Newsletter of the Hôpital Albert Schweitzer Haiti Summer 2006 Alumni Association

In this Issue State of the Institution State of the Letter from Venkita Suresh, CEO, Hôpital Albert Schweitzer Haiti Institution ...... 1 What do you say about an of Health, the Director We receive grant support Children Receive institution that turned fifty General of Health Services, for our work on maternal Anti-Retroviral years old this June, that is the Director of Health in and child health, HIV/ Treatment for determined to live and the Artibonite department, AIDS, tuberculosis, and AIDS ...... 1 wants to be loved by the and the Chiefs of the re- from organizations Americans and Canadians, gional district health units including Save the HAS Celebrates the Dutch and the in the Verrettes region. We Children, Enfants du 50th Anniversary .. 2 Haitians, the Swiss, and have proposed more invest- Monde, UNICEF, Hospital News..... 3 the rest of the world (in ment in health care with Management Sciences for alphabetical order!)? You the three Ms (manpower, Health, Global Fund, and Mini-Profiles: HAS guessed it—the theme of money, and material) and Catholic Relief Services. Pediatricians...... 3 dispensaries and health this letter is about friends training. This cooperation We have been developing centers. In addition to re- Staffing Update ... 4 and partnerships. Let me between our independent better cooperation with building the facilities, we tell you what we are doing institution and MSPP is these partner-friends, need financial support to Alumni Profile: to strengthen and the emerging trend all over putting the programs ahead upgrade training and Dr. Gerard rejuvenate old friendships the developing world where of problems, to benefit the equipment so they can Frédérique ...... 5 and also seek new friends NGOs (non-government long-suffering and better serve the communi- Medical and forge new partnerships. organizations) in the health incredibly patient Haitian ties. We would be grateful sector work in partnership farmers and their families! Publications ...... 5 The Haitian Ministry of to receive suggestions from with the national ministries Health, the MSPP, is our Community Development you about possible funding Jaden L'Espwa...... 6 of health. sources for both projects. key partner. Most inter- is exploring many exciting new partnerships in Packages for funding pro- national organizations like As you know, MSF (Mede- reforestation, animal posals are readily available the , the cins Sans Frontieres) is husbandry, and economic from the Pittsburgh office. World Health Organiza- another important partner Editors development. The focus tion, the Pan American in the Artibonite. They Our individual friends are now is on encouraging Gwen Bergner Health Organization, and have developed an effect- as important as our private entrepreneurship, Patti Marxsen the World Bank prefer to ive, efficient, and economi- institutional friends. Our farming, literacy etc. [email protected] operate in tandem with the cal primary care facility in supporters, alumni, and the MSPP. And we are MSPP’s the nearby town of Petite In the last issue, I wrote Swiss Partnerschafts stand strongest and most durable Riviere. We remain their about the Swiss-supported by us in good times and partner in the Artibonite. referral center for second- initiative to replace the difficult times alike. We are So we are conducting ary care. Strengthening and near-crumbling dispensaries deeply grateful to them all. ongoing dialogues with supporting their program at Plassac and Gabrielle them, meeting the Minister works in our best interests. and to improve our other A bientôt!

