The abuse case against Perlitz is one of the most egregious ever and law enforcement officials used it to underscore U.S. efforts to track down and prosecute U.S. citizens who exploit children on foreign soil. Perlitz was founder and director of Project Pierre Toussaint in Haiti’s north coast city of Cap-Haitien and used the orphanage, closely associated with the Catholic Church and the university, to extort years of sexual favors from some of the poorest children in the hemisphere’s poorest country.