Skip to main content

Main menu

  • Home
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • COVID-19 articles
    • Obituary notices
  • Authors & Reviewers
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
    • Open access
    • Patient engagement
  • Physicians & Subscribers
    • Benefits for Canadian physicians
    • CPD Credits for CMA Members
    • Subscribe to CMAJ Print
    • Subscription prices
    • Obituary notices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
    • Trousse média 2023
    • Avis de décès
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN

User menu

Search

  • Advanced search
CMAJ
  • CMAJ JOURNALS
    • CMAJ Open
    • CJS
    • JAMC
    • JPN
CMAJ

Advanced Search

  • Home
  • Content
    • Current issue
    • Past issues
    • Early releases
    • Collections
    • Sections
    • Blog
    • Infographics & illustrations
    • Podcasts
    • COVID-19 articles
    • Obituary notices
  • Authors & Reviewers
    • Overview for authors
    • Submission guidelines
    • Submit a manuscript
    • Forms
    • Editorial process
    • Editorial policies
    • Peer review process
    • Publication fees
    • Reprint requests
    • Open access
    • Patient engagement
  • Physicians & Subscribers
    • Benefits for Canadian physicians
    • CPD Credits for CMA Members
    • Subscribe to CMAJ Print
    • Subscription prices
    • Obituary notices
  • Alerts
    • Email alerts
    • RSS
  • JAMC
    • À propos
    • Numéro en cours
    • Archives
    • Sections
    • Abonnement
    • Alertes
    • Trousse média 2023
    • Avis de décès
  • Visit CMAJ on Facebook
  • Follow CMAJ on Twitter
  • Follow CMAJ on Pinterest
  • Follow CMAJ on Youtube
  • Follow CMAJ on Instagram
News

Health agencies overwhelmed by Syrian crisis

Shannon Lough
CMAJ November 03, 2015 187 (16) 1196; DOI: https://doi.org/10.1503/cmaj.109-5170
Shannon Lough
Ottawa, Ont.
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF
Loading

Humanitarian agencies providing health services to Syrian refugees are rapidly being overwhelmed by the need — and running short of funds. Since the civil war began in Syria in 2011, more than four million people have fled to neighbouring Iraq, Lebanon and Jordan; now as those countries reach capacity, half a million refugees are seeking asylum in Europe.

Several humanitarian agencies providing health care to refugees in Lebanon, Jordan and Iraq have recently been forced to scale back services because of a lack of funding.

The Office of the United Nations High Commissioner for Refugees (UNHCR) has only 37% of the funding it needs and says that if it doesn’t fill the gap soon, 10 000 people will not have access to emergency health care. Furio de Angelis, the UNHCR representative in Canada, says they will have to begin prioritizing patients.

The national health systems of neighbouring countries are also overburdened, says Jeffrey Bates, chief of communications for the United Nations Children’s Fund (UNICEF) in Iraq. Many Syrian refugees live with local populations in urban centres and rely on host nations’ health systems rather than aid agencies.

UNICEF is struggling as well. When Bates first arrived in Iraq in 2013, UNICEF provided Syrians and the general population with immunization, education, protection and screening for malnutrition.

The tipping point came in June 2014, when 500 000 refugees arrived in Iraq; since then that number has tripled. “In the last year we’ve gone from a program that was emergency- and development-focused to one that is almost purely emergency.”

UNICEF appealed for $624 million to fund its programs for children but only 49% of that goal has been met. Bates says they will have to start scaling back services when they should be scaling up.

Based on reports from before the civil war began, chronic disease once caused over 75% of deaths. But, nowadays, many Syrians with chronic diseases don’t get the treatment they need. This is why Canadians should focus on meeting the health care needs of the refugees over resettlement, says Y.Y. Brandon Chen, an assistant professor at the University of Ottawa who specializes in health and migration law.

Figure

Humanitarian agencies’ resources are stretched as the Syrian refugee crisis escalates and migrates into Europe.

