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04056
February 2, 2004

Facing danger daily, relief agencies seek to help rebuild Iraq

Medical crisis looms, aid workers warn

by Chris Herlinger
Ecumenical News International

 
             
 

BAGHDAD — Security risks — bombings and car-hijackings, explosions and kidnappings — have become the norm in this tense, uneasy city and are all but overwhelming the work of humanitarian personnel in Iraq.

Veterans of numerous relief operations — many of them with experience in Africa, the Balkans or elsewhere in the Middle East — say they are working in the worst environment they have ever experienced.

“At least in Sarajevo you could see the risk and assess the threat,” said Alexander Christof, head of mission in Iraq for Architects for People in Need (APN), a Munich-based agency receiving funding from U.S. churches for its work in some of the poorest areas of Baghdad.

Aid workers such as Christof, 45, now find themselves working in an environment a former generation of relief personnel would never have imagined — a world in which humanitarian agencies find themselves fortified like military sites, protected by armed guards and walls of sandbags.

Still, it is almost possible to become inured to Baghdad’s tensions.

“There are permanent pressures here I’m often not even aware of until I return to Munich and realize I don’t have to worry about walking down a sidewalk,” Christof noted.

Since the bombing of the United Nations office in Baghdad in August 2003 — an event which precipitated a UN withdrawal from the city, as well as staff reductions of a number of prominent aid agencies — direct, targeted attacks and threats against humanitarian agencies have become less common.

Nonetheless, relief organizations have experienced everything from grenade attacks to burglaries and robberies.

What is often most draining to many relief workers, however, is the risk involved in undertaking even routine and simple tasks.

A short 10-minute drive through Baghdad involves danger, especially if a vehicle gets stuck in traffic alongside a U.S. military convoy, a frequent target of attacks by insurgents.

“We don’t fear we’ll be attacked so much as being in the wrong place at the wrong time,” Christof said.

One reason Christof and other relief workers feel committed to continuing their work is that Iraq’s humanitarian situation remains grave.

With its muddy streets, lack of sewage facilities and no running water, Hai Tarek, a predominately Shi’ite neighborhood of Baghdad, attests to Iraq’s run-down and deteriorated state.

Dozens of women in their black chadors waited in long lines to see a doctor or refill medical prescriptions in the only available clinic in Hai Tarek. Nearby, children armed with jerry cans noisily and boisterously greeted the daily delivery, by truck, of the neighborhood’s only water supply, which is coordinated by Christof’s agency.

The damaging effects of war, long-standing neglect and a decade of international sanctions are largely responsible for the problems in areas like Hai Tarek, say many Iraqi medical personnel, who cite a long list of medical problems in the country.

Certain diseases, such as tuberculosis, are re-emerging. Iraq is also hampered by a lack of specialized medical facilities.

Post-war chaos and distribution problems are causing a shortage of usable medicines, resulting in what Mazen Mohsen, an Iraqi physician, called a “vicious circle” in which Iraqis requiring medical attention are not yet able to access the medicines that they need.

The combined effect of all of these problems, compounded by poor security, points to an inescapable and bleak conclusion, Mohsen told ENI: “We will face a serious medical crisis in the near future.”

 
             
             

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