News/Coming Soon

September 2025:

In early September, MMM has been able to send another 10 boxes of supplies to Dr. Manno’s clinic. Some of these supplies will support a Diabetic Super Group clinic that Dr. Manno and his team will be providing in October to help his diabetic patients better understand and manage their diagnosis.

Over the summer the MMM team here in the USA has been picking berries which will be converted to jams for fall fundraisers. Watch for more information to come.

Meanwhile, while many of us were soaking in the warmth of summer, Dr. Manno was standing in the heat of a very different kind in Northern Haiti – where food continues to be scarce, gang violence is surging and medical supplies are running out. He and his team continue to serve their community with tireless dedication – because that is his calling. As a Doctor, his oath is to serve and do no harm, even in the midst of chaos. But that promise is getting harder to keep.

In August, Dr. Manno and PeterMarc shared that the Santé 2000 Clinic was one month behind on staff salaries. Medications like insulin are rare. Every day, more internally displaced families arrive—sick, starving, and traumatized. Diabetics arrive too late. Children miss school. Amputations are becoming routine.

And yet… Dr. Manno and his team keep showing up. Please continue to pray for Dr. Manno, his staff, his community and the people of Haiti.

May 2025 Update:

Your prayers for Dr. Manno, Peter-Marc, their staff and families as well as the people of Haiti are needed! The situation there continues to be very grave. One of the nurses on his staff had trained as an RN in the US for a couple years, passed her boards here and earned a green card. She had hoped to leave the terrible situation in Haiti to work in the USA. She has been told that if she tried to return to the USA now, her green card would be taken and she would be immediately deported. With the current administration, no Haitian is allowed into the USA.

In February and March more than 1000 people were killed in Haiti, which is a lot for this small country, 1/8th the size of Minnesota. We don’t know the numbers for more recent months, but we do know the murders continue. Gangs continue to spread unrestricted. The gangs have been breaking open the prisons, releasing the prisoners in order to add to their gang membership. No woman or girl is safe and rapes are rampant. The psychological damage from the fear is great as the people of Haiti feel abandoned and have lost hope of being rescued.

MMM continues to support Dr. Manno and the clinic, Sante’ 2000, by getting supplies and helping them remain open. These donations continue to be very strongly appreciated. In addition, prayers for relief from the violence are a primary, urgent and continued need.

February 2025 update:

Despite the political unrest and challenges that are faced in Haiti currently, Dr. Manno and his team are excited to be able to keep open . From January 1^st to the 17^th they served 171 patients! When our team talked to Dr. Manno on the 12^th, he had 17 patients staying overnight for care at the clinic.

Their staff is having to spend 80% of their salary just on transportation to get to work. Gasoline ranges from $15-30/gallon depending on the day. Rice which used to be $15 a bag is now $45. Funding support is a continual need. They are very grateful for the support from Ministry in Medical Missions and congregations such as ours.

January 2025:
Despite the political unrest and challenges that are faced in Haiti currently, Dr. Manno and his team were successful in providing a very successful diabetic training event again for their area. This event brings diabetics in the community together to build relationships and also to educate them about the disease and how to prevent complications. They were delighted to report that they had 350 people in attendance. Your support has provided so much as far as diabetic supplies and insulin. Thank you!

Fall 2025:

The jam disappeared quickly. Thank you for the support of this fund raiser.

Summer 2024:

The MMM team has been picking berries in preparation for fall “jam making”. Joan will be making jam again for our September fundraiser. Watch for more information to come.

December 2024 Update:

For several years, Haiti has been facing serious socio-political situations. Recently MMM received an update note from Peter Marc, the young pastor who works with our group and also serves as the administrator at Sante’ 2000. The gang violence continues in Haiti. He says, “Well, gang activities didn’t stop now they are challenging the national and international forces by shooting people, last time they go to “Pont sondé” a market place in the central area, and have killed more then 100 people who were just outside trying to provide for their homes. And also in the capital they start again with shooting, I don’t understand what the forces are doing but it’s sounds like they have no order to fight against them.” Peter Marc’s family is based in Port Au Prince. He has had his mother and little brother move to Limbe’ with him. However, one brother remains in Port Au Prince so that their house is not empty as the gangs would then take it over. Special prayers requested that his brother, Jhon, stays safe.

On the positive side, another shipment of supplies did make it Dr. Manno’s clinic and these supplies are greatly appreciated.

