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.



Israeli Forces Surround Lebanon’s Khiam Ahead of Storming it

Smoke rises as a result of an Israeli airstrike on the village of al-Khiam in southern Lebanon, as seen from the Israeli side of the border, northern Israel, 22 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
Smoke rises as a result of an Israeli airstrike on the village of al-Khiam in southern Lebanon, as seen from the Israeli side of the border, northern Israel, 22 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
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Israeli Forces Surround Lebanon’s Khiam Ahead of Storming it

Smoke rises as a result of an Israeli airstrike on the village of al-Khiam in southern Lebanon, as seen from the Israeli side of the border, northern Israel, 22 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)
Smoke rises as a result of an Israeli airstrike on the village of al-Khiam in southern Lebanon, as seen from the Israeli side of the border, northern Israel, 22 November 2024, amid cross-border hostilities between Hezbollah and Israel. (EPA)

Israeli forces have blocked supply routes to the southern Lebanese border city of al-Khiam ahead of storming it.

They have also surrounded the strategic city with Hezbollah fighters still inside, launching artillery and air attacks against them.

Hezbollah fighters have been holding out in Khiam for 25 days. The capture of the city would be significant and allow Israeli forces easier passage into southern Lebanon.

Field sources said Israeli forces have already entered some neighborhoods of Khiam from its eastern and southern outskirts, expanding their incursion into its northern and eastern sectors to fully capture the city.

They cast doubt on claims that the city has been fully captured, saying fighting is still taking place deeper inside its streets and alleys, citing the ongoing artillery fire and drone and air raids.

Israel has already cut off Hezbollah’s supply routes by seizing control of Bourj al-Mamlouk, Tall al-Nahas and olive groves in al-Qlaa in the Marayoun region. Its forces have also fanned out to the west towards the Litani River.

The troops have set up a “line of fire” spanning at least seven kms around Khiam to deter anti-tank attacks from Hezbollah and to launch artillery, drone and aerial attacks, said the sources.

The intense pressure has forced Hezbollah to resort to suicide drone attacks against Israeli forces.

Hezbollah’s al-Manar television said Israeli forces tried to carry out a new incursion towards Khiam’s northern neighborhoods.

Lebanon’s National News Agency reported that since Friday night, Israeli forces have been using “all forms of weapons in their attempt to capture Khiam, which Israel views as a strategic gateway through which it can make rapid ground advances.”

It reported an increase in air and artillery attacks in the past two days as the forces try to storm the city.

The troops are trying to advance on Khiam by first surrounding it from all sides under air cover, it continued.

They are also booby-trapping some homes and buildings and then destroying them, similar to what they have done in other southern towns, such as Adeisseh, Yaround, Aitaroun and Mais al-Jabal.

Khiam holds symbolic significance to the Lebanese people because it was the first city liberated following Israel’s implementation of United Nations Security Council 425 on May 25, 2000, that led to its withdrawal from the South in a day that Hezbollah has since declared Liberation Day.