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How the UN Might Have Inadvertently Started a Cholera Epidemic In Haiti

Hugh Pickens DOT Com writes "Celso Perez and Muneer Ahmad write in The Atlantic that despite evidence to the contrary, for nearly three years, the United Nations has categorically denied that it introduced cholera into Haiti after the country suffered a devastating earthquake in 2010. Since then, cholera has killed more than 8,000 people and infected more than 600,000, creating an ongoing epidemic. According to extensive documentation by scientists and journalists, peacekeeping troops belonging to the UN Stabilization Mission in Haiti (MINUSTAH) inadvertently but negligently brought cholera into the country several months after the January 2010 earthquake. That October, troops from Nepal carrying the disease were stationed at a military base near the town of Méyè. Because of inadequate water and sanitation facilities at the base, cholera-infected sewage contaminated the Artibonite River, the largest river in Haiti and one the country's main water sources. As locals consumed the contaminated water, cholera spread across the country. Absent from Haiti for over a century, cholera is now projected to plague the country for at least another decade. 'By refusing to acknowledge responsibility, the United Nations jeopardizes its standing and moral authority in Haiti and in other countries where its personnel are deployed,' writes the Washington Post Editorial Board adding that without 'speaking frankly about its own responsibility for introducing cholera to Haiti, the organization does a disservice to Haiti and Haitians, who deserve better.'"

46 of 158 comments (clear)

  1. Why Nepal is sending troops elsewhere? by Anonymous Coward · · Score: 5, Insightful

    They're poor as hell and need aid of their own and they have rebels.

    1. Re:Why Nepal is sending troops elsewhere? by dywolf · · Score: 4, Interesting

      Because their troops are some of the most badass in the world.
      You know their troops are the ones we know as the Gurkha's right? ( http://en.wikipedia.org/wiki/Gurkha )
      UN asked for troops, Nepal volunteered some of theirs, UN said "ok". (theyve volunteered for almost every major UN operation)
      Gurkhas, being the tough SOB's they are, weren't gonna let a little stomach bug get in their way.

      --
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    2. Re:Why Nepal is sending troops elsewhere? by TapeCutter · · Score: 5, Informative

      They are peacekeeping troops, they are outsiders for a reason. Fighting "rebels" in their own country is not peacekeeping. As for why the Nepalese would send them, there are plenty of political and practical reasons, pride in "doing their bit", skills transfer, etc. Sadly this appears to be a case of good intentions leading directly to hell. I strongly agree that the UN should have the balls to acknowledge facts, mind you, I'm not sure what the facts are.

      --
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    3. Re:Why Nepal is sending troops elsewhere? by fuzzyfuzzyfungus · · Score: 5, Informative

      This(ignore the facebook bullshit, not needed to just read it online) offers some interesting theoretical tidbits.

      The UN explains the financial side.

      "Peacekeeping soldiers are paid by their own Governments according to their own national rank and salary scale. Countries volunteering uniformed personnel to peacekeeping operations are reimbursed by the UN at a standard rate, approved by the General Assembly, of a little over US$1,028 per soldier per month."(Some countries pay an additional stipend to soldiers on peacekeeping operations, large enough to be significant in areas with low salaries)

      I'd imagine that it's partly that Nepal is one of the countries poor enough that they can deploy peacekeepers for profit(the UN standard rate, per soldier, is paid in USD and identical across contributing nations, so it goes a hell of a lot further in some countries than in others, depending on local pay scales and willingness to accept casualties) and partly Nepal's history of fielding soldiers as part of (English speaking, which is convenient for international peacekeeping missions) British colonial activities.

    4. Re:Why Nepal is sending troops elsewhere? by Anonymous Coward · · Score: 5, Informative

      Sending "Peacekeeping Troops" is an enormous profit center for a small country. The country providing troops receives a huge stipend per troop. It far outstrips the cost of providing that troop.

      From the UN: "Peacekeeping soldiers are paid by their own Governments according to their own national rank and salary scale. Countries volunteering uniformed personnel to peacekeeping operations are reimbursed by the UN at a standard rate, approved by the General Assembly, of a little over US$1,028 per soldier per month."

      It is fairly certain that the total cost per troop to a country like Nepal is not anywhere close to $1028/month. Maybe $1028/year?

    5. Re:Why Nepal is sending troops elsewhere? by crmanriq · · Score: 5, Informative

      Why?