Children Receive Anti-Retroviral Treatment for AIDS

HÔPITAL ALBERT Yen Len Tang, M.D. When I came to HAS for and conducting laboratory HAART program, we the first time in 2004, HAS tests to determine who was obtained medication and SCHWEITZER HAITI Children are more did not yet offer HIV eligible for treatment. In coordinated the necessary 81046 vulnerable than adults in P. O . B o x treatment to adults or social workers, 15217 terms of healthcare because collaboration with Dr. Pittsburgh, PA children. But by the time I accompagnateurs, and 412.361.5200 they have less of a voice Olibruce, the director of returned in 2005 as a long- pharmacy support to begin and fewer advocates and, pediatrics, Dr. Daniela http://www.hashaiti.org term pediatrician, HAS had treatment. Voluntary consequently, less access to Joasil Lerebours, the A copy of the official registration begun a treatment program accompagnateurs observe and financial information for The resources. In the treatment coordinator for the Grant Foundation (dba Hôpital for adults. I was eager to patients at home to ensure of AIDS worldwide, these HAART (Highly Active Albert Schweitzer Haiti) may be start a program for children that they take their obtained from the Pennsylvania conditions have meant that Anti-Retroviral Therapy) Department of State by calling as well. medications properly. 717.783.1720, or toll-free within children are started on Program, and Nurse Pennsylvania 1.800.732.0999. Registration does not imply anti-retroviral treatment We began compiling a list Practitioner Kerry Kelly, endorsement. later than adults. of HIV-positive children the clinical director of the (continued on page 3) HAS Celebrates its 50th Anniversary Ian Rawson, HAS Board Chair The formal celebration of community leaders and HAS’ 50th anniversary hospital employees. See started with a reception in http://www.hashaiti.org/ Port-au-Prince, organized a5d.html for photos and by the Haitian Alumni more details. Association, under the Visit to Lambarene leadership of former HAS Lucy and I were privileged Board member Dr. to visit, for the first time, Jacqueline Gautier. The Dr. Schweitzer’s hospital in It was also interesting to join with the Canadian event was attended by Lambarene in late June. It see the modern 200-bed Friends of HAS to nearly 100 alumni and was exciting to visit the hospital, which is a celebrate HAS in Canada. friends of HAS. historical site, and to see regional leader in health This year is a wonderful At the hospital, several Dr. Schweitzer’s desk delivery and medical time to take advantage of days later, the anniversary (below), from which he research. A slide show this anniversary to was commemorated by a wrote many of his books overview of the hospital is introduce HAS to new two-day event featuring and articles, and occasional available on the HAS friends. Special materials local musical groups and a letters to a Mr. Mellon in website at http:// and event planning guides formal ceremony, organized Arizona, encouraging his www.hashaiti.org/D2.html. have been developed by the by a committee of interest in medical service. Pittsburgh office; please th Future 50 contact Rona or Samantha Anniversary Events if you would like to Photos above by Merilus Destyl. Receptions and events develop an event to spread celebrating the hospital’s the word about HAS and for the hospital’s core th 50 Anniversary have been its achievements: operations. In addition, we held in Haiti and Europe, [email protected]. have identified a number of as noted above, and also in specific programs for which Palm Beach, and the state Fundraising funds could be raised. of Washington. September Several of the events which Please visit http:// be busy with events in commemorate the 50th www.hashaiti.org/C1.html Shreveport LA, Burlington have been designed as fund- for examples, and let Rona VT, Essex CT, and raisers for HAS; in this or Samantha in the Pittsburgh PA. In August of important year, our most Pittsburgh office know if 2007, the North American significant fundraising goals you would like some are for unrestricted support materials which you might Photo by Ian Rawson Alumni Association will use to encourage support for HAS at this time (email to: [email protected]). European Reunion The reunion of the Euro- pean HAS alumni was held in early July in a beautiful retreat center in Mor- schach, Switzerland, organized by Elvira Ghioldi and an active committee from Switzerland, the Netherlands, and other European countries. A more detailed description is available at http:// www.hashaiti.org/A5b.html.

