Conflict

Every few months Zaher Sahloul, a Syrian-American who lives near Chicago, asks to meet with me. I welcome him knowing that the meeting will be heartbreaking. Sahloul brings in Chicago-area doctors who have risked their lives crossing the Syrian border to provide medical care to the victims of this four-year conflict. Sahloul, his brave colleagues and so many others in Syria try to bring some humanity and medical care to these devastated areas. But they are struggling against the odds.

Providing or seeking health care in a conflict zone is a perilous undertaking. Every year health workers are kidnapped, threatened, tortured, and killed. Hospitals and clinics are targeted and bombed. Patients are shot. In Syria alone, 187 health facilities have been attacked since March 2011, and 615 health workers were killed—141 of them by torture and execution. One doctor has made health care in conflict the center of his work.

An increasingly alarming roadblock to eradicating polio is the rise in attacks on health care workers employed as vaccinators. In 2013-2014, 89 polio workers and their police escorts were killed in Pakistan and Nigeria. What’s most striking about this figure is that it exceeds the estimated number of actual deaths from polio; the Global Polio Eradication Initiative (GPEI) estimated that between 15 and 30 people died from the disease in 2014.

This week I took an online course offered by the International Committee of the Red Cross (ICRC) about health care responsibilities in times of conflict. I highly recommend it to anyone who wants to consider the ethics of being a health worker in a war situation in today’s disturbing reality of what war is. There is one especially harrowing and dramatic video clip in the course: it shows the 2009 graduation ceremony of a group of Somali doctors—the first to graduate in many years. And as we look at the young doctors, proud in their robes, there is an explosion that cuts off the speaker and the picture—and then the scene is one of bodies everywhere.

More medical supplies and trained health personnel are urgently needed in Yemen as the violence there escalates, but bringing in this essential support is currently impossible, Médecins Sans Frontières (MSF) said. “MSF is currently unable to deploy additional emergency medical staff to Yemen, where they are badly needed,” said Dr Greg Elder, MSF Director of Operations. “We urgently need to find ways to get humanitarian relief and personnel inside the country.”