      The UN pays $1023/month per troop.

      A Nepalese soldier earns ~$100/month. (http://nepalarmy.mil.np/salary.php)
      (A Nepalese general earns ~$300/month.)

      Provide 1280 peacekeepers. (http://www.ph.ucla.edu/epi/snow/CMI18_E158_E163_2012_Nepalese_origin_supporting_information.pdf)
      Cost approximately $128,000/month.
      Receive compensation from UN of $1.3M. Profit > $1M/month.

      --
      If it's worth doing, it's worth doing for money.
    6. Re:Why Nepal is sending troops elsewhere? by Anonymous Coward · · Score: 3, Insightful

      I strongly agree that the UN should have the balls to acknowledge facts, mind you, I'm not sure what the facts are.

      The facts are as follows:
      - Haiti (not the UN) asked for help. The UN helped.
      - Some of the people who showed up were sick, which is pretty normal when you're pulling people in from all over the planet.
      - Local sanitation was non-existent. Haiti has always had sanitation problems, the Earthquake made them worse. But in this case, the base wasn't directly affected by the quake, the sanitation problems were pre-existing.
      - Following the quake, there are literally tens of thousands of people living in horrific conditions, and the government has done little, if anything, to try and improve that situation.

      So frankly speaking it's a little bit dishonest to claim that the epidemic is anybody's "fault". It's Cholera, it's well-known, it's treatable. In a normal situation it wouldn't be that big of a deal. But because Haiti has an essentially non-functional government and public health system right now, it's a big deal. So it's not really the UN's fault any more than it's the fault of Haiti, or the fault of the people who refuse to leave the tent camps and setup some place with less fecal material in the drinking water.

    7. Re:Why Nepal is sending troops elsewhere? by erikkemperman · · Score: 2

      See also:

      http://en.wikipedia.org/wiki/List_of_countries_by_number_of_UN_peacekeepers

      Bangladesh tops the list. Surprised?

      Not really. Other than its being a poor country, I mean. Little known fact, Bangladesh is one of the most populous countries on the planet, ranking at #8 at the moment. More inhabitants than (post-Soviet) Russia, for instance, which is currently 9th.

      List_of_countries_by_population

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    8. Re:Why Nepal is sending troops elsewhere? by cold+fjord · · Score: 5, Interesting
      --
      much of left-wing thought is a kind of playing with fire by people who don't even know that fire is hot - George Orwell
    9. Re:Why Nepal is sending troops elsewhere? by Anonymous Coward · · Score: 2, Informative

      The bitch of it is that this can be solved by giving every hatian a bottle of bleach. That's all it takes. All. Just put a little bit of bleach in the water and let it sit for 2-3 minutes.

    10. Re:Why Nepal is sending troops elsewhere? by Bill,+Shooter+of+Bul · · Score: 2

      That's very close to the truth. One minor detail: UN Fees. The United nation charges all member states a fee. Sending troops to various places for peace keeping missions is one way of paying that debt. I think that comes off the top before they pay the country for the troops. Still profitable though.

      --
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    11. Re:Why Nepal is sending troops elsewhere? by bluefoxlucid · · Score: 4, Insightful

      UH, no. They would use too much, drink too quickly. People are pretty stupid.

      Pepsi fixes this. Put your water in a 2 liter Pepsi bottle without the label, set it atop your roof for 30-45 minutes in the sun. It is now sanitary and safe to drink. Even the water in Mexico can be drunk.

    12. Re:Why Nepal is sending troops elsewhere? by Kid+Zero · · Score: 2

      The UN should have seen it coming. They should have responded when groups started pointing out that Cholera showed up after the UN troops did. I fully blame the UN for making a bad situation even worse.

    13. Re:Why Nepal is sending troops elsewhere? by cheater512 · · Score: 2

      Not giving UN troops a health screening knowing that they are going to a place with appalling sanitation is pure negligence.
      I would have excepted it to be routine that they get regular health checks.

  2. Boil your water by Smidge204 · · Score: 5, Informative

    Cholera is one of those things that can easily be kept at bay with education and best practices.

    1) Boil your water before drinking or using in any food that will not otherwise be cooked thoroughly.

    2) Develop better latrine habits

    These two things can go a long, long way towards beating the epidemic.
    =Smidge=

    1. Re:Boil your water by oodaloop · · Score: 4, Informative

      That might be helpful advice for a first world nation, but this is Haiti.

