The Mercury News

Dr. Paul Farmer, known for his humanitari­an work, dies at 62

- By Steve Leblanc and Dánica Coto Coto reported from San Juan, Puerto Rico.

BOSTON >> Dr. Paul Farmer, a U.S. physician, humanitari­an and author renowned for providing health care to millions of impoverish­ed people worldwide and who cofounded the global nonprofit Partners in Health, has died. He was 62.

The Boston-based organizati­on confirmed Farmer's death on Monday, calling it “devastatin­g” and noting he unexpected­ly passed away in his sleep from an acute cardiac event while in Rwanda, where he had been teaching.

Farmer was a professor of medicine at Harvard Medical School and chief of the division of global health equity at Brigham and Women's Hospital. He wrote extensivel­y on health, human rights and social inequality, according to Partners in Health.

“A compassion­ate physician and infectious disease specialist, a brilliant and influentia­l medical anthropolo­gist, and among the greatest humanitari­ans of our time — perhaps all time — Paul dedicated his life to improving human health and advocating for health equity and social justice on a global scale,” wrote George Q. Daley, dean of Harvard University's Faculty of Medicine, in a statement.

Partners in Health, founded in 1987, said its mission is “to provide a preferenti­al option for the poor in health care.” The organizati­on began its work in Cange, a rural village in Haiti's central plateau, and later expanded its operations to regions including Africa, Eastern Europe and Latin America.

Pulitzer Prize-winning author Tracy Kidder, who wrote the nonfiction book, “Mountains Beyond Mountains: The Quest of Dr. Paul Farmer, A Man Who Would Cure the World,” told The Associated Press the two traveled together for a month as Farmer treated prisoners and impoverish­ed people in Haiti, Moscow and Paris.

“He was an important figure in the world,” Kidder said. “He had a way of looking around corners and of connecting things. He couldn't obviously go and cure the whole world all by himself, but he could, with help of his friends, give proof of possibilit­y.”

One of Kidder's strongest memories of Farmer occurred in Peru, where the doctor was treating patients with multidrugr­esistant tuberculos­is. Kidder recalled a woman wearing a Mickey Mouse shirt who followed them to their car, looking very shy.

With her head down, she said, “Thank you,” to Farmer in Spanish. Kidder recalled: “Paul turned, took each of her hands in his and said, `For me, it is a privilege,' in Spanish.”

He added that Farmer was instrument­al in getting AIDS treatments, and created various health systems around the world.

“It really humiliates the nay-sayers, who think it's somehow OK for some people to get health care and others not,” Kidder said. “It just drove him nuts.”

Michelle Karshan, vice president of a nonprofit prison health care system in Haiti who worked closely with Farmer, said he was determined, innovative and always knew how to get around obstacles and bureaucrac­y.

“He didn't take no for an answer,” she said. “He didn't think anybody was too poor or too illiterate to be entitled to receive health care.”

She noted that when the World Health Organizati­on resisted giving HIV medication to people who were illiterate in Haiti for fear they would not know when or how to take it, Farmer set up his own program and created a chart that relied on the sun's position. He also hired people known as “accompanie­rs,” who would hike through Haiti's rough mountainou­s terrain to make sure patients had water, food and were taking their medication­s.

“I'm so sad for all the people who are not going to have him in their lives. He was there for everybody,” Karshan said.

Haiti's Prime Minister Ariel Henry praised Farmer's work, as did former U.S. President Bill Clinton.

“Paul Farmer changed the way health care is delivered in the most impoverish­ed places on Earth. He saw every day as a new opportunit­y to teach, learn, give, and serve — and it was impossible to spend any time with him and not feel the same,” Clinton said in a statement.

Farmer is survived by his Haitian wife, Didi Bertrand Farmer, and their three children.

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