By Dialogo April 22, 2010 Port-au-Prince General Hospital is the largest hospital in Haiti. Some of its buildings were damaged during the earthquake, but with the help of international medical organizations it has remained open. On any given day, more than 300 patients arrive looking for care. More than two months after the quake, doctors are seeing less of the crush injuries they saw right after the earthquake. Now, as the rainy season begins, they’re concerned about infectious disease. Dr. Megan Coffee is an infectious disease specialist from California. She has spent the past two months volunteering at Port au Prince General Hospital. She’s concerned about the likely spread of infectious disease in Haiti. She said the medical needs of the population have changed since the January earthquake. She said doctors rarely see the cuts, crushed limbs, and broken bones that were common early on. “These tents use to be all orthopedic injuries, all people who had been injured in the earthquake,” said Dr. Coffee. “Now some of them are post-op patients, post surgical patients. Some are still patients remaining from the earthquake.” With the rainy season beginning and much of the population in closely confined spaces in tent cities, health workers are on the lookout for infectious and water-borne diseases. “The problems of typhoid and malaria are going to grow with tent cities, with people who don’t have the best sanitation, and, having sitting water which is the cause of both those diseases,” Dr. Coffee added. Tuberculosis, a highly contagious respiratory disease, is another concern. Of the 300 patients who come to the hospital each day, about 4 have tuberculosis. Stanley is one of them. “[Stanley] came in with tuberculosis that had filled up his entire left lung, and had also started to fill up his heart,” explained Dr. Cofee. “He came in quite ill, basically unable to breath and needed to have a tube put in to drain the fluid.” Dr. Coffee says in Haiti, patients often wait until a condition reaches a crisis stage before seeking treatment. And that makes recovery more difficult. “It is really important for people like him to be able to be treated,” she added. “Because otherwise, if they were to go home without full treatment, they would be quite infectious to all of their neighbors.” Stanley has been in the hospital for two months. Half that time was spent with tubes in his chest. Dr. Coffee says there’s no way to tell if malaria, typhoid, and tuberculosis are on the upswing since the earthquake. But with the rainy season looming, they could spread quickly.