• Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog
  • Welcome to Keith Martin's Blog

Welcome to Keith Martin's Blog

Haiti after six months

July 27th, 2010

By Keith Martin, Special to The Windsor Star July 27, 2010

As Haitians marked the sombre six-month anniversary of the earthquake that devastated their lives, a sense of deep frustration continues to permeate their country. Aid monies are not getting where they are needed.

Port-au-Prince still looks as if the earthquake had struck only a week ago as teams labour to clean up the debris by hand or with outdated equipment that is in scant supply. Hundreds of thousands remain displaced in camps, living in squalor under tents and tarps, while relief supplies and more robust shelters sit on their main airport’s tarmac.

The response to this disaster continues to suffer from a lack of co-ordination between governments, NGOs and other international bodies.

This scenario of weak logistics in the face of devastation and massive need is not unusual. Indeed, it is the status quo. Just weeks after Haiti’s calamity, Chile was hit with a huge earthquake. The humanitarian response was slow, awkward, and unco-ordinated.

From the tsunami that hit Southeast Asia in 2004, and the earthquakes that levelled parts of Pakistan, to the devastation that hurricane Katrina inflicted on the southern U.S., it is obvious that we are failing to learn from these tragedies in order to improve our collective response to natural disasters.

When calamity strikes, the international response can vary in speed and quantity. The response to Haiti was large and quick. The response to the earthquakes in Pakistan and Afghanistan were paltry and slow. However, all share one disturbing feature: the co-ordination and distribution of emergency assistance on the ground is laboured and chaotic.

We always begin from square one to identify, acquire and deploy urgently needed humanitarian goods and equipment. No one group is in charge and thus nobody knows what supplies are needed or available.

Mobilizing whatever domestic capacity is still viable within the affected country is haphazard and disjointed. Emergency supplies that are locally available lie unused or misused while the need mounts by the hour.

In responding to a disaster, time is not your friend. If a person does not receive water within six days (less if they are injured) they will die. Without simple cleaning agents and antibiotics, ordinary infections can spread rapidly, resulting in amputations and deaths that could have been prevented.

So what can be done to rectify this problem? We can take some lessons from what we do on a much smaller scale when responding to emergencies here at home. In North America, communities have a 24-hour, 911 command-and-control system that connects the appropriate professional capabilities and assets with the emergency. If we use this model, expanded to a significantly larger scale, the world could have a robust, co-ordinated and effective emergency response mechanism.

Such an international 911 system should have a command-and-control centre under the auspices of the United Nations Office for the Co-ordination of Humanitarian Affairs (OCHA), which has the mandate to respond to natural disasters.

The centre should develop a database that pre-identifies the assets needed in an emergency: heavy lift, emergency response personnel, water-purification equipment, non-perishable foods, extraction machinery, temporary shelters, field hospitals, medical teams, rescue dogs, etc.

This database should have information about the emergency-response capabilities of nations and non-governmental organizations (i.e., the Red Cross, Doctors Without Borders, etc.). Some emergency assets should also be pre-deployed to three regions that are frequently affected by natural disasters: Central America, Asia Minor and Southeast Asia. The Red Cross already does some pre-deployment, which makes it easier for them to rapidly send life-saving supplies where they are needed.

Canada and the United States should lead a multinational effort to create an international rapid response system. There is a compelling – and perhaps selfish – reason to do this.

There is a 100 per cent certainty that, as the Pacific and North American tectonic plates grind against each other, a catastrophic earthquake will hit the west coast of North America. This disaster, like others before it, and others to come, will need a massive, rapid and co-ordinated response from the international community.

Humanitarian agencies and nations cannot deal with these calamities alone. When disaster strikes, a worldwide 911 system will save lives and reduce harm. As Haiti shows us once again, we simply cannot continue to plod, struggle and stumble in the face of nature’s wrath.

Keith Martin is a Liberal MP and medical doctor who has worked extensively in the developing world to address humanitarian disasters.

© Copyright (c) The Windsor Star

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Focus on primary health care is needed to fight AIDS

July 21st, 2010

Montreal Gazette Logo


It’s not glamorous, but basic medicine is key to improving health in poor areas

By KEITH MARTIN, Freelance July 21, 2010

At this week’s International AIDS Conference in Vienna, many excellent solutions will be discussed about how to combat the pandemic, from treating people with antiretroviral drugs (ARVs) once they are diagnosed (Vancouver’s Seek and Treat Program) to ways we can better stop the transmission of the virus from mother to fetus. We already possess the knowledge to prevent, treat, and manage this disease effectively; however, there is still a massive gap between the treatments we have and their availability for those who need them.

What good are ARVs if there isn’t a health-care worker to test the patient, dispense the medications, and follow up with them? What good are ARVs if adequate diagnostics are not available? What if you don’t have access to adequate nutrition? (An HIV-positive person needs 1,500 calories per day minimum, versus 1,200 calories if you are HIVnegative. Proper nutrition is the most important “drug” for a person who is HIV positive.)

