other health care workers who have fled or been killed, according to Jennifer Leaning, a Harvard expert on the health impacts of warfare.
Leaning, the François-Xavier Bagnoud Professor of the Practice of Health and Human Rights, was one of three co-chairs named last month to lead a 15-month study by the medical journal The Lancet examining the war’s consequences for health and society.
The Gazette asked her about the prospects for peace and recovery in Syria.
Read full article
New York Times
HONG KONG — Members of the Rohingya ethnic group face chronic discrimination in access to medical care in Myanmar and other Asian countries, with severe consequences for health and mortality rates, a study has found.
The report, published online by the British medical journal The Lancet on Dec. 1, said the Myanmar government’s role in the situation could arguably be characterized as genocide or ethnic cleansing.
The study analyzed health care indicators in Myanmar, Bangladesh, Malaysia and other countries where about 1.5 million Rohingya live. The researchers compiled data from governments, human rights groups and other sources. It found that the indicators were consistently worse for the Rohingya, a Muslim ethnic group, than for other populations living in the same areas.
Read full article
BERLIN — One minute, Donia Mehu was standing in her kitchen, cooking and puttering. The next she was lying in rubble, horribly wounded and bleeding.
It was 2012, the year that the Syrian civil war came to Aleppo, that troubled nation’s largest city and Mehu’s home. When her husband found her unconscious after the bombing, it was too late to save her leg.
Mehu paused briefly in her story to control her emotions, then continued. Life was good in Aleppo, one of the world’s oldest cities, before the war. She and her husband had no children, yet they did well enough that she was able to stay home and take care of the household. But that world was now blown apart. [Full article]
Christian Science Monitor
“The owner would probably kill us if he found us,” Vanvasi says behind a nondescript brick hut early one morning in April. He and his friend, Ram Jatan, haven’t slept in the same house for more than one night in a row. “We’re scared for our lives.”
Despite his lingering fears, Vanvasi knows he’s lucky to have escaped the kiln at all. India is home to 18.3 million modern slaves – or 40 percent of the world’s total of 45.8 million – according to the 2016 Global Slavery Index from the Walk Free Foundation. Hundreds of thousands of them work in brick kilns here in Uttar Pradesh, India’s most populous state, in dangerous and squalid conditions.” [full story]
Voice of America
“Nearly eight months after overhauling its strategy to curtail the Islamic State terror group’s success in cyberspace, U.S. officials admit it is hard to know if they are making much headway.
“This arguably is the most complex challenge that the federal government and industry face,” said George Selim, director of the office for community partnerships at the Department of Homeland Security. “There’s not an overarching measure.” [full story]
Despite increased awareness on child trafficking, there are “startling inconsistencies” between the policy commitments and on-the-ground realities for rehabilitation of child labourers across three northern States of Rajasthan, Bihar and Delhi, says a new study conducted by an institution attached to Harvard University of the U.S.
The study, released here over the week-end, covered the trafficking source State of Bihar, the transit State of Delhi, and the trafficking destination State of Rajasthan. Titled “Is This Protection?,” the study was conducted by Harvard University’s Francois-Xavier Bagnoud Centre for Health and Human Rights. [full article]
Princeton’s promotional website begins its pitch for this book with the question, “Why, despite massive public concern, is child trafficking on the rise?”
After reading this important but disturbing tome it is clear there isn’t any “massive public concern.” While laws, conventions and treaties protecting children’s rights exist on paper, implementation is sketchy at best. [Full article]
The Armenian Weekly
NEW YORK—The Centennial of the Armenian Genocide last year reinvigorated worldwide efforts to not only commemorate the massacres of 1.5 million lost lives but to seek recognition and justice with renewed energy.
Entering a new century of commemorations, this year thousands gathered in one of the most illustrious landmarks in the world—Times Square, New York—on Sun., April 24, to pay homage to those killed in 1915 and to show the perpetrators and the world at large that the legacy of those who perished during the Armenian Genocide continues to live on. [Full article]
Foreign Policy in Focus
After years of neglect or outright dismissal, movements calling for reparations for historical injustices have resurfaced with renewed vigor. Some of these movements are defined by race or ethnicity, others by religion, gender, social class or caste. They span a multiplicity of national or regional affiliations.
Participants at the 2001 UN World Conference Against Racism in Durban, for instance, pressed governments for substantial social and economic public investment in programs that target the needs and rights of harmed communities. In 2014, Ta Nehisi Coates wrote an influential article in The Atlantic revitalizing calls for reparations in the United States for the descendants of slaves. In 2015 at an Oxford Union debate, Shashi Taroor argued that Britain should pay reparations to India, a call that went viral in India itself. Those interested in Roma slavery, meanwhile, have prioritized memorialization through symbolic remedies, including public monuments, apologies, commemorative days, or history books. [Full article]
CBS News, with David Begnaud reporting
NEW DELHI (Thomson Reuters Foundation) – Victims of forced or bonded labour in north India can break free from exploitation if they mobilise and exercise their collective power to demand enforcement of labour protection laws and social welfare entitlements, a Harvard survey said on Thursday. [Full article]
Feminism & Psychology
Every time there is a new public health emergency, it seems we have to re-learn the same old lessons. Zika is now forcing us to face some of the lessons we might have learned from Ebola. For example, Ebola showed us so clearly that outbreaks of disease have differential effects on different populations. An epidemic of any disease highlights, like a social x-ray, those who are vulnerable because of poverty, gender, race, age, and other aspects of identity. Individuals who live under any combination of these marginalizing conditions may be invisible in society much of the time, but when epidemics arise, their collective vulnerability to ill health, and the risk this poses to the rest of society, are illuminated in sharp relief. The connections between poverty and gender discrimination could not be clearer in the aftermath of Zika. [Full article]
MUMBAI (Thomson Reuters Foundation) – India’s strategy for rescuing and reintegrating child victims of labour trafficking is marred by poor coordination, a lack of accountability and inadequate resources that can leave children at risk of further harm, Harvard researchers say.
