Once again, almost all the beds in ICRC-supported hospitals are full. “The health crisis resulting from Ebola hasn’t reduced the number of conflict-related emergency cases. Our surgical teams are under constant pressure, with a steady stream of weapon-wounded patients,” explains Moussa Badji, the ICRC’s medical coordinator in the DRC.
In a sign of intensifying hostilities in the Hauts Plateaux, the hospitals in Bukavu, Uvira and Fizi, in South Kivu, have admitted 170 casualties – 56% of the 303 patients admitted to ICRC-supported facilities.
The current Ebola epidemic – the seventeenth to date – is worsening the vulnerability of people already affected by armed conflict, other violence, displacement and the limited availability of essential services.
“I just don’t know where I’m going to go when I’m released from hospital,”
explains Nzigire, who was admitted to Bukavu General Provincial Hospital in South Kivu after suffering serious injuries during clashes in her village.
“There’s still fighting going on, and everyone has had to leave my village.”
Ebola is adding to the distress and anxiety, placing yet another burden on communities whose resilience is already stretched to the limit. Pascal is a patient at Beni General Referral Hospital, North Kivu. He’s feeling powerless: “I’m already injured. Getting Ebola doesn’t bear thinking about. We’re already suffering a great deal of distress. Then there’s the hunger, displacement, lack of sleep ...”
The parties to the conflicts in the Kivus are using explosive weapons in populated areas, with grave consequences for civilians. In addition to the death and injury these weapons bring, explosive remnants of war are creating a hazard in agricultural areas and elsewhere. Over 16% of patients in ICRC-supported hospitals have been injured by an explosion.
The spread of Ebola in areas affected by fighting may further degrade access, highlighting the importance of maintaining space for humanitarian action and of protecting patients and responders from harm.
François Moreillon heads the ICRC delegation in the DRC: “The combination of armed conflict and an epidemic is potentially devastating,” he warns. “In such a critical situation, it is essential that the parties to the conflicts act responsibly, to ensure cooperation and optimum coordination on health matters, the taking of all possible measures to facilitate the work of humanitarian organizations and the rapid, unimpeded delivery of humanitarian assistance. These measures are essential to ensure that the wounded and sick receive appropriate medical care as quickly as possible.”
Caring for people who have suffered weapon wounds
Almost 1,400 people with weapon wounds received treatment at the five hospitals the ICRC is supporting in the Kivus: Beni General Referral Hospital and Goma CBCA Ndosho Hospital (North Kivu). Bukavu General Provincial Referral Hospital, Uvira General Referral Hospital and Fizi General Referral Hospital (South Kivu).
Protecting family links, in collaboration with the Red Cross Societies of the DRC, Burundi, Rwanda and Uganda
Assistance to children who have left armed forces/armed groups, or who were at risk of being recruited
Food and financial assistance, in collaboration with the DRC Red Cross
Water and habitat
Robert Mwimuka, ICRC Goma, tel: +243 812256360, email: rmwimuka@icrc.org
Francine Kongolo, ICRC Kinshasa, tel: +243 81 992 23 28, email: fkongolo@icrc.org
Eléonore Asomani, ICRC Dakar, tel: +221 78 186 46 87, email: easomani@icrc.org
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