Strained Iraq doctors crack under virus spike fears

A medic takes a swab from a patient in Iraq’s Basra province. (AFP)
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Updated 01 July 2020
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Strained Iraq doctors crack under virus spike fears

  • Country has officially registered more than 47,000 cases, with medics increasingly infected

BAGHDAD: Unpaid salaries, mask shortages, threats from patients’ families — doctors across Iraq are cracking under such conditions, just as they face a long-feared spike in coronavirus cases.

“We’re collapsing,” said Mohammed, a doctor at a COVID-19 ward in Baghdad who did not use his full name so he could speak freely.

“I just can’t work anymore. I can’t even focus on the cases or the patients,” he said at the end of a 48-hour shift.

Iraq has officially registered more than 47,000 coronavirus cases, with doctors increasingly infected.

“I personally know 16 doctors who caught it over the last month,” Mohammed said.

The country’s overall death toll is heading toward 2,000, with official daily fatalities starting to top 100 in the past week — and doctors warn they cannot keep up.

In the autonomous Kurdish north, a surge in coronavirus infections has pushed the number of cases there to over 5,000 — including at least 200 health workers — and the death toll to more than 160.

The line at the public Ali Naji Hospital in the northeastern city of Sulaimaniyah wound out the door, with dozens of people queueing to get tested — but inside, the medical staff was thinner than ever.

The Kurdish regional government, like federal authorities in Baghdad, is struggling to pay public sector wages this year due to a collapse in oil prices and an economic recession brought on by the pandemic.

That has had a devastating effect on personnel at state-owned medical facilities, who have not been paid in two months.

Exhausted, thousands of health care workers at state hospitals in the Kurdish region announced earlier this month they would stop treating non-coronavirus cases.

“At least 20,000 health care workers across the region are adhering to this partial strike,” said Hawzin Othman, the head of Sulaimaniyah’s medical syndicate.

Among them are 800 doctors who joined over the past two weeks, just as the Kurdish region began logging an uptick in COVID-19 cases.

Shevan Kurda, a 30-year-old doctor, is one of them.

“We’re working 10-hour shifts every day, but only to treat COVID-19 patients,” said Kurda, who represents Sulaimaniyah’s Medical Residents Syndicate.

Kurda is owed three months of wages from 2019 and was not paid in either April or May this year.

Authorities and health workers across Iraq have long decried the state of the country’s dilapidated hospitals, worn down by years of war, a lack of investment and corruption that has sapped funds meant for new equipment.

Even Prime Minister Mustafa Al-Kadhemi told reporters last week: “We do not have a health system.

“The health system is broken, and the most basic requirements are not available, because those who hold positions in some state institutions are incompetent. This has been accumulating for years.”

Iraq is also a notoriously dangerous place to be a doctor, as patients’ families are known to threaten medical staff — sometimes with death — if their loved one’s condition deteriorates.

This week, Iraq’s medical syndicate declared a strike across the southern province of Dhi Qar after a female doctor was assaulted by a patient’s relative.

In the capital Baghdad, doctors at several inundated coronavirus wards said they and their colleagues were on the brink of burnout, and complained of a long-standing lack of compensation for overtime.

“There was no bonus for doctors working in field hospitals during the war against the Daesh group,” said Ammar Falah, a 27-year-old medic at one of the city’s coronavirus wards.

“There was no bonus when there was mass mobilization for protests in October,” he said, referring to anti-government demonstrations that began late last year and left over 550 people dead.

“You think they’re going to give us a bonus now just because we’re taking on more hours?“

Falah said the Al-Kindi Training Hospital where he works distributed just five N95 masks to doctors each month.

But with so much interaction with infected patients, Falah said he needed to switch masks much more often and had begun using his $750 monthly take-home pay to buy protective gear.

“If the hours go up more or the workload increases, we’ll go on strike too,” he said.


MSF will keep operating in Gaza ‘as long as we can’: mission head

Updated 58 min 40 sec ago
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MSF will keep operating in Gaza ‘as long as we can’: mission head

  • The head of Doctors Without Borders in the Palestinian territories told AFP the charity would continue working in Gaza for as long as possible

AMMAN:The head of Doctors Without Borders in the Palestinian territories told AFP the charity would continue working in Gaza for as long as possible, following an Israeli decision to end its activities there.
In early February, Israel announced it was terminating all the activities in Gaza by the medical charity, known by its French acronym MSF, after it failed to provide a list of its Palestinian staff.
MSF has slammed the move, which takes effect on March 1, as a “pretext” to obstruct aid.
“For the time being, we are still working in Gaza, and we plan to keep running our operations as long as we can,” Filipe Ribeiro told AFP in Amman, but said operations were already facing challenges.
“Since the beginning of January, we are not anymore in the capacity to get international staff inside Gaza. The Israeli authorities actually denied any entry to Gaza, but also to the West Bank,” he said.
Ribeiro added that MSF’s ability to bring medical supplies into Gaza had also been impacted.
“They’re not allowed for now, but we have some stocks in our pharmacies that will allow us to keep running operations for time being,” he said.
“We do have teams in Gaza that are still working, both national and international, and we have stocks.”
In December, Israel announced it would prevent 37 aid organizations, including MSF, from working in Gaza from March 1 for failing to submit detailed information about their Palestinian employees, drawing widespread condemnation from NGOs and the United Nations.
It had alleged that two MSF employees had links with Palestinian militant groups Hamas and Islamic Jihad, which the medical charity has repeatedly and vehemently denied.
MSF says it did not provide the names of its Palestinian staff because Israeli authorities offered no assurances regarding their safety.
Ribeiro warned of the massive impact the termination of MSF’s operations would have for health care in war-shattered Gaza.
“MSF is one of the biggest actors when it comes to the health provision in Gaza and the West Bank, and if we are obliged to leave, then we will create a huge void in Gaza,” he said.
The charity says it currently provides at least 20 percent of hospital beds in the territory and operates around 20 health centers.
In 2025 alone, it carried out more than 800,000 medical consultations, treated more than 100,000 trauma cases and assisted more than 10,000 infant deliveries.