Photo by Rolf Maibach. Hospital News respective dispensaries for Restructuring: HAS is follow up care. As a result Mini-Profiles: HAS Pediatricians in the process of restruc- of the reduced census, the Hesley Olibruce and his wife and baby turing with two main goals: hospital is less crowded Chief of Pediatrics and (1) To bring expenses in and more sanitary, and sup- reside in Deschapelles. port services such as lab Assistant Medical Director line with income, and (2) Hesley gave a presentation and x-ray function better. Hesley Olibruce is a Cap To make health care more on AIDS at HAS at the Haitien native and efficient and cost effective Where have all the patients European Alumni Reunion graduate of the State and provide advanced care gone? Many out-district in July and, while in University in Port au to the periphery of the dis- patients who previously Switzerland, participated Prince. Prior to his arrival trict while reducing care relied on HAS are now in a workshop on tropical that needs to be given in served by the expanded pri- at HAS, Hesley completed medicine at the Swiss the hospital. mary care facility of a residency in pediatrics at Pediatric Congress. Medecins sans Frontieres in Port’s City Hospital and Workshop participants at We are rebuilding the then worked for ten Plassac and Gabriel dispen- nearby Petite Riviere. HAS the Congress also included months at the hospital in saries and renovating no longer lives “in splendid HAS staff and alumni Drs. Pignon. Hesley appreciates others with funds from the isolation,” but actively col- Chandon Chattopadhyay, Hesley Olibruce, M.D. HAS’s strong commitment Swiss Government. Dis- laborates with other orga- Maurice Fritsche, Rolf (Photo by Karl Grobl) pensaries and health cen- nizations to strengthen the to serve the poor. Hesley Zurbrügg and Rolf Solèr. ters will soon provide some overall quality of health beds and a greater number care in the area and to Yen Len Tang at the University of share the burdens. of laboratory tests. The re- Yen Len is a pediatrician California, San Francisco, training program for Com- Department of Social from San Francisco, Yen worked as a pediatric munity Health staff will Services: Pastor Luckner California. Born in Taiwan, hospitalist for Kaiser create a single class of Thelius heads the newly Yen moved to the US at Permanente, serving as healthcare workers who established Department of the age of three. A graduate assistant Chief of can interchangeably fill Social Services. The De- of Johns Hopkins Pediatrics. He came to various staffing roles. We part-ment’s main duties are HAS as a short-term are seeking funds to sup- University and its medical twofold: it adjusts hospital volunteer in April 2004, port the retraining project. school, Yen took a detour fees for those who cannot between his undergraduate and after his student loan At HAS, as elsewhere, in- afford them and it provides and medical studies to debts were paid off, hospital care uses the most vouchers to the neediest serve in Botswana as a returned to HAS long hospital patients to pur- resources. As part of the Peace Corps volunteer term. He has a ten-year- chase meals in the local financially-necessary re- Yen Len Tang, M.D. teaching science and math. old son who skateboards market. (The hospital structuring plan, HAS is (Photo by Marie Durquet) After a pediatric residency and rock climbs with him. once again enforcing its kitchen is closed and HAS original policy of accepting no longer serves meals to out-district patients only in patients with the exception Children Receive Anti-Retroviral Treatment for AIDS (continued from page 1) true emergencies. As a con- of a nutrition program for Treating children for HIV little girl (18 mos.) whom Two weeks later the little sequence, the hospital cen- malnourished children.) is at once direct and com- we started on treatment girl was doing very well and sus is down and hospital The new policy ensures plex. It is paramount that had been failing to grow her thankful mother was beds have been gradually that our neediest patients children take their medica- and develop neurologically. happy and smiling. reduced from 160 to 100. do not suffer from HAS’s tion regularly, twice a day, She had chronic persistent Since then, several other recent restructuring and without skipping dosages. pneumonias and skin The overnight ward has children have been started been restored to its original financial