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Investment in maternal health plan involves more than just cash

June 28th, 2010

By Keith Martin, Freelance June 26, 2010

During the world’s largest meeting of pediatric academic scientists in Vancouver last month, a persistent refrain was heard: We know how to save lives in developing countries, so why aren’t we doing it?

Many of these pediatricians live in two worlds.

They work in some of the most sophisticated labs in the West, and also labour in the slums and rural areas of some of the most impoverished countries in the world.

They witness first-hand the tragic gap between the knowledge we have and the failure to implement this knowledge on the ground, where it is needed the most.
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What the Maternal Health Plan Should Be

June 8th, 2010

By Keith Martin Member of Parliament, Esquimalt-Juan de Fuca, B.C., Liberal Party of Canada; MD.
First Posted: Jun 08 2010 07:12 AM

Canada needs to articulate what it wants to achieve at the G8 and G20 summits.

Time is running out for Prime Minister Harper to articulate what he wants to achieve as the host of this month’s G8 and G20 summits in Ontario. Hope ran high when he announced earlier this year that one of the cornerstones of the summit would be reducing the appalling number of deaths among pregnant women and young children from entirely preventable or treatable causes. However, this optimism was dashed when the debate became bogged down in abortion politics. Harper and his key ministers rolled back the clock and said that Canada would not fund access to safe abortions as part of a comprehensive plan to reduce maternal mortality. This ignited a debate over abortion that diverted attention and effort from developing a plan that would save the lives of the most vulnerable people in the world.

There is still time for Canada to act with courage and vigor to save the lives of the nine million women and children who die every year from easily treatable causes. So what could Canada’s plan be for the G8/G20 summits?

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Stephen Harper Missing Women’s Health Summit

June 7th, 2010

By Olivia Ward Foreign Affairs Reporter
June 7, 2010

WASHINGTON—The cavernous halls of the Washington Convention Center are awash in colourful djellabas, shalwar kameez, saris and African print cottons as the world’s biggest maternal health conference opens Monday with a speech by United Nations Secretary General Ban Ki-moon.

But missing in action is Prime Minister Stephen Harper, who, as host of the G20 conference in Toronto later this month, has made saving the lives of the half-million women who die each year din pregnancy and childbirth his core theme.

The Washington meeting, titled Women Deliver, is timed to bolster the G20 agenda for pumping up funds for maternal health. There are 3,300 advocates and politicians attending from 140 countries, including the heads of major UN agencies, government ministers, parliamentarians, celebrity campaigners and former heads of state.

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Maternal Health Care Plan Endangered by PM’s Beliefs

June 7th, 2010

MP Keith Martin could save initiative for women in poor countries and give Stephen Harper a way to avoid enraging his anti-abortion constituency

By Daphne Bramham, Vancouver Sun June 6, 2010

A maternal health care initiative aimed at saving the lives of 9.1 million women and children in developing countries each year is in danger of being torpedoed — or at very least watered down — by Prime Minister Stephen Harper when the G8 and G20 leaders meet later this month in Ontario.

It needs someone to rescue it, and Keith Martin is both a perfectly logical and the most unlikely person to do that.

The MP for Saanich-The Islands has worked abroad as a physician and used his parliamentary position to push for more and better-targeted foreign aid at conferences and forums all over the world. Read the rest of this entry »

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Keith Martin’s Maternal Health Proposal

May 26th, 2010

Thursday, May 20, 2010
G8/G20 Global View

In the lead up to the G20 summit, Kevin Carmichael will provide a running commentary on the critical issues facing the global economy that will be dealt with at the meeting.

This space has probably become a little heavy on banks and bank taxes. (If the Canadians and the Germans would stop talking about it, we could move on!) So as an antidote, and an apology, I offer a decent proposal from Liberal member of Parliament Keith Martin in an attempt to refocus the debate over Prime Minister Stephen Harper’s maternal health initiative, an excellent idea that unfortunately the federal government has allowed to get bogged down in abortion politics.

Not all critics are created equal. Dr. Martin is a voice from the opposition side of the House of Commons that is more reasonable than most, especially when it comes to thinking how the privileged can improve life for the poorest. Read the rest of this entry »

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A Partnership to Save Lives

May 20th, 2010

The Mark

The G8 could use the World Food Programme’s existing networks to deliver primary medical care to those who need it most.

Dr. Keith Martin
Member of Parliament, Esquimalt – Juan de Fuca, B.C., Liberal Party of Canada; MD

First published May 20, 2010

Time is running out for mothers and children in the developing world. Less than six weeks remain before the G8 Summit begins in Ontario, and the Canadian government has yet to articulate any plan to reduce maternal and childhood mortality and morbidity, a key objective for the summit announced by Prime Minister Harper a few months ago.

There is, however, a solution at hand that would enable Canada to provide the leadership needed for the G8 to quickly tackle this global challenge. We do not need to reinvent the wheel. A structure already exists that can be used to sustainably provide access to the medical care that will reduce the unconscionable loss of life that occurs from entirely preventable or treatable causes in the developing world.

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News on cuts to our Navy

May 14th, 2010

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Healthcare in Canada

May 13th, 2010

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