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[Marxism] Iraqi Health Indices lead to the unescapable conclusion: The Anglo-American occupation of Iraq is a massive WAR CRIME



Pity the sick of Iraq

Full: http://weekly.ahram.org.eg/2007/839/re10.htm

After repeatedly topping the Arab health index, Iraq's health record is now worse than ever because of the US-led occupation. The general effect on the Iraqi population amounts to a massive war crime, writes Bert De Belder*

...Iraq's health status, four years into the occupation, is nothing short of disastrous. Iraq's health index has deteriorated to a level not seen since the 1950s, says Joseph Chamie, former director of the United Nations Population Division and an Iraq specialist. People's health status is determined by social, economic and environmental factors much more than by the availability of healthcare. Not surprisingly, all these factors have deteriorated in the course of the occupation....
...THE DEVASTATED HEALTH OF IRAQI CHILDREN: The combination of sanctions, war and occupation has resulted in Iraq showing the world's worst evolution in child mortality: from an under-five mortality rate of 50 per 1000 live births in 1990, to 125 in 2005. That means an annual deterioration of 6.1 per cent -- a world record, well behind very poor and AIDS- affected Botswana. At the outset of the 2003 war, the US administration pledged to cut Iraq's child mortality rate in half by 2005. But the rate has continued to worsen, to 130 in 2006, according to Iraqi Health Ministry figures...

...Also important is the psychological impact of war and occupation. In a study entitled "The Psychological Effects of War on Iraqis", the Association of Iraqi Psychologists (AIP) reports that out of 2,000 people interviewed in all 18 Iraqi provinces, 92 per cent said they feared being killed in an explosion. Some 60 per cent of those interviewed said the level of violence had caused them to have panic attacks, which prevented them from going out because they feared they would be the next victims. The AIP also surveyed over 1,000 children across Iraq and found that 92 per cent of children examined had learning impediments, largely attributable to the current climate of fear and insecurity. "The only thing they have on their minds are guns, bullets, death and a fear of the US occupation," says the AIP's Marwan Abdullah...

HOSPITALS AND CLINICS FACED WITH A CRITICAL LACK OF RESOURCES: On 19 January 2007, a group of some 100 eminent UK doctors signed a letter to British Prime Minister Tony Blair to voice their grave concern over the fate of Iraq's children. The statement read: "We are concerned that children are dying in Iraq for want of medical treatment. Sick or injured children, who could otherwise be treated by simple means, are left to die in their hundreds because they do not have access to basic medicines or other resources. Children who have lost hands, feet, and limbs are left without prostheses. Children with grave psychological distress are left untreated."

The Iraq Medical Association reports that 90 per cent of the almost 180 hospitals in Iraq lack essential equipment. At Yarmouk Hospital, one of the busiest hospitals in Baghdad, five people die on average every day because medics and nurses don't have the equipment to treat common ills and accidents, according to Yarmouk doctor Hussam Abboud. That translates to more than 1,800 preventable deaths in a year in that hospital alone...

...HOSPITALS SUBJECT TO MILITARY ATTACKS AND OCCUPATION: "The Geneva Conventions state that hospitals are and should remain neutral and accessible to everybody, particularly civilians. Yet, when it's occupied by armed groups or official forces, people don't have this free and humanitarian access," says Cedric Turlan, information officer for the Coordinating Committee in Iraq (NCCI) NGO. His observation is corroborated by numerous reports and sources.

In the first week of November 2006, in Ramadi, some 115 kilometres west of Baghdad, 13 civilians entering the hospital to get treatment were killed by snipers. Less than 10 per cent of the hospital's staff was still working there when US-led forces burst into the hospital many times day and night, looking for snipers on the hospital's roof. "The multinational forces were outside, surrounding the hospital, but they intruded into the hospital on a daily basis," Turlan said. "Now people rarely go to the hospital because they fear being shot or arrested."...

...GOVERNMENT COMPLICITY IN ATTACKS AND FAILING HEALTH: With current Minister of Health Ali Al-Shimari belonging to the political movement of Moqtada Al-Sadr, the latter's military arm, the Mahdi Army, is acting inside hospitals with impunity. Sick and wounded patients have been abducted from public hospitals and later killed. As a consequence, more and more Iraqis are avoiding hospitals. "We would prefer to die instead of going to the hospital," says Abu Nasr, a resident of a Baghdad suburb. "The hospitals have become killing fields."

The ministry also appears to discriminate in the provision of supplies. Tariq Hiali, a health official in Baqouba (60 kilometres northeast of Baghdad), laments that "the Ministry of Health is not providing us with medications and medical equipment -- they consider us to be terrorists." An employee at Baqouba's blood bank, Jamal Qadoori, says: "Ambulances we send to Baghdad are being intercepted by the Mahdi Army."...

...HEALTH WORKERS HARASSED, ARRESTED AND ASSASSINATED: Under the Fourth Geneva Convention, Article 18 reads: "Civilian hospitals organised to care for the wounded and sick, infirm and maternity cases, may in no circumstances be the object of attack, but shall at all times be respected and protected by the Parties to the conflict." On-the-ground reality in Iraq today is quite different.

"A major problem affecting Iraq's health sector is the country's desperate security situation," says Nada Doumani, a spokeswoman for the International Committee of the Red Cross (ICRC). "Armed men storm operating theatres forcing doctors to treat the patients they bring as a priority. Some patients insist on keeping their weapons and masks while being treated. This creates a traumatising situation for the doctors," she says....

...HEALTH WORKERS KIDNAPPED AND HELD FOR RANSOM: As if the daily violence was not enough, in the chaos and disorder that reign in occupied Iraq, health professionals are also prone to getting kidnapped for ransom...

...MASSIVE FLIGHT OF HEALTH PROFESSIONALS: In March 2006, the British NGO Medact said that 18,000 out of Iraq's 34,000 physicians had left the country since the onset of the war, according to official figures from the Iraq Medical Association (IMA). Farouk Naji, a clinician and senior member of IMA, declares: "About 2,000 physicians have been killed since 2003. The violence has increased and everyday we are losing the best professionals in Iraq." In some cases, ambulances picking up the injured after explosions are without paramedics or nurses, Naji says. "There are not enough professionals and the ones available are in hospitals, trying to figure out how to treat patients in improvised operating theatres," he adds...

...RECONSTRUCTION UNDER OCCUPATION: A DISMAL FAILURE : Four years into the US- led war on Iraq, the country's healthcare system is in a shambles. Most hospitals lack basis supplies, dozens of clinics remain incompletely constructed, and costly high-technology equipment lies idle in warehouses. Since 2003, US agencies may have spent up to $1 billion of Iraqi reconstruction funds on healthcare, but no new hospitals and only a few local clinics have been built. Even the pet project of First Lady Laura Bush -- a $50 million state-of-the-art children's hospital in Basra -- is running far behind schedule and over budget...

...CRIMINAL NEGLECT: THE OCCUPATION MUST END: Four years after its onset, it has become clearer than ever that the US-led war and occupation of Iraq have resulted in a massive public health disaster for Iraqis. Reversing the current trend of ever-deteriorating health conditions requires first and foremost the end of the occupation.

* The writer is coordinator for Medical Aid for the Third World, Belgium, and member of the Brussels Tribunal (http:// brusselstribunal.org).

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