By Donna
Leinwand, Marisol Bello
and Martha T.
Moore, USA TODAY
PORT-AU-PRINCE, Haiti — In the night, the children wake up
crying.
"They
always ask for someone to be with them. They ask why it happened. They think
God is mad at them," says Marie Louise Woel-Michel, a hospital volunteer
in the shattered Carrefour neighborhood of
the Haitian capital. "They don't play."
The
lawn of Adventist Hospital has become a camp for patients and their families,
many of whom are among the 2 million people displaced by the earthquake that
destroyed this city. Last week, residents found a little boy, 4 years old at
most, in the bushes. He was chilled, dehydrated and silent.
"Either
the parents are dead or abandoned him. We don't know his name," says
Woel-Michel, a school principal whose husband is an Adventist radiologist.
"We talk and talk and talk, but he doesn't answer."
In the devastation left after the Haiti earthquake, the
heaviest blow is falling on the weakest: children. Already poor, underfed and
underschooled, tens of thousands of Haiti's children now face the cruelest
catastrophe: They are alone. Their parents are dead or have disappeared in the
chaos. They have lost their homes, their friends, their sense of security. They
are hungry, bleeding and afraid — of the present and of the future.
Kathiana
Joseph, 9, is having nightmares. Her family's house in Cité Soleil, Haiti's
worst slum, fell into the water during the earthquake. The family, including a
brother and a sister, are living in the street.
"I
am afraid it will happen again," she says. "I had a puppet. It's
missing." It was her only toy.
Even
before the Jan. 12 earthquake, 380,000 Haitian children, out of 4.2 million in
the whole country, lived in orphanages or group homes, according to UNICEF. Whatever the final
death toll of the Haiti quake — 150,000 are confirmed dead so far, Haiti's
government says — thousands more children will join them.
The
destruction presents an enormous challenge for UNICEF and other relief groups
that focus on children, as they confront both the immediate crisis and the
question of who will care for the children in the future.
"I
think we'll be facing one of the most horrific disasters for children in
memory," says Irwin Redlener of Columbia University, whose
Children's Health Fund responded to Hurricane Katrina. Few events could compare
to the "extraordinary loss of life and the potential for such
psychological harm to children."
Nearly
two weeks after the earthquake, children continue to arrive at hospitals
gravely injured, with serious infections and broken bones. Few have had medical
care, and many are suffering without painkillers. Many children have been in
pain for so long they have stopped crying.
Doctors
at Adventist were forced to amputate the gangrenous hand of a 12-year-old girl
without proper anesthetic because of a shortage of drugs, says Mike Howatt, a
Canadian surgeon volunteering with Global Medic. Otherwise, he says, they
feared the infection would spread and kill her.
During
the excruciating surgery, the girl seemed to be singing. "It was only at
the end that I realized she wasn't singing," Howatt says. "She was
praying."
'I'm not living well'
The
needs of Haiti's children were vast even before the quake took away what little
they had. Nearly half of Haiti's nearly 10 million people are younger than 18.
Only half of Haitian children ever attend school, and only 2% finish high
school, UNICEF says. Haiti's infant mortality rate and the rate of death for
children younger than 5 are the highest in the Western Hemisphere.
Now,
"we're in that kind of search and rescue operation ... for these
unaccompanied children," says Patrick McCormick, spokesman for UNICEF.
"Feed them, give them water, take care of them, protect them, and then
start the process of registration and tracing to see if they have any family
members left."
Once
relief workers have tended to children's physical needs, they will have to help
Haitian children face the psychological scars and tremendous upheaval caused by
the disaster.
Stability
is so important for children, Redlener says, that studies of kids displaced by
Katrina show that even five years later, they still struggle in school.
Rebuilding efforts often focus too heavily on infrastructure instead of
communities and schools, he says. "What really matters is rebuilding the
lives and the stability of children. That's what I'm hoping will be the biggest
lesson that we can learn from Katrina that we can apply to Haiti."
While
Kevin Brito, a relief coordinator for Adventist
Development and Relief Agency Spain, tried to distribute energy
biscuits at a tent camp this week, three little boys, about 5 years old, tugged
at his shirt.
"They
were jumping and playful, and they wanted to help with the boxes. They asked,
'Are you my friend?' " says Brito, a psychologist from Madrid. "That
touched me. But as I thought about it, I realized how needy they are for
affection. They wanted to know someone was caring for them." So Brito gave
them small tasks, hugged them and rubbed their heads as they vied for his
attention.