      --
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    2. Re:Boil your water by T.E.D. · · Score: 4, Informative

      The problem here is that in most of Haiti there's no power. The obvious answer may be to just burn wood, which is why the entire country has already been denuded of trees. You can actually see their border with the Dominican Republic from space because one side has trees, and the other doesn't.

    3. Re:Boil your water by phantomfive · · Score: 2

      1) Boil your water before drinking or using in any food that will not otherwise be cooked thoroughly

      Believe it or not, boiling your water is a really expensive habit, especially in a poor country. It's easier to purify it with chlorine (and even Hatians should be able to afford that since a few drops will purify a gallon). The biggest difficulty, I've found, comes from bathing. How do you bath without getting some of the water on your lips? Quite a conundrum.

      --
      "First they came for the slanderers and i said nothing."
    4. Re:Boil your water by Deluvianvortex · · Score: 2

      Believe it or nor, digging a gigantic hole in the ground is really hard and expensive in a poor country, not to mention lining it with rich man's plastic. You act like the people in these countries aren't poor and can just hop down to the corner store to rent a backhoe or even a shovel. Cause we only charge for shit in america, right?

  3. The UN isn't to blame for shitty sanitation by TWiTfan · · Score: 4, Interesting

    Even if they did accidentally bring cholera in, it's the terrible state of sanitation in Haiti that has turned it into an epidemic. Haiti would have likely seen cholera even if the UN hadn't come in. Someone would have just brought it in later. And I dare say they help the outsiders have provided has far outweighed any harm they've done.

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    1. Re:The UN isn't to blame for shitty sanitation by Sockatume · · Score: 4, Insightful

      It's not a zero-sum game: the cost involved in preventing it happening is so low that it's a no-brainer to send in the aid without bringing in a monstrously contagious disease, so the UN should be considering this idea even as a matter of principle.

      Of course that'd mean looking past the idea that one is being blamed for something one is not responsible for. Lots of people lose their pragmatism in that situation.

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    2. Re:The UN isn't to blame for shitty sanitation by Nyder · · Score: 3, Insightful

      Even if they did accidentally bring cholera in, it's the terrible state of sanitation in Haiti that has turned it into an epidemic. Haiti would have likely seen cholera even if the UN hadn't come in. Someone would have just brought it in later. And I dare say they help the outsiders have provided has far outweighed any harm they've done.

      And yet for a century Haiti hasn't had a cholera problem...

      You know, you are going to die someday, so maybe you should hurry the process and do it now. You know, since its going to happen one day anyways...

      --
      Be seeing you...
  4. First rule of nation building by Gothmolly · · Score: 4, Funny

    Know what to do with poop. If you don't know this, you can't help other people do it. When you learn what to do with poop, then you can help other people with their poop.

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    1. Re:First rule of nation building by Anonymous Coward · · Score: 3, Funny

      This is pure proof that the UN just doesn't know shit.

  5. Re:United Nations jeopardizes its ... moral author by Anonymous Coward · · Score: 4, Insightful

    Bwahahahahahahaha. The UN lost it's moral authority decades ago, when it became nothing more than a organ to bash Israel and the US.

    Both deserve to be bashed.

  6. Of Note. by fuzzyfuzzyfungus · · Score: 5, Informative

    The UN claims immunity under the "Convention on the Privileges and Immunities of the United Nations", which is largely what it sounds like.

    However, Article VIII "Settlement of Disputes" states that:

    Section 29. The United Nations shall make provisions for appropriate modes of settlement of :

    (a) disputes arising out of contracts or other disputes of a private law character to which the United Nations is a party;

    (b) disputes involving any official of the United Nations who by reason of his official position enjoys immunity, if immunity has not been waived by the Secretary-General.

    Section 30. All differences arising out of the interpretation or application of the present convention shall be referred to the International Court of Justice, unless in any case it is agreed by the parties to have recourse to another mode of settlement. If a difference arises between the United Nations on the one hand and a Member on the other hand, a request shall be made for an advisory opinion on any legal question involved in accordance with Article 96 of the Charter and Article 65 of the Statue of the Court. The opinion given by the Court shall be accepted as decisive by the parties.

    So, the Convention under which they claim immunity requires them to "make provisions for appropriate modes of settlement"(something which apparently hasn't happened since 1946, no doubt Coming Real Soon Now) and makes the UN an entity subject to ICJ jurisdiction in the event of a dispute between a UN member state and the UN itself.

