In this episode of Everyday Emergency, we hear from three MSF medics who have been working in the Syrian city of Raqqa. A former stronghold of the so-called Islamic State, Raqqa is littered with improvised explosive devices and remnants of war that are causing dire consequences for people returning to the city. 

Doctors Javid Abdelmoneim and Pippa Pett, along with nurse Michael Shek, helped to establish a trauma stabilisation unit in the east of  Raqqa. The role of the unit is to save lives in the crucial minutes after trauma.

In this episode, Javid, Pippa and Michael describe their first impressions of the city, what it was like to run a trauma unit from a suburban house, and how children with a little known disease are finally getting the help they need.

Find out more about the topics discussed here: https://msf.me/2Henlwn
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Patching Blast Injuries in the Ruins of Raqqa

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Welcome to Everyday Emergency, bringing you true stories from people on the frontline of humanitarian emergencies across the world. Everyday Emergency is the official Medecins Sans Frontieres/Doctors Without Borders (MSF) podcast.

Science

In August 2002, the threat to MSF becomes a reality and another Coordinator, a Dutch national, is kidnapped in Dagestan. 

The organisation is once again faced with the dilemma whether it should speak out in the media about the kidnapping or not. 

MSF opts to keep quiet at first, but as the weeks turn into months and the MSF Coordinator is still not released, MSF starts questioning whether it should take active steps to secure the hostage’s release by publicly pointing out a government’s responsibilities, negligence, or even complicity when a kidnapping occurs on its soil, or should it not enter into these conversations to avoid the potential for a government to dig in its heels? Tensions are running high, especially between MSF, the Dutch authorities and the family of the hostage, and some feel the structures within the organisation are not helping the situation.

Episode 9: Speaking out in a time of kidnapping

The situation in the North Caucasus is getting more and more violent as the Russian federal authorities is trying to forcibly repatriate Chechen refugees and force humanitarian organisations out of Ingushetia. When colleagues at other organisations are kidnapped in Chechnya, MSF closes down all operations in the country again. 

With a diminishing international presence in the warzone, MSF is once again faced with dilemmas - should it continue to speak out about human rights abuses its staff haven't witnessed? How can they help those in need in the region? And how long will it be before one of their own staff is once again held hostage?

Episode 8: A Deliberate Strategy of Non-Assistance

MSF’s operations have been closed down in Chechnya in response to the MSF Coordinator’s kidnapping. After his release, three weeks later,  MSF tries to restart its operations in Chechnya but there are delays due to security issues, and for now, the only programmes in the country are run through remote control management from Dagestan, on Chechnya eastern border. 

Most of MSF’s Caucasus staff are behind the return and support MSF speaking out in the media. Meanwhile and in a statement after the September 11th attacks in New York and Washington, Vladimir Putin links Russian military operations in Chechnya with the anti-terrorist combat launched by the American government. 

These events completely change the landscape for western tolerance towards Russia.

IMAGE: © Olivier Jobard/MYOP

Episode 7: Anti-terrorist rhetoric

Kidnappings are becoming more commonplace in Chechnya and closer to home for MSF as various staff members are held for questioning. Then, a key member of the team in the North Caucasus is taken hostage and questions are asked as to whether there's a causal link between MSF’s decision to speak out in the media and the kidnapping? 

Other difficult questions are raised: should the organisation speak out in the media to create visibility and hopefully bring their colleague some much-needed protection? Or should MSF be as discreet as possible to avoid a rise in the hostage’s so-called ‘market value’? And is it a good idea to take active steps to secure the hostage’s release, such as publicly pointing out a government’s responsibilities, negligence, or even complicity?

Episode 6: 'Kidnapped by mistake'

MSF’s operations in Chechnya are slowly starting back up again after 3 years of being run remotely. Although the bombing stops, general insecurity is pervasive and restarting these programmes is not without risks.

With an international team back on the ground in Chechnya, everyone agrees on the need to document the situation more thoroughly. A collection of patients’ accounts in the report “Chechnya: The politics of terror” is handed over at a press conference. 

The various MSF sections agree on a coordinated media strategy for getting news out of Chechnya and into the press, in particular the Russian media.

Patching Blast Injuries in the Ruins of Raqqa

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