belt-tightening But, as every parent knows, infections. She first came on treatment. One, a little intent: patients may be ad- policies. The liberal getting medicine into kids for a clinic visit when Dr. boy who was malnourished mitted for one night’s ob- voucher policy ensures that can be a challenge. So Joia Mukherjee, the and weak, gained 2 kg servation but in the morn- no one goes hungry, and much of our efforts needed medical director of within a week and a half of ing must either be admitted provides funds that stimu- to focus on one thing– Partners in Health (Paul late the local economy treatment. Another 2-year- to the regular ward or dis- getting the medicines into Farmer’s organization), and while saving HAS $5,000 old boy on tuberculosis charged. Previously, the the children. others from her HIV team per month. treatment and recovering overnight ward had gradu- happened to be visiting We have been able to start from severe malnutrition ally transformed into a Retirement: Over time, HAS to assist us in starting several children on anti- and pneumonia is making regular ward where patients the hospital payroll had our pediatric program. Joia retroviral treatment in the slow but steady progress, stayed for days. ballooned to over 800 em- examined the little girl, past months, and we plan gaining weight and ployees; it constitutes a spoke with her discouraged Clinic visits have been to continue adding children becoming less irritable as high percentage of HAS and crying mother, and reduced from 6000 a to the program. The need the days go by. expenses. To cut costs, confirmed that the child month to 3500-4000 a for treatment was there all HAS is offering a voluntary should be started on Such successes indicate month. Previous studies along, but the urgency was retirement package that treatment. But we did not that AIDS treatment works had shown that 60 percent driven home when three of 106 employees have chosen yet have the pediatric in the developing world. of clinic visits were return eleven children on the thus far, thereby reducing syrups available. Our We are grateful to Catholic appointments given by original list died before we HAS physicians to patients the payroll cost by 25-30 pharmacists cut the adult Relief Services and the could start treatment. they had seen. The medical percent. Further reductions tablets into 1/4 and even Global Fund for providing staff is now referring in the work force are Thankfully, we had had 1/8 to provide the the needed medications patients back to their planned. some successes. The first appropriate dose. and other resources. Staffing Update treatment and preventive Second-Generation Staff Medical Director services for the poor. Chandon’s prowess in sev- HAS proudly welcomes HAS says so long and eral languages, including two children of previous thank you to Bob and French, Creole, English, employees to its staff. They Mary Jane Carraway, who German, and Bengali is a are Ruth Occean, MD and leave HAS after five years great asset to his work at Pierre Kedner. of distinguished service. HAS. Chandon will use his Bob served as Chief of Ruthie is a graduate of one experience with both in- Medicine for the duration, of the relatively new, pri- hospital clinical and com- and the last two years as vate medical schools in munity-based public health Medical Director as well. Port au Prince, the systems to integrate HAS’s During her tenure, Mary Université Notre Dame hospital and community Robert Carraway, M.D. Venkita Suresh, M.D. Jane not only established a Haiti. Since completing her health programs more fully (photo by Karl Grobl) (photo by Karl Grobl) physical therapy service, social residency in Hôpital than ever before. Chandon’s but assured its continuity Rivière du Nord two years appointment is supported by training her successor. ago, she has worked at by funds raised by the HAS. (Incidentally, Bob and Mary Jane were Swiss Biel Partnerschaft. Hôpital Rivière du Nord is pillars of the HAS commu- Chief of Medicine where HAS board member nity and could be counted Venkita Suresh has as- Paul Derstine began his on to provide calm and sumed the post of Acting Haitian career as an admin- level-headed support to Chief of Medicine. Partly istrator many years ago.) staff and especially new- in order to conserve HAS Able to work in either comers. They were right- funds, Suresh has added the medicine or pediatrics, fully recognized for their duties of Chief of