    It certainly is the case that the random Nepalese troops who actually introduced the Cholera enjoy diplomat-grade immunity under this convention (and, even if they didn't, their actual crime is probably some sort of relatively minor sanitary code violation); but the assertion that the UN, as an organization, enjoys immunity is suspect at best.

  7. UN's Fault? by TheGoodNamesWereGone · · Score: 2

    The article said the Nepalese were billeted at a Haitian miltary base with poor sanitation. "...Because of inadequate water and sanitation facilities at the base, cholera-infected sewage contaminated the Artibonite River..." implying the Haitians had been dumping sewage into the river themselves at least since the disaster. This was an accident. I'm no big huge fan of the UN, but they were there to *help* fer goshsakes, and for Haiti to attack them is wrong.

    1. Re:UN's Fault? by Sockatume · · Score: 3, Insightful

      I think the UN has a responsibility to ensure that if any of its troops have cholera, they're not at a base with poor sanitation, as an organisational lesson if not a matter of responsibility and blame.

      --
      No kidding!!! What do you say at this point?
    2. Re:UN's Fault? by fuzzyfuzzyfungus · · Score: 4, Insightful

      I'm pretty sure that the first rule of helping is "Don't introduce a hitherto absent, highly contagious, disease to a country infrastructurally incapable of coping with it, killing more than 7,000 and sickening just short of 600,000."

      Well, maybe not the first rule; but one of the important ones. Virtually every country (even two-bit ones where these controls are largely nominal because the border functionaries are deeply inadequate to the task) has rules in place to avoid the introduction of novel crop pests and at least some diseases, so it isn't as though the concept is a novel one.

      Failing to perform a "Do our staff harbor any diseases that would spread like wildfire in a country with ghastly sanitation and minimal resources" check before heading into a country with ghastly sanitation and minimal resources is somewhere between incompetence and reckless indifference.

    3. Re:UN's Fault? by nbauman · · Score: 3, Informative

      Epidemiologists can now use DNA signatures to trace exactly where bacteria come from and where they've been. They can tell which individual in a hospital transmitted a disease to another individual.

      There's no question that this cholera strain came from Asia and it wasn't there before. And the Nepalese had leaks in their sewage pipes that they didn't repair after they were warned about it.

      There were several reports in medical and scientific journals about this, and people on this list have linked to them.

      The scientists say that the cholera was likely to have come from Nepal and the politicians "categorically deny it." Who are you going to believe?

      Here's the Wikipedia entry:

      http://en.wikipedia.org/wiki/2010%E2%80%932011_Haiti_cholera_outbreak

  8. Focus on solving the problem by dcooper_db9 · · Score: 5, Interesting

    It's a mistake to point the finger at the United Nations. As the original editorial noted, Haiti does not have a system to deliver clean water. Any time you have 90 percent of a population drinking from the sewer it's only a matter of time before you have an outbreak. Past efforts to build a modern clean-water delivery system have been thwarted by civil war, endemic corruption and general ineptitude

    Haiti doesn't need another failed aid project. What Haiti needs is a bureaucracy to construct and manage their own infrastructure. Haiti also needs to build a judicial infrastructure that's capable of rooting out corruption.

    --
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    1. Re:Focus on solving the problem by Salgak1 · · Score: 4, Insightful

      Ahem. One of the more important tasks of ANY modern military garrison is to ensure hygiene. Starting with sewage and waste disposal. . . . A century or more ago, disease often killed more troops in the field than the actual fighting did. . .

    2. Re:Focus on solving the problem by the+eric+conspiracy · · Score: 2

      Not to mention Greenpeace going around telling people in developing countries that drinking water chlorination is bad.

      http://www.waterandhealth.org/drinkingwater/greenpeace.html

  9. Re:Does it matter? by fuzzyfuzzyfungus · · Score: 3, Insightful

    First, there's no evidence that UN has started the cholera epidemic. No bacterial strain genotyping has been performed. Second, in such cases a cholera epidemic is more-or-less a certainty - it makes no sense to search for the index case, especially because choleric bacteria occur naturally.

    O Rly?

  10. Re:United Nations jeopardizes its ... moral author by Anonymous Coward · · Score: 5, Insightful

    No. It lists its authority when they did nothing worthwhile during the Rwanda genocide and the Bosnia genocide. TWO genocides and they did nothing.

