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Libya, Egypt & Tunisia SitRep 36 External

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Introduction

International Medical Corps today loaded further medical supplies for Misrata

The humanitarian situation in Misrata is worsening, with a lack of medical and basic supplies and medical staff shortages. Surgical items, in particular have been urgently requested by hospital staff. According to the UN, at least 20 children have been killed in attacks on Misrata. Today a rebel spokesman reported that five civilians were killed in mortar attacks; however, these numbers are not yet confirmed. Two journalists, covering the battle between rebel and Gaddafi forces, were today killed in Misrata, with a further two wounded, one in critical conditions.

Fighting in Misrata is today reported to have taken place for control of Tripoli Street, a main thoroughfare. Currently, it is reported that rebel forces and Gaddafi forces each control roughly half of the street.

In the western mountain region, there are reports that the towns of Takut and Ghezala have been taken by rebel forces. Rebels have reported the number killed in this fighting at 29, with 60 wounded. However, these numbers are unconfirmed. It is reported that the situation outside of Zintan has calmed, as many of the pro-Gaddafi forces have reportedly departed to join the battle closer to Nalut. Reports indicate that fighting will now move to Wazzin, near the Tunisian border.

As of April 20, 2011:

LIBYA/TUNISIA BORDER AREA

The Ra’s Ajdir camps population has decreased slightly with total population now at 6469 people. The camp population consists mainly of those from Somalia, Chad, Eritrea, Niger and Sudan.

At the Remada camp close to the Dehibat border area, the number of Libyans now at the camp is 941, comprising of some 152 families. With an established base in Dehibat, International Medical Corps continues to monitor needs for Libyan families in both the Remada and Dehibat camps.

At Dehibat, an ambulance today arrived from Zintan carrying a severely wounded rebel to the Tataouine hospital for medical care.

WESTERN LIBYA

After transferring two rebel casualties with facial burns by ambulance to Dehibat, the hospital in Nalut did not receive any casualties from fighting nearby today. However, a young victim of a road accident was seen presenting with luxation of the hip, who will also be transferred to Dehibat for further medical treatment. 15 to 20 consultations were also provided. The Nalut Hospital has three ambulances, but these lack emergency medical equipment, with only an oxygen bottle and mask inside.

Blood reserves are limited and some medication stocks are close to their expiry dates and not expected to last beyond two months. The hospital has provided a list of further medical needs, which International Medical Corps is planning to provide with assistance from gift-in-kind donors.

It is reported that the population of Nalut was 100,000 prior to the unrest, with reports that the current population is now only 25,000. Living conditions are said to be poor, with many shortages being experienced.

Further to the needs in Nalut, similar needs are anticipated in hospitals in Zintan, Yefren, Rehibat and Jadu.

In Misrata, requests for urgently needed surgical supplies include external fixation sets, neurosurgical sets and vascular sets. International Medical Corps is planning a response for these and other immediate needs.

EASTERN LIBYA

International Medical Corps Benghazi-based team has sent further supplies to Misrata. 92 boxes of needed pharmaceuticals and medical supplies will shortly arrive to Misrata and will be sent to the hospital to address critical shortages.

The team continues to provide medical support to evacuees from Misrata.

Preparations are also being made to provide medical support to the next (3rd) boatload of evacuees due to arrive tomorrow. Many recently injured patients are anticipated and to provide effective care upon their arrival, International Medical Corps is coordinating ambulances, nurses (provided by IMC), Libyan Red Crescent volunteers and the local hospitals to receive them. The team has also requested assistance from local health care providers to join IMC’s efforts to triage, treat, as necessary, and transport these seriously ill and/or injured patients to the local hospitals.

An additional consignment of emergency medical and surgical supplies will be prepared for shipping to Misrata on the return trip. These supplies will include emergency kits, surgical supplies, suture materials, antibiotics, IV fluids, dressing materials, and analgesics.

International Medical Corps today donated needed medical supplies to the Libyan Red Crescent Transit Camp, which is receiving evacuees from Misrata. The Camp Clinic Director reported that the clinic yesterday received 67 patients, all of them third country nationals evacuated from Misrata, mostly from Nigeria, Niger and Somalia. The clinic requires support in regards to the supply of essential medications and medical supplies and International Medical Corps will endeavor to assist in supplying these needs.

International Medical Corps was invited to the Benghazi Psychiatric hospital to discuss and assess possible training needs of psychiatrist and psychologists at the hospital, who have been volunteering their time at IDP camps in Benghazi. Based on the assessed needs, International Medical Corps is planning to provide psychological first aid training and training on the IASC approach to mental health guidelines on an integrated approach to address the most urgent mental health and psychosocial issues in emergency situations. Further training was also discussed on identifying physical and cognitive symptoms and various modalities of offering ‘therapy’ before considering dispensing medication as a first step to treatment and offering relaxation techniques. The staff will in turn train IDP communities on the same issues. IMC has also started the development a self-care pamphlet with the hospital to be distributed at IDP concentration areas.

Cluster coordination for humanitarian activities has begun in Benghazi in the past two weeks, chaired by UNOCHA. International Medical Corps is participating along with UN organizations, WHO and several other local and international NGOs (Libyan Assoc. for Humanitarian Aid, Libya Tahir, Save the Children, MSF-Belgium, MSF-France, Swiss Humanitarian Aid, Sons of Libya, and a representative of the MoH).

Rabih Torbay VP, International Operations rtorbay@internationalmedicalcorps.org

Edi Cosic Team Leader - Libya ecosic@internationalmedicalcorps.org

Dina Prior Team Leader - Tunisia dprior@internationalmedicalcorps.org