There must be a comprehensive, sustained effort to address these issues, rather than the current short-term approach to return children to the same circumstances that led to their trafficking in the first place, the researchers said in a report released this week. [Full article]
“Before I had my two children, I had a miscarriage.” This is how Alicia Yamin starts her new book Power, Suffering, and the Struggle for Dignity: Human Rights Frameworks for Health and Why They Matter. By introducing the book in such a personal manner, Yamin, the Policy Director of the Francois-Xavier Bagnoud Center for Health and Human Rights at Harvard University, prepares the reader for what is to follow. In interweaving personal stories, Yamin demonstrates how health should be situated as a human right and, in doing so, represents a major turning point in the struggle for dignity. [Full article with podcast]
Huffington Post Brazil
This article is a translation of a blog written by Professor Alicia Yamin concerning the need to respond to the zika virus outbreak using a multifaceted response that considers the social and political context in which such incidences occur. The article has also been reproduced in the US version of the Huffington Post. Full blog (Portuguese).
To fight Zika, we must fight poverty and powerlessness and ensure that women enjoy their rights.
Health ministers throughout Latin America have announced they will unite to stop the alarming spread of the Zika virus. Similarly, the World Health Organization has acted with uncharacteristic haste to curb this virus, of which the world presently knows very little. But there is much we do know about containing Zika’s impact, because it is, yet again, a disease of poverty and disempowerment. Therefore, it will take more than health ministers and agencies to overcome it. [Full article]
This Huffington Post article originally appeared on the website of the FXB Center for Health and Human Rights at Harvard University.
In an exclusive interview with Today’s Zaman, Professor Jessica Stern shared her insights on the Islamic State in Iraq and the Levant (ISIS). Stern states that “for Baghdadi and ISIS, the caliphate is here and now,” suggesting that ISIS counts the re-establishment of the caliphate as an essential step leading up to the apocalypse. “Although many jihadi groups are somewhat apocalyptic, ISIS is much more focused on an end times narrative and on the imminence of the prophesied final battle,” she argues. [Full article]
Harvard South Asia InstituteHarvard Global Health Institute
What happens when tens of millions of people form a temporary city on the banks of a holy river? In 2013, a team from Harvard set out to answer this question, and found that there is much more than meets the eye at the Kumbh Mela.
On Monday, January 18, the Harvard South Asia Institute (SAI) launched the book and exhibition Kumbh Mela: Mapping the Ephemeral Megacity in Mumbai at the Chhatrapati Shivaji Maharaj Vastu Sangrahalaya in partnership with the Asia Society India Centre and the Harvard Club of Mumbai. The event drew a crowd of more than 200 people, including Harvard alumni, community members, government officials, students, and members of the public. [Full article]
As tens of thousands of children fleeing violence in Central America crossed the border in search of safe harbor, overwhelmed U.S. officials weakened child protection policies, placing some young migrants in homes where they were sexually assaulted, starved or forced to work for little or no pay, an Associated Press investigation has found. [Full article]
The jubilation that accompanied the flowering of the Arab Spring is long gone as its deadly aftermath—in Libya, Syria, and elsewhere—spirals into transcontinental turmoil. We face the prospect of a grim winter. Hundreds of thousands of desperate people in flight from those indiscriminate civil wars (not to mention the chaos in Iraq and Yemen, the turmoil in parts of Africa, and the ethnic oppression in Myanmar) face arduous hurdles in search of safety and security in Europe and elsewhere, while potential hosts negotiate rising xenophobia (intensified by the November attacks in Paris) and increasing desperation in the face of apparently unending need caused by the continuing migrant arrivals. [Full article]
Express Tribune/international New York Times
KARACHI: Gun shots, explosions and terrorist attacks break you or make you. On December 16, 2014, 147 innocent people lost their lives but the ones lucky enough to survive are haunted by the trauma they faced that day.
To remember the deceased and to save the ones who survived an event was organised by the Aman Foundation, in collaboration with Harvard South Asia Initiative on ‘Mental Health in Disaster Response’. [Full article]
Speakers at a seminar on Wednesday on mental health response to catastrophes stressed the need for a rapid response to disasters and other tragic incidents to help the survivors overcome the effects of trauma. (Full article)
In this podcast Harvard FXB Center research director Jacqueline Bhabha explains long and difficult process the United States employs to vet and resettle asylum seekers and discusses steps that can be taken to prevent such massive refugee outflows, as in the case of Syria, in the first place. This piece from the Boston Globe contains a link to the [Full audio as well as a text excerpt]