FacebookTwitterRedditEmail

Pain Relief in Haiti

Most Haitians have very difficult lives and many of them suffer from painful conditions that are never treated. And their pain is ignored too, not because “Haitians have a higher pain tolerance”, but because Haitians are poor.

When Haitians have medical problems that cause pain, they need and deserve pain medication. Pain relief is a basic human right. And ten million Haitians have their fair share of burns, broken bones, and post-operative pain every day.

Haiti also has a huge supply of cancer pain that usually goes untreated. Cervical and breast cancer plague Haitian women. Screening, diagnostics, and treatment are all deficient.

Untreated breast cancer in a Haitian woman. Photo: John Carroll

Untreated breast cancer in a Haitian woman. Photo: John Carroll

Yet in over 30 years of working in Haiti, I have never seen morphine ordered even once.

Morphine comes from the poppy plant and was discovered in 1804. It was first marketed for relief of pain in 1817. That is almost two hundred years ago.  Morphine is very effective and costs about two dollars per week per average hospitalized adult. But morphine hasn’t caught on in Haiti yet.

In the United States we tell patients with pain, “We have more morphine than you have pain”. High income countries such as the United States, Canada, and the UK consume 93% of the world’s morphine supply yet 70% of deaths from cancer occur in low and middle income nations.

Every year five million people in the world with cancer die in pain, without access to pain medication. In India 1-2% of patients with cancer are given morphine. In Haiti it is even less.

Neglecting someone’s pain from any cause is unconscionable. It is frequently the ultimate and last insult for people without funds or influence.

John A. Carroll, M.D. is a physician working in Port-au-Prince.

More articles by:

John A. Carroll, M.D. is a physician working in Port-au-Prince.

bernie-the-sandernistas-cover-344x550
Weekend Edition
August 23, 2019
Friday - Sunday
Adolf Alzuphar
Tears / Ayizan Velekete
Stephen Cooper
General Jah Mikey: “I Just Love That Microphone, Man”
Louis Proyect
Slaves to the Clock
August 22, 2019
George Ochenski
Breaking the Web of Life
Kenneth Surin
Boris Johnson’s Brexit Helter Skelter
Enrique C. Ochoa – Gilda L. Ochoa
It’s About Time for Ethnic Studies in Our K-12 Schools
Steve Early
A GI Rebellion: When Soldiers Said No to War
Clark T. Scott
Sanders And Bezos’s Shared, Debilitating, Basic Premise
Dan Corjescu
The Metaphysics of Revolution
Mark Weisbrot
Who is to Blame for Argentina’s Economic Crisis?
Howard Lisnoff
To Protect and Serve
Cesar Chelala
A Palestinian/Israeli Experiment for Peace in the Middle East
Binoy Kampmark
No Deal Chaos: the Brexit Cliff Face and Operation Yellowhammer
Josue De Luna Navarro
For True Climate Justice, Abolish ICE and CBP
Dean Baker
The NYT’s Upside Down Economics on Germany and the Euro Zone
August 21, 2019
Craig Collins
Endangered Species Act: A Failure Worth Fighting For?
Colin Todhunter
Offering Choice But Delivering Tyranny: the Corporate Capture of Agriculture
Michael Welton
That Couldn’t Be True: Restorying and Reconciliation
John Feffer
‘Slowbalization’: Is the Slowing Global Economy a Boon or Bane?
Johnny Hazard
In Protest Against Police Raping Spree, Women Burn Their Station in Mexico City.
Tom Engelhardt
2084: Orwell Revisited in the Age of Trump
Binoy Kampmark
Condescension and Climate Change: Australia and the Failure of the Pacific Islands Forum
Kenn Orphan – Phil Rockstroh
The Dead Letter Office of Capitalist Imperium: a Poverty of Mundus Imaginalis 
George Wuerthner
The Forest Service Puts Ranchers Ahead of Grizzlies (and the Public Interest)
Stephen Martin
Geopolitics of Arse and Elbow, with Apologies to Schopenhauer.
Gary Lindorff
The Smiling Turtle
August 20, 2019
James Bovard
America’s Forgotten Bullshit Bombing of Serbia
Peter Bolton
Biden’s Complicity in Obama’s Toxic Legacy
James Phillips
Calm and Conflict: a Dispatch From Nicaragua
Karl Grossman
Einstein’s Atomic Regrets
Colter Louwerse
Kushner’s Threat to Palestine: An Interview with Norman Finkelstein
Nyla Ali Khan
Jammu and Kashmir: the Legitimacy of Article 370
Dean Baker
The Mythology of the Stock Market
Daniel Warner
Is Hong Kong Important? For Whom?
Frederick B. Mills
Monroeism is the Other Side of Jim Crow, the Side Facing South
Binoy Kampmark
God, Guns and Video Games
John Kendall Hawkins
Toni Morrison: Beloved or Belovéd?
Martin Billheimer
A Clerk’s Guide to the Unspectacular, 1914
Elliot Sperber
On the 10-Year Treasury Bonds 
August 19, 2019
John Davis
The Isle of White: a Tale of the Have-Lots Versus the Have-Nots
John O'Kane
Supreme Nihilism: the El Paso Shooter’s Manifesto
Robert Fisk
If Chinese Tanks Take Hong Kong, Who’ll be Surprised?
Ipek S. Burnett
White Terror: Toni Morrison on the Construct of Racism
Arshad Khan
India’s Mangled Economy
Howard Lisnoff
The Proud Boys Take Over the Streets of Portland, Oregon
FacebookTwitterRedditEmail