The
risk of post-traumatic stress is high, specialists say, if children aren't
helped. Children have to sort out what they've been through, says Carolyn
Miles, chief operating officer of Save the Children. "There's the shock,
then there's the 'I just want to hang on to something,' then there's the
anger."
As
powerful, often conflicting emotions emerge, children need solace and support,
says Caryl Stern, head of the U.S. Committee for UNICEF.
"There
are kids who are just wandering the streets right now. We need to find them. We
need to hug them. We need to give them blankets. We need to tend to their
health problems," Stern says. Even in Haiti, which has been racked by
hurricanes, floods, riots and mudslides, "for many children, this will be
their first major disaster. They don't know that tomorrow may be a better day.
They need to be convinced of that."
Jenika
Seveur, 10, was playing soccer when the quake struck. She fell down. "I
feel bad. I'm not living well. I'm hungry," she says. "We have no
place to live. We are living in tents. I don't like it."
If she could make one wish, it would
be "for the Americans to help
us."
'Angry and nervous'
At
Adventist, Woel-Michel says children are clingy and fearful of straying far
from family. An 11-year-old girl whose leg was amputated cries all the time.
"She
thinks she will never be a mother," Woel-Michel says. "We keep
telling her it won't keep her from doing what she wants. I just invent stories
about people with similar injuries with happy endings to make them feel
better."
Woel-Michel
sees the effects of the disaster in her own son. "I wanted him to come
here as a volunteer, but he couldn't," she says. "He cannot cope yet.
He's angry and nervous."
Aid
groups including UNICEF and Save the Children are setting up special tents for
children in camps of displaced residents, to start what they call
"psychological first aid." Mercy Corps is handing out "comfort
kits," including a blanket and stuffed animal. The children's tent
"gives kids a place to go. It starts some sort of normal routine,"
says Miles, of Save the Children.
The
tents also will be places where relief workers can register children who are
alone, in hopes of reuniting families. UNICEF is worried about unaccompanied
children being abused and exploited.
Mercy
Corpswill begin training teachers, church groups and community leaders in Haiti
to recognize signs of post-traumatic stress in children: clinging, crying, and
sleep and toilet-training problems. The group also is translating into Creole a
workbook it gave children after 9/11 and Katrina. It asks children to draw
pictures of what they lost, fear and hope for.
Lesly
Luc, 11, already has recorded his experience. In two pages of neat script, he
recounts running out of his house with his brother and wandering around the
city. He wrote about his mother screaming when they couldn't find his father,
and their joy when they saw him run toward them covered in dust. He wrote it to
remember the day his town in Léogâne, about 20 miles west of Port-au-Prince,
became the epicenter of the earthquake.
"If
I have children, I have that to share with them," he says. "I'm
hoping that never happens again. Too many people died."
Lesly's
family now lives in a shack of corrugated tin in a tent city in a park. The
shack has an adjoining area enclosed by blankets tied to wooden poles.
Sixteen
people cram into the space. He sleeps on a mattress on the ground. When it gets
too crowded or hot, they take turns sitting up so the others can lie more
comfortably. He has no toys or television. He spends his days sleeping, drawing
and writing with a pen on a notebook that his parents found in rubble. Always,
he is looking for food: One day last week, his only meal was wheat mashed in
water.
Since
the quake, he says, he has been feeling weak. His head hurts, and his stomach
is upset.
"Before,
I had a house, I went to school," he says as his parents watch and nod.
"Life was good before, but right now, it's not."
Seven-year-old
Schneider Michele hasn't been able to walk since a block of concrete fell on
his leg. His right shin is bandaged, and blood seeps through the cloth. His
mother, Anny, carries him on her back.
They
sleep in a yard without blankets or tents, just a pad to lie on. "After
the earthquake, we went to another family to live with them, but their house
fell, too," Schneider says. "I have no home to go to."
Rather
than describe what he has seen, Schneider looks down, picking at lint on his
mother's T-shirt. He cries all the time, Anny Michele says.
"Before,
I always found a way to feed my son and send him to school," she says.
"I don't see a future for him."
In
the desperate international effort to help Haiti's children, relief workers
hope to restore not only their physical and mental health but also their
ability to endure — and even to dream.
Schneider
wants to be an engineer. "If I made houses with metal roofs instead of
using cement," he says, "maybe so many houses would not fall down,
and people would not die."
I shall never forget this chilly winter day as long as I live. I am
in an Romanian orphanage surrounded by children all starving for love,
attention, and good warm food. Each one wanted to set on my lap and
get a hug from me even if it was just for a tiny moment in time. It
was cold in this large room and I wondered if there was any heat in
this large building. 