Image courtesy of Stephen Ryan/International Red Cross and Red Crescent Societies

Breanne England, manager of emergency relief and funds at the Canadian Red Cross who has visited Syria five times, says she sees a lot of chronic conditions, including diabetes, cancer and respiratory diseases. These people need regular medical care and medicine and treatment: “Imagine trying to struggle for five years to get that treatment, or to get access to medicine.”

The Canadian Red Cross is supporting mobile clinics in Lebanon and Syria, where there are 7.6 million internally displaced people.

Though media attention has mainly focused on the refugees moving into and across Europe, some humanitarian agencies warn that many of those in dire need remain in Syria. The Red Cross works with the Syrian–Arab Red Crescents who deliver food, supplies and health services through the mobile clinics to 3.5 million people in Syria every month.

“That’s a drop in the bucket of how many people are actually in need of assistance,” England says.

The evolving situation beyond Syria’s borders and into Europe has challenged Médecins Sans Frontières’ (MSF) agility as it considers where to put resources, says Dr. Heather Culbert, president of MSF Canada. “It honestly seems like almost every day the situation is changing so it’s very difficult for us to plan ahead.”

Since the war began, MSF has been providing primary, secondary and tertiary health services, including vaccination, maternal and child health, reconstructive surgery and mental health support. It stepped up its efforts when refugees began migrating by foot or sea to Turkey, Greece and Croatia.

However, the organization’s main concern remains with the refugees still in camps just outside Syria’s borders, and those internally displaced within Syria.

PreviousNext
Back to top

In this issue

Canadian Medical Association Journal: 187 (16)
CMAJ
Vol. 187, Issue 16
3 Nov 2015
  • Table of Contents
  • Index by author

Article tools

Respond to this article
Print
Download PDF
Article Alerts
To sign up for email alerts or to access your current email alerts, enter your email address below:
Email Article

Thank you for your interest in spreading the word on CMAJ.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Health agencies overwhelmed by Syrian crisis
(Your Name) has sent you a message from CMAJ
(Your Name) thought you would like to see the CMAJ web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
Citation Tools
Health agencies overwhelmed by Syrian crisis
Shannon Lough
CMAJ Nov 2015, 187 (16) 1196; DOI: 10.1503/cmaj.109-5170

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
‍ Request Permissions
Share
Health agencies overwhelmed by Syrian crisis
Shannon Lough
CMAJ Nov 2015, 187 (16) 1196; DOI: 10.1503/cmaj.109-5170
Digg logo Reddit logo Twitter logo Facebook logo Google logo Mendeley logo
  • Tweet Widget
  • Facebook Like

Jump to section

  • Article
  • Figures & Tables
  • Responses
  • Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • No citing articles found.
  • Google Scholar

More in this TOC Section

  • Saying goodbye to CMAJ News
  • How Canadian hospitals are decreasing carbon emissions
  • National survey highlights worsening primary care access
Show more News

Similar Articles

Collections

  • Topics
    • Humanitarian medicine
    • Medical consequences of conflict

 

View Latest Classified Ads

Content

  • Current issue
  • Past issues
  • Collections
  • Sections
  • Blog
  • Podcasts
  • Alerts
  • RSS
  • Early releases

Information for

  • Advertisers
  • Authors
  • Reviewers
  • CMA Members
  • CPD credits
  • Media
  • Reprint requests
  • Subscribers

About

  • General Information
  • Journal staff
  • Editorial Board
  • Advisory Panels
  • Governance Council
  • Journal Oversight
  • Careers
  • Contact
  • Copyright and Permissions
CMAJ Group

Copyright 2023, CMA Impact Inc. or its licensors. All rights reserved. ISSN 1488-2329 (e) 0820-3946 (p)

All editorial matter in CMAJ represents the opinions of the authors and not necessarily those of the Canadian Medical Association or its subsidiaries.

To receive any of these resources in an accessible format, please contact us at CMAJ Group, 500-1410 Blair Towers Place, Ottawa ON, K1J 9B9; p: 1-888-855-2555; e: cmajgroup@cmaj.ca

CMA Civility, Accessibility, Privacy

 

Powered by HighWire