Medicine depending on the greatest sensitive and compassion- to his already significant need, Ruthie concentrates ate work in the hospital load as CEO. He is pleased on pediatrics, a discipline and the community. In just to have the opportunity to in which she hopes to Mary Jane Carraway, R.N. Magalie Jeanty Saoud, CFO one example, Bob assumed (photo by Karl Grobl) care for patients and to specialize. Ruthie’s parents (photo by Renée Bergner) in-home care for a family teach again. are from Verrettes and with a rare neurological Deschapelles, and she grew condition whose members Chief Financial Officer up in Deschapelles while are unable to travel. Bob HAS welcomes Magalie her father, Nicolas, ran the and Mary Jane raised funds Jeanty Saoud as the new HAS lab for 20 years. for the support of this Chief Financial Officer. progressively disabled fam- Magalie has a degree in Pierre has worked at HAS ily, an effort that will be accounting from the State since 2002 and has risen to carried on by Kerry Kelly. University in Port au the position of Director of Prince. She brings exten- Before this recent five-year the Department of Support sive experience from her commitment, Bob and Services. His formidable previous position with the Mary Jane came often as portfolio includes work at accounting firm KPMG in short-termers and, happily the front desk, in the de- Port au Prince. She has for us, plan to do so again. partments of Social Ser- gained rapid understanding Chandon Chattopadhyay, M.D. Ruth Occean, M.D. The Deschapelles commu- vices and Medical Records, of HAS’s complex account- (photo by Renée Bergner) (photo by Karl Grobl) nity demonstrated their and as supervisor of the ing issues which, besides love and appreciation for clinical assistants. In addi- the management of the attended school there and the Carraways at several tion, he sits on the Re- payroll and HAS-based in Verrettes, going on to festive parties before their structuring Committee and department finances, in- obtain a degree in adminis- departure. assists with the preparation clude grants management tration from the State of statistical reports. Chandon Chattopadhyay and interfacing with the University in Port au has been named the new Pittsburgh office. Magalie Pierre’s late father worked Prince and a certificate in Medical Director. A Swiss- brought her young son, at the front desk and his human resources from the trained pediatrician with Christian, to live in mother in the HAS laun- University of in an advanced degree in Deschapelles, while her dry. Pierre’s wife currently France. Pierre’s higher international health, he has husband, Stephan, a busi- works in the operating education was sponsored extensive prior experience nessman in the town of room. He and his wife are by HAS alumna Alice working and managing a Cabaret, assists with grants raising a daughter in Godfrey. “Dr. Godfrey and health center in Calcutta management on a part- Deschapelles. Pierre was I e-mail each other almost Pierre Kedner that provides both time basis. born in Deschapelles, and every day,” says Pierre. (photo by Merilus Destyl) Alumni Profile: Dr. Gerard Frédérique As HAS celebrates its Before leaving for Pitts- innumerable trouble- 50th anniversary this year, burgh, Freddy had met a shooting favors for the so do we celebrate Dr. young Mennonite nurse Mellons, HAS personnel, Gerard Frédérique’s from Lancaster, Pennsylva- and the institution. Most (Freddy’s) fifty years of nia, Esther Eshleman notably, Freddy was in- service and support to (Esh), who was also strumental in getting the hospital. working at HAS. They car- President Jean Claude ried on a long-distance Duvalier to exempt HAS In 1956, Freddy was a romance, were married in from a new 1984 law that resident in ophthalmology would have imposed im- in Port au Prince, training 1963, and returned to port taxes on fuel and pe- with one of Haiti’s few serve at HAS. Altogether, troleum. The exemption ophthalmologists, George Freddy spent ten years at amounted to a crucial sav- Hudicourt. Dr. Hudicourt HAS, the last six with Esh. ings of at least $100,000 a brought Freddy to HAS, Both Freddy and Esh year at the time. where he helped HAS were key players in the ophthalmologist Norma Deschapelles community. Inspired by the Mellons, B. Ellis operate. While at In addition to contributing Freddy and Esh created HAS, Freddy met Murray professionally, they Eye Care Haiti, an organi- McCaslin, Chief