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Local and international health workers in Libya face a complex array of threats to their physical, financial, and emotional security. Earlier this month, Kerala Chief Minister Oomen Chandy and Federal Foreign Minister Sushma Swaraj organized evacuations for thousands of Indian nurses who worked at Libyan hospitals in Tripoli and Benghazi.

Just because time advances, it doesn’t mean conditions get better. It wasn’t all that long ago that polio had largely been eradicated from the world. But polio is back—in Nigeria, in Syria and, more significantly, in Pakistan. The story is complex, woven with political issues that seem to be unrelated to the reemergence of this horrible disease.

In an interview with the CBC this week, a World Health Organization official delicately blamed “the suspension of the vaccine in one area,” as if Pakistani health officials had committed some sort of careless lapse. This sort of airbrushing ignores the real cause, which is the systematic war the Taliban is waging against female health workers. Since July, 2012, at least 31 polio vaccination workers have been killed and many others have quit in fear of their and their families’ lives.

I would like to reflect that Afghanistan is facing an armed conflict, and that the security situation has been gradually degrading over the past few years. In 2013 NGOs were impacted by 228 violent incidents, the highest number since 2011 and the worst year on record. During the four first months of 2014, 43 security incidents impacted NGOs in Afghanistan.

Flashback to February 2011. Arab Spring. In Sana’a, Yemen, protesters peacefully assemble in a makeshift tent city, calling for an end to 33 years of the president’s autocratic rule. They are male and female, young and old, urban and rural. Their numbers grow to tens of thousands. On March 18 of that year, the protesters proclaim the day to be Friday of Dignity (Karama in Arabic). Tensions are high. Over the past few days, armed men said to be loyal to the president have built walls to contain the protesters in what had been dubbed “Change Square.” On the Friday of Dignity, as the protesters finish a prayer, masked gunmen set fire to the main wall and begin shooting into the trapped crowd.