We previously noted a protest that erupted in St Marc over the creation of a cholera treatment facility, and we have been provided with several important points of context:
- MINUSTAH was not directly involved in the creation of the treatment center but was providing security for MSF personnel by request.
- The chosen site of the facility was across the street from a school; and
- Was a community soccer field
The latter two points are crucial for the following reasons:
- We have come to realize over the years that for communities coping with a high level of threat perception, especially during unexpected or non-routine infectious disease events, protection of children becomes an exquisitely sensitive nexus of concern that may lead to social outcry and even violence.
- Communities under collective stress such as is readily observed in St Marc have a high demand for coping outlets such as recreation and access to religious services, for example. Compromised access to such outlets is actually a key indicator that prompts us to monitor for civil unrest.
If the community in question is already experiencing tension such as the negative MINUSTAH-Haitian public dynamic, then these issues become all the more important to monitor... and avoid.
At some point following conclusion of this disaster response effort it would be a prudent activity to review these kinds of observations to better inform response activities in the future.

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