×

News publications and other organizations are encouraged to reuse Direct Relief-published content for free under a Creative Commons License (Attribution-Non-Commercial-No Derivatives 4.0 International), given the republisher complies with the requirements identified below.

When republishing:

  • Include a byline with the reporter’s name and Direct Relief in the following format: "Author Name, Direct Relief." If attribution in that format is not possible, include the following language at the top of the story: "This story was originally published by Direct Relief."
  • If publishing online, please link to the original URL of the story.
  • Maintain any tagline at the bottom of the story.
  • With Direct Relief's permission, news publications can make changes such as localizing the content for a particular area, using a different headline, or shortening story text. To confirm edits are acceptable, please check with Direct Relief by clicking this link.
  • If new content is added to the original story — for example, a comment from a local official — a note with language to the effect of the following must be included: "Additional reporting by [reporter and organization]."
  • If republished stories are shared on social media, Direct Relief appreciates being tagged in the posts:
    • Twitter (@DirectRelief)
    • Facebook (@DirectRelief)
    • Instagram (@DirectRelief)

Republishing Images:

Unless stated otherwise, images shot by Direct Relief may be republished for non-commercial purposes with proper attribution, given the republisher complies with the requirements identified below.

  • Maintain correct caption information.
  • Credit the photographer and Direct Relief in the caption. For example: "First and Last Name / Direct Relief."
  • Do not digitally alter images.

Direct Relief often contracts with freelance photographers who usually, but not always, allow their work to be published by Direct Relief’s media partners. Contact Direct Relief for permission to use images in which Direct Relief is not credited in the caption by clicking here.

Other Requirements:

  • Do not state or imply that donations to any third-party organization support Direct Relief's work.
  • Republishers may not sell Direct Relief's content.
  • Direct Relief's work is prohibited from populating web pages designed to improve rankings on search engines or solely to gain revenue from network-based advertisements.
  • Advance permission is required to translate Direct Relief's stories into a language different from the original language of publication. To inquire, contact us here.
  • If Direct Relief requests a change to or removal of republished Direct Relief content from a site or on-air, the republisher must comply.

For any additional questions about republishing Direct Relief content, please email the team here.

In Northern Syria, Destruction and Displacement Confront Health Workers

News

Syrian Refugee Crisis

A Syrian American Medical Society health provider inspects a damaged building in northwestern Syria. The group is one of the few remaining groups working in the area, since many have left due to an escalation of aerial attacks since April 2019. (Photo courtesy of SAMS)

Syria’s brutal civil war, which began in 2011 and has resulted in at least 400,000 deaths along with more than 11 million total refugees, according to UN Refugee Agency, entered an unexpected new phase earlier this month following the sudden withdrawal of U.S. troops from northeastern Syria — leaving thousands of Syrian Kurds without access to basic necessities.

The lack of a U.S. military presence has meant a new humanitarian crisis in the region, as thousands of Kurds have fled, in an attempt to escape Turkish bombing campaigns and militias aligned with the neighboring state.

According to Kurdistan Save The Children’s Sara Rashid, who has spent 6 years in Iraq with the NGO, the capacity for health care providers to treat impacted individuals has been drastically reduced, at a time when these latest refugees remain in need of food and medicines.

“Some facilities (in northeastern Syria) are still working, but their stock has completely run out. They have stressed the need for medical equipment, supplies, and medications,” Rashid told Direct Relief from Sulaymaniyah in the Kurdistan Region of Iraq. “And blood. They need a lot of blood.”

Adding to the humanitarian relief challenge is the relative lack of aid groups on the ground during this latest round of violence.

“Usually you have a crisis, and you have everyone on the ground, such as UN agencies, and you get everyone helping. Here, the service provision for the impacted area is completely lacking,” said Rashid, who added that coordinating the delivery of supplies with the few partners they do have, such as the Kurdish Red Crescent, is extremely difficult due to the constantly shifting battlefields.

“We’re trying to fill in what the UN does,” she said.

A cease-fire was announced last Tuesday, but a senior Turkish commander said, via Twitter, that Turkey and its allies have continued to “launch attacks.” Rashid said her group is preparing for up to 45,000 refugees coming to Dahuk, Sulaymaniyah, and Erbil in Iraqi Kurdistan—a region that has dealt with its own hefty share of challenges, ranging from budgetary disputes with the Baghdad government as well as hosting hundreds of thousands of internally displaced refugees, according to the UN Migration Agency.

“It’s not like people go into Germany. They’re coming to the Kurdistan region of Iraq. You don’t have the infrastructure in place,” she said, while also referencing the lack of teachers and health care providers for incoming refugees.

Direct Relief sent shipments of requested medicines and medical supplies throughout the week to Kurdistan Save The Children, including Emergency Medical Backpacks, for use in Syria and Iraq.

Reflecting the highly fragmented nature of the conflict, a representative from the Syrian American Medical Society, mainly in northwest Syria, said their operations have not been impacted by the most recent Turkish offensive, but that the 2,000 health care providers they support are continuing to respond to the hundreds of thousands of people in the area who have been displaced this year, as well as those injured by the ongoing conflict are facing chronic conditions.

A Syrian American Medical Society health worker provides care to women and children outside of hospital walls in Syria. Many medical facilities have been targeted by missiles, and care must often take place elsewhere for safety reasons. (Photo courtesy of SAMS)
A Syrian American Medical Society health worker provides care to women and children outside of hospital walls in Syria. Many medical facilities have been targeted by missiles, and care must often take place elsewhere for safety reasons. (Photo courtesy of SAMS)

“We’ve seen more and more people living with disabilities with no access to the care they need,” said Lobna Hassairi, media and communications manager for the Syrian American Medical Society. “Women are afraid to go to hospitals,” she said, as a result of their systematic targeting.

Both Hassairi and Rashid said that their partners continue to treat injured civilians and decried the targeting of hospitals and civilians, which has taken place throughout the civil war. They both expressed grave concerns about the future.

“They (displaced people) have nowhere to go” said Hassairi.

“These people don’t have a place to run to,” said Rashid. “Running is in another context. If you leave your home, you are leaving it free for other people to take over. Honestly, I don’t know what’s gong to happen,” said Rashid, who said her group was in the midst of planning a three year cancer initiative before this month’s offensive began.

“Now it’s hard to plan for three days,” she said, even as she knows that the recovery from this conflict, will require a long view.

“No one thinking about this, but we’re going to have to deal with trauma. We’re still dealing with the traumatized children who had to leave their homes because of ISIS.”

Emergency medicines are prepared for shipment on Friday, Oct. 25, 2019, at Direct Relief's warehouse, bound for Sulaymaniyah, Iraqi Kurdistan. The shipment will go to Kurdistan Save the Children, a group which is working to meet the needs of people who have been recently displaced due to conflict in Syria. (Lara Cooper/Direct Relief)
Emergency medicines are prepared for shipment on Friday, Oct. 25, 2019, at Direct Relief’s warehouse, bound for Sulaymaniyah, Iraqi Kurdistan. The shipment will go to Kurdistan Save the Children, a group which is working to meet the needs of people who have been recently displaced due to conflict in Syria. (Lara Cooper/Direct Relief)

Giving is Good Medicine

You don't have to donate. That's why it's so extraordinary if you do.