Abstract
OBJECTIVES: This report examines the impact of an economic embargo from 1991 to 1994 on health, well-being, and human rights in Haiti. METHODS: Data from surveillance systems for nutrition, reportable diseases, and hospital diagnoses were combined with survey data and interviews with affected women, governmental representatives, diplomats, and staff of nongovernmental organizations. RESULTS: Changes included declining income, rising unemployment, poorer nutrition, declining infant mortality, rising mortality among 1- to 4-year-olds, decreased attention to children's well-being and education, and family breakdown. Survival strategies among poor Haitians included changed dietary habits, informal-sector economic activity, moving in with relatives, selling domestic goods, increased informal unions among couples, decreased school attendance, and indentured servitude among children. CONCLUSIONS: The implementation of economic sanctions in Haiti resulted in extensive violations of rights; the impact was greatest on the most disadvantaged Haitians. Many Haitian and international supporters of democracy were unaware of the extensive negative impact that sanctions could have. The impact continues now, 5 years after sanctions ended. Modified policies reduced some of the burden of sanctions, and international assistance prevented what otherwise might have become a humanitarian disaster during sanctions.
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Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Garfield R., Devin J., Fausey J. The health impact of economic sanctions. Bull N Y Acad Med. 1995 Winter;72(2):454–469. [PMC free article] [PubMed] [Google Scholar]
- Garfield R., Santana S. The impact of the economic crisis and the US embargo on health in Cuba. Am J Public Health. 1997 Jan;87(1):15–20. doi: 10.2105/ajph.87.1.15. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Garfield R. The impact of economic embargoes on the health of women and children. J Am Med Womens Assoc. 1997 Fall;52(4):181-4, 198. [PubMed] [Google Scholar]