CONCEPTS
in Disaster Medicine
Chicago Medical Response to the 2010 Earthquake
in Haiti: Translating Academic Collaboration
Into Direct Humanitarian Response
Christine Babcock, MD, MSc; Carolyn Baer, MPH; Jamil D. Bayram, MD, MPH, EMDM; Stacey
Chamberlain, MD, MPH; Jennifer L. Chan, MD, MPH; Shannon Galvin, MD; Jimin Kim, MSc;
Melodie Kinet; Rashid F. Kysia, MD, MPH; Janet Lin, MD, MPH; Mamta Malik, MD, MPH;
Robert L. Murphy, MD; C. Sola Olopade, MD, MPH; Christian Theodosis, MD, MPH
ABSTRACT
On January 12, 2010, a major earthquake in Haiti resulted in approximately 212 000 deaths, 300 000 injuries, and
more than 1.2 million internally displaced people, making it the most devastating disaster in Haiti’s recorded history.
Six academic medical centers from the city of Chicago established an interinstitutional collaborative initiative, the
Chicago Medical Response, in partnership with nongovernmental organizations (NGOs) in Haiti that provided a sus-
tainable response, sending medical teams to Haiti on a weekly basis for several months. More than 475 medical vol-
unteers were identified, of whom 158 were deployed to Haiti by April 1, 2010. This article presents the shared expe-
riences, observations, and lessons learned by all of the participating institutions. Specifically, it describes the factors
that provided the framework for the collaborative initiative, the communication networks that contributed to the on-
going response, the operational aspects of deploying successive medical teams, and the benefits to the institutions
as well as to the NGOs and Haitian medical system, along with the challenges facing those institutions individually
and collectively. Academic medical institutions can provide a major reservoir of highly qualified volunteer medical
personnel that complement the needs of NGOs in disasters for a sustainable medical response. Support of such col-
laborative initiatives is required to ensure generalizability and sustainability.
(Disaster Med Public Health Preparedness. 2010;4:169-173)
Key Words: Haiti, earthquake, medical disaster
O
n January 12, 2010, at 4:53 PM local time (21:
53:09 Coordinated Universal Time), a mag-
nitude 7.2 on the Richter scale earthquake hit
Haiti near Leogane, 17 km west of the capital Port-au-
Prince. The impact of the earthquake on already-
vulnerable communities and fragile infrastructure was
more than 200 000 deaths and 300 000 injuries.
1
More
than 1.2 million people were displaced and in need of
basic services such as shelter, water, food, and health
care. The immediate medical needs were catastrophic.
Search and rescue teams gained access to people af-
fected by the quake in the first few days, and the need
for acute trauma and orthopedic services was im-
mense. In the many weeks since the initial earth-
quake, the needs have transitioned to ongoing public
health issues, primary care, rehabilitation, reintegra-
tion, and repatriation, which will, it is hoped, lead to
critically sustained redevelopment for Haiti. In re-
sponse to this humanitarian emergency came a global
outpouring of disaster relief efforts through various non-
governmental organizations (NGOs), monetary and in-
kind donations, and volunteer medical professionals, in-
cluding many from academic medical institutions in the
United States. In Chicago, 6 institutions (Northwest-
ern University, Rush University, University of Chi-
cago, University of Illinois at Chicago, Children’s Me-
morial Hospital, and Cook County Hospital [Stroger])
formed a collaborative initiative, the Chicago Medical
Response, to respond to the disaster. This initiative in-
cluded gathering more than 475 medical volunteers, of
whom 158 were deployed to Haiti with established
NGOs by April 1, 2010. Of the 158 personnel de-
ployed, 68 (including 42 physicians and 22 nurses) were
sent through International Medical Corps, and 90 were
sent through other NGOs. Physicians’ specialties var-
ied and included emergency medicine, trauma and or-
thopedic surgeons, family medicine, internal medi-
cine, and pediatrics. Nursing specialties also varied from
acute care to inpatient general medical, surgical, and
pediatric care to outpatient services. This article de-
scribes the framework, implementation, and lessons
learned from this academic collaborative initiative.
FACTORS PROVIDING THE FRAMEWORK
FOR THE CHICAGO MEDICAL RESPONSE
The goal of the collaboration was for academic medi-
cal centers across Chicago to use local resources in ways
that were organized, effective, efficient, and respon-
Disaster Medicine and Public Health Preparedness 169
(Reprinted) ©2010 American Medical Association. All rights reserved.