GELLERMAN: From the Jennifer and Ted Stanley studios in Somerville, Massachusetts, This is Living on Earth. I'm Bruce Gellerman, in for Steve Curwood.
First Hurricane Fay hit Haiti. Then Gustav, and tropical storm Hanna, then Hurricane Ike. In less than a month, four torrential storms tore through the island nation. And Haiti, already the poorest country in the hemisphere, was destroyed beyond poverty - the storms reducing it to an unimaginable level of human suffering and misery. Paul Farmer, a medical anthropologist and physician has worked in Haiti for more than 25 years. He's cofounder of Partners in Health. The Boston based organization runs medical clinics there. Dr. Farmer says it wasn't the storms that caused the catastrophe in Haiti: the disaster was man made.
FARMER: I think that if it were a natural disaster and a force of nature only then anywhere such a disaster occurs it will have similar outcomes, so why is the death and destruction focused in one country? And the answer is deforestation.
GELLERMAN: Once lush with tropical trees and vegetation, today an estimated 99 percent of Haiti has been stripped of its forests. Without roots to hold the soil, mud from rain-soaked mountains slid down, onto the populated flood plains. Hardest hit was the coastal city of Gonaives. Paul Farmer had just returned from Haiti when we met him in his office.
FARMER: You know, I gotta tell you Gonaives and all these coastal places ? it smells terrible there. The smell of death all over that city. And it's so uncomfortable, you know people's - you know clothes, whatever they have, they've been wearing for days. They're wet, you know, and if they want to be dry they have to stand in the blazing sun, and then it starts raining again. So, it was very jarring and I've never seen anything quite like what I saw in Haiti this past weekend. But, that's not quite true. I saw something similar four years ago, but in the same city.
GELLERMAN: It was Hurricane Jeanne.
FARMER: It wasn't even Hurricane Jeanne, it was Tropical Storm Jeanne. And it never made landfall on Haiti. It brushed close enough by Haiti so that rains drenched these deforested mountains and, of course, then came floods, flash floods, mud slides, etc.
GELLERMAN: Why is the country so deforested?
FARMER: After the Europeans arrived in 1492, it took a long time, but first the Spanish and then the French started clearing vast tracts of land in this quite mountainous country for what's essentially tropical produce: sugar, coffee, cotton. And Haiti became the first independent country in the hemisphere, but it still was dependent on these same agricultural products ? and has been ever since.
GELLERMAN: There have been many attempts to reforest. Millions of trees have been planted there in fact. But they still have this problem ? they're cutting down more trees than they can plant. Why are they cutting down so many trees?
FARMER: Haitians are cutting down trees because they don't have alternative fuels with which to cook food. That's basically the majority of it. They're making charcoal. And they wouldn't make charcoal if they had access to gas or even kerosene. They have been driven into a corner, the people I serve, you know, the rural poor. They've been driven into a corner where their only option for cooking has been to make this charcoal, and they're going to continue doing that as long as they have no jobs, no food, and no fuel.
GELLERMAN: But, you have the deforestation going on, so the water from these terrible storms rushes down these mountaintops and floods the areas, but carrying with it the topsoils, so now you can't plant crops.
GELLERMAN: So you can't plant food.
FARMER: That's right.
GELLERMAN: So you've got this compounded, complex problem. Where do you ? how do you break this vicious cycle?
FARMER: I think this is exactly what we're asking, how do we rupture this cycle of poverty, disease, hunger and disaster. And I would say that, you know, we do this by not Balkanizing our approach to the problem and saying "Oh, I'm sorry ? I just do reforestation or I just do healthcare or I just do primary education or I just do clean water." And then we have to go back and say, you know, it's not possible to delink drownings with this recent hurricane from deforestation. And it's not possible to delink reforestation from addressing food insecurity. And food security is not going to happen unless we also address unfair trade practices. And the main determinant of what happens to, say, the price of rice in Haiti, is the U.S. Farm Bill.
GELLERMAN: What do we do right now? I mean now they're running out of trees, they're running out of fuel, they're under water, a good part of the country. The third or fourth largest city in the country is largely cut off from the rest of the world.
FARMER: What we do right now is respond to the suffering of these people. They need food, they need water, they need clothes, and they need shelter. The mistake will be for us to believe that it's not going to happen again, and that we don't need to address these other longer-term problems.
When we went into Gonaives on Saturday, supposedly it was cut off from the rest of the world, right? You fly into Haiti and you see the city's under water. There is a mass exodus of the city on foot, we saw no first aid stations outside of the city. And when we asked them, "Well, where are you going?" they'd name other towns or Port-au-Prince and they'd say, "Do you have any water?" So, in the short term, we have to attend to people's thirst. But in the long term, that area has to be reforested, but again, you can't reforest without an alternative fuel plan, without job creation, and without addressing this whole, really, bundle of problems.
And this is not like putting a man on the moon or sending some spaceship to Mars. This is well within the realm of human possibility.
GELLERMAN: Well Dr. Farmer, I want to thank you very much.
FARMER: Well thank you, Bruce.
GELLERMAN: Dr. Paul Farmer, co-founder of Partners in Health. Soon after our conversation Dr. Farmer returned to Haiti.