A view from Medecins Sans Frontiers

Lebanon: Aid moved with difficulty and access hampered

There have been violations of the most essential humanitarian obligations, including the destruction of trucks loaded with aid and the targeting of fleeing civilians by bombing. Aid workers have also been subject to machine-gun fire. It is almost impossible to gain access to civilians in the most exposed areas.

As four Médecins Sans Frontières (MSF) teams continue to evaluate needs in different areas of the country (Beirut, Jezzine, Saida, and Tyre), an initial delivery of 85 tons of supplies is on its way to Lebanon. This first round of distributions is intended for the displaced persons who have fled the fighting.

Pierre Salignon, MSF's General Director in France, provides an initial view of the situation in the field and the problems the teams face.

What is the situation of the Lebanese population?

This is a serious crisis. As part of the evaluations that our teams have conducted in the field over the last few days, they have observed that the population is in a very fragile situation.

The human cost of the war between the Israeli Army and the Hezbollah militia fighters is high. The bombings have not spared civilians or the infrastructure required for their survival. It is revolting. There are hundreds of wounded and more than 300 dead.

Massive numbers of people have been displaced from the bombed areas, with authorities estimating their numbers at more than 500,000. The poorest among them have lost everything and are completely destitute. They have no water, no items essential for daily life (mattresses, blankets, soap) and some have no food. They have no resources and can purchase nothing. They are totally dependent on the aid provided by their families and the local governments in the areas where they are sheltering.

How is the aid being organized? What problems are the teams facing?

At this stage, the aid organized by our Lebanese colleagues has been responsible for avoiding a medical catastrophe. I want to emphasize that. From the first days of the war, the Lebanese medical authorities and organizations have been the ones to take on the bulk of the aid effort.

But that won't continue. Local capacity is dwindling daily. There is a real risk that the health situation will worsen and only a major international organizational effort will prevent a wider catastrophe.

Unfortunately, the work of our teams - and of all aid workers - is very dangerous because of the fighting and the Israeli Army's military operations initiated after the kidnapping of two Israeli soldiers and in response to Hezbollah rockets launched against Israeli towns.

There have been violations of the most essential humanitarian obligations, including the destruction of trucks loaded with aid and the targeting of fleeing civilians by bombing. Aid workers have also been subject to machine-gun fire. It is almost impossible to gain access to civilians in the most exposed areas. This is unacceptable and could have more tragic consequences in the near future.

Can we expect improved access to the populations in need of aid?

For the last 10 days, Lebanon has been virtually sealed off and international aid has been blocked. It appears that the French government's call for establishing humanitarian corridors, relayed by the United Nations, has been heard. The Israeli government has agreed, in principle, to facilitate the transport of humanitarian aid between the island of Cyprus and Lebanon. Several countries have released funds for humanitarian aid to Lebanon. It's a first step.

It remains to be seen, in the coming days, if political will can move beyond ceremonial speeches and, specifically, if the parties to the conflict will facilitate access to civilians in the areas hardest hit by fighting and bombing in Lebanon. The humanitarian aid promised will only have an effect if it actually reaches the displaced populations. There are no assurances and that worries us.