    The UN deserves to be laughed at and not be taken seriously.

    The Palestine/Israel situation is another reason. But not due to bashing Israel, but for not being able to do anything at all to solve the conflict.

  11. Old news, for physicians anyway by Anonymous Coward · · Score: 5, Informative

    I remember reading an article perhaps 9 months after the cholera outbreak, I think in the New England Journal of Medicine about how the epidemiologists had identified the source of the cholera infection to the Nepalese troops. It's fairly absurd that the UN has continued to deny that this happened for well over 2 years.

    http://www.nejm.org/doi/full/10.1056/NEJMoa1012928

    1. Re:Old news, for physicians anyway by fuzzyfuzzyfungus · · Score: 3, Insightful

      In fairness to the UN, it should be noted that (the face of overwhelming 'evidence' from those fancy 'biologists' that they could no longer deny) the UN has changed its position from "Cholera? Wasn't us, probably just Haiti being filthy." to "Yeah, it was us; but we enjoy impunity, haha."

      It's always nice to see somebody owning up to their mistakes.

    2. Re:Old news, for physicians anyway by nbauman · · Score: 2

      I remember reading an article perhaps 9 months after the cholera outbreak, I think in the New England Journal of Medicine about how the epidemiologists had identified the source of the cholera infection to the Nepalese troops. It's fairly absurd that the UN has continued to deny that this happened for well over 2 years.

      http://www.nejm.org/doi/full/10.1056/NEJMoa1012928

      Yes, I read that in the NEJM too. They've also had some good articles on the politics of Haitian health care.

      There were some good articles by Paul Farmer, who probably did more to help the Haitian health care system than any other American.

      This is the result of U.S. efforts to undermine Aristide by undermining his health care system.

      Farmer said that the way to help a third-world country's health care system is to teach them the skills, give them the money, and let them do it themselves, so they can be independent of foreign aid.

      People who give them assistance also have to be in the clinics making sure that the money goes to health services, not to some corrupt politician's Swiss bank account.

      Farmer said that a health care system has to have central coordination. You can't have flying in to perform their pet projects. You have to focus on the medical interventions to address the highest-priority problems, like infant and childbirth mortality. The health care clinics have to be stocked with necessary supplies.

      Farmer said that the U.S. government was hostile to Aristide, and used health care policy to undermine Aristide. The U.S. prevented Aristide from getting international assistance for his health care programs, and sent that assistance to NGOs that were competing politically with Aristide.

      As a result, the health care system got, not what it needed, but whatever the NGOs were offering, whether it was one of Haiti's health care priorities or not.

      If you want to help, you have to ask doctors on the ground what they need.

      For example, after the earthquake, the U.S. sent Marines to "secure the perimeter." Experts in disaster said that people in disaster situations don't usually need military assistance. There usually isn't much looting or crime, and local people can manage for themselves. The best thing to give them is money, so they can hire local workers to do the job themselves -- and to make sure the money is getting to where it's supposed to go.

      And that's why Haiti's health care system is such a mess. It's not because the Haitian people (some of whom are Harvard graduates) can't figure out how to do things. It's because when they do figure out how to do things, the U.S. intervenes to protect its friends in the right-wing Haitian aristocracy.

      I can't find out any legitimate purpose to bringing Nepalese troops in. If they didn't have the training to build sanitary latrines, then it's unlikely that they knew enough to be useful in that situation. They weren't doing anything that the Haitians couldn't have done themselves.

      There have been articles in medical journals for doctors who want to go to disasters and "help out." The first lesson is, "If you don't have experience in disaster work, stay out, because you'll do more harm than good."

      There were articles in scientific journals in 2011 that pinpointed the source of the cholera epidemic to the Nepalese troops. That's easy to do with DNA fingerprinting. There's no scientific doubt.

  12. Re:United Nations jeopardizes its ... moral author by i+kan+reed · · Score: 3, Informative

    Yeah, I totally recall how the UN wasn't involved in bosnia at all. Or maybe that's the opposite of what is true

  13. Re:United Nations jeopardizes its ... moral author by Anonymous Coward · · Score: 5, Insightful

    Bullshit. They did nothing. They released resolution afterwards declaring them genocides and tried to prosecute to aggressors. But that's it.

