Humanitarian

As the brutal crisis in Syria enters into its fifth year, calls for the protection of civilians and improved humanitarian access continue to be ignored by all parties. In a briefing to the Security Council, delivered on behalf of Humanitarian Chief Valerie Amos, UN Deputy Humanitarian Chief Kyung-wha Kang highlighted a litany of failings by all sides and renewed the humanitarian community’s call for a political end to the conflict. Ms. Kang also spoke of attacks against medical facilities and staff. “Hospitals and schools have not been spared,” she said. According to one medical organization, there were eight attacks on medical facilities in December alone. During the same period, seven medical personnel were killed, including three who were tortured to death and one who was executed.

As 2014 comes to an end, the international development community stands on the cusp of major new progress, particularly in global health and development—but the war and disease that marked this year could hinder that progress for decades to come. From polio vaccine workers in Pakistan to doctors and nurses struggling to contain Ebola in West Africa, health workers often put their lives on the line to provide care.

“Working in a field hospital is like death,” a surgeon told us two weeks ago in Turkey, where more than two dozen Syrian doctors and other health workers had come for training. As if treating victims of the Syrian Army’s weapon of choice, the barrel bomb, wasn’t enough, they themselves were often victims of those same terrible devices.

As health workers fan out across the Ebola-stricken areas of Guinea, Liberia, and Sierra Leone, they are facing a battle on two fronts: fighting Ebola and addressing the fears, rumors, and myths of those at risk of Ebola. Sadly, those fears, rooted in a lack of understanding of a deadly disease never seen before in these countries and a long history of corruption and mistrust of government, has led to health workers being attacked and killed.

The situation for Afghans, as well as for aid workers, remains precarious, but aid workers keep implementing projects for the Afghan people. Insecurity represents a major challenge in Afghanistan for civilians and aid workers. Indiscriminate attacks, military operations affecting civilians as well as health providers, and overall instability were on the rise in the six first months of 2014.