From Peter Marc’s June 2024 newsletter:

General information
For several years, the country has been facing serious socio-political situations, which today lead us to general insecurity and the majority of the population lives in extreme precariousness.
This more than four months since we have had a government, the country is controlled by armed gangs, who ransom the population who are on the brink of the abyss, sometimes kidnapped or murdered. The cost of living has increased from 23% in February 2023 to 47% more expensive in April 2024.
These political factors continually affect communities in general and especially the most deprived, which always leads to a high rate of extreme health cases. Since the beginning of 2024, for the first half we have been able to complete several small projects, such as:

a) The completion of the cholera room
b) The renovation of our energy system
c) The construction of a new toilet
d) And the redevelopment of the building.

Some of these projects are still in progress, due to the scarcity existing on the market.

We have received approximately 1931 patients from February to today, among them 500 regular diabetics. On the financial level we had a budget of 153,288.00 USD for the year 2024 to cover the monthly operations ( salaries, medications, insulin, agape..) and we were able to cover the expenses (agape, salaries, insulin, daily operations, etc.) for the first 5 months of the year, i.e. January to May 2024. But due to irregularities, prices change constantly, which means that today we have debts, especially on medication costs and follow-up costs for a diabetic patient. Our expenses from January to today amount to $99,400.00USD and we have a debt of $12,500.00 to cover the first half of 2024.

AGAPE Program
The Agape program is possible because of your willingness to save the life of the poorest in need of healthcare. With your commitment to them we count more then 50 patients a year as Agape beneficiary.

Diabetics Program
This program mean our focus is the diabetics’ patient who are coming regularly for their treatment as they are given free insulin and others medications..

Sante 2000 events
Annually we organize activities to teach our patients how to take care of themselves as diabetics’ person and also how to support other diabetics in their neighborhood. Every October we handle more then 400 diabetics in a large conference’s room in one day for the big event we called: “ SUPER GROUP”

Update from Peter Marc – July 2023

CS2000 UPDATES
Since January 2023, the Clinique Santé 2000 has faced many challenges, challenges that have
pushed the institution to make changes that have affected the general functioning of the Center de Santé 2000.
Compared to two thousand twenty-two (2022) today the center has about 25 employees, who work with a minimum wage of 100.00USD per month for small staff. Today we have 3 doctors, 11 nurses divided between the dressing room, the night team, the pharmacy and the infirmary team; We have 2 security guards who work at night, 2 technicians responsible for energy and plumbing, a messenger, a cashier, an administrator, an archivist, and two cleaners, and 4 laboratory technicians.
Previously, the CS2000, dealt mainly with diabetics and those who suffer from blood pressure, but today our services extend especially with the crises in Haiti that people cannot move to clinics in town. Thus, since 2021 we have been hospitalizing more patients per week, around fifteen patients, and also with the rise of cholera in 2022, we have been able to help more than 500 families in 7 different localities of the community.
In 2021 we had a budget of 78644.00 USD today we maintain a budget of 117,000.00USD per year.
Since the end of 2022 we have launched several projects, To facilitate the realization of our vision:
1- The 2022-2023 Cholera project
2- The hospital ward expansion project
3- The Supergroup
1- The 2022-2023 Cholera project
This project consisted of limiting the spread of cholera in the community, which was done through
the distribution of water treatment kits at home, training visits to the communities, and the
construction of two 3 community latrines.
2- The hospital ward expansion project
With the fact that we are hospitalizing more patients at the clinic, we found ourselves obliged to
build a room that could hold 8 patients in a single night with more comfort. Before we only had the space, but today we were able to do the walls and the macadam for the floor, now we are working on the roof..
3- The Supergroup
Which is an activity that consists of bringing together the various diabetics and those who suffer
from blood pressure from the community, for a training session on the nutrition of a diabetic and a person suffering from blood pressure. This activity is held once a year in the fall, the date is not
official for this year, but this project is expected to be carried out on the second of October 2023.

All these activities have been made possible by the support of our various collaborators, because the clinic has made health care accessible to the most disadvantaged, which has given the Agape
program through which we have been able to save several lives, so many children fed, diabetics and hyper or typo tense.

October 2023

Thanks for the great support for the Apple Fest. We had a beautiful day and fun times pressing apples and enjoying the the music of Mae Prachar Band. $3555 was raised for MMMs work. Thank you!

Apple Fest For Haiti – October 1st

When: Oct 1, 2023: 3 PM to 7 PM
Where: Zion Lutheran Church, 1000 Washington Avenue, Cloquet:
What: Music by Mae Prachar Band from Esko, apple tasting, apple pressing and information about Haiti.
All events outside on the south side of the church. In case of rain, events will be inside the church.

