Attacks on Medical Education : Document

“…..The aim of this report is to explore an impact of violence on medical education, with its specific components, such as education facilities, teaching hospitals, libraries, professors, medical students and all other directly related components…..”

“….Venezuealan Case Studies:

Threats / intimidation of medical personnel of the Central Hospital of San Cristóbal during protests: During the month of April and May several threats were reported against the personnel of the Central Hospital of San Cristóbal, Táchira state, because the National Guards forbade treating the wounded during social protests, intimidating some doctors who attended these wounded youth, despite the multiple protests that took place in the hospital, this intimidation did not stop.

Tear gas pumps near the Del Valle maternal and child hospital on 04/20/2017: The use of tear gas bombs by the Bolivarian National Police and the Bolivarian National Guard in Longaray and the Intercomunal Avenue of El Valle affected the patients of El Valle Children’s Maternity Hospital. Gases seeped into hospital facilities affecting workers, mothers and newborns17.

Detention of the professor of medical school of the Universidad Central de Venezuela, MD Óscar Noya, on 04/20/2017: Oscar Noya is a doctor and professor at the Central University of Venezuela (UCV). He works continuously for the population that lives in the upper Orinoco. Through the Twitter social network it was possible to know that in the afternoon of Thursday, April 20, Dr. Oscar Noya was arrested, when participated in the protest. Moya was helping people affected by tear gas in Santa Monica, Caracas…..”

RW

Highlights

• Sustained hostilities in south-west Syria since 17 June have led to the displacement of an estimated 271,800 individuals as of 2 July. Of those, approximately 60,000 displaced to areas in close proximity to the Nasib/Jaber border crossing with Jordan, including the free zone, and some 164,000 IDPs have moved towards camps and villages in Quneitra, close to the Golan Heights area.
• Since the start of military operations, the UN has received reports of dozens deaths, including women and children. Additional reports also suggest indiscriminate attacks on health facilities, schools, civil defense centers and offices of local NGOs.
• On 1-2 July, the UN provided humanitarian assistance to displaced individuals at the Jaber/Nasib border area in Jordan. The 37-truck convoy carried sufficient water and NFI stocks to cover the needs of an estimated 35,000 people.

Highlights  Sustained hostilities in south-west Syria since 17 June have led to the displacement of an estimated 271,800 individuals as of 2 July. Of those, approximately 60,000 displaced to areas in close proximity to the Nasib/Jaber border crossing with Jordan, including the free zone, and some 164,000 IDPs have moved towards camps and villages in Quneitra, close to the Golan Heights area.  Since the start of military operations, the UN has received reports of dozens deaths, including women and children. Additional reports also suggest indiscriminate attacks on health facilities, schools, civil defense centers and offices of local NGOs.  On 1-2 July, the UN provided humanitarian assistance to displaced individuals at the Jaber/Nasib border area in Jordan. The 37-truck convoy carried sufficient water and NFI stocks to cover the needs of an estimated 35,000 people.

Situation Overview
Since the start of military operations in south-west Syria, the UN has received dozens of reports of civilian deaths, including women and children. Additional reports also suggest indiscriminate attacks on health facilities, schools, civil defense centers and NGO offices. Most health and educational facilities in southern Syria remain closed due to widespread airstrikes and hostilities on the ground.
Sustained hostilities since 17 June have led to the displacement of an estimated 271,800 individuals within non-state armed group-controlled areas in Dara’a and Quneitra governorate as of 2 July. Of those, approximately 164,000 IDPs have moved towards camps and villages in Quneitra, close to the Golan Heights area, while some 60,000 have been displaced to areas in close proximity of the border with Jordan, including the Nasib/Jaber border crossing and the Free Zone. The Governments of Jordan and Israel continue to maintain the borders closed and have announced that Syrian IDPs will not be permitted to cross into their respective countries.
The living conditions of IDPs stranded at the Jordanian border are severe, with IDPs lacking shelter and basic items and subject to dusty desert winds and high temperatures of up to 45 degrees Celsius. The displaced lack regular access to clean drinking water and healthcare, and local sources on the ground report that at least twelve children, two women, and one elderly man died in areas close to the Jordanian border due to scorpion bites, dehydration and diseases transmitted through contaminated water. Some critical medical cases, however, have been able to seek treatment at medical facilities in Ramtha and Irbid in Jordan.
Between 29 June and 1 July, in response to intense air and ground-based strikes on various areas of Dara’a governorate, the local populations of several areas located in south-eastern Syria, such as Jizeh, Mseifra, Sayda, Kahil, and Tiba, pre-emptively left their towns for areas they perceive to be safer. The coinciding displacement of humanitarian workers from the area and the high fuel prices and/or lack of fuel have impacted the ability of humanitarian organizations to relocate humanitarian supplies in eastern Dara’a to the new areas of population concentration.

Since the Government of Syria (GoS) announced the establishment of four “corridors” on 27 June, through which individuals can move towards GoS-controlled areas, some initial estimates indicate that 12,000 to 15,000 people have reportedly crossed into GoS-held areas in Dara’a governorate. Many of the IDPs are making their way towards the Jbab shelter, with approximately 2,500 people still at the shelter, whilst others have left towards areas in which they can stay with host communities and secure alternative shelter arrangements. As of 30 June, there have reportedly been 80 medevac cases from Jbab to hospitals in Damascus, and some 400 families have moved onwards to Rural Damascus. An estimated 2,000 people have also crossed into Sweida governorate.

