From the Executive Director

Sana Bég, Executive Director, MSF Canada
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Sana Bég Executive Director MSF Canada

“They [people experiencing grief] all need support: to listen to them, to sympathize with them, to hold their hands, even to cry with them.”

These words by my colleague Victoria Lepekha, mental health supervisor with Doctors Without Borders/Médecins Sans Frontières (MSF) in Ukraine, capture the importance and need of MSF’s work, which goes beyond the provision of medical care.

It’s been a few months since I started my role as Executive Director of MSF Canada, though my journey with MSF began seven years ago as director of communications for MSF in South Asia. During this time, I have also worked directly with project teams in South Sudan and as a communications advisor for Yemen, Syria and Iraq.

MSF’s work is grounded in establishing a more meaningful and deeper level of engagement with people in vulnerable situations. It’s these values – shared both by the people offering medical assistance and the communities we work with – that motivated me to become part of this global movement and that continue to motivate me every day.

In this edition of Dispatches, we want to connect you with the stories of people who have been driven from their homes due to multiple causes, including war, violence and economic hardships.

A rapid nutrition and mortality assessment carried out in January by MSF in Zamzam camp, North Darfur, revealed alarming rates of malnutrition among children
surveyed. Sudan, 2024. © Mohamed Zakaria

You will read about the devastating consequences of immigration policies in Central America and Mexico on the physical and mental health of migrants and refugees. You will hear from people about the sole prized possession they carry with them as they embark on the perilous journey of crossing the deadly Mediterranean Sea. We also want to draw your attention to Sudan, which is facing a colossal, humanmade catastrophe one year after the start of the war.

Often, people who are forcibly displaced need political solutions beyond our control. While political actors are failing to deliver, MSF is there doing what we can, trying to fill the gaps by providing critical humanitarian assistance and upholding the dignity of people in our care.

I believe the power of our shared humanity matters now more than ever.

As MSF continues to walk the talk on being independent, neutral and impartial, on having the highest standards of medical ethics and on speaking out when we see it is necessary, I believe the power of our shared humanity matters now more than ever.

There’s only so much we can do as MSF. We need the support of our donors, the support of people who share the same principles and values as MSF. In a world where the scarcest resource is human attention, we are grateful for your continued attention and trust in our work. Thank you for being a vital part of our medical humanitarian action.

Syrians struggle to access healthcare in Lebanon, fear deportation

Arsal, an isolated town in north Lebanon near the Syrian border. Lebanon, 2022. © Carmen Yahchouchi
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Tracy Makhlouf Communications manager

Syrian refugees in Lebanon are finding it increasingly difficult to access vital medical services due to reports of forced deportation and restrictions on their movement. People have told Doctors Without Borders/Médecins Sans Frontières (MSF) teams and our partners the situation is being exacerbated by discriminatory rhetoric against refugees in public discourse, creating an environment of fear.

The atmosphere of intimidation has left many refugees afraid to leave the safety of their homes, even to seek essential medical care. The situation is particularly severe in the underserved area of Arsal, an isolated town in north Lebanon near the Syrian border, where MSF teams have worked for more than 10 years.

“Everyone is stressed and staying at home, paralyzed by fear,” says Farhat, 75, a Syrian refugee who has been receiving treatment for diabetes at MSF’s clinic in Arsal for nine years. “No one has the courage to venture outside, even for basic necessities.”

“No one has the courage to venture outside.”

Farhat is fearful of being arrested by authorities and deported from Lebanon. “I am afraid they would take me, humiliate me and then forcefully expel me from the country,” he says, adding that many others share his concerns.

This spring, MSF teams noticed increasing numbers of missed appointments at their clinics, reportedly due to patients’ fears of deportation as they navigate checkpoints to reach health facilities.

CARS AND MOTORCYCLES CONFISCATED

MSF teams also reported the climate of fear is impacting their ability to make vital medical referrals to hospitals.

