Syrian Doctors Risk Their Lives As Attacks Target Medical Facilities

Syrian Doctors Risk Their Lives As Attacks Target Medical Facilities
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A Syrian doctor sleeps in the waiting room of Dar al-Shifa hospital in Aleppo on Oct. 21, 2012.
AP/Manu Brabo

The only way to reinstate peace and stability in Syria is to document ongoing crimes in the hopes that those responsible will some day be brought to justice, according to a doctor working with Physicians for Human Rights along the Turkish border.

Throughout the past five years of conflict in Syria, the global nonprofit Physicians for Human Rights (PHR) has documented countless targeted and indiscriminate strikes on hospitals and doctors across the country.

According to PHR, at least 738 medical personnel have been killed since 2011, and hospitals and medical facilities have been attacked 365 times, mostly by Syrian government forces. PHR works with a network of physicians who, despite the continuous attacks on medical personnel, continue to risk their lives to treat those in need and document evidence of torture and sexual violence for future war-crimes prosecutions.

One of those physicians, whom we’ll call Dr. Lena, has been working with PHR since 2013. Before fleeing Syria in 2011, her husband, also a physician, was detained and tortured by government forces. Two of her close family members were arrested and are still unaccounted for. Undeterred, Dr. Lena continues to work in Turkey, providing care for some of the country’s 3 million Syrian refugees. Last month, she traveled to the United States to advocate on behalf of her colleagues – and to receive the 2016 Physicians for Human Rights Award in New York.

She sat down with PHR’s executive director Donna McKay for a conversation about her work, her motivations, her personal safety and her dreams for the future of Syria. What follows is an edited and condensed version of that conversation.

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At least 738 medical personnel have been killed since 2011, and hospitals and medical facilities have been attacked 365 times, mostly by Syrian government forces.
Omar Sanadiki / Reuters

McKay: Dr. Lena, help me understand a little bit about what makes Syria such a dangerous place to practice medicine?

Dr. Lena: I think it’s related to the risk of being arrested. For a physician who works anyplace in Syria, whether it’s in areas held by the regime or the opposition, there is a risk. And for me, I cannot be there anymore, because there is a risk even to see my family.

McKay: But why specifically are physicians and medical workers targeted?

Dr. Lena: Because in the eyes of the regime, they are assisting the opposition. They are helping injured people who are against the regime. At the beginning of the revolution in 2011, government forces just arrested the doctors. There was no ISIS at that time, no armed groups, no fighting, nothing else – just they arrested the physicians who were treating those who were wounded or injured during anti-government demonstrations.

They also arrested people like my husband just because he and his colleagues tried to organize a network of field clinics with some medical equipment [to treat injured protesters]. That enough is a reason for the regime to arrest you. When I was notified of my husband’s arrest, the arrest report just said that he was helping the injured. That was written as the reason for his arrest.

In the last two years or so, the regime has been targeting medical facilities for airstrikes, and you can’t say it’s a mistake. One time, two times, you can understand – that would make sense for you if it’s a mistake. But some facilities like Bab al-Hawa Hospital have been struck six times. A doctor’s car was targeted, an MSF hospital was targeted. They know. It’s not a mistake.

McKay: What got you interested in working to document human rights abuses in Syria?

Dr. Lena: Before I trained with PHR [in documenting human rights abuses], I met a lot of survivors, and I was treating them as a physician. I didn’t approach what happened to them in a systematic way – to evaluate them, to have some evidence, and to make sure that I can document evidence of what they’ve experienced.

But later on, after the PHR training, I found that it’s very important to document the cases as early as possible to keep evidence so that a strong file can be brought to court. You hear stories of detainees, a lot of stories about violations of human rights, but if you don’t have evidence you cannot do anything to prosecute the criminals.

At this moment, we don’t have a mechanism for accountability or to prosecute the criminals, but at least maybe in the future in Syria we can work to make reparations for those victims and help them lead normal lives or reinvolve them in society.

The standard I want is that criminals should be prosecuted to keep Syria connected, because there can be no peace without justice. So it’s very important for the future of Syria. It may take 20 years or more, but at least in Syria we can offer some kind of justice for the people who are suffering.

McKay: Do you worry that the work you’re doing puts you at greater risk?

Dr. Lena: Yes, I am worried. I try to do my best to protect myself and my family, but it’s a risky job. I’m personally committed to this documentation work because two of my own family members are still missing inside Syria.

McKay: Wars end, and this war will end. What do you dream about when this war is over? What are you hopeful for?

Dr. Lena: I hope I can go back to Syria as soon as possible. I’d have to have guarantees that I wouldn’t be detained and that airstrikes would end, mainly for my children, because I would feel guilty if any of my family members were hurt. I will go back soon to Syria, and I hope that I will participate in rebuilding Syria and helping my people.

This article originally appeared on Syria Deeply. For weekly updates about the war in Syria, you can sign up to the Syria Deeply email list.

Before You Go

Inside Syria's War
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Civil Defence members put out a fire that spread in an oil refinery in the town of Marat Numan in Idlib province, Syria March 10, 2016. (credit:Khalil Ashawi / Reuters)
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Members of pro-government forces stand in front of a destroyed building in Salma, a town in Latakia province, on Jan. 15, 2016. (credit:YOUSSEF KARWASHAN/AFP/Getty Images)
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Syrian security forces and residