Libya has warned of a “total collapse” of its health care system as the chaos plaguing the country threatens to send into flight many of the Filipino staff on whom its hospitals depend.
Fighting between rival militias in Tripoli over the past three weeks and bloody clashes between Islamists and army special forces in the eastern city of Benghazi have prompted several countries to evacuate their citizens and diplomatic staff.
Now, 3,000 health workers from the Philippines, making up 60 percent of Libya’s hospital staff, could leave—along with workers from India, who account for another 20 percent.
Libyan hospitals, meanwhile, are flooded with a wave of admissions, victims of the fighting that has shaken the capital and Benghazi.
In Tripoli, at least 102 people have been killed and 452 wounded in the clashes that began on July 13, the health ministry said on Wednesday.
It said 77 people have been killed and 289 wounded in Benghazi’s violence.
The Philippines already urged its citizens in Libya to leave on July 20 after a kidnapped Filipino worker was found beheaded.
Of the estimated 13,000 Filipinos in Libya, only around 700 heeded the warning and left. The rest refused to abandon their jobs despite the dangers.
But Manila said Thursday it would charter ferries to evacuate its citizens, a day after a Filipina nurse was kidnapped and gang-raped in Tripoli.
Hundreds of Filipino doctors and nurses in Tripoli’s Medical Centre walked out in protest at the savage attack on their colleague, unleashing anarchy in the hospital.
Families were forced to transfer sick relatives to private clinics, a hospital official said.
“Hospitals could be paralyzed” in case of mass departure of the Filipino staff, health ministry spokesman Ammar Mohamed said, while authorities warned of a possible “total collapse” of the health care system.
A medical official said the ministry was trying to persuade the Filipinos to stay.
Complicating the situation further are difficulties faced by Libyan staff as they struggle to keep work hours.
Mohamed said Libyan doctors and carers have been struggling to reach their workplace from home because of fighting around the capital and fuel shortages.
Faced with the deteriorating situation at home, Health Minister Nureddin Doghman has instructed Tripoli’s missions in Egypt, Tunisia, Jordan, Turkey, Italy, Greece and Germany to organize the transport and care for Libyans needing treatment, to be paid for by Tripoli.
But the closure of Libya’s airports in Tripoli and Benghazi because of the unrest has made medical transfers even more difficult.
“My brother spent several days in hospital after suffering a stroke. His health deteriorated day after day and the doctors told us he should be treated in Tunisia, but we could find no way to transfer him there,” said Ahmed Drughi, a Tripoli resident.
“In the end, we had to use contacts to find him a place on a medical plane flying out of Misrata,” 200 kilometers east of the capital.
Even in peacetime, Libya’s health services were understaffed and under-equipped, and tens of thousands of Libyans travelled abroad for treatment, mostly to neighbouring Tunisia and Egypt.
In Benghazi, two out of three of the city’s main hospitals have closed.
Al-Jala hospital shut down several weeks ago, as the army and an Islamist militia tussle to control it. Al-Houari hospital has been closed for months, after being flooded by sewage because of construction errors.
Only Benghazi Medical Center remains operational, but its capacity has been limited to 300 beds, compared with 1,200 in normal times.
“The center is hit by a lack of doctors and carers, particularly after the departure of the foreigners,” spokesman Moataz al-Majbari said.
Many patients have had to be transferred elsewhere and have wound up in poorly equipped clinics in neighboring towns.
In Manila, Migrante, a militant group of overseas Filipino workers, chided the government for being too slow in repatriating the remaining Filipinos in Libya.
Connie Regalado, Migrante sectoral party head, said the government should be held accountable for the continuing danger to the lives and welfare of Filipinos in Libya and other conflict-riddled parts of the Middle East-North Africa region.
“Since the crisis erupted in Libya, the Philippine government has been slow to act in ensuring the safety [of our countrymen]and dilly-dallying in facilitating their urgent mass repatriation,” Regalado claimed.
She said the government’s mandatory repatriation is not working since it has no clear plan to locate, secure and ensure the safe passage of Filipinos from conflict areas.