Following any major disaster or humanitarian emergency, the United Nations establishes clusters of support.
In Nepal, for the first time, the Health Cluster included a designated Injury and Rehabilitation Sub-Cluster. Dr. Landry was asked to lead that sub-cluster on behalf of the WHO and in consortia with the Nepalese Ministry of Health and Population. They also collaborated with experienced colleagues from non-governmental organizations (NGOs), such as International Organization for Migration (IOM), who did some really amazing and heroic work.
Dr. Landry's work in Nepal fell into three categories:
1. Rounding on patients at the step-down facilities created by NGOs to help the injured who were not quite ready to go home – if they still had homes to return to. He rounded with local orthopaedic surgeons and colleagues from the International Organization for Migration to develop care plans for patients.
2. Helping to distribute the WHO’s medical camp kits: temporary mobile hospitals that were delivered to remote areas of the country, where basic medical care had not yet reached.
3. Working with the Nepali government to develop long- term strategy, policy, and action plans for rehabilita- tion and disability. This – Dr. Landry's primary reason for being there – was the most challenging part of his job, as about 80% of the Nepali population live in rural, mountainous environments and about 30% live in poverty. This work is ongoing, and regrettably has been seriously hampered by civil unrest that has led to a nationwide fuel crisis, making travel near impossible. Sadly, they have now headed into a very cold winter, and most of the Nepalis displaced by the earthquakes will spend this winter under tarps. The next six months or so will be very difficult in Nepal.