Event Schedule:
3-6 PM Free apple tasting (10 varieties)
3-6 PM Free caramel apple bar
3-6 PM Free apple juice pressing demo and tasting
4- 5:30 PM Free old time music concert by the May Prachar band. Dance and/or listen.
3-7 PM Pick your own apples to take home from the Zion orchard (bring your own bags) , take home fresh pressed juice ( containers provided).

3 -7 PM Stop by the MMM information table and learn about Sante’ 2000, a small medical clinic in Northern Haiti serving patients regardless of ability to pay since 2010.

Donations gratefully accepted for the clinic. 100% of your tax- deductible donation goes directly to the clinic. Please make you checks payable to Moose Lake Evangelical Covenant Church with a memo: Ministry in Medical Mission.
If you are unable to attend but wish to donate, checks can be mailed to the MMM treasurer, Marilyn Cluka, 3580 NW Townline, Barnum , MN 55707

Many patients helped with Agape Funds – April 2023

Peter-Marc Sachoute who has been assisting with the administration at Dr. Manno’s Sante’ 2000 Clinic, has sent us two stories of patients that have been recently helped through the Agape Fund which MMM supports. Peter-Marc is also a young pastor who assisted us with translations and organization when we were able to do mobile clinics. We look forward to being able to give that kind of direct physical help again. In the meantime, financial support has been essential to keeping the clinic open and functioning. In a recent communication Peter-Marc mentioned that they served over 1000 patients in 2022.

MAGALIE JOSEPH with a severely infected foot is in the AGAPE PROGRAM

Every day things happen around us, sometimes we pay attention, other times they happen incognito. Between words of love and actions of love that’s how we can
show people They are important for us and the community. When the clinic launched the Agape program we did not expect so many cases or people in need. We had a budget of around $500 USD per month for a quantity of around 2 to 3 people who will be in need. But, today our budget is up to 2500.00 USD to 3000.00 USD per month. Often we reduce our expenses by up to 50% but the poor, neglected patients continue to multiply, several factors are involved and we found ourselves in the obligation
to help. We don’t expect to save the world but we firmly believe that we must make a difference in our community, such is our identity, our trademark at CS2000. And our field of action continues to expand, day after day they arrive from everywhere it is no longer a secret that at the CS2000 the abandoned of society are our priority, and all of this is made possible thanks to your donations and your continued prayers.

We were able to make a difference for Magalie Joseph and her mother. She has been ill (diabetic) for several years, she was taking care of herself in one of the clinics in the city, living alone with her mother, no longer able to work to meet their needs,
she stopped her treatment which worsened her case of where an ulcer develops in her right foot. She went to one of the public hospitals she was suggested to
have her diseased foot cut off.

Since her visit to the CS2000, she has been assisted in the Agape program to consult a surgeon in order to treat the diseased parts of the foot. Her hospitalization and surgery costs us 750.00 USD without counting the daily expenses. Now we need 560.00USD to 1000.00 USD for the medical follow-ups. We thank your support in the AGAPE program without forgetting to say that the needs are always felt. Today, thanks to your desire to help poor CS2000 patients, we can make a difference in the life of Magalie Joseph.

Imagine she is 30 years old, living alone with her mother and cannot take care of the house as agreed and today without a penny or work, she should have her foot cut
off. Arriving at the clinic two months ago, abandoned and tired with this stench that she trails after her, we are obliged to assist her and integrate her into the AGAPE program, with the aim of saving this foot without cutting it. This which will be a
beacon of hope for her and her mother who has been living in the clinic for months. Imagine she is a sibling, what it would cost to save her and what you can do, this broke our heart to be in her shoes.

Magalie’s very infected foot is healing

Mrs. Nanoune Selondieu is assisted by the Agape Fund

Since the clinic was established in the community of Haut-Limbé, Séminaire, the very mission has always been to facilitate the poorest to receive the necessary health care allowing them to live with a minimum of physical ease. We believe that the efforts made have a very big difference in the lives of many families, both in terms of health and community. During the year 2022 we had more than a thousand patients who visited the doctors, each for different problems but the majority suffer from diabetes and hypertension, and other cases for which the clinic has been a refuge for the abandoned of the community, who are penniless and even without real family, such is the case of Mrs Selondieu Nanoune.