“We had a patient who, despite requiring critical medical care, refused to be referred to a hospital out of sheer terror of deportation, knowing he is unregistered,” says Dr. Marcelo Fernandez, MSF country director in Lebanon.

The recent strict enforcement of policies and restrictions regarding refugees in Lebanon has resulted in many Syrians having their cars and motorcycles confiscated. Often, these vehicles were their only affordable means of transport after the economic crisis caused the cost of taxis and public transport to skyrocket.

Mahmoud, 56, is receiving treatment for diabetes at MSF’s clinic in Arsal, five kilometres from his home. He is one of many patients who now struggle to come to the clinic for check-ups and to collect their medication.

“I used to rely on my motorcycle to reach the clinic,” he says, “But the recent regulations prohibit us from using motorcycles, so now I have to make the journey on foot.”

Many of Arsal’s residents experience poverty, while services and infrastructure in the area are limited. Both Lebanese residents and refugees face significant challenges in accessing essential services, both within and beyond the town.

People should have access to timely healthcare regardless of their status.

“The confiscation of vehicles has left many [people in vulnerable circumstances] without a reliable means of transport,” says Dr. Fernandez. “This measure has exacerbated the challenges faced by individuals who already have limited resources and freedom of movement, further hindering their access to essential medical care. This situation is untenable.

“No actions should come at the expense of people’s health. All marginalized people should have access to timely healthcare, regardless of their background or status.”

MSF IN LEBANON

MSF first began work in Lebanon in 1976 and has worked in the country without interruption since 2008.

MSF teams currently work in seven locations across the country, providing free medical care for communities with no or limited care options, including Lebanese citizens, refugees and migrant workers. MSF’s services include mental healthcare, sexual and reproductive services, pediatric care, vaccinations and treatment for non-communicable diseases including diabetes. With more than 700 staff in Lebanon, MSF teams provide around 150,000 medical consultations every year.

*Names of patients have been changed to protect their identity.

From the Executive Director

Sana Bég, Executive Director, MSF Canada
SHARE THIS PAGE:

Sana Bég Executive Director MSF Canada

“They [people experiencing grief] all need support: to listen to them, to sympathize with them, to hold their hands, even to cry with them.”

These words by my colleague Victoria Lepekha, mental health supervisor with Doctors Without Borders/Médecins Sans Frontières (MSF) in Ukraine, capture the importance and need of MSF’s work, which goes beyond the provision of medical care.

It’s been a few months since I started my role as Executive Director of MSF Canada, though my journey with MSF began seven years ago as director of communications for MSF in South Asia. During this time, I have also worked directly with project teams in South Sudan and as a communications advisor for Yemen, Syria and Iraq.

MSF’s work is grounded in establishing a more meaningful and deeper level of engagement with people in vulnerable situations. It’s these values – shared both by the people offering medical assistance and the communities we work with – that motivated me to become part of this global movement and that continue to motivate me every day.

In this edition of Dispatches, we want to connect you with the stories of people who have been driven from their homes due to multiple causes, including war, violence and economic hardships.

A rapid nutrition and mortality assessment carried out in January by MSF in Zamzam camp, North Darfur, revealed alarming rates of malnutrition among children
surveyed. Sudan, 2024. © Mohamed Zakaria

You will read about the devastating consequences of immigration policies in Central America and Mexico on the physical and mental health of migrants and refugees. You will hear from people about the sole prized possession they carry with them as they embark on the perilous journey of crossing the deadly Mediterranean Sea. We also want to draw your attention to Sudan, which is facing a colossal, humanmade catastrophe one year after the start of the war.

Often, people who are forcibly displaced need political solutions beyond our control. While political actors are failing to deliver, MSF is there doing what we can, trying to fill the gaps by providing critical humanitarian assistance and upholding the dignity of people in our care.

I believe the power of our shared humanity matters now more than ever.

