Dominica: Devastated by Hurricane Maria, but Determined to Rebuild

“I read the papers a lot and I heard very, very little about what happened to this island…But this country has been devastated, and there are still thousands and thousands of people without homes, without clothes, without fresh water, or clean water, without roofs on their houses, those whose homes weren’t destroyed. The schools still aren’t open. There’s still no electricity. And I think a lot of work needs to be done to help them.” – Dr. Melinda Brecknell, a volunteer with International Medical Corps in Dominica

Photo: Ken Cedeno Photography

Not a corner of the tiny Caribbean nation of Dominica was spared the wrath of Hurricane Maria, which ripped across the island as a Category 5 storm on September 18th with 160 mph winds. One-hundred percent of Dominica’s residents have been affected by Hurricane Maria, which inflicted serious damage on roads, buildings, homes, and health facilities. The forests that gave it the nickname “nature island” have been stripped away.

Photo: Ken Cedeno Photography

Six weeks after Hurricane Maria unleashed its wrath on Dominica, recovery is slow, with residents struggling to pick up the pieces. Food, shelter, water, electricity, and communications capabilities remain scarce across the island. Only 43 percent of Dominica’s health facilities are functional. The remaining 57 percent are either shuttered or only partially functioning with staff, but no water or electricity.

Photo: Ken Cedeno Photography

Despite the massive devastation and needs left in Hurricane Maria’s wake, the world has largely moved on, with the conditions in Dominica barely breaking into the news cycle. International Medical Corps is there, working with Dominica’s clinics to help them care for patients and get back on their feet.

Photo: Ken Cedeno Photography

With airports closed, International Medical Corps provided an Air Bridge to run regular flights to Dominica so that medical volunteers, first responders, patients, and government officials could get on and off the island. The Air Bridge, which ran from September 29th  to October 31st, moved 328 people first responders, patients, and others to and from Dominica and other hurricane-affected islands as well as 71,000 pounds of cargo, including medical supplies and lifesaving relief.

Photo: Ken Cedeno Photography

As part of its immediate response efforts, International Medical Corps mobilized an Interagency Emergency Health Kit, which has enough medication to provide 10,000 people with basic medicines and supplies for up to three months. These supplies were distributed to three major health centers, which will then send supplies to local health facilities as needed.

Photo: Ken Cedeno Photography

International Medical Corps deployed three volunteer medical teams to some of the hardest hit areas of the island in St. John and St. Andrew’s parish, some of the most populated parts of the island. The teams are working in local health facilities and traveling to remote communities as needed to provide care in vulnerable households.

Photo: Ken Cedeno Photography

Dr. Tara Sood (right), Dr. Carolyn Haase (center), and nurse practitioner Karen Dominguez are members of International Medical Corps’ volunteer medical teams in Dominica. The teams have seen more than 300 patients. One of them was a 14-year-old girl who was a relative of one of the local nurse practitioners, who shared her experience of Hurricane Maria with Karen.

“She actually thought she would die—that her whole family would die,” said Karen. “When the storm stopped, she actually said she could not leave her house for two full days because of the fear instilled by the hurricane. You don’t realize the emotional and mental trauma that occurs…It was amazing how she told the story [and that] she is finding hope in things that are getting better…But it was really heartbreaking the way that she described not only her torment during her storm, but the trauma afterwards.”

Photo: Jo-Ann Santos Alarcon/International Medical Corps

Dr. Carolyn Haase shared another patient story: “One of the nurses showed me this stretcher that had been made from scratch with just some wood and carpet that they had stapled onto boards and carried this woman who was in labor many, many miles the day after the hurricane through thigh-high water because she was a high-risk delivery and she had a previous C-section and was in pre-term labor. They finally made it to the hospital. They wanted to helicopter her to a facility with more resources, but no helicopter could fly. They wanted to ambulance her, but the roads were closed. The midwives who do the deliveries here were very worried, but the delivery went great. Healthy baby [who] has come back several times with mom to thank the staff.”

Photo: Jo-Ann Santos Alarcon/International Medical Corps

Dr. Tara Sood said, “The biggest struggle that people have—medical specific—is a lot of skin infections, with the lack of clean water, lack of hygiene, lack of clean clothes. A lot of people are fixing up their houses, so they have cuts and bruises and they get infected easily. In addition to that, they don’t usually have mosquitoes as a big problem in the area, but now, with all the standing water, mosquitoes are an added burden for the population. We are seeing a lot of children with bites from something—mostly mosquitoes—and then they scratch and they get infected because they don’t have clean water to keep their scratches clean.”

International Medical Corps will provide water, sanitation, and hygiene services, including the rehabilitation of water systems, in St. Johns and St. Andrews. This work will provide 70,000 liters of clean water a day to residents. Additionally, International Medical Corps will be distributing hygiene kits and water storage cans and training community leaders on water testing.

Photo: Ken Cedeno Photography

Despite the immeasurable loss families across Dominica are facing, the International Medical Corps team has been struck resilience and strength of the communities they are serving.

“They come in and they are actually happy,” said Dr. Tara Sood. “They ask you how your day is going, even though they’re sleeping without a roof. They know they are going to rebuild. I haven’t had many people complain about their conditions. They say, ‘Yeah, Maria did a lot of damage, but Dominicans are strong. We’ll rebuild.’ It’s really incredible to see so much resilience as a community, not a personal trait, but as a community.”

Photo: Ken Cedeno Photography

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