We, like the rest of the responder community, have dared to hope containment may be possible at various junctures of this crisis. We noted recent reporting of cases seen in Limbe and Plaisance, where Limbe is a 15 minute drive from Cap Hatien, and are reminded this situation is still very much in flux and unlikely to resolve soon. One of the HEAS partners who was close to the recent 2008 massive epidemic of cholera in Zimbabwe noted that responders there also had indication of a stabilizing or slowing down of transmission, only to be horribly disappointed as tens of thousands were infected. While we keep hoping Haiti will "get a break", we simply cannot allow ourselves to stand down for a moment. This remains an IDIS Category 5 event that is very much in-play. And the question of ecological establishment remains an open one as well.

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