of Oph- served as the bridge be- zation promoting eye care thalmology at the Univer- tween the Haitian and for- for poor people in Port sity of Pittsburgh, who eign communities. Both au Prince and the city of also worked at HAS were close friends and Mirebalais. They worked short term. Dr. McCaslin staunch supporters of the closely with Sister Joan accepted Freddy for a Mellons. Freddy and a and Freddy operated at residency in ophthalmol- group of other Haitian Ecole St. Vincent, the or- ogy at the University of physicians, notably René phanage she ran in Port au Pittsburgh, his stay there St. Leger, founded Prince, performing about supported by a Mellon- Gwen Mellon dancing with Dr. Gerard (Freddy) Frederique L’Escale, the village for seventy pediatric eye op- (photographer unknown). Scaife fellowship. In Pitts- tuberculosis patients that erations per year. burgh, Freddy was Freddy helps support to mentored by HAS trea- this day. Freddy’s close Freddy and Esh have three Freddy says of the Mellons: surer and board member accomplished children, friend, the late art dealer Dr. Mellon had a big heart; he was not thinking of Addison Vestal. Mr. Vestal Gerard, Lise, and Anny, all Issa El Said, also sup- himself. He did not know what he was getting into. He and Freddy had lunch to- ported L’Escale. of whom currently live gether on a regular sched- with their families in the assumed a tough job and then stuck with it. A Haitian ule, and Freddy occasion- Freddy and Esh continued United States. Anny dollar given to him meant more to him than a million ally helped Mr. Vestal raise to support HAS even af- worked at HAS in Com- given by a foreigner. He had more patience with funds for HAS by giving ter they left the hospital munity Development for a Haitians than with blancs. I love my work and my talks to small groups of to raise their three chil- number of years. Esh died people; Dr. Mellon taught me how to do it. Mrs. Mellon supporters. After com- dren in Port au Prince. tragically in 1986. Eventu- was enduring. She taught me many things, among pleting his residency, Their house in Port ally, Freddy remarried them how to be on time. She loved the people she Freddy became the first served as a way station Myrtho, gained a step- worked with and helped a lot of people. She, too, had a Haitian ophthalmologist for all HAS staff and fami- daughter, Gaelle, and they big heart. The Mellons left the world better than they to be certified by the lies on their way in and had a daughter, Patrice. found it. American Board of out of Port au Prince. The Myrtho also died too Ophthalmology. Frédériques performed young in 2000. So have the Frédériques.

Nice Ideas Medical Publications HAS thanks Dr. Jim Andre and Phigenie Francois, “Brief Communication: Outcomes of Subsequent Pregnancy after Peripartum Dr. Kate Steiner and Duncan Givans, and Alison Stein Cardiomyopathy: A Case Series from Haiti.” James D. Fett, Len G. Christie, and (daughter of alumni Drs. Steve Stein and Emily Fine) Joseph G. Murphy. Annals of Internal Medicine 2006: 145, 30-34. http:// and Tom Berenberg for their thoughtfulness in www.annals.org/cgi/content/abstract/145/1/30?etoc. suggesting donations to HAS in lieu of wedding gifts. Our congratulations and sincere good wishes to “Reducing Under-Five Mortality Through Hopital Albert Schweitzer’s Integrated all of you. System in Haiti.” Henry Perry, Michel Cayemittes, Francois Philippe, Duane Dowell, HAS congratulates and thanks Claire Ryder of Jean Richard Dortonne, Henri Menager, Erve Bottex, Warren Berggren and Cleveland Heights, Ohio, for asking her friends to Gretchen Berggren. Health Policy and Planning 2006: 21(3):217-230. http:// donate to HAS on the occasion of her 11th birthday! heapol.oxfordjournals.org/cgi/content/abstract/21/3/217. Jaden L'Espwa Jenifer Grant, HAS Board Member The orchard at Descha- Ti Jaden (small garden) and potassium. When we pelles, Jaden L’Espwa (gar- division of Community needed additional manga- den of hope) has a philoso- Development dug large nese, the organic solution phy: (1) We demonstrate holes in the limestone and turned out to be a sprin- that nutrient-poor Haitian filled them with good top- kling of Epsom salts! soil can be made produc- soil reclaimed from clean- We have done periodic soil tive, using resources avail- ing the canals at the HAS tests. In 2002, tests done able in Haiti; (2) We re- farm in Drouin. Jean Levelt by the people at Bartlett produce