Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
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Desperate Deja Vu for Foreign War Doctors in Lebanon

Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP
Norwegian doctor Mads Gilbert in Gaza in 2014 - AFP

In a south Lebanon hospital, Norwegian doctor Mads Gilbert peered out of the window after bombardment near the Israeli border, four decades after he first worked in the country.

"It's a horrible experience," he said in a video call from the southern town of Nabatiyeh.

"It's been 42 years and nothing has changed," said Gilbert, who first saw war treating patients during the 1982 Israeli invasion and siege of Beirut.

The anaesthetist and emergency medicine specialist said he had seen just a few cases since arriving on Tuesday.

"Most of the cases have been south of us and they have not been able to evacuate them because the attacks have been so vicious," AFP quoted Gilbert saying.

Israel has increased its airstrikes against in Lebanon since September 23, pounding the south of the country and later staging what it called "limited operations" across the border.

On Thursday the Israeli army warned residents to leave Nabatiyeh.

The escalation has killed more than 1,100 people and wounded at least another 3,600, and pushed upwards of a million people to flee their homes, according to government figures.

Official media have reported some Israeli strikes killing entire families, and AFP has spoken to two people who lost 17 relatives and 10 family members respectively.

- Gaza on 'repeat' -

Israel's military "can do whatever they want to healthcare, to ambulances, to churches, to mosques, to universities, as they've been doing in Gaza," said Gilbert, who has repeatedly volunteered in the Palestinian territory during past conflicts.

"And now we see the same repeat itself in Lebanon in 2024."

A hospital in the town of Bint Jbeil closer to the border on Saturday said it was hit by heavy overnight Israeli strikes, wounding nine medical and nursing staff, most seriously.

At least four hospitals said they had suspended work amid ongoing Israeli bombardment on Friday.

On Thursday, Lebanon's health minister said more than 40 paramedics and firefighters had been killed by Israeli fire in three days.

UN official Imran Riza on X on Saturday spoke of "an alarming increase in attacks against healthcare in Lebanon".

Britain said reports that Israeli strikes had hit "health facilities and support personnel" in Lebanon were "deeply disturbing".

Israel has claimed Hezbollah uses ambulances for "terrorist purposes".

- 'Kids with blast injuries' -

In the capital Beirut, British-Palestinian doctor Ghassan Abu-Sittah said he also saw parallels with the conflict in Gaza.

Abu-Sittah has tirelessly campaigned for "justice" since spending weeks in the besieged Palestinian territory treating the wounded at the start of the war.

Now in Lebanon, the plastic and reconstructive surgeon described seeing "kids, families whose houses have been targeted" with blast injuries in the past few weeks.

There were "kids with blast injuries to the face, to the torso, amputated limbs," he said outside the American University of Beirut's Medical Center.

Abu-Sittah estimated that more than a quarter of the wounded he had seen in Beirut and other parts of Lebanon were minors.

"I have a girl upstairs who is 13, who had a blast injury to the face, needed reconstruction of her jaw, will need several surgeries," he said.

"Children who are injured in war need between eight and 12 surgeries by the time they're adult age."

According to the UN children's agency UNICEF, 690 children in Lebanon have been wounded in recent weeks.

It said doctors had reported most suffered from "concussions and traumatic brain injuries from the impact of blasts, shrapnel wounds and limb injuries".

"It's just so reminiscent of what was happening in Gaza," said Abu-Sittah.

"The heartbreaking thing is that this could all have been stopped if they stopped the war in Gaza," he added.



'We Don't Want to Die Here': Sierra Leone Migrants Trapped in Lebanon

Sierra Leone is working to establish how many of its citizens are currently in Lebanon -AFP
Sierra Leone is working to establish how many of its citizens are currently in Lebanon -AFP
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'We Don't Want to Die Here': Sierra Leone Migrants Trapped in Lebanon

Sierra Leone is working to establish how many of its citizens are currently in Lebanon -AFP
Sierra Leone is working to establish how many of its citizens are currently in Lebanon -AFP

When an Israeli airstrike killed her employer and destroyed nearly everything she owned in southern Lebanon, it also crushed Fatima Samuella Tholley's hopes of returning home to Sierra Leone to escape the war.

With a change of clothes stuffed into a plastic bag, the 27-year-old housekeeper told AFP that she and her cousin made their way to the capital Beirut in an ambulance.

Bewildered and terrified, the pair were thrust into the chaos of the bombarded city -- unfamiliar to them apart from the airport where they had arrived months before.

"We don't know today if we will live or not, only God knows," Fatima told AFP via video call, breaking down in tears.
"I have nothing... no passport, no documents," she said.

The cousins have spent days sheltering in the cramped storage room of an empty apartment, which they said was offered to them by a man they had met on their journey.

With no access to TV news and unable to communicate in French or Arabic, they could only watch from their window as the city was pounded by strikes.

The Israeli war on Lebanon since mid-September has killed more than 1,000 people and forced hundreds of thousands more to flee their homes, amid Israeli bombards around the country.

The situation for the country's migrant workers is particularly precarious, as their legal status is often tied to their employer under the "kafala" sponsorship system governing foreign labor.

"When we came here, our madams received our passports, they seized everything until we finished our contract" said 29-year-old Mariatu Musa Tholley, who also works as a housekeeper.

"Now [the bombing] burned everything, even our madams... only we survived".

- 'They left me' -

Sierra Leone is working to establish how many of its citizens are currently in Lebanon, with the aim of providing emergency travel certificates to those without passports, Kai S. Brima from the foreign affairs ministry told AFP.

The poor west African country has a significant Lebanese community dating back over a century, which is heavily involved in business and trade.

Scores of migrants travel to Lebanon every year, with the aim of paying remittances to support families back home.

"We don't know anything, any information", Mariatu said.

"[Our neighbours] don't open the door for us because they know we are black", she wept.

"We don't want to die here".

Fatima and Mariatu said they had each earned $150 per month, working from 6:00 am until midnight seven days a week.

They said they were rarely allowed out of the house.

AFP contacted four other Sierra Leonean domestic workers by phone, all of whom recounted similar situations of helplessness in Beirut.

Patricia Antwin, 27, came to Lebanon as a housekeeper to support her family in December 2021.

She said she fled her first employer after suffering sexual harassment, leaving her passport behind.

When an airstrike hit the home of her second employer in a southern village, Patricia was left stranded.

"The people I work for, they left me, they left me and went away," she told AFP.

Patricia said a passing driver saw her crying in the street and offered to take her to Beirut.

Like Fatima and Mariatu, she has no money or formal documentation.

"I only came with two clothes in my plastic bag", she said.

- Sleeping on the streets -

Patricia initially slept on the floor of a friend's apartment, but moved to Beirut's waterfront after strikes in the area intensified.

She later found shelter at a Christian school in Jounieh, some 20 kilometres (12 miles) north of the capital.

"We are seeing people moving from one place to another", she said.

"I don't want to lose my life here," she added, explaining she had a child back in Sierra Leone.

Housekeeper Kadij Koroma said she had been sleeping on the streets for almost a week after fleeing to Beirut when she was separated from her employer.

"We don't have a place to sleep, we don't have food, we don't have water," she said, adding that she relied on passers by to provide bread or small change for sustenance.

Kadij said she wasn't sure if her employer was still alive, or if her friends who had also travelled from Sierra Leone to work in Lebanon had survived the bombardment.

"You don't know where to go," she said, "everywhere you go, bomb, everywhere you go, bomb".