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The article notes the U.N.'s role in the cholera epidemic that killed thousands of Haitians and government and societal factors that lead to Haiti's lack of major improvement after the earthquake. Another public health issue that was mentioned was, "the only part of the Haitian government that receives direct funding from the U.S. government, the Health Ministry, has racked up impressive post-earthquake gains in childhood vaccination rates and access to lifesaving HIV treatment".