An
injured man waits to be operated on in a
Benghazi hospital. He was shot
by pro-Gaddafi forces while fighting on the frontline at the beginning
of March
BENGHAZI, 13 April 2011 (
IRIN) - Al Hawari hospital
may be the most modern medical centre in the eastern
Libyan city of
Benghazi, but the large number of war wounded it has received in the
last two months has stretched its limited resources.
"When the fighting began, most of the injured - both civilians and
soldiers - were transferred here," said the hospital's senior medical
officer Fabri El Jroshi. "We were missing a lot of important equipment
to treat them, and we still are. We need material for fractures and
fixtures and we badly need more nursing staff.
"Sometimes patients will find a doctor here, but no equipment for fixing a broken bone."
The 500-bed hospital has received 800-1,000 patients with
war-related problems, El Jroshi told IRIN. "Providing physical therapy
is also difficult. Again, we just don't have the equipment. Even before
the conflict we had problems treating certain groups of patients,
especially in the orthopaedic field."
Médecins Sans Frontières (MSF) emergency coordinator for Libya Simon
Burroughs said: "All the doctors and medical staff that we've met in
Benghazi, Brega and
Ajdabya are incredibly skilled and dedicated.
Although doctors are coping, many foreign nurses working in eastern
Libya have now fled, leaving gaps in many health facilities. Medical
students are doing their best to fill some of the gaps."
At one point, MSF left Benghazi after the security situation
deteriorated. It is now back and has so far provided more than 30 tons
of medical supplies to different hospitals, including surgical kits and
equipment required for the treatment of gunshot wounds.
“On a more global level, we are struggling to get a clear picture of
the needs as the security situation does not allow us to undertake even
some basic assessments," Burroughs added. "When we tried to reach the
town of
Ras Lanuf - 300km west of Benghazi - we had to turn back twice
because of fighting and insecurity.”
Transferred to Qatar
The most severely war-wounded patients have been transferred from
Benghazi's hospitals to medical facilities in Qatar. Benghazi doctors
are also having to deal with cases which were rare previously, like rape
and paralysis.
Twenty-six-year-old Abdusalam* was admitted to the hospital last
week, after being hit by a
NATO strike that unintentionally targeted a
group of rebel fighters heading for the frontline near Ajdabiya. He
fractured his thigh and sustained bullet wounds to the lower chest. His
mother and sister were not aware he was a rebel fighter, he said.
"My mother is sick and I didn't want to worry her. My father and
brothers are proud of me though… We saw NATO planes flying above us and
then suddenly, for no reason, they started to strike us… Before the
revolution began, I was sitting behind a desk. I was an employee in an
office. Once my body heals, I hope to go back to the frontline," he told
IRIN.

Photo: Kate Thomas/IRIN  |
| The mood in Benghazi remains defiant, despite little progress by the rebel fighters |
"I would like to go to the frontline too, but I have a job. And treating the injured is just as important," El Jroshi said.
Shortage of nurses
Nursing resources are stretched. According to the
International
Organization for Migration, several hundred Filipino nurses have left
eastern Libya since the unrest began.
Jeanette Calo is one of those who decided to stay. A Filipino nurse
who left Manila for Benghazi a year ago, she said there was a shortage
of nurses. Seventy of her colleagues at the Al Hawiya hospital have
returned to the Philippines.
"I decided to stay because it is my job to be here to care for the
patients, especially the rebel fighters injured on the frontline. I had
no experience treating gunshot wounds previously, so I had to learn
quickly."
For two weeks, at the worst point, the nurses slept at the hospital.
"We worked 24-hour shifts, waiting for the injured to arrive," she told
IRIN. "Things are better now but we are still lacking some equipment,
and we have to work extra hard to make up for the loss of so many
nurses."
Calo added that some of her Filipino colleagues were visiting
Tripoli when the unrest began. Unable to return home to Benghazi, they
were instead recruited by a Tripoli hospital that paid higher wages, she
said.
One stethoscope
At the El Jalaa hospital on the other side of Benghazi, the
situation is worse. Dr Nishal El Fayah said that although stocks of
medicine are sufficient, there was a severe shortage of some medical
supplies.
On
one of the wards, which has 38 beds, there is only one stethoscope and
one blood pressure monitor…Recently we received a patient who had
hepatitis. In order to ensure that the equipment was not contaminated,
we decided not to monitor his vital signs. |
"On one of the wards, which has 38 beds, there is only one
stethoscope and one blood pressure monitor," he said. "Recently we
received a patient who had hepatitis. In order to ensure that the
equipment was not contaminated, we decided not to monitor his vital
signs."
Medical students, many of whom have been working unpaid at the
hospital since the conflict began, have not been able to buy uniforms or
appropriate footwear. "The shops are closed, so they have to go around
in their old shoes," he said.
Occupying one bed was Younis Abdousalam Edbeshi who was shot by
pro-Gaddafi forces while fighting at the beginning of March.
Another patient, Ed Beshi, who fractured his left thigh, was being
treated for gunshot wounds, but could not be operated on due to a
shortage of medical supplies.
"I was told to go home and return in a few weeks… The hospital
didn't have the supplies to help me. I was hoping to be back on the
frontline supporting the other rebels, but I'm still here, waiting for
an operation… It is frustrating, but the hospitals here were just not
ready for war casualties."
Misrata
Although Benghazi's hospitals lack supplies, aid workers say needs
are greater in the city of Misrata, where doctors at the polyclinic
there have recorded 257 deaths since 19 February, mostly civilians
killed by snipers or gunfire. The polyclinic said 949 people had been
treated for wounds.
According to Human Rights Watch, Misrata's main hospital had been
under construction for the last two years, meaning that the seriously
injured have been treated at the polyclinic instead.
"All over Libya, hospitals close for construction, often for several
years," Fouad El Mabrouk, a doctor at Benghazi's El Jawaa hospital,
said. "Under the Gaddafi regime, construction would begin and then the
funds would dry up. Libya has many hospitals that could have been
excellent centres for medical treatment, if only construction had been
completed.”
Some of those injured at Misrata are being brought by ship to Benghazi.
"We never know who or what to expect," said paramedic Mohammed Nour.
"So we have to be prepared for the worst. All we receive is a call
saying that a vessel is about to dock at the port, and we get straight
down there. Sometimes we have to deal with complicated injuries. Other
times, fortunately, cases are much less serious."
*not a real name
kt/eo/cb
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Winds of change? Only to the extent of the succession to Taib’s leadership…
Quality comment or not?