ICRC News 27 / 16.07.97
** SHORT MENU....
REPUBLIC OF CONGO: THE EXODUS CONTINUES: Hundreds of people have been wounded and an unspecified number killed in fighting that has raged through Brazzaville since 5 June. Tens of thousands have fled the city as a result of the shelling, some headed north, others south.
SIERRA LEONE: THE WORSENING PUBLIC HEALTH SITUATION: On 7 July the Sierra Leone Red Cross Society and the ICRC opened a new health-care post in Macauley, a poor, inner-city area of Freetown, the Sierra Leonean capital.
** STORIES IN FULL....
REPUBLIC OF CONGO THE EXODUS CONTINUES
Hundreds of people have been wounded and an unspecified number killed in fighting that has raged through Brazzaville since 5 June. Tens of thousands have fled the city as a result of the shelling, some headed north, others south.
Obliged for security reasons to temporarily withdraw its expatriate staff on 26 June, the ICRC has nevertheless continued to provide largely medical assistance to hospitals and health-care posts through its local staff and the Congolese Red Cross, still actively assisting the victims.
On 9 July the ICRC received permission from the authorities in Kinshasa for expatriate staff to cross the Congo river, thereby enabling two tonnes of medicines and food to be dispatched urgently to Mbambu island, a precarious refuge (given the lack of drinking water and sanitary facilities) for the 3,000 displaced people who have gone there.
A cease-fire came into force on 15 June, but widespread uncertainty remains as to whether it will be observed on the ground.
SIERRA LEONE THE WORSENING PUBLIC HEALTH SITUATION
On 7 July the Sierra Leone Red Cross Society and the ICRC opened a new health-care post in Macauley, a poor, inner-city area of Freetown, the Sierra Leonean capital. Consultations, treatment and basic vaccinations for children (diphtheria, tetanus, polio and measles) are provided free of charge. Several thousand people have already been seen at four similar centres, which were opened in west Freetown the previous week. Meanwhile, an ICRC surgical team is continuing its work at Freetown's Netland hospital, to which ten of the 40 people wounded in the last weekend's fighting were admitted.
A few medicines are still available at Freetown pharmacies, but as most people have not been paid for months, very few can afford to buy them. To make matters worse, the onset of the rainy season has seen a sharp rise in the number of cases of malaria, dysentery and respiratory infection - diseases that can prove fatal if they go untreated.
The situation is every bit as alarming in the rest of the country. Repeated clashes between rival forces along the main roads have made any movement hazardous. ICRC delegates operating out of the south-eastern town of Kenema are still bringing assistance to hospitals and a few other health-care facilities scattered throughout the area. On 10 July an ICRC-chartered aircraft flew in 1.6 tonnes of medicines to supply the pharmacy at the hospital in Kenema.
The violence currently prevailing in several areas of Sierra Leone is having tragic human consequences. Recent population movements touched off by the fighting have not only endangered people's health but led to hunger. The rainy season is already the most critical period of the year for the food supply; now, with most food-aid organizations driven out by the fighting, a spectacular increase in malnutrition is likely.