She, mother of 4 children and her husband travels back and forth to the Dominican Republic to do hand job, to be able to support the family. She was a trader, 3 years ago she has blindness in her left eye, she visited an ophthalmologist in Cap-Haitien. But during the Crisis period, the roads were blocked, no transport as much as funding, she had to stop her visits to her ophthalmologist. The diseased eye got worse causing severe headache and severe infection in the diseased eye. Without any possibility of seeing a doctor, or money or means of transport, she took refuge in the Center of Health 2000, to find relief from her pain. We don’t have an ophthalmology service, but we had enough to support this desperate mother. Not only were we able to clean her wound, but also through the funds available for our AGAPE program, we were able to assist
Mrs. SELONDIEU NANOUNE to consult an ophthalmologist in Cap-Haitien.

Today after several consultations with the ophthalmologist, the wound is like cancer. More desperate than ever with her four children and an absent husband, we find ourselves in the obligation to fight to relieve her pain, by assisting her to follow the necessary treatment and also to pay her hospital expenses. It is part of our Agape program, which is an assistance program for the poorest. The cost of her treatment is high and your supports are required to support Mrs. Selondieu Nanoune. Already we have spent a sum of 110,250.00HTG which is equal to 735.00 USD for her consultations and she must follow a treatment which will cost 50,000.00HTG or 350.00 USD at each visit, and her treatment requires two visits per month.

Today she is part of our list in the center’s support program and she is also part of our challenges for the year 2023, we wish to be able to support Mrs.Selondieu and avoid that her four children will have to bear the loss of their mother in because of a health problem that could not be solved because of their precarious financial situation.

Another Shipment Sent – February 21, 2023

Nine large boxes have been filled with needed supplies and were shipped to Sante’ 2000 Clinic near the end of February. The boxes contained many needed supplies. Some were obtained from Cloquet Memorial Hospital supplies that were outdated and planned for disposal. Others were purchased at reduced cost from the Cloquet Medicine Shoppe Pharmacy (such as glucometers and diabetic test strips). Some were supplies that had been donated by individuals. Other needed items were purchased with donated money. Thank you for your generous support that makes this assistance for Sante’ 2000 Clinic and Dr. Manno’s outreach and agape services possible.

Haiti Cholera Update – January 14, 2023

Recently the Haiti medical team sent $10,000.00 to help fight the Cholera outbreak. We were a bit concerned as this large transfer would bring our funds very low. We had been blessed with donations and a very successful concert fundraiser. This was an unusual occurrence for MMM to have this much in funds readily available.. This was a larger transfer than we have done before. But Dr. Manno had a plan and we trusted him, so we sent the money.

Today Dr. Manno called (January 14): There is a village where 15 people have died from cholera. The motorcycle taxi will not take anyone from that village to clinic for fear that if they touch the people they will die too. So yesterday Peter and Dr Manno went out to that village with a vehicle loaded with water, chorine for cleaning and prepared to educate the people there about cholera.

When they arrived people came running to tell them of another young girl dying. Dr Manno started an IV (which they have little access to but they were able to buy some IVs with the funds we sent) When Dr. Manno went back today this girl was alive and sitting up. He said, if she hadn’t had the same clothes on today he would have thought she was a different person. He said I want you to tell this story and show the pictures. He said, I gave her picture a name : “A 10,000.00 Dollar Smile”.

Dr. Manno said “I wish everyone could see the lives we are saving with those funds!”

December 14, 2022

We heard from Dr. Manno that his clinic is being inundated with cholera. They urgently need IV fluids. They can get the IV fluids at the border with the Dominican Republic. MMM is working to help supply funds for them to purchase IV fluids and necessary supplies for the clinic. The clinic staff are creating a process of cleaning before and after each patient but need extra chlorox and cleaning supplies.

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The music was exceptional and the evening was a very successful fund raiser for MMM. Thank you for your support! MMM is tremendously grateful to the Scott House for hosting this event.

Soireģe at Scott House

You are invited to an evening of song with baritone Elias Mokole and pianist Linda Turpening.

Date: Thursday, October 27, 2022
Time: 7 pm -8 pm music: Dessert and beverages to follow Place: Historic Scott House: 1321 County Road 4, Carlton, Mn Cost: Donations accepted and matched for Ministry in Medical Mission, a local nonprofit which helps support a small medical clinic in Haiti.

September 21, 2022

Another 7 boxes of supplies has been shipped to Dr. Manno’s Sante’ 2000 clinic. Thank you for your support that makes this possible.