unusual plants and Belizaire, who was then in Trees showed very degraded trees, even citrus, mango, charge of the HAS campus soil. However, our most and avocado trees, through grounds, saw that these recent testing showed that, grafting and planting seeds, tasks were completed. four years later, the soil is and share them with the At that time, Levy Dorsain- now in balance. We have neighbors, providing them vil appeared. He had grown reclaimed and made the with an economic crop; up in Deschapelles while soil productive. and (3) We follow organic his father, Iliani, worked gardening methods, using The orchard is about to with Larry [Mellon] in only organic fertilizers and mature and become a large- community development. pest control compounds. scale producer. Until this Levy became the orchard year, Levy gave all the pro- Shortly before Mom [Mrs. supervisor, and his contin- duce either to the hospital Mellon] died, she received ued commitment to the for the patients or to an Albert Schweitzer Award project has made it thrive. L’Escale (the tuberculosis from Johns Hopkins Uni- He watered each plant, patient village). Our goal is versity which included a raked all of the limestone to have the orchard become supply of cacao by creating and contemplate, away monetary sum. She knew residue from the soil into financially self-sufficient, seedlings and sharing them from the hurly burly of the exactly what she wanted to terraced piles, and com- with the produce providing with neighbors. That way hospital and Deschapelles. do with that award: create pleted all the other tasks the money needed for sala- he will have a supply of I am sure that Mom and an orchard in the field needed to sustain the ries and equipment. cacao beans for his choco- Larry rest more comfort- between the hospital and plants. He planted banana late production, and the ably knowing that this the canal. When she died, I In addition to a large grove trees to shield the small neighbors will have an field, previously neglected, seized the opportunity to of oranges, limes, and citrus trees. We added economic crop. is now both beautiful and put her wish into effect. grapefruit which came from some mango and avocado productive. the Community Develop- The orchard is a place of Before we began, the field trees that produce in the ment Ti Jaden Pépinière peace and hope, a veritable This last gift of Mom’s to was eroded, containing off–season. He planted [nursery], we have “Isabel’s Eden. More and more HAS is one that will keep only scrubby trees and green beans and pistaches Grove,” the grove of citrus people find the orchard to on giving for many years to calcified soil typical of (peanuts), nitrogen-fixing from Florida, including be a wonderful place to sit come. much of the soil of Haiti. crops, to both ameliorate tangerines, mandarins, ruby We enclosed the field the soil and act as fertiliz- red grapefruit, and Meyer with chain link fencing ers. Additional nitrogen lemons. The allée of orange which we were able to get was supplied from animal trees that leads to the at wholesale cost. A U.S. droppings mixed into com- cemetery consists of juicy work team joined with post. The most powerful Shelton oranges which folks in Haiti to plan out nitrogen source is bat the orchard. Isabel Fur- guano. Levy periodically came from the south of laud, from Florida, pur- retrieves these “sacks of Haiti. We have seven chased and carried down gold” for the orchard from Madagascar lemon trees about twenty citrus trees in a cave in the Cap Haitien which we grew from seeds duffle bags. To plant them, area. Chopped up banana sent to us from a source in another work team and the stalks provide phosphorous Florida. Levy has already propagated and dissemi- nated a second generation of seedlings to neighbors. Early on Levy planted some coffee trees and cacao trees. They flourish despite our relatively low altitude. We have now planted coffee and cacao in the previously bare fields be- tween the canal and Kay Mellon. Levy has assured a

