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Dortmund, 29.04.2015
by Ammar Zakaria, MD
Agenda
• Journey into Medical Relief
• Crisis in Syria
• Health Care System
• Medical Care in Aleppo
• Current Challenges
• Risks
• ACMC 2014 Achievement
• How to help
• Q/A
Crisis in numbers
12.2 Million Need of Humanitarian Aid
4.8 million Inaccessible areas
250,000+ Known death tolls
3.8 Million Refugees (UNHCR)
7.6 Million Internally Displaced
5.5 Million Children Affected
1.2 Million Homes destroyed
217,700 Asylum applications to EU
(WHO) The overall health and humanitarian situation in Syria
has severely deteriorated
(UNHCR) The Worst Humanitarian Disaster since the end of
the Cold War
(MSF) Syria is seen as the world’s most grave humanitarian
disaster
(WHO) Trauma and noncommunicable diseases (NCDs)
remained the major causes of morbidity and mortality in 2014,
largely due to the declining numbers of health professionals
and the dire state of many hospitals.
Syria At-A-Glance
Syria’s crumbling
healthcare System
210,000+ Known death tolls
1.5 Million Civilians seriously injured
60,000 Permanently disabled
610+ Medical Workers killed
239 Attacks on Medical facilities
80% Hospitals damaged / closed
23 Doctors still serving Aleppo
Hospitals
SOS Aleppo
Challenges 1
● Air Bombardment:
○ Attacks on high density civilian areas and hospitals
○ Medical workers are dealing with high volume of
casualties caused by increase in barrel bombs attacks
● Resources:
○ Shortage of qualified medical workers; (23 out of 2500
doctors remain serving Aleppo, the rest fled or killed)
○ Daily shifts stretching to 13-18hrs / 7 days
○ Secure safe housing for families of key Medical workers
Challenges 2
● Financial
○ Lack of funding (unable to pay basic salaries)
○ Lack of a power source – electricity or fuel
○ Shortage of vital medical supplies
● Civilians Casualties:
○ Malnourishment due to lack of basic needs
○ High vulnerability to outbreaks of infectious Disease
● Operation
○ Unable to process increasingly patients
○ High volume of conflict surgery overshadow and
delays non-conflict ones
2014 ACMC Key
Achievement
● 206,566 medical services provided by ACMC
● 9,164 surgeries performed mostly Trauma, General,
Orthopedic, Vascular)
● Creation of nursing school in Aleppo, providing three
levels for 76 Students including 18 females
● 2081 Birth delivery, including 766 Cesarians
● 54,000+ outpatient clinical services
2014 Birth Labour
2081 Total birth at two
ACMC Hospitals:
63% Natural Delivery
37% Cesarians
By Surgery Type
9,164 surgeries performed in ACMC hospitals
Risks
● High turnover of medical workers due to:
○ Overwhelming pressures and very long working shifts
○ Unpaid backlog wages (cash shortage to pay salaries)
○ Seeking safe haven for their families outside the city
○ unable to obtain or renew passport / ID
● Increase of mortality rate due to inability to
provide prompted life-saving treatment
● High vulnerability to outbreaks of
infectious Disease
How to Help
1. Enhance the response capacity for life-saving and
Trauma Surgeries by facilitating access to certain Syrian
Expatriate surgeons willing to rotating volunteer in Syria
2. Partner to fund salaries of War-zone medical workers
3. Support life-saving medical programs in devastated areas
4. Promote Telemedicine to provide clinical health care and
consultation to help eliminate distance barriers and
improve access to medical services in remote areas
MDM
39%
UOSSM
30%
SAMS
11%
MSF
6%
SEMA
4%
Hammer forum
3%
Syria Relief
Shafak SYRIA
Kheir Charity
Health Office
PAC
Young Muslim Org Kinder tranen
Human concern
Poland for syria
Syr-Der
donors particpation percentage
approx. 2,505,311 USD in total
Give Syria Hope
Each donation of 13,79 USD may save the life
of a person, heal a little sick child , or relief the
pain on an old man , it will actually help to
#SaveAleppo
Vielen Dank
Links & Source
● Medial Report by physicians for humanrights.org:
http://physiciansforhumanrights.org/press/press-releases/doctors-in-the-crosshairs-four-years-of-
attacks-on-health-care-in-syria.html
● Human Rights Watch: Feb 2015: http://www.hrw.org/news/2015/02/24/syria-new-spate-
barrel-bomb-attacks
● MSF Jan 2015 Report: http://www.msf.org/sites/msf.org/files/2015_crisisupdatesyria-jan-
en_final.pdf
● WHO 2015 Report:
http://www.who.int/hac/crises/syr/sitreps/syria_2014_annual_report.pdf?ua=1
● Syria crisis - European Commission:
http://ec.europa.eu/echo/files/aid/countries/factsheets/syria_en.pdf
● Doctors of Doctors of the Worlds, UK: http://newint.org/blog/2015/03/17/syria-
healthcare
Barrel Bombs
Barrel Bombs
Aleppo Map

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Syria-Medical Crisis-DE 29-04-2015 Hammer Forum

  • 2. Agenda • Journey into Medical Relief • Crisis in Syria • Health Care System • Medical Care in Aleppo • Current Challenges • Risks • ACMC 2014 Achievement • How to help • Q/A
  • 3. Crisis in numbers 12.2 Million Need of Humanitarian Aid 4.8 million Inaccessible areas 250,000+ Known death tolls 3.8 Million Refugees (UNHCR) 7.6 Million Internally Displaced 5.5 Million Children Affected 1.2 Million Homes destroyed 217,700 Asylum applications to EU
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.
