MSF Response to the War in Lebanon
Unprecedented Mass Displacement and Urgent Humanitarian Needs
Last Update: 18 November 2024
After a year of daily cross-border exchanges between Israel and Hezbollah, the situation in Lebanon escalated drastically in mid-September 2024. Israeli attacks on Lebanon intensified, severely impacting communities across southern Lebanon, the Bekaa region, and Beirut’s southern suburbs.
The war further escalated in early October 2024 with ground offensives in southern Lebanon, accompanied by a spread of airstrikes reaching central Beirut, Mount Lebanon and areas further north.
According to the Lebanese health authorities, over 3,000 lives have been lost, and more than 14,000 people have been injured since October 2023. Lebanon is also experiencing an unprecedented wave of displacement, with the International Organization for Migration (IOM) reporting that approximately 879,000 people have been displaced.
Healthcare workers are among those critically affected, with ongoing violence resulting in dozens of injuries and casualties, alongside numerous attacks on medical facilities. These relentless Israeli assaults are severely impeding access to healthcare in Lebanon.
What is the impact of the war?
Humanitarian Impact
The humanitarian impact of the war in Lebanon is devastating. The scale of displacement has far exceeded the country’s capacity to provide shelter and basic necessities. Thousands have fled their homes with nothing, and many have lost their livelihoods, creating an urgent need for supplies such as mattresses, blankets, hygiene kits, medical care, and mental health support.
The shortage of available shelters has intensified discrimination and exclusion, particularly affecting minority groups such as Palestinian and Syrian refugees and migrant workers. Adding to the crisis, sweeping evacuation orders issued by Israeli forces are forcing people to flee, further destabilizing lives and compounding the crisis.
Mass evacuations, such as those observed in Baalbek, often fail to meet the standard of an effective evacuation order, which requires warnings to be concrete, actionable, and allow civilians adequate time to move to safer areas.
Amid the ongoing violence and uncertainty, any sense of normalcy has been shattered. Families already struggling with survival face immense psychological burdens, living in constant fear and insecurity.
Challenges to Access Healthcare
The current situation in Lebanon is compounding an ongoing humanitarian crisis, further intensifying pre-existing needs across the country. Long strained by economic hardship, the healthcare system is now under immense pressure as facilities grapple with surging demands to meet the medical needs of displaced populations.
The intensifying Israeli airstrikes and so-called evacuation orders are further disrupting healthcare access. Since mid-September 2024, the Surveillance System for Attacks on Healthcare (SSA) has reported 44 incidents targeting healthcare facilities, resulting in 63 injuries and 91 deaths. These relentless assaults have significantly weakened the capacity of the healthcare system to provide care and limited people’s access to essential medical services.
The displacement crisis has led to cases of communicable diseases, such as scabies, with one confirmed case of cholera reported on October 16. Overcrowded shelters and inadequate water and sanitation conditions further increase the risk of infectious diseases, including diarrhea and skin infections, underscoring the need for comprehensive health and hygiene support.
Displacement has also disrupted access to essential medications for people with non-communicable diseases. Many individuals now face challenges in managing chronic conditions such as epilepsy, hypertension, diabetes, asthma, and pulmonary disease.
In response, MSF is collaborating and coordinating closely with the Ministry of Public Health and all other health actors to ensure medical and humanitarian supplies, and medical staff are available and well-placed. Simultaneously, our teams are constantly assessing and monitoring health related developments and needs.
MSF Emergency Response
Mobile Clinics
MSF has deployed around 22 mobile medical units across Lebanon, including Beirut, Mount Lebanon, the South (Saida), the North (Tripoli), Bekaa, and Akkar, providing psychological first aid, medical consultations, medications, and mental health support.
MSF Helpline
MSF has launched a helpline that provides remote support from clinical psychologists to help people manage trauma-related symptoms such as anxiety and grief. Between September 25 and October 21, the helpline received 351 calls.
Provision of Meals, Water, and Donations
MSF teams are supporting displaced communities by delivering water to schools and shelters where displaced people have sought refuge. They are also collaborating with local initiatives to provide hot meals to hundreds of displaced families. In addition, MSF has also distributed essential supplies, including blankets and mattresses to help meet the immediate needs of those affected.
Support to Hospitals
MSF is scaling up its support to hospitals across the country to address the growing medical needs. Since November 2023 to September 2024, MSF has prepositioned 88 tons of medical supplies, including trauma kits, in hospitals and medical facilities across the country. In addition, it has donated fuel to several hospitals and trained more than 400 healthcare workers in trauma care and mass casualty management in 10 different hospitals across Lebanon.
Since November 11, 2024, MSF medical teams have been providing direct, hands-on support in Baabda hospital’s emergency room and one operating theatre. Similarly, at the Turkish hospital in southern Lebanon, MSF is supporting the operating theatre, emergency room and inpatient department.
Regular Activities
MSF continues to run and support health facilities in six locations, offering general, paediatric, reproductive, and mental healthcare, as well as treatment for non-communicable diseases and health promotion. However, some regular activities in Baalbek-Hermel and Beirut have been disrupted due to the intense Israeli airstrikes in the area.
Our Calls
Protection of Civilians and Infrastructure
We remind all parties that civilians and civilian infrastructures must always be protected. The protection of medical staff, medical facilities and patients must be guaranteed at all times.
Guaranteed Humanitarian Access
Humanitarian and medical assistance must reach those in need across the country and most affected areas. We call on parties to the conflict to ensure security and safety measures to facilitate the delivery of humanitarian aid.
Winterization Support for Displaced Populations
We call on the international humanitarian community, especially donors, to significantly scale up winterization efforts, as many displaced families in mountainous areas are facing harsh winter conditions.
Increased International Efforts
We urge international actors to intensify their efforts to reduce tensions in the region, prevent further suffering and loss of life, and avert a worsening of Lebanon’s already fragile humanitarian situation.