A missionary doctor finds the site tied to Columbus's first voyage

William Hodges was a medical missionary at Limbe who dug in northern Haiti on his own time. He located En Bas Saline, a large settlement site near the north coast, and professionals took it up after him. Kathleen Deagan directed the excavations that followed, using electromagnetic conductivity survey, systematic surface collection and test pits laid out on a grid. The work produced a detailed topographic map of the village and identified features within it, among them residential mounds and a structure resembling a well. The object was to test the written record of Columbus's first voyage against material evidence, since the Spanish account of the settlement at La Navidad and of the Taino town beside it had stood unchecked for centuries. En Bas Saline is among the most important archaeological sites in the Caribbean, and it was found because an amateur living nearby paid attention. Professional archaeology in Haiti has never been funded to do that work on its own.

On 28 November 1985 soldiers and tontons macoutes killed three schoolchildren in Gonaives. The country caught fire from that town, and the burning ended with the departure of Jean-Claude Duvalier on 7 February 1986. Twenty six years later, on 16 December 2011, the law faculty of Gonaives invited the former president for life to sponsor its graduating class. He came, and he asked the audience for a minute of silence in memory of the three children. The bar association of Port-au-Prince made no comment, although its own head had joined the first defence team for the former dictator. Through the twenty nine years of the dictatorship young people of both sexes went to the front line for liberty more than any other group. One survivor described the regime by a single act, the turning of the only library in a provincial town into a barracks for its militiamen.

On a Wednesday afternoon in the autumn of 1979 a man called Jean Baptiste came into the general medical clinic at Jackson Memorial Hospital in Miami. Two weeks earlier he had left the wards with tuberculosis confirmed by biopsy and drugs that were known to work against it. He was emaciated, could barely walk, fell to one side when he did, and the left side of his face had dropped. The senior emergency room resident argued that he needed time to heal. A week later he returned unable to walk at all, held up by friends, and was admitted only under threat of disciplinary action. A scan showed several large lesions in his brain, read at the time as pockets of tubercular pus. He died within a fortnight. His physicians concluded that he had come in too late carrying too much disease, which was a reasonable conclusion in 1979. Nothing in the training of anyone on that ward described what had actually killed him.

By early 1981 a group of faculty physicians at the University of Miami had worked back through every Haitian patient admitted to Jackson Memorial Hospital over the previous year. What they found fitted neither tuberculosis nor poverty nor hunger. The patients were young, had lived in the United States for a few months to a few years, held ordinary jobs and had been well nourished before falling ill. They arrived with fungal infections in the nervous system, viral infections of the gullet, parasites in the brain, yeast in the mouth, swollen glands in several places and Pneumocystis in the lungs, frequently two or three of these in one person. Pneumocystis appears only where immunity has already failed. One of the group, Margaret, connected the pattern to reports of the same infections in previously healthy gay men. The Miami patients included women and heterosexual men. The condition had no name yet outside a billing category.