An Underground Hospital in Syria Fills With Quake Victims

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Dr. Nehad Abdulmajeed thought he had seen the worst human struggling of his profession as a surgeon in Syria. In 2016, he survived the siege of Aleppo, which left hundreds useless or crippled within the midst of a civil conflict.

After the town fell to authorities forces, Dr. Abdulmajeed retreated to a city known as Al Atarib, within the nation’s northeast, the place he labored in a hospital dug deep underground to guard it from relentless Russian and Syrian bombardments.

“Our hospital has at all times been full of tragedy,” he stated in a cellphone interview from his working room. However the carnage he and his workers have seen this week, from a completely completely different enemy, was of a scope he had by no means encountered.

Lots of of casualties from Monday’s earthquake, which was centered close by throughout the border with Turkey, have arrived this week at his hospital from the Al Atarib area, and plenty of have been already useless after they reached the hospital. Employees members say that they had counted 148 our bodies on the hospital since Monday.

“Since Monday, the our bodies haven’t stopped coming,” stated Dr. Abdulmajeed, 33, one among 4 docs within the subterranean hospital often called the Cave. “Some arrive with out heads. Others with out limbs.”

After weathering greater than a decade of civil conflict, Syrian docs discover themselves caught in the course of a contemporary humanitarian disaster after the earthquake, with rescue efforts obstructed by the placement of the quake zone, which incorporates government- and opposition-controlled lands in Syria.

That has meant a determined scramble to save lots of individuals trapped within the particles of collapsed buildings within the hope of taking them to hospitals just like the one in Al Atarib.

“Individuals are digging via the rubble with their fingernails to succeed in the screaming voices on the opposite facet,” stated one physician, Murhaf Assaf, who labored within the Collapse 2018 and is in frequent contact with the workers there. He now lives in Wales.

Hospital workers members shared movies and pictures with The Instances that confirmed the useless, shrouded in blankets, lining the corridors. One other video confirmed a pickup, stacked with our bodies, arriving on the hospital.

“Now we have cried over kids who lived via this conflict and are actually useless for no cause,” stated Dr. Abdulmajeed.

On Tuesday, the hospital acquired three siblings — together with Abdul Haseeb, 3 — who had survived within the rubble for 36 hours. “It’s a blessing they’re nonetheless alive,” stated Dr. Abdulmajeed, who was desperate to share what little hopeful information there was.

Dr. Abdulmajeed was sleeping along with his personal kids in a close-by village when the earthquake struck, sending tremors throughout the realm. “I noticed our lives flash earlier than our eyes,” he stated. His household had huddled within the chilly for hours to attend out the aftershocks, earlier than he was in a position to make his technique to the hospital and begin saving individuals.

“We stored trying as much as the sky for jets,” stated Dr. Osama Salloum, who drove to the Cave from Idlib on Monday morning after receiving an pressing name for assist. “My thoughts was taking part in methods on me — telling me it was conflict once more.”

One boy, who seemed about 6 years previous, died as Dr. Salloum was performing CPR. “I noticed the life go away his face,” stated the physician, who additionally operated on sufferers in the course of the siege of Aleppo. “All of the traumatic pictures from my work in the course of the conflict flooded again to me,” he added. “I felt like I used to be waking in a recurring nightmare.”

The docs stated their experiences throughout wartime had ready them effectively for the human toll wrought by the earthquake — particularly for the laborious selections that such grueling work entailed.

“There have been days after we might solely avoid wasting — in case you tried to save lots of all of them, you wouldn’t have the ability to save anybody,” stated Dr. Assaf, who labored within the Collapse 2018.

The hospital in Al Atarib was in-built 2017 by the Syrian American Medical Society, or SAMS, a humanitarian group that helps 39 medical services within the nation. Positioned near the combating on a major highway connecting Aleppo with the town of Idlib, it was dug deep underground to evade the routing bombing and shelling by Russian and Syrian forces in rebel-held areas.

However the hospital got here beneath a devastating artillery bombardment in March 2021 that killed seven sufferers and injured 15, together with 5 medical workers members, in keeping with a joint report by SAMS and the Physicians for Human Rights.

The assault was emblematic of probably the most brutal ways employed by the Syrian regime for the reason that civil conflict started in 2011. Physicians for Human Rights has documented 601 assaults on 400 well being care services for the reason that conflict started.

The systemic crackdown on hospitals and clinics in opposition-held areas has devastated Syria’s well being care system, garnering worldwide condemnation and prompting as much as 70 % of Syria’s well being care staff to flee the nation, in keeping with a 2021 report by BioMed Central in London.

“These docs have been uniquely educated by conflict — however sadly only some of them stay within the nation,” stated Dr. Assaf, who left Syria in June 2019.

“They want all the assistance they’ll get,” he stated. He added that the Cave’s workers, which had not less than 11 surgeons when its doorways first opened, had shrunk to some individuals at a time over the previous 5 years.

Vital sources, like gloves and plaster for bandaging wounds, have been already dwindling, the surgeons stated.

Within the days following Monday’s earthquake, support to Syria has been hindered, partially as a result of the roads surrounding a serious border crossing from Turkey into opposition-held areas was broken. And support teams in Turkey have been affected by the quake. Any extended obstruction might pose a problem for docs on the underground hospital in Al Atarib.

“I believed that perhaps I had seen the whole lot,” Dr. Abdulmajeed stated, “however these are probably the most tragic days that I’ve seen in my total life.”

Sangar Khaleel contributed reporting.



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