MSF to Asharq Al-Awsat: War Strains Lebanon’s Health Care System

Paramedics evacuate an injured person from a site hit by an Israeli airstrike in eastern Lebanon (AFP)
Paramedics evacuate an injured person from a site hit by an Israeli airstrike in eastern Lebanon (AFP)
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MSF to Asharq Al-Awsat: War Strains Lebanon’s Health Care System

Paramedics evacuate an injured person from a site hit by an Israeli airstrike in eastern Lebanon (AFP)
Paramedics evacuate an injured person from a site hit by an Israeli airstrike in eastern Lebanon (AFP)

Doctors Without Borders (MSF) has warned that Lebanon’s health care system is reaching its limits as the ongoing conflict strains resources.

Hospitals are at risk of running out of crucial wound care supplies each time they receive a rush of injured patients.

MSF’s medical coordinator in Lebanon, Dr. Luna Hammad, told Asharq Al-Awsat that crowded shelters with poor sanitation are fueling outbreaks of infectious diseases, adding further pressure on the health sector.

Lebanon’s health crisis has worsened since Israel expanded its military operations on September 23, displacing over 842,000 people, according to the International Organization for Migration.

Hospitals in southern Lebanon and parts of Beirut have evacuated patients, as thousands have been injured amid continued bombing, placing immense strain on the struggling health system.

Hammad announced that after the conflict began on Oct. 8, 2023, MSF launched a new project to support the health of displaced people.

Mobile medical teams have been visiting towns in Lebanon’s southern Tyre and Nabatieh regions to provide primary care, medications, and mental health support.

MSF has also donated 10 tons of essential medical supplies to hospitals across Lebanon for wound care.

Following the escalation of Israeli attacks in mid-September 2024, MSF expanded its efforts, deploying 14 medical teams to shelters and camps across Beirut, Mount Lebanon, Sidon, northern Lebanon, and the Bekaa.

These teams, including doctors, nurses, and mental health professionals, are addressing urgent health needs.

“Our donations have now reached 88 tons, and we’ve also supplied fuel to hospitals when needed,” Hammad told Asharq Al-Awsat.

After intensified Israeli strikes, MSF had to close clinics in Burj al-Barajneh and Baalbek-Hermel due to security risks. MSF has since partially reopened the Baalbek-Hermel clinic so patients can access essential chronic disease medications.

“Our clinics in Burj Hammoud and Arsal remain fully operational,” said Dr. Luna Hammad, while noting that the Baalbek-Hermel clinic is open on a limited basis to supply chronic medications.

Lebanon’s health system is under severe strain as conflict and mass displacement escalate, said Hammad.

“The crisis has overwhelmed the system, especially with civilians and health workers increasingly under attack,” she explained.

The World Health Organization (WHO) reports that nearly half of Lebanon’s primary health centers—about 100—are now out of service due to security concerns.

Hammad urged the protection of civilians, health workers, and facilities, including ambulances.

Lebanon’s Health Ministry reports 246 ambulances have been targeted, with 178 paramedics killed and 279 wounded in the strikes.

Moreover, Lebanon’s medical sector is under increasing pressure as the conflict persists.

“Many patients had to flee without personal items or medications,” said Hammad, adding that “people with chronic illnesses urgently need access to primary care to avoid serious complications.”

She also cautioned that overcrowded shelters with poor sanitation are at risk of infectious disease outbreaks, adding further strain to the already burdened health system.

MSF warns that war conditions like those in Lebanon can overwhelm any health care system.

Hammad stressed the need to “protect health care workers, facilities, and ambulances” to ensure the system can meet urgent needs.

She also highlighted the importance of foreign aid in supporting the medical sector.

“Every initiative to strengthen the health system is vital. Hospital staff we are assisting have reported they risk running out of supplies for wound care whenever injured patients arrive in large numbers. Our teams are dedicated to providing these essential materials,” said Hammad.

Since January, MSF has delivered 75 tons of medical supplies to Lebanon, with an additional 45 tons shipped from Cyprus by sea in October.



Iraq Preoccupied with Potential Broad Israeli Attack

Iraqi PM Mohammed Shi al-Sudani at an emergency national security council meeting. (Iraqi government)
Iraqi PM Mohammed Shi al-Sudani at an emergency national security council meeting. (Iraqi government)
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Iraq Preoccupied with Potential Broad Israeli Attack

Iraqi PM Mohammed Shi al-Sudani at an emergency national security council meeting. (Iraqi government)
Iraqi PM Mohammed Shi al-Sudani at an emergency national security council meeting. (Iraqi government)

Baghdad has been preoccupied this week with serious possibilities that Israel may expand its war on Gaza and Lebanon by striking several targets in Iraq in retaliation to attacks by Iran-backed armed factions.

Concern has been high that Israel may attack government buildings, oil fields and strategic locations, not just the positions of the armed factions that have previously launched attacks against Israel, said sources close to the pro-Iran ruling Coordination Framework.

Media sources have spoken of government speculation that Iraq could come under “300 Israeli attacks”.

The fears in Iraq have been compounded by an Israeli complaint to the United Nations Security Council against seven armed factions and holding Baghdad responsible for the attacks they have carried out against it.

This prompted the government, through the foreign ministry, to send an official letter to the Security Council, UN Secretary-General, Arab League and Organization of Islamic Cooperation in response to the Israeli threats.

The ministry said on Saturday that Iraq is “the cornerstone of stability in the region and world and it is one of the countries that are most committed to the UN Charter.”

“The Zionist entity’s letter to the Security Council is part of a systematic policy aimed at creating claims and excuses in an attempt to expand the conflict in the region.”

It said Iraq has turned to the Security Council out of Iraq’s keenness on the international body carrying out its duty in maintaining international peace and security and the need to rein in the “Zionist aggression in Gaza and Lebanon.”

Moreover, it stressed that Iraq has been keen on exercising restraint when it comes to the use of its airspace to attack a neighboring country.

Israel has used Iraqi airspace to launch attacks against Iran in October.

Iraq underscored the importance of the international community stepping in to “stop this hostile behavior that is a flagrant violation of international law.”

It called for international efforts to stop the Israeli escalation in the region and ensure that international laws and treaties are respected to consolidate security and stability.

Meanwhile, a source close to the Coordination Framework said the main Shiite parties are taking the Israeli threats “very seriously”, urging Prime Minister Mohammed Shia al-Sudani's government to take “all the necessary measures to avert a potential Israeli strike.”

All leaders of armed factions, as well as Shiite leaders, have taken up alternative locations and are moving under great secrecy, confirming that they have changed the majority of their military positions, said the source.

It also dismissed claims that Israeli jets have overflown Iraq, saying nothing has been confirmed, but not ruling out the possibility, especially since US forces have control over Iraqi skies and Iraq is helpless against stopping these violations.

Iraq had submitted a formal complaint to the UN and Security Council over Israel’s use and violation of its airspace to attack Iran.

Analyst and former diplomat Ghazi Faisal said the pro-Iran armed factions have been gathering their forces in the Sinjar province, which is strategic for Iran’s arms deliveries and logistic support to Syria where attacks can be carried out against American forces and the Israeli-occupied Golan Heights.

Sinjar is one of the most important strategic bases for the Iranian Revolutionary Guards Corps, he added.

Furthermore, he noted that the armed factions insist on continuing the war against Israel, rejecting government calls for calm and neutrality.

The government’s statements are aimed at delivering a message that it “is not directly responsible for the strategy of these factions,” which follow Iran’s policies.

Iraq has repeatedly said that it refuses for its territory to be used to attack another country, but some observers believe that it may allow Iran to do so should Israel strike.