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[casi] More on humanitarian situation in Iraq



A. 'Occupiers are failing desperate city', Independent, 1 June 2003
B. Iraq crisis update, Oxfam, 30 May 2003

Copies of voices' free campaign postcard on the humanitarian situation in
Iraq are still available (see
http://www.viwuk.freeserve.co.uk/takeaction.html). Contact
voices@voicesuk.org.

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A. 'Occupiers are failing desperate city'
By Jo Dillon, Deputy Political Editor
Independent on Sunday, 01 June 2003

Aid agencies have accused the British and United States governments of
failing to meet their legal obligations to the people of Iraq.

Cafod, Christian Aid and Oxfam - three leading humanitarian organisations
working in post-conflict Iraq - claim levels of security are insufficient to
allow aid workers to do the job needed.

They warn this puts Britain and America in breach of their international
obligations - and liable for censure by the United Nations. It puts in
jeopardy the health and welfare of ordinary Iraqis and presents the risk
that frustration among the people will turn to civil unrest if steps to
improve their lot are not taken urgently.

Oxfam's policy adviser for Iraq, Jo Nickolls, has just returned from a stint
in Baghdad. "One of the most striking things is the sense of complete
uncertainty and fear," she said.

"People don't know how things are going to progress and at the same time are
having to live a very tough day-to-day existence without electricity and
clean water."

Hospitals in the capital are still treating a majority of people for
complaints related to a polluted water supply - cholera, dysentery and
diarrhoea - and the breakdown of law and order is making it difficult to
replace water systems and the electricity supply.

"Security is definitely the primary concern," Ms Nickolls said. "The
occupying power has a duty to restore as far as possible law and order and
safety. They do seem to be failing to meet their obligations."

Her views were shared by fellow aid workers. Alistair Dutton, emergencies
officer at Cafod, who has just returned from Basra, said: "I can't pretend
that the regime that has been removed was in any way good or easy to work
under.... But five or six weeks after the war ended, the situation in the
country is not consistent with the Coalition forces' responsibilities under
international law. Failure to secure the country or to make it safe is
severely hampering the humanitarian effort."

Aside from looting, the ready availability of guns and general lawlessness,
the aid agencies complain that unex- ploded bombs and mines have not yet
been cleared.

People are afraid to leave their homes, they claim, especially women and
children - which means food and medical aid is failing to reach those who
are most vulnerable.

Dominic Nutt, emergencies officer for Christian Aid, who has also been in
Basra, said the war itself had adversely affected the aid situation. "The
basic infrastructure was chronic and held together with glue and string, but
there were engineers there who were able to keep the system going. When the
war came, they had better things to do."

While the war had had a "profound effect", he insisted there was not yet a
"humanitarian crisis". But the agencies agree the situation is potentially
explosive. "Things could flip either way. It does require the restoration of
security and stability," said Ms Nickolls.

"If that doesn't happen you risk moving towards a disastrous situation....
There is far more organised crime, people are threatening to go on strike,
people are unhappy with the political situation.... There is potential for
more civil unrest."
   1 June 2003 11:09

***************************************
B. Iraq crisis update 30 May 2003
Source: Oxfam

1. Oxfam's relief programme
Iraq

Water and Sanitation

Oxfam now has teams in Baghdad, Basra and Nasiriyah, with a western and
central Iraq team making assessment visits to Iraq from Jordan. We have a
formal working agreement with the United Nations' Children's agency, UNICEF,
to provide clean water and sanitation systems to people in Iraq.

Oxfam are undertaking large-scale emergency infrastructure work that will
benefit many areas, urban and rural, in southern Iraq. Pumping stations are
being rehabilitated and our partners UNICEF are bringing in large supplies
of chlorine gas, vital for water treatment. The system relies on sweet water
being pumped south from Nasiriyah to Basra where it is treated. Many areas
further south rely on this water as much of the local water is saline.

Health

The health and water/sanitation situation remains chronic, with a high risk
of outbreak of disease. There are now 51 cases of cholera in Basra and a
monitoring system has been set up in Nasiriyah. The shortage of available
gas cylinders means people are not able to boil their water to kill the
bacteria in it.

While diarrhoeal diseases are reported to be fewer than a week ago in
Nasiriyah, patients are not coming to clinics because there are few drugs
and they cannot afford to pay. General health surveillance is poor and lab
testing facilities are in need of equipment. Oxfam is preparing for a
possible cholera outbreak. Our staff have visited primary health care
centres and found some looted of all their equipment. It's now leishmaniasis
season and the incidence rate is up. This sandfly-borne disease mainly
affects children under five years old. Oxfam will be assisting with a
leishmaniasis prevention and control programme in the area.

Public Health Promotion

Oxfam public health promoters in southern Iraq are working closely with
other aid agencies and local health professionals to encourage integration
and cooperation between doctors, clinics and hospitals. In general,
standards of medical care are poor. Prior to the conflict all health
activities were organised from Baghdad. There is a feeling that the south
may be forgotten and a need for Oxfam to influence at a ministerial level
and lobby for improved health systems and to promote community health in
collaboration with other NGOs.

Food availability

There is food available for purchase in the region, but at higher prices
than ever before. Meanwhile, most people are no longer receiving salaries.
There is a high dependency on World Food Programme rations, and the next
distribution is due in June. Oxfam is identifying vulnerable groups of
people, especially those who missed out on food distribution system.

Assessment in western Iraq

On 24th May the first cross border assessment visit by the Oxfam Central
Iraq team took place in Rutbah with ICRC. Since then the team has also
visited Hillah and Karbala (central Iraq). The team has set up a new office
in Ruweished as a base for staff working cross-border.