As MSF continues to walk the talk on being independent, neutral and impartial, on having the highest standards of medical ethics and on speaking out when we see it is necessary, I believe the power of our shared humanity matters now more than ever.

There’s only so much we can do as MSF. We need the support of our donors, the support of people who share the same principles and values as MSF. In a world where the scarcest resource is human attention, we are grateful for your continued attention and trust in our work. Thank you for being a vital part of our medical humanitarian action.

Syrians struggle to access healthcare in Lebanon, fear deportation

Arsal, an isolated town in north Lebanon near the Syrian border. Lebanon, 2022. © Carmen Yahchouchi
SHARE THIS PAGE:

Tracy Makhlouf Communications manager

Syrian refugees in Lebanon are finding it increasingly difficult to access vital medical services due to reports of forced deportation and restrictions on their movement. People have told Doctors Without Borders/Médecins Sans Frontières (MSF) teams and our partners the situation is being exacerbated by discriminatory rhetoric against refugees in public discourse, creating an environment of fear.

The atmosphere of intimidation has left many refugees afraid to leave the safety of their homes, even to seek essential medical care. The situation is particularly severe in the underserved area of Arsal, an isolated town in north Lebanon near the Syrian border, where MSF teams have worked for more than 10 years.

“Everyone is stressed and staying at home, paralyzed by fear,” says Farhat, 75, a Syrian refugee who has been receiving treatment for diabetes at MSF’s clinic in Arsal for nine years. “No one has the courage to venture outside, even for basic necessities.”

“No one has the courage to venture outside.”

Farhat is fearful of being arrested by authorities and deported from Lebanon. “I am afraid they would take me, humiliate me and then forcefully expel me from the country,” he says, adding that many others share his concerns.

This spring, MSF teams noticed increasing numbers of missed appointments at their clinics, reportedly due to patients’ fears of deportation as they navigate checkpoints to reach health facilities.

CARS AND MOTORCYCLES CONFISCATED

MSF teams also reported the climate of fear is impacting their ability to make vital medical referrals to hospitals.

“We had a patient who, despite requiring critical medical care, refused to be referred to a hospital out of sheer terror of deportation, knowing he is unregistered,” says Dr. Marcelo Fernandez, MSF country director in Lebanon.

The recent strict enforcement of policies and restrictions regarding refugees in Lebanon has resulted in many Syrians having their cars and motorcycles confiscated. Often, these vehicles were their only affordable means of transport after the economic crisis caused the cost of taxis and public transport to skyrocket.

Mahmoud, 56, is receiving treatment for diabetes at MSF’s clinic in Arsal, five kilometres from his home. He is one of many patients who now struggle to come to the clinic for check-ups and to collect their medication.

“I used to rely on my motorcycle to reach the clinic,” he says, “But the recent regulations prohibit us from using motorcycles, so now I have to make the journey on foot.”

Many of Arsal’s residents experience poverty, while services and infrastructure in the area are limited. Both Lebanese residents and refugees face significant challenges in accessing essential services, both within and beyond the town.

People should have access to timely healthcare regardless of their status.

“The confiscation of vehicles has left many [people in vulnerable circumstances] without a reliable means of transport,” says Dr. Fernandez. “This measure has exacerbated the challenges faced by individuals who already have limited resources and freedom of movement, further hindering their access to essential medical care. This situation is untenable.

“No actions should come at the expense of people’s health. All marginalized people should have access to timely healthcare, regardless of their background or status.”

MSF IN LEBANON

MSF first began work in Lebanon in 1976 and has worked in the country without interruption since 2008.

MSF teams currently work in seven locations across the country, providing free medical care for communities with no or limited care options, including Lebanese citizens, refugees and migrant workers. MSF’s services include mental healthcare, sexual and reproductive services, pediatric care, vaccinations and treatment for non-communicable diseases including diabetes. With more than 700 staff in Lebanon, MSF teams provide around 150,000 medical consultations every year.

*Names of patients have been changed to protect their identity.