  • 9. (WHO) The overall health and humanitarian situation in Syria has severely deteriorated (UNHCR) The Worst Humanitarian Disaster since the end of the Cold War (MSF) Syria is seen as the world’s most grave humanitarian disaster (WHO) Trauma and noncommunicable diseases (NCDs) remained the major causes of morbidity and mortality in 2014, largely due to the declining numbers of health professionals and the dire state of many hospitals. Syria At-A-Glance
  • 10. Syria’s crumbling healthcare System 210,000+ Known death tolls 1.5 Million Civilians seriously injured 60,000 Permanently disabled 610+ Medical Workers killed 239 Attacks on Medical facilities 80% Hospitals damaged / closed 23 Doctors still serving Aleppo
  • 11.
  • 12.
  • 13.
  • 14.
  • 17. Challenges 1 ● Air Bombardment: ○ Attacks on high density civilian areas and hospitals ○ Medical workers are dealing with high volume of casualties caused by increase in barrel bombs attacks ● Resources: ○ Shortage of qualified medical workers; (23 out of 2500 doctors remain serving Aleppo, the rest fled or killed) ○ Daily shifts stretching to 13-18hrs / 7 days ○ Secure safe housing for families of key Medical workers
  • 18.
  • 19.
  • 20.
  • 21.
  • 22.
  • 23. Challenges 2 ● Financial ○ Lack of funding (unable to pay basic salaries) ○ Lack of a power source – electricity or fuel ○ Shortage of vital medical supplies ● Civilians Casualties: ○ Malnourishment due to lack of basic needs ○ High vulnerability to outbreaks of infectious Disease ● Operation ○ Unable to process increasingly patients ○ High volume of conflict surgery overshadow and delays non-conflict ones
  • 24.
  • 25.
  • 26. 2014 ACMC Key Achievement ● 206,566 medical services provided by ACMC ● 9,164 surgeries performed mostly Trauma, General, Orthopedic, Vascular) ● Creation of nursing school in Aleppo, providing three levels for 76 Students including 18 females ● 2081 Birth delivery, including 766 Cesarians ● 54,000+ outpatient clinical services
  • 27.
  • 28. 2014 Birth Labour 2081 Total birth at two ACMC Hospitals: 63% Natural Delivery 37% Cesarians
  • 29.
  • 30. By Surgery Type 9,164 surgeries performed in ACMC hospitals
  • 31.
  • 32. Risks ● High turnover of medical workers due to: ○ Overwhelming pressures and very long working shifts ○ Unpaid backlog wages (cash shortage to pay salaries) ○ Seeking safe haven for their families outside the city ○ unable to obtain or renew passport / ID ● Increase of mortality rate due to inability to provide prompted life-saving treatment ● High vulnerability to outbreaks of infectious Disease
  • 33. How to Help 1. Enhance the response capacity for life-saving and Trauma Surgeries by facilitating access to certain Syrian Expatriate surgeons willing to rotating volunteer in Syria 2. Partner to fund salaries of War-zone medical workers 3. Support life-saving medical programs in devastated areas 4. Promote Telemedicine to provide clinical health care and consultation to help eliminate distance barriers and improve access to medical services in remote areas
  • 34. MDM 39% UOSSM 30% SAMS 11% MSF 6% SEMA 4% Hammer forum 3% Syria Relief Shafak SYRIA Kheir Charity Health Office PAC Young Muslim Org Kinder tranen Human concern Poland for syria Syr-Der donors particpation percentage approx. 2,505,311 USD in total
  • 35. Give Syria Hope Each donation of 13,79 USD may save the life of a person, heal a little sick child , or relief the pain on an old man , it will actually help to #SaveAleppo
  • 37. Links & Source ● Medial Report by physicians for humanrights.org: http://physiciansforhumanrights.org/press/press-releases/doctors-in-the-crosshairs-four-years-of- attacks-on-health-care-in-syria.html ● Human Rights Watch: Feb 2015: http://www.hrw.org/news/2015/02/24/syria-new-spate- barrel-bomb-attacks ● MSF Jan 2015 Report: http://www.msf.org/sites/msf.org/files/2015_crisisupdatesyria-jan- en_final.pdf ● WHO 2015 Report: http://www.who.int/hac/crises/syr/sitreps/syria_2014_annual_report.pdf?ua=1 ● Syria crisis - European Commission: http://ec.europa.eu/echo/files/aid/countries/factsheets/syria_en.pdf ● Doctors of Doctors of the Worlds, UK: http://newint.org/blog/2015/03/17/syria- healthcare