Medical Supplies

Oxfam has been helping supply Architects for People in Need's (APN) clinics
and others in Baghdad throughout the war, providing funds and medical
supplies with the All Our Children NGO consortium. The latest shipment from
Jordan contained syringes, needles, surgical gloves, examination tables and
other crucial pieces of medical equipment.

Much more is needed for APN's seven clinics, where power comes from old and
unreliable generators. There is a desperate need for kerosene-fuelled
fridges to keep drugs and samples cold. Supplies run short all the time. APN
have requested a secondment from Oxfam of a Water Engineer to help build and
repair clean water systems for the clinics.

The doctors are now seeing fewer war injuries than there were a few weeks
ago - but there's typhoid, skin diseases, burns. There is certainly cholera,
but no lab facilities to check the extent of the outbreak.

Jordan

In Jordan, Oxfam is working alongside the UN in refugee camps. Oxfam has
provided water and sanitation systems and public health promotion. The
Ruweished refugee camp now has about 800 refugees, all of Palestinian
origin.

There is an additional emergency camp at Al Ramada for people who have not
been allowed across the Jordanian border - around 1500 of them Iranian Kurds
who were already refugees in Iraq in a camp called Al Tash, about 20 km from
Baghdad. These people are 'stuck' in no-man's land. UNHCR is looking at
potential sites inside Iraq and there is a strong possibility that they will
be asked to move away from Jordan. For them to be moved on from here, the
international community must be sure their safety can be guaranteed.

2. Next Steps for Oxfam

Oxfam's work will cover areas of need in Iraq including water and plumbing
systems (large and small), food and nutrition, and public health promotion.

We are currently developing plans to encourage community mobilisation
towards improved living conditions in southern Iraq


We will expand our joint assessments with UNICEF into additional southern
governorates


Discussions are underway with the Jordanian Hashemite Charitable
Organisation concerning requests for assistance they have received from
western Iraq


Our southern Iraq team is working on a proposal to continue and expand our
water and sanitation response for the period 1st July to 31st October


We will be expanding our Quick Impact Projects (QUIPS) to include grants of
much higher value


We continue to keep our plans flexible to best meet the changing needs of
the Iraqi people

3. Current Humanitarian Situation
Security

The complete lack of basic services is of critical concern, but without
improved security it is difficult to see how essentials such as electricity
supply and normal health care can be restored. Numerous security incidents
happen daily in the capital. These include looting, banditry, ambushes,
car-jacking, physical attacks and killings. Schools have reopened but most
parents are concerned about their children's safety. NGOs have become a
target for attack as they clearly have money as well as valuable equipment
and vehicles. Many humanitarian aid agencies have been frustrated by not
being able to get into Iraq until their safety can be guaranteed, accusing
Coalition Forces of not doing enough to ensure the safety of staff and
goods. Just this week we have heard that the coalition military will be
instructed to deal with all looting very seriously.

Insecurity is by far the biggest issue in Baghdad. Systems have broken down
with women and girls being abducted at gunpoint and reports of rape.
Intermittent shooting day and night has become commonplace and coalition
forces report being shot at every time they try to use the underpasses.
Small arms are freely available in local markets and people are scared.
Unlike two months ago, people in Baghdad no longer go out after dark. Many
are scared to leave their houses at all for fear of looters. Those that do
work have to leave early to get home before the gunfire and thieving starts.

The widely advertised joint patrols of Iraqi police and US forces have been
spotted only once and most people in the poorer Shia areas have never seen a
coalition soldier. The Office for Reconstruction and Humanitarian Aid (ORHA,
military run department) reports that 18 police stations have reopened in
Baghdad but currently there are no night patrols. The UN security agency
UNSECORD reports that there is "something like urban guerrilla warfare"
underway in Baghdad with around five armed attacks on coalition forces per
day.

Areas of the city like the poor Shiite district of al-Sadr (formerly Saddam
City) remain no-go areas for the coalition. Here there are vast amounts of
weapons available - just $2-$5 for a Kalashnikov.

Basra and Nassiriya continue to be unstable with looting in the town both
day and night. In Basra there is often much shooting in the evening just
after dark and around the area of the three hotels housing UN and NGO staff.

The UN has just tightened its security restrictions on travel in the south
of Iraq. Now the road from Basra will require four vehicle convoys with a
minimum of two persons per vehicle. With limited vehicles and staff this new
requirement essentially makes the UN powerless to undertake any field work
in southern Iraq, and will have a devastating effect on their visibility.

Food

Iraqi agriculture is on the brink of collapse, with fears that many of its
24.5 million people will go hungry this summer, according to a report being
studied by the UN's Food and Agriculture Organisation. A special UN
assessment reveals a catastrophe in the making, with crops and poultry being
especially hard hit.

A number of post-war problems need to be solved urgently in order to ensure
that 60 percent of Iraqis get the heavily-subsidised food rations that they
have depended on for so long.

Nutrition rates in Baghdad show that 7.7 per cent of children under fives
are suffering from acute malnutrition, compared with last year's figure of 4
per cent.

WFP is undertaking assessments to Karabala and Hillah along with some food
distribution.

Population Movement

The UN High Commissioner for Refugees (UNHCR) is preparing for the return of
up to 500,000 Iraqi refugees, mainly from Iran and Jordan. UNCHR has
recently held discussions with Shi'a leaders in An Najaf in southern Iraq to
send messages to tribal leaders to ease pressure on Iranian refugees living
in the area.





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