Monday, November 29, 2004

The New York Times > International > Americas > Port-au-Prince Journal: Haiti's Wounds Overwhelm a Suffering Public Hospital

The New York Times > International > Americas > Port-au-Prince Journal: Haiti's Wounds Overwhelm a Suffering Public Hospital:

"'What do we need here?' she said in answer to a question. 'We have no medicines, no materials. We have nothing.'"

Dr. Clarita Pierre-Louis' statement is very sad, and perhaps as such is a very good illustration of an important fact.

I have no doubt that Dr. Pierre-Louis is a very knowledgeable health professional. However, health knowledge is embodied not only in people, but in medicines, materials, equipment, and facilities. Unless the necessary knowledge, in all its embodiments, can be brought together and brought to bear on a patient treatment is unlikely to be successful. The knowledge of the doctor without that embodied in medicines may be totally useless. The coordination to bring all the embodied knowledge together at the right time and right place represents an almost insurmountable problem for the institutions in a country like Haiti!

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