Photos by Jenifer Grant. Making a Difference HAS is grateful for the meaningful support provided by IN MEMORIAM alumni and friends around the world. Here are a few of the ways in which people support the hospital. Nicole Noel Reid out to Gerald and his high points of our lives.” We remember with great family for this huge loss. HAS was honored to Aqueduct Society Please consider naming HAS in your will. Our legal name sadness the untimely Paul Baxter, M.D. receive contributions in passing of Nicole Noel Paul’s memory. and address is: A well-loved pediatrician in Reid in February 2005. the Rochester area for over Pauline King Hôpital Albert Schweitzer Haiti Nicole was the loving and forty years, Dr. Baxter Pauline originally visited P. O. Box 81046 devoted wife of former passed away February 24, Hopital Albert Schweitzer Pittsburgh, PA 15217 HAS surgeon and Alumni 2006. A graduate of Johns Haiti with the Mennonite 412.361.5200 Association President, Hopkins Medical School, Central Committee, and Create a Charitable Gift Annuity Gerald Reid. Gerald now Paul established a private later returned to serve as a A charitable gift annuity provides a way to contribute to runs a highly successful medical practice in secretary at the hospital for HAS, receive a generous, guaranteed income, and benefit private practice in Rochester, New York. several years in the mid- from tax savings. HAS will be the eventual beneficiary of Walpole, Massachusetts Along with his wife, Letty, 1980’s. the annuity. and Nicole and Gerald Paul was a devoted She held fond memories of Contribute to the Annual Fund with an Auto- remained staunch support- humanitarian, volunteering the hospital’s founders, matic Monthly Credit Card Deduction ers of HAS for many years his service to Monroe Larry and Gwen Mellon, Visit the HAS web site to download a monthly deduction after they moved to the County, serving as Medical and kept in touch with form: http://www.hashaiti.org/C1.html. US. We, the members of Director of the School of other HAS alumni the Alumni Association the Holy Childhood, and Make a Memorial Contribution throughout the years. Executive Committee, working as a pediatrician at Honor the memory of your loved ones through a memorial contribution to HAS in their name. recall Nicole as a beautiful the Albert Schweitzer Pauline passed away March and gracious hostess to a Hospital in Haiti. They 10, 2006, and her children Honor a Friend or Family Member number of our meetings. commented in the HAS thoughtfully established a Making an honorary contribution in lieu of birthday and Our thoughts and directory, “The time spent memorial fund at HAS in wedding gifts supports the hospital, and introduces HAS sympathy continue to go at HAS has been one of the her honor. to new friends.

Mark the Date The Purpose of policies and overall HAS North American This Newsletter operation or an analysis of Share the Story Alumni Association the complex Haitian The editors are grateful for We are happy to provide video dvd's, slide shows, Reunion political situation is brochures, and other materials that help to tell the your comments and feed- beyond the scope of our HAS story. If you would like materials to share, please August 10-12, 2007, back on our still relatively time, resources, and Hamilton, Ontario, new electronic newsletter. mandate from the contact the Pittsburgh office via email to: Canada With your feedback in institution. However, in [email protected] or by phone: 412.361.5200. mind, we thought it might Please Join Us! response to some of your be helpful to clarify the requests for such informa- HASAA annual dues are purpose of this publication tion, we are adding a $35. These funds help us as we see it. First and standard feature on the support HAS in many foremost, we want to help “state of the institution” to ways, from staying in touch maintain the connection be written by the HAS with you to planning we all have with HAS and CEO. You can, of course, reunions. Please send your with each other by find additional information 2006 dues today to John providing information on at any time on the HAS Judson, 512 Bridgeville HAS-related activities such web site: http:// Drive, Lemoyne, PA as reunions and on the www.hashaiti.org. 17043. involvement and activities of alumni. We also research Also, please recognize that Share HAS with and write concise articles this newsletter is a Your Friends on program and personnel completely volunteer effort Please forward this developments at HAS. We by the editors grafted on to newsletter to HAS friends strive for accuracy in what full-time jobs unrelated to and other alumni who we write, but the content HAS. We thank you for might not be on our of the newsletter is, of your continued support mailing list. Your assistance necessity, patchy. A com- and interest. is very much appreciated. prehensive review of HAS