Cleanliness and sterility is difficult here. Infectious disease is prevalent. Sterile technique, wound irrigation ("the solution to pollution is dilution"), and antibiotics not withstanding... microbes rule in Haiti: tetanus, typhoid, measles, malaria... ad infinitum. And much of it is so unnecessary when you consider what we know we can do. For example, tetanus is so unnecessary. Typhoid can be prevented. And on and on.
We must do better. And I believe we can.