Humanitarian Access

Humanitarian Access (on hold): Since 27 June, the UN has not been able to proceed with humanitarian cross-border convoys due to ongoing hostilities and lack of security guarantees from the parties. A convoy continues to be stationed at Ramtha ready to cross once security conditions allow  South-West Dar’a towards North-West Dar’a /Qunaitra (open)  West to East crossing inside Syria (open)  Ramtha UN convoy crossing point from Jordan remains open, with operations on hold.
Jordan | Syria: Humanitarian Situation in Dar’a, Qunaitra and Sweida, Flash Update, as of 2 July 2018

Humanitarian cross-line access (requiring access approvals): The United Nations and its humanitarian partners stand ready to respond through cross-line deliveries from inside Syria. These require access permissions from the Government of Syria.

Medical evacuations (partial): Medical evacuations of urgent cases who require treatment in Jordan require the permission of the Government of Jordan. Negotiations to secure access for emergency medical evacuations remains ongoing, with twelve cases treated at the Ramtha and Irbid hospitals.

Commercial and civilian access routes between Dar’a and Qunaitra and Sweida (suspended):
Many commercial and civilian access roads between the three southern governorates have been closed or became inaccessible. However, some crossings remain open for civilian and commercial movements.  The Sweida road is reported to be closed, preventing the replenishments of markets.  Kherbet Ghazaleh (Gharia West): closed for commercial traffic  Kherbet Ghazaleh (Dael): closed for commercial traffic  Kafar Sham (Dier Bakhat): closed for commercial traffi Preparedness and Response  On 1-2 July, an inter-agency UN emergency convoy comprising 37 trucks (mobilized jointly by UNHCR, UNICEF, UNFPA and WFP) was dispatched to the border area in Jordan. The convoy carried sufficient water and NFI stocks for 35,000 beneficiaries (10,000 at the free zone and a further 25,000 beyond). On 1 July, 869 UNICEF family hygiene kits and 580 UNFPA dignity kits and 150 UNFPA clean home delivery kits were delivered to displaced communities at the Tower 58 crossing point. UNHCR partners provided health care services to approximately 40 patients at the free zone through a medical team comprised of one medical doctor, two nurses and a pharmacist assistant. A total of twelve cases were referred to the Ramtha and Irbid hospitals.  As of 30 June, WFP, through partners on the ground, has distributed emergency food assistance sufficient for some 180,000 people, with some people receiving a second round of assistance. Deliveries include ready-to-eat rations (RTEs), regular food rations, and nutrition supplies for the prevention of malnutrition in children under two years of age. WFP, through its partners, also distributed 10,220 food rations sufficient for 51,100 people in Tal Shihab, in addition to 12,500 food rations sufficient for 62,500 people at the Nasib and Mataiyeh border area.  Core relief items, including basic shelter materials sufficient for 60,000 people, have been prepositioned. The UN stands ready to scale up response to people in need through the most direct routes wherever access allows.

For further information, please contact: Sarah Muscroft, Head of OCHA Jordan, muscroft@un.org Kristele Younes, Head of OCHA Syria, younes4@un.org

For more information, please visit www.unocha.org and www.reliefweb.int.

NY Times

• At least 15 Syrians have died in camps near the Jordanian border because of “scorpion bites, dehydration and diseases transmitted through contaminated water,” according to a report published this week by the United Nations Office for the Coordination of Humanitarian Affairs.

• Twelve of the dead were children; two women and one elderly man also died.

• More than 320,000 people in the Dara’a region have been displaced by the fighting

• Most are living in campsites near the Jordanian border and the Israeli-controlled Golan Heights without adequate shelter, food or water.

• Thousands are sleeping in the open desert.

Reuters

Arson Terrorism

Meir Amit Intelligence and Terrorism Information Center:

A new method devised by Hamas during the “return marches” to attack the communities near the Gaza Strip and disrupt their daily lives.

“……The phenomenon of “arson terrorism” using kites, which began on a small scale during the third week of the violent “return marches,” has gathered momentum during the past few weeks, led by Hamas. In addition to incendiary kites, the use of helium balloons with flammable substances attached began, and later kites and balloons with IEDs attached. For Hamas, the advantage of helium balloons is that they can penetrate deep into Israeli territory and cause more damage than kites. Arson terrorism peaked on Saturday, June 16, 2018, when dozens of incendiary kites and balloons caused 25 fires which destroyed thousands of acres of crops, agricultural fields and natural forests. …..”

NY Times

“……In attacks on Jan. 13, Jan. 22 and Feb. 1, the draft said, government forces fired chemical agents, “most probably chlorine,” into a residential part of eastern Ghouta’s Douma neighborhood, near a sports stadium, roughly 800 yards from the front lines, between 5 a.m. and 6:30 a.m.

Some witnesses described a “slow-acting agent” that smelled like chlorine, the draft said, and they had sufficient time “to rouse the victims, obtain wet cloths to serve as makeshift face masks, and evacuate the affected areas.”……..Thirty-one people, including 11 children, were sickened in the first three attacks, but none died. Two other episodes of possible chlorine use, on Feb. 25 and March 7, caused more extensive casualties, killing two children, including an infant, and injuring 18 civilians...…..”

LA Times

• Since early 2015, more than 10,000 people have been killed
• Since 2015, some 2 million have been driven from their homes because of the fighting between a Saudi-led coalition and Iranian-backed Houthi rebels.
• Some 22 million people, rely on aid
• 8.4 million of them are facing famine.
• The country has been plagued by the largest cholera epidemic in recorded history, with 1 million suspected cases
• Meanwhile, Hudaida is home to about 600,000 people and a port responsible for 70 percent of imports into Yemen
• The fighting in and around the port city could ignite a humanitarian catastrophe.

NY Times

Washington Post

“…..The dead included at least seven children under the age of 18, among them a 15-year-old girl, the ministry said. The baby was eight months old and died after inhaling tear gas at the main protest area east of Gaza City…..”