Dr Paul Farmer, healthcare advocate for some of world’s poorest, dies aged 62

Dr Paul Farmer, a physician, humanitarian and author renowned for providing healthcare to millions of impoverished people worldwide and who co-founded the global non-profit 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 died 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.

"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 healthcare". 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.

The 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, said 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 multidrug-resistant 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 to people in poor nations, 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 non-profit prison healthcare 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 healthcare."

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 and 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 pime minister, Ariel Henry, praised Farmer's work, as did former US president Bill Clinton.

"Paul Farmer changed the way healthcare 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.

At the beginning of the Covid-19 pandemic, with thousands of cases reported daily in Massachusetts, local health departments were overwhelmed by the task of contact tracing to help slow the spread of the disease.

The state launched a contact tracing collaborative in April 2020 and asked Partners in Health to lead it. It made more than 2.7m calls to residents at a total cost of about $158m, according to the state.

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