Dr James Gana stepped out on to the balcony of his hospital overlooking a city under siege. “There’s a sensation of ‘What’s next?’. Desperation is definitely present,” the Médecins Sans Frontières (MSF) medic said, as he stared down at one of scores of camps for displaced Haitians in their country’s violence-plagued capital. The chatter of voices and children playing rose up from the tent city below.
Gana, a Nigerian physician, arrived in Port-au-Prince in Januaryat the start of what most call one of the Caribbean country’s worst-ever years. Within weeks, a coalition of criminal groups called Viv Ansanm launched a brutal insurrection, flooding Gana’s emergency centre with shooting victims and forcing thousands to leave home.