Libya: Thousands detained or cut off from medical care in violent mass arrests

Numbers of refugees and migrants held in detention centres in the Libyan city of Tripoli have risen dramatically over the past five days.

There has been a threefold increase, according to Médecins Sans Frontières / Doctors Without Borders (MSF) teams who are providing medical care in three detention centres.

MSF is profoundly disturbed by the increase, which is the direct result of five days of random mass arrests of refugees and migrants, including women and children, carried out in the city since 1 October.

Mass arrests

In the past three days, at least 5,000 people have been rounded up across Tripoli by Libyan government security forces.

During the raids on their homes, many of those captured were reportedly subjected to severe physical violence, including sexual violence.

One young migrant was killed and at least five others sustained gunshot wounds, according to the UN.

“We are seeing security forces take extreme measures to arbitrarily detain more vulnerable people in inhumane conditions in severely overcrowded facilities,” says Ellen van der Velden, who manages MSF’s operations in Libya.

“Entire families of migrants and refugees living in Tripoli have been captured, handcuffed and transported to various detention centres. In the process, people have been hurt and even killed, families have been split up and their homes have been reduced to piles of rubble.”

Violence

As a result of insecurity caused by the ongoing raids, MSF teams have been unable to run their weekly mobile clinics across the city for vulnerable refugees and migrants needing medical care.

The raids have also limited people’s ability to move freely around the city and seek medical care, as those who have evaded arrest are fearful of going outdoors.

“Armed and masked security men raided our house where I was living with three other people,” says Abdo (not his real name).

“They tied our hands behind our backs and dragged us out of the house. We were pleading for them to give us time to collect our belongings and important papers but they wouldn’t listen.

“We were beaten in the process. Some people were beaten on their legs and suffered fractures. They hit me on the head with the butt of a gun and I suffered serious injuries. [Later] the doctor had to stitch the wound and wrap it with 10 different dressings.

“The masked men led us all into vehicles, then we found ourselves in Ghout Sha’al detention centre. I was there for four days and experienced a very difficult time, seeing helpless people being beaten with weapons.

“On the fourth day, I managed to escape. I am free now. I am free.”

In Al-Mabani detention centre, MSF teams witnessed hangars and cells so overcrowded that the men inside them were forced to stand. Outside the cells, hundreds of women and children were being held in the open air, without shade or shelter.

An MSF team spoke to men who said they had not eaten for three days, while several women said all they had received was a piece of bread and a triangle of processed cheese once a day.

The MSF team found several men in an unconscious state and requiring urgent medical attention.

Tense and dangerous

During their visit to Al-Mabani, the MSF team witnessed a group of detained people attempting to escape.

They were met with extreme violence: our team heard two rounds of heavy gunfire at very close range and witnessed the indiscriminate beating of a group of men, who were later forced into vehicles and driven to an unknown destination.

In these very tense conditions and with the time of their visits severely limited, the MSF teams treated 161 patients, including three treated for violence-related injuries. They also helped with the transfer of 21 patients in need of specialist medical care to clinics supported by MSF in Tripoli.

A safe alternative

MSF recently resumed medical activities in Shara Zawiya, Al-Mabani and Abu Salim detention centres in Tripoli after almost three months of suspension following repeated incidents of violence by guards against refugees and migrants held in the facilities.

The resumption of MSF’s work followed an agreement with the authorities managing these centres, in which MSF received assurances that certain basic conditions would be met.

After this week’s visits, it is clear that these conditions have been breached.

“Instead of increasing the number of people held in detention centres, efforts should be made to put an end to arbitrary detention and close these dangerous and uninhabitable facilities,” says Van der Velden.

“More than ever before, migrants and refugees are living in danger and are trapped in Libya with very limited options for a way out – as humanitarian flights have been unjustifiably suspended for the second time this year.”

MSF calls on the Libyan authorities to halt the mass arrests of vulnerable refugees and migrants, and to release all people unlawfully held in detention centres.

MSF also urges the authorities, with the support of relevant organisations, to identify safe and dignified alternatives to detention and allow the immediate resumption of humanitarian evacuation and resettlements flights out of Libya.