With help from CargillR&D in Minneapolis,the <strong>salt</strong> lab at <strong>Notre</strong><strong>Dame</strong>’s <strong>Haiti</strong> <strong>Program</strong>has found ways tomedicate the <strong>salt</strong>without changingits col<strong>or</strong>. A key tomarketing the <strong>salt</strong> is tokeep it as close to thelocally produced <strong>salt</strong>that consumers prefer.cause loss in IQ and developmental disability in children and,in adults, goiters (thyroid gland enlargement) <strong>or</strong> stillbirths.Few <strong>Haiti</strong>an households have access to adequately iodized<strong>salt</strong>, and iodine deficiency dis<strong>or</strong>ders is estimated to affectm<strong>or</strong>e than half the <strong>Haiti</strong>an population.Most <strong>salt</strong> in <strong>Haiti</strong> is produced along the n<strong>or</strong>thwest coastusing rudimentary methods to evap<strong>or</strong>ate seawater. Individualproducers obtain about two <strong>salt</strong> harvests a year from theirsmall basins, but along with sodium chl<strong>or</strong>ide, the <strong>salt</strong> containsmineral impurities and dirt. The impurities make medicatingthe <strong>salt</strong> ineffective. And because <strong>of</strong> the dirt, <strong>Haiti</strong>ans are usedto washing the <strong>salt</strong>, which would rinse away any medication.As a near-term measure, <strong>salt</strong> f<strong>or</strong> the <strong>Haiti</strong> program comesfrom Cargill’s modern solar sea <strong>salt</strong> program in Bonaire, inthe Lesser Antilles, just n<strong>or</strong>th <strong>of</strong> the coast <strong>of</strong> Venezuela. In2010, Cargill Salt agreed to provide 100 tons <strong>of</strong> pure <strong>salt</strong> fromBonaire. The <strong>salt</strong> was delivered to <strong>Haiti</strong> by Cargill’s long-timecustomer Bromo Industrial <strong>of</strong> the Dominican Republic.While the Bonaire <strong>salt</strong> is being used near-term, no one—not Cargill, the <strong>University</strong> <strong>of</strong> <strong>Notre</strong> <strong>Dame</strong> <strong>or</strong> the <strong>Haiti</strong>an government—wantsto put the hundreds <strong>of</strong> small <strong>Haiti</strong>an <strong>salt</strong> producersout <strong>of</strong> business.Several non-governmental <strong>or</strong>ganizations—focused on f<strong>or</strong>tifying<strong>salt</strong> to fight iodine deficiency—had been trying in recentyears to convince the <strong>Haiti</strong>an producers to f<strong>or</strong>m cooperativesand adopt the “modern” <strong>salt</strong> production methods. Under thisapproach, 20 <strong>or</strong> so producers would contribute their individualponds to create a series <strong>of</strong> interconnected shallow basins.These systems allow the sea water to gradually circulate seawater, pond after pond, over a period <strong>of</strong> years, to crystallizethe <strong>salt</strong> and eliminate impurities.Cargill’s Jim Reimercame up with a screenthat helps eliminate thefinest crystals. <strong>Haiti</strong>’sconsumers like their <strong>salt</strong>to have large crystals.While <strong>Notre</strong> <strong>Dame</strong> cansell medicated <strong>salt</strong>,the medication willhave no effect unlessthe product is widelyaccepted by consumers.
Eff<strong>or</strong>ts to get <strong>Haiti</strong>an producers to adopt a modern systemhave gone slowly—partly because <strong>of</strong> the cost <strong>of</strong> equipment likepumps, and partly because <strong>of</strong> tradition. “My the<strong>or</strong>y,” Reimersaid, “is that the producers think ‘I’m just going to do what I’vealways been doing.’”Reimer’s planUntil he received treatment, Ge<strong>or</strong>ge had never heard <strong>of</strong> LF.He said when he first became ill, he believed it was a voodoocurse. Most <strong>Haiti</strong>ans are Catholic, but many also practice voodoo,a blend <strong>of</strong> African spirit religion and Catholicism. Ge<strong>or</strong>gewasn’t sure what he’d done—upset someone playing soccer,cut <strong>of</strong>f a driver in traffic—but he soon learned he received theinfection from a mosquito as a child.Ge<strong>or</strong>ge is able to w<strong>or</strong>k as a welder at a shop around thec<strong>or</strong>ner from his house. His eyes light up when he talks aboutwelding, but he otherwise looks f<strong>or</strong>l<strong>or</strong>n. His life is what it is,and he probably won’t marry <strong>or</strong> have a family <strong>of</strong> his own. Eff<strong>or</strong>tsto medicate <strong>salt</strong> aren’t <strong>of</strong> much interest to Ge<strong>or</strong>ge—notthat he doesn’t want others to be helped. But he knows he’sbeyond help.While standard thinking f<strong>or</strong> medicating <strong>salt</strong> involves construction<strong>of</strong> modern <strong>salt</strong> ponds, Reimer has a different idea.