In a country where no cases of cholera had been recorded in more than 150 years, the disease spread so fast that within nine months of the battalion’s arrival in late 2010, the number of cholera-infected Haitians surpassed all recorded cholera infections in the rest of the world combined. Hundreds more will continue to die annually for years to come in a nation whose anemic health, hygiene and sanitation infrastructure is no match for the ravages of a water-borne disease.
A report from researchers at the Yale School of Public Health and Yale Law School details the convincing epidemiological evidence, as well as the United Nations’ stubborn disavowal of responsibility. Initially, a panel of independent experts enlisted by the United Nations said that the evidence pointing to the peacekeepers was mainly circumstantial. Now the experts have reversed themselves, saying that the Nepalese peacekeepers were “most likely” the cause of the epidemic. Still, the United Nations refuses to accept legal, financial or moral responsibility.
Until now, the United Nations has asserted and enjoyed what amounts to blanket immunity from claims arising from its peacekeepers’ actions. There is a basis in law and logic for its stance. Given the range of nations, conflicts, disasters and chaotic environments in which U.N. personnel are deployed, the institution needs some protection from lawsuits and other claims for damages arising from its operations. Otherwise, it might never enter a risky place, thereby rendering itself useless.
Still, immunity in the courts, which the United Nations has enjoyed, does not justify a policy of institutional indifference. In the case of Haiti’s epidemic, U.N. officials have a moral obligation to right a wrong that has killed thousands.
That obligation goes beyond the legally tangled question of paying reparations to thousands of potential claimants in Haiti and the obvious need to ensure that U.N. installations and contractors meet higher standards of hygiene and sanitation. It involves the United Nations and its major donors, including the United States, adding resources to help Haiti build lasting improvements to its feeble public health system.
Haiti needs sewage treatment plants and municipal water facilities, as well as an effective primary health-care system accessible to people in rural areas as well as towns. Through UNICEF and the Pan American Health Organization, the United Nations should redouble its efforts to establish modern infrastructure in a country where 90 percent of the population lacks running water.
That’s not just part of the United Nations’ mission. It’s a matter of accountability and responsibility.