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Lebanon: MSF teams working to support Beirut’s health services in the aftermath of the blast

07 Aug 20 | 31 May 21
This article is more than one year old

Lebanon: MSF teams working to support Beirut’s health services in the aftermath of the blast

A severely damaged building in the historic neighbourhood of Gemmaye in Beirut. Thousands of apartments and shops in Beirut were damaged due to the explosion. Caption
A severely damaged building in the historic neighbourhood of Gemmaye in Beirut. Thousands of apartments and shops in Beirut were damaged due to the explosion.

On 4 August 2020, a powerful blast ripped through the port warehouses near central Beirut in Lebanon, after highly explosive material that was being stored there ignited. More than a hundred people were killed and nearly 5,000 thousand were injured.

Two days later the death toll is still growing as more bodies are found under the rubble. The blast generated seismic shockwaves that shook the ground, shattered windows and smashed buildings across the Lebanese capital.

It was the most powerful explosion in years in Beirut, a city already reeling from an economic crisis and a surge in COVID-19 infections.

Chaotic situation in Lebanon

“The situation in Lebanon was already critical before the explosion”, explains Emmanuel Massart, MSF’s Coordinator of Operations.

“The number of COVID-19 cases was on the rise in the past weeks and some hospitals were starting to become overwhelmed dealing with these patients.

"More people were also struggling to access healthcare because of the economic crisis. The blast transformed what was already a very difficult situation into chaos in just a few seconds.”

In the hours following the explosion, according to the Minister of Health, thousands of injured people poured into those hospitals that were still functioning. Most were quickly overwhelmed with the flow of patients and started to run low on supplies.

At MSF's out-patient department in Batil refugee camp Gandhi Pant, a nurse, escorts a patient with a possible appendicitis to a waiting ambulance. 

Batil is one of three camps in South Sudan’s Upper Nile State sheltering at least 113,000 refugees who have crossed the border from Blue Nile state to escape fighting between the Sudanese Armed Forces and the SPLM-North armed group. Refugees arrive at the camp with harrowing stories of being bombed out of their homes, or having their villages burned. The camps into which they have poured are on a vast floodplain, leaving many tents flooded and refugees vulnerable to disease. Mortality rates in Batil camp are at emergency levels, malnutrition rates are more than five times above emergency thresholds, and diarrhea and malarial cases are rising.

Help us prepare for the next emergency

Some of our colleagues went spontaneously to health facilities to see how they could lend a hand to the medics dealing with the emergency

Jonathan Whittall
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Coordinator of MSF's emergency response in Beirut

Other health structures closer to the port had been completely destroyed, and several others were so severely damaged that they had to close and transfer all patients elsewhere.

The treatment of severe and critical cases – such as head injuries and chest injuries – were prioritised by hospitals and ambulance services on the first night.

Since then, thousands of other patients have been treated for less severe injuries such as cuts caused by glass from shattered windows.

Donating medical supplies

“Some of our colleagues went spontaneously to health facilities to see how they could lend a hand to the medics dealing with the emergency”, explains Jonathan Whittall, Coordinator of MSF’s Emergency Response in Beirut.

“We also donated first aid dressing kits to the Civil Defense in the immediate aftermath”.

Damaged emergency department of Saint George Hospital University Medical Center in Beirut. The hospital was severely damaged by the explosion which led to the deaths and injuries of medical staff, patients and visitors. Caption
Damaged emergency department of Saint George Hospital University Medical Center in Beirut. The hospital was severely damaged by the explosion which led to the deaths and injuries of medical staff, patients and visitors.

Since then, MSF has been organising additional donations of medical supplies to support those tending to the high number of injured and is assessing whether it can set up a mobile team to support the existing medical and civil society services providing care.

There are an overwhelming number of people with superficial injuries who are still struggling to access treatment.

MSF teams are continuing to assess the needs of hospitals and emergencies services and are seeking further opportunities to provide support to the medical system in Lebanon in collaboration with the Ministry of Public Health and others health actors. We are also looking at the needs in communities living in neglected areas of Beirut.

Additionally, mental health is a key pillar of MSF’s intervention in Lebanon, and the team is being equipped to provide psychological support to those who need it in the city.

MSF’s Bar Elias hospital, in the Beqaa Valley, is also being prepared if needed to welcome patients in need of post-surgical care.

“We are continuing to identify additional ways we can help the people of Lebanon in the wake of this tragedy”, says Whittall.

MSF in Lebanon

Médecins Sans Frontières/Doctors Without Borders (MSF) has been working Lebanon since 1976, when we began our response to the 15-year civil war. Today, we are helping refugees, many of whom live in deplorable conditions with their most basic needs unmet.

Our teams provide these communities with free, quality medical assistance, including treatment for non-communicable diseases, sexual and reproductive healthcare, mental healthcare and maternity services.

In 2019, in a year marked by mass anti-government protests across Lebanon, we continued to provide general and specialist healthcare to host, migrant and refugee communities. The devastating explosion that struck Beirut in August 2020 has put the country under extreme strain.