“It will take a long time to get modern <strong>salt</strong> productiondone,” he said. “That would be a whole new generation <strong>of</strong> kidswho get lymphatic filariasis. People like Ge<strong>or</strong>ge.”Near-term, the <strong>Haiti</strong> program will make use <strong>of</strong> a buildingin P<strong>or</strong>t-au-Prince as a <strong>salt</strong> packing plant. A 15-year-old piece <strong>of</strong>equipment mixes the DEC and potassium iodate with Bonaire<strong>salt</strong>. The <strong>salt</strong> is then hand-packed into consumer-size bagswith the Bon Sel Dayiti brand.Under Reimer’s plan, a <strong>salt</strong> processing facility is being builton the site <strong>of</strong> a f<strong>or</strong>mer sugar refinery. It is close to the capitalcity’s p<strong>or</strong>t, where locally produced <strong>salt</strong> from the n<strong>or</strong>th couldcome in by boat. Instead <strong>of</strong> w<strong>or</strong>king with modern <strong>salt</strong>, theplant would clean, screen and package the local <strong>salt</strong>.Because the <strong>salt</strong> is locally produced, it supp<strong>or</strong>ts <strong>Haiti</strong>anfamilies. Because it looks m<strong>or</strong>e like the <strong>salt</strong> <strong>Haiti</strong>ans n<strong>or</strong>mallyuse, it might gain m<strong>or</strong>e acceptance than “rich man’s <strong>salt</strong>.”Once the processing plant is in operation, Bonaire <strong>salt</strong>wouldn’t be totally cut <strong>of</strong>f. About every third year, <strong>Haiti</strong> is hitby a maj<strong>or</strong> st<strong>or</strong>m, such as a hurricane, which wipes out localproduction until the ponds can be rebuilt.“We will basically have a belt and suspender approach,”Reimer said. “We’ll be able to use imp<strong>or</strong>ted <strong>salt</strong> in years whenlocal <strong>salt</strong> production is wiped out.”Reimer brought screening equipment from the United Statesto show the packaging plant staff how they could separate thecoarser crystals <strong>Haiti</strong>ans prefer. “If I was a <strong>Haiti</strong>an consumer,I would buy this and I wouldn’t feel I had to wash it,” he said.The fine <strong>salt</strong> that would otherwise be a by-product <strong>of</strong> thescreening could be diverted to other users, such as makers <strong>of</strong>bread, cheese and butter. Now, Reimer is trying to identifypotential customers f<strong>or</strong> the <strong>salt</strong> and the best ways to marketit. The plan is multiple products, including coarse <strong>salt</strong> in smallbags f<strong>or</strong> retail sales, fine-grain <strong>salt</strong> in large bags f<strong>or</strong> foodservicecustomers and even coarse-grain <strong>salt</strong> f<strong>or</strong> industrial userslike ice makers and hide tanners.The packaging plant hasn’t been without problems. Whenthe <strong>salt</strong> was getting mixed with the two medications, it wasturning yellow. <strong>Haiti</strong>ans simply weren’t going to accept yellow<strong>salt</strong>. “That was a nightmare,” Father Tom said.The problem was turned over to Scott Koefod, a seni<strong>or</strong> researchscientist in Minneapolis. He observed that the DECmedication is acidic, which caused a chemical reaction thatturned the <strong>salt</strong> yellow. Koefod’s solution was to raise the pH(reduce the acidity) by adding a base, like sodium hydroxide.“It’s about as routine as chemistry can get,” he said modestlyin his way <strong>of</strong> making the complex sound simple.The new <strong>salt</strong> production plant could be in operation by2014. Reimer also is looking long-term at the possibility <strong>of</strong>building a modern <strong>salt</strong> production system in the n<strong>or</strong>th, whichcould serve as a model f<strong>or</strong> traditional farmers to consider.To help with that long-term project, Jim brought in KeithLong, who retired several years ago from Cargill Salt. “Keithis one <strong>of</strong> the f<strong>or</strong>emost people in the w<strong>or</strong>ld who know solar <strong>salt</strong>production,” Reimer said. “There are no Keith Longs in <strong>Haiti</strong>.”Now a consultant to Cargill, assisting with solar <strong>salt</strong> operations,Long had w<strong>or</strong>ked with Reimer on a number <strong>of</strong> CargillSalt projects around the w<strong>or</strong>ld. “Here’s an opp<strong>or</strong>tunity to impacthundreds <strong>of</strong> thousands if not millions <strong>of</strong> people,” Longsaid <strong>of</strong> the <strong>Haiti</strong> program. “Who wouldn’t jump at that?”Au revoir, Ge<strong>or</strong>geGe<strong>or</strong>ge walked his visit<strong>or</strong>s back to their van, which was parkedby the metal shop where he w<strong>or</strong>ks. He hadn’t wanted to talk infront <strong>of</strong> the shop when they first arrived. “The neighb<strong>or</strong>s willtalk,” he said. “You know how it is.”Hands are shaken and the visit<strong>or</strong>s board the van with abetter idea about why the eff<strong>or</strong>t is w<strong>or</strong>thwhile. Although theyellow <strong>salt</strong> problem has been solved, there probably will beother challenges ahead.But Reimer doesn’t look at the project like a ledger book<strong>of</strong> credits and debits—a pure business analysis like he did inhis Cargill days. “Our mission isn’t to build a <strong>salt</strong> industry,” hesaid as the van begins to move. “It’s to eliminate disease asfast as we can.”It’s a mission he hadn’t f<strong>or</strong>eseen when he was thinking aboutretirement. But he cites a Bible verse from Ephesians 2:10,which says God goes ahead <strong>of</strong> us and establishes in advance apath <strong>of</strong> good w<strong>or</strong>k f<strong>or</strong> us to do and then we walk in that path.“This feels like my path,” he said. “Do<strong>or</strong>s started openingand things happened that would otherwise be unexplainable.”To be sure, Reimer and the <strong>Notre</strong> <strong>Dame</strong> team may not bebuilding a commercial <strong>salt</strong> industry in <strong>Haiti</strong>, but that hasn’tkept him from coming up with a slogan f<strong>or</strong> the Bon Sel brand:“Pure <strong>salt</strong> that brings healing,” he said with a smile. “That’smy credo.”20 Cargill News May-June 2013