When Hurricane Gilbert roared across Jamaica on Sept. 12, causing up to $1 billion in damage and leaving tens of thousands homeless, reverberations were felt at Rainbow Babies and Children's Hospital in Cleveland.

Kathryn Arnold, M.D., a pediatric resident who in November 1987 had worked at the hospital of the University of the West Indies in Kingston, put in a call to a friend in Jamaica. The hospital roof, she was told, had been blown off and a children's ward damaged by a falling tree. The city's water supply was contaminated and there was no electricity. Downed trees blocked many roads and communication was next to nil.

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