Beyond Borders

MSF expands its support to war-torn Libya

Heavy fighting continues in Libya, with the eastern part being under control of the insurgency and pro-Gaddafi forces holding the West. Fighting is ongoing around Misrata in Western Libya, and the situation of civilians caught up in the conflict is becoming increasingly difficult. The situation of migrant workers in Libya is another particular concern. Many leave by boats to Europe in very insecure conditions or have fled to refugee camps in Tunisia where they face further violence and insecurity.

MSF has been present in Libya since February 25th. As the conflict continues, MSF is expanding its assistance in the cities of Misrata, Benghazi, Zintan, in camps along the Libyan-Tunisian border, and on the Italian islands of Lampedusa and Sicily. Offers by MSF to set up activities in pro-Gaddafi areas have so far been declined by the government.

Difficult conditions persist in Misrata

As fighting continues around Misrata, MSF is performing war and post-conflict surgery such as skin grafts and plastic surgery in the Abbad hospital. MSF has set up two operating theatres in Kasr Ahmed hospital to respond to other surgical and medical needs of the population. Each day, MSF staff working alongside Libyan medical staff also assist around 15 deliveries in the Ras Tubah hospital.

MSF has trained a team of 20 psychologists, who are now delivering psychological care to medical staff and patients in four hospitals in the city. “Although the frontline has moved outside of the city centre, people here are still having to cope with very difficult conditions. They suffer the psychological trauma of having experienced heavy fighting on their doorstep, and are living under siege. It’s inhumane to be forced to endure such conditions.” said Renzo Fricke, MSF’s Emergency Coordinator in Misrata.

MSF forced to evacuate Zintan

In the western Libyan city of Zintan, an MSF team has been supporting the hospital, managing the influx of wounded – over 120 were admitted in the last month - following fighting in the Nafusa Mountain region. MSF has also been providing training, medical equipment and medicines to the hospital.

On 27 May, the MSF team was forced to evacuate following repeated shelling, with several rockets landing only metres away from the hospital. A reduced team of two returned to Zintan on 4 June to assess the situation and resume medical activities. The security situation remains highly precarious, with ongoing shelling over the city and surrounding areas.

Providing care in Benghazi

In the former battleground of Benghazi, MSF focuses on mental health care for women and children as well as medical staff which have been working when fighting was taking place in the city. An MSF psychologist is training Libyan psychologists to help screen patients with trauma or trauma-related syndromes, especially depression.

MSF is also providing support to the central pharmacy in the procurement of drugs, although less support is needed now as more international organisations are present in the city.

Refugees flee to Tunisia and Italy

Thousands of Libyan families have fled the Nafusa Mountain region and have made their way over the Tunisian border. From early April to the beginning of June, more than 60,000 Libyans have fled the conflict to find refuge along the Tunisia-Libya border.

In the Ras Adjir transit camps, located at the northern Tunisia-Libya border, nearly 4,000 people – mainly sub-Saharan Africans – cannot be repatriated due to the situation in their country of origin and face an uncertain future. Since early March, MSF has been running a mental health programme in the camps, as many people have either witnessed or directly experienced violence in the course of their escape from Libya.

In Shousha, the largest camp, the protracted situation has lead to increasing tensions. At the end of May, four refugees died when a fire spread through the camp. This event was followed by violent demonstrations against the poor living conditions in the camp. At least two people were killed, while many more were injured and two-thirds of the camp was burnt down. The day after the incidents, MSF distributed food, water and non food items to approximately 4,000 people, in addition to providing medical care and mental health care. While the situation in the camp has returned to normal, a climate of fear and mistrust reigns and many have reportedly crossed the border back to Libya, ready to risk their lives again in search for a future.

 Date of upload: 15th Aug 2011


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