MSF Urges Protection Of Civilians And Medical Staff Amid Israeli Bombardment In Lebanon

Médecins Sans Frontières/Doctors Without Borders (MSF) teams are working tirelessly to ensure the continuation of care in our existing facilities, while also scaling up our activities to address the needs emerging from the ongoing conflict. However, due to the intense Israeli airstrikes, we were forced to suspend some activities in highly affected areas. We continue to adapt our activities to provide people with much needed healthcare.

MSF urges all warring parties to spare civilians, medical facilities, and medical personnel in Lebanon to ensure that vital healthcare services can adequately address people’s urgent medical needs.

“Given the intensity of the violence, road damage, and the lack of guaranteed safety, we are currently unable to reach all affected areas in Lebanon despite the increasing medical and humanitarian needs,” says François Zamparini, emergency coordinator for MSF in Lebanon.

Last week, MSF was forced to completely close its clinic in the Palestinian camp of Burj el Barajneh in the southern suburbs of Beirut. We also had to temporarily stop our activities in Baalbek-Hermel, northeast Lebanon. These are both areas heavily affected by the strikes.

“We partially reopened our clinic in Hermel this week to ensure that patients receive their medications, providing them with a two-to-three-month stock of essential drugs, depending on the severity of their condition and medical risks,” adds Zamparini.

Patients in these areas are already vulnerable, struggling to access the healthcare they desperately need. The closure of medical facilities has left them, specifically people living with chronic diseases, without the essential services they need.

MSF medical teams also remain unable to operate properly in southern Lebanon due to a lack of safety guarantees for our medical personnel.

“One of the hospitals we planned to support and had donated medications and trauma kits to, in Nabatiyeh, only a few kilometres away from the active frontlines, was hit on 5 October,” explains Zamparini.

An MSF mobile medical team, which had been actively supporting general healthcare centres in Nabatiyeh and other areas closer to the Lebanese border since November 2023, has been forced to stop its activities. The team, which was once able to reach areas near the border, can no longer do so and is currently limited to operating only as far as Saida, which is about 50 kilometres north of the southern border, where needs are highest.

In the last two weeks, Israeli strikes have claimed the lives of at least fifty paramedics. This brings the total number of healthcare workers killed since October last year to over a hundred, as reported by the Lebanese Ministry of Public Health[1]. The heavy Israeli bombardments have also severely disrupted access to medical care across Lebanon. As of 1 October 2024, six hospitals and 40 general healthcare centres have closed their doors as the intensity of the fighting made it impossible to work without safety guarantees, according to OCHA. [2]

The armed conflict is worsening an ongoing humanitarian crisis, aggravating existing needs. Lebanon’s healthcare system was already overburdened by the country’s economic crisis, which has caused the emigration of many medical staff and strained the capacity and resources of medical facilities. Local health centres, already at capacity, are now facing increasing pressure as they try to meet the growing medical needs of displaced people.

The scale of displacement in Lebanon significantly surpasses the country’s ability to provide adequate shelter, with over a million people displaced according to UNHCR[3]. The majority of shelters people are seeking safety in are in dire conditions. To respond, MSF deployed 12 mobile medical teams across various regions of the country, including Beirut, Mount Lebanon, Saida, Tripoli, Bekaa, and Akkar. These teams are providing psychological first aid, general medical consultations, and mental health support, in addition to donating mattresses, hygiene kits, hot meals, and clean water. Nevertheless, people’s needs are far greater than what we are able to cover.

“We must ensure the continuation of care for those in need,” emphasises Zamparini. “We urge all parties to respect international humanitarian law. Civilians and civilian infrastructure, medical facilities and medical personnel must not be targeted. Their safety must be guaranteed.”

MSF response to the humanitarian crisis in Lebanon: In response to the ongoing escalation of conflict and intense Israeli bombing in Lebanon, MSF has deployed 12 mobile medical teams across various regions of the country, including Beirut, Mount Lebanon, Saida, Tripoli, Bekaa, and Akkar. These teams are providing psychological first aid, general medical consultations, medication, and mental health support. MSF is also distributing essential items such as blankets, mattresses, and hygiene kits, as well as supplying water by trucks to schools and shelters where displaced people have gathered. Additionally, we are offering hot meals and drinking water to hundreds of displaced families. MSF has also donated fuel and trauma kits to several hospitals, prepositioned 10 tons of medical supplies and trained over 100 healthcare workers in trauma care and mass casualty management across the country.

MSF first began to work in Lebanon in 1976, and its teams have worked in the country without interruption since 2008. In 2023, MSF teams worked in six locations across Lebanon, providing 13,609 free medical consultations for vulnerable communities, including Lebanese citizens, refugees, and migrant workers. MSF’s services include mental healthcare, sexual and reproductive healthcare, paediatric care, vaccinations, and treatment for non-communicable diseases such as diabetes. In the past years and as a result of the country’s ongoing economic collapse, people’s humanitarian needs have drastically increased, and we have adapted our projects accordingly. Moreover, we have responded to various types of medical emergencies, and in 2023 we increased our support to respond to the needs resulting from the armed clashes.

[1] Health workers in Lebanon describe deadly Israeli attacks on colleagues and fear more | AP News

[2] https://www.unocha.org/news/todays-top-news-lebanon-occupied-palestinian-territory-and-israel-syria-haiti-ukraine-eastern

[3] UNHCR’s Grandi appeals for urgent humanitarian support and an end to the bloodshed in Lebanon | UNHCR

MSF Australia was established in 1995 and is one of 24 international MSF sections committed to delivering medical humanitarian assistance to people in crisis. In 2022, more than 120 project staff from Australia and New Zealand worked with MSF on assignment overseas. MSF delivers medical care based on need alone and operates independently of government, religion or economic influence and irrespective of race, religion or gender. For more information visit msf.org.au

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