July 26, 2022

The boxes that were shipped on June 4th have arrived at Sante’ 2000. They were very happy to receive them as they were in dire need of the wound care and diabetic supplies.

June 16, 2022

On June 16th, 2022 the Sante 2000 Clinic and Dr. Manno’s staff provided a free clinic to 50 patients who were otherwise not able to afford their needed care. MMM helped to sponsor this clinic. Your donations at work.

Patients waiting at Sante 2000 Free Clinic supported by MMM

Thank you to Peter-Marc for sharing some photos from this clinic.

June 4, 2022

On June 4th 2022 MMM was able to ship eight large boxes of supplies to Dr. Manno’s clinic. The boxes contained wound care supplies, bandages and diabetic supplies.

May 9, 2022

Joan Guite is one of the founding members and an RN working with MMM. She has passed on the following note and request:

Ministry in Medical Missions is a local, grass root, non-profit organization that has had an on-going 12 year working relationship with Dr. Manno at his clinic in Limbe’, Haiti. We collect unopened medical supplies and send them on to Dr. Manno, as we have been unable to make our annual trip due to civil unrest and Covid.

We are most interested at this time in wound care supplies.

If you or someone you know has wound care supplies that are no longer needed, please consider donating them to us. We do take outdated dressings and wound cleansers if they are only outdated one year. Please contact me at 218-485-1903

Thank you so much, Joan Guite RN

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Letter Received March 11, 2022

Recent Letters from Dr. Manno describe the impacts of heavy flooding in the Limbe’ area. As a result of so many families losing everything to the flood, Sante 2000, Dr. Manno’s clinic is offering free clinics to those affected by the flood. They are seeing many patients with diseases due to contaminated water. Dr. Manno also shares some of his “wish list” for improving services to his community. Please read the letters below:

Hello

We are ok and the staff is motivated. We had some issues with the lab, they refused to be vaccinated. We had to ask them to stay home until they are vaccinated. We want a full vaccinated staff to create trust. Less patients are making it to the clinic because of financial issues. Half of our diabetics patients showed up one or two week after they ran out [of diabetic supplies] and the explanation always is “we didn’t have transportation money”. I am happy with the tele diabetic. It’s not perfect as some can’t read and interpret the result but for most patients it works they don’t come to the clinic as often as they use to and it allows me to give them a regular insulin to use if they blood sugar goes up.

The solar panels keep the clinic running 24/7. When the gallon of gasoline was 20 dollar US, we did not have to buy it. It’s the best investment we did for the clinic. It needs some improvement but it works

The biggest need [right now] is to build a small surgery room for diabetic foot that needs debridement or amputation of toes. Last time we help a patient pay 1000.00 US to amputate a toe in a private clinic. We are in partnership with three surgeon that will come to the clinic on call if we have the setting. The number of patients with ulcers that come to the clinic is alarming. The last one has been in the clinic [receiving care] for two weeks.

Homemade oxygen concentrator! [is another need]. In Creole we would say are you serious? If we didn’t have to buy a microscope (1000 us) we would have ordered an oxygen concentrator, the one we have works intermittently, we can’t run it for a full night and it consumes a lot of electricity

We are also working on putting a plan to help the victims of the flooding

The flooding has been bad. I started to feel the effects at the clinic with people coming with water related disease and can’t pay. We can’t estimate the cost of the flooding, the number of people that lost everything is more important. And the number of cows that were lost for a normal peasant livestock is their bank account. To lose everything in one day is terrible. We plan to buy filters and distribute them to help clean the water they are using. We would like to provide with cleaning tools. We would also like to buy at least 20 mattresses to support families. And the clinic will be free for anyone with water related issues for a week. For three months all Diabetics patients that come from the [flood] affected area, their treatment will be also free or as we say “Agape’.

From Emmanuel Maureus (Dr. Manno)

March 11, 2022

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Received March 15, 2022 from Dr. Manno

Day 2 of the free clinic for the victims of the flooding we already see 160. It’s heartbreaking the number of people that was sick at home and people with high blood pressure. We have two at the clinic with cerebral accident and very young. We discovered three diabetics. I think we need to plan a free day clinic every month

Emmanuel

A picture of one of Dr. Manno’s newly diagnosed diabetic patients

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Excited to have been able to ship 6 large boxes of badly needed supplies to Dr. Manno today (Thursday 9/23/2021) . Thanks for your continued support. It makes a difference! Special thanks to Community Memorial Hospital in Cloquet and the Cloquet Medicine Shop for their assistance in obtaining needed supplies.