MSF Response to the War in Lebanon

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.

Stories From the Field

“Love of my life, who could have imagined what the world had in store for us?”
At 85 years old, Sekna remembers the moment she had to flee her home in Aita Al Jabal, a village in southern Lebanon.
“We are the people of Baalbek, we honour our guests, with whatever means available.”
Testimony collected on 1 November from a school sheltering displaced people in Bichwet, Baalbek-Hermel governorate, Lebanon.
“Whatever we lose, we will come back”
MSF’s mobile medical teams have been visiting several locations in the southern city, offering general healthcare, medication, and mental health support to people displaced by the violence. Here are some of the testimonies of our patient
A little safety and a lot of anxiety
The Azarieh shelter, once a bustling commercial center in the heart of Beirut, has been transformed into a refuge, we met families forced to flee the southern suburbs of Beirut as the Israeli bombardment of populated areas intensified, seeking safety.
"I hope we can return to our houses; if there are houses to go back to"
As the large-scale Israeli bombardment continues in Lebanon, nearly 1 million people have been forced from their homes in a desperate search for safety.
"My house is no longer habitable"
Due to the ongoing conflict on the Lebanese Southern border, Husn Al Sayyed's house suffered damage and now resides in an abandoned hotel repurposed for a collective shelter.
MSF mobile clinic team in South Lebanon
Learn more about MSF response in South of Lebanon and the MSF's mobile clinic teams who work to provide medical services to the displaced population.
Taking shelter in an abandoned hotel in South Lebanon
Relentless armed conflict along Lebanon’s southern border have left thousands displaced, just outside Saida, an abandoned hotel-turned-collective-shelter houses over 220 individuals is the latest site for the delivery of our healthcare services.

News

Lebanon: Surviving war with community-led care
November 6, 2024
Beyond Survival: Helping Children and Adults Cope with the Traumas of War in Lebanon
October 22, 2024
MSF urges for protection of civilians and medical staff amid Israeli bombardment in Lebanon
October 10, 2024
Israel’s bombardment causes unprecedented mass displacement
October 4, 2024
MSF is stepping up its response to the Israeli bombing in Lebanon
September 27, 2024
Thousands displaced and urgent healthcare needs
July 25, 2024
Five months into conflict, displaced people’s needs are rising
March 21, 2024
MSF provides healthcare to people displaced by military escalation along southern border
January 8, 2024
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