    Yes, they declared to extend their mission to serbian Bosnia. In reality and effectively they just watched and did nothing worthwhile for weeks and months.

    http://en.wikipedia.org/wiki/Srebrenica_Massacre
    "In April 1993, the United Nations declared the besieged enclave of Srebrenica in the Drina Valley of north-eastern Bosnia a "safe area" under UN protection. However, in July 1995, the United Nations Protection Force (UNPROFOR), represented on the ground by a 400-strong contingent of Dutch peacekeepers, Dutchbat, did not prevent the town's capture by the VRS and the subsequent massacre."

    "Then in 2005, in a message to the tenth anniversary commemoration of the genocide, the Secretary-General of the United Nations noted that, while blame lay first and foremost with those who planned and carried out the massacre and those who assisted and harboured them, great nations had failed to respond adequately, the UN itself had made serious errors of judgement and the tragedy of Srebrenica would haunt the UN's history forever"

    In a nutshell : you are talking bullshit, you don't deserve the mod points and the UN did nothing. End of.

  14. Re:United Nations jeopardizes its ... moral author by buchner.johannes · · Score: 4, Informative

    No. It lists its authority when they did nothing worthwhile during the Rwanda genocide and the Bosnia genocide. TWO genocides and they did nothing.

    The UN deserves to be laughed at and not be taken seriously.

    The Palestine/Israel situation is another reason. But not due to bashing Israel, but for not being able to do anything at all to solve the conflict.

    The UN is just the international community of countries. If they can not agree on a action to take, that's the fault of all the states and their communication. Don't act like the UN is some external entity. It's just the states!

    So I read what you and GP say as

    The international community of countries became nothing more than a organ to bash Israel and the US.

    The international community of countries deserves to be laughed at and not be taken seriously.

    I don't think that makes any sense.

    Yes, it is fair to criticize when intervening action is not taken, and we can also criticize that unanimous agreement is necessary. Latest example: Syria.

    When criticizing China and Russia however, you have to make sure not to be hypocritical. The US is picking the best options for itself on many other issues: Isreals arbitrary settling policies, ignoring international treaties, not subjecting itself to international courts, no extradition, starting illegal wars (Iraq, Afghanistan).

    --
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  15. Re:United Nations jeopardizes its ... moral author by interval1066 · · Score: 2

    Nowhere. There is no such thing, never has been, never will be.

    Maritime Law is infact just such a thing. Also the world court in the Haig would disagree with you.

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  16. Re:United Nations jeopardizes its ... moral author by bill_mcgonigle · · Score: 2

    it became nothing more than a organ to bash Israel and the US.

    How does this get a +4? The US uses UN resolutions to justify and defend its attacks on other countries.

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  17. Re:United Nations jeopardizes its ... moral author by Dishevel · · Score: 2

    Bwahahahahahahaha. The UN lost it's moral authority decades ago, when it became nothing more than a organ to bash Israel and the US.

    Both deserve to be bashed.

    totally agree

    Possibly.

    But why should the US pay so much to be attacked and belittled? Can we not get that for free?

    --
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  18. Re:United Nations jeopardizes its ... moral author by Anonymous Coward · · Score: 2, Insightful

    "starting illegal wars (Iraq, Afghanistan)."

    Iraq is fair, Afghanistan is not, because the latter was almost unanimously approved by the UN and was supported by a plethora of other countries because of that.

  19. Not quite by hesaigo999ca · · Score: 2

    The problem here is that Haiti is very poor, and think that having a drinking water facility without the proper filtration should be an excuse to blame someone else for bringing in germs, viruses or bacteria. The thing to remember is if your infrastructure is badly built from the beginning without having any contingency plans setup, you will get burned, and it will only be your own fault.

    If i go on a trip and have only enough fuel to make it to a specific place, and then stop to pick up a hitchhiker, adding more weight to my car, leaving me to run out of fuel before the next gas station, should i blame the hitchhiker? No one forced you to pick him up. If you were smart enough to have a gerry can in the back with just a bit more fuel to get you to that gas station, which most people do before long treks, you avoid this situation.

    Having one source of drinking water with no special reserves setup and no proper filtration in place to catch all the contaminants, leads you to have this situation.
    Dont blame someone for helping when you should have helped yourself before they got there. Just refuse the help next time if you are concerned they will bring disease with them. No one forced you to take their help.

    As for the UN, there should be more testing in place for who they send in, this could easily have been avoided as well from the other side of the coin. We had firefighters and cops from here go and help over there, but i can guarantee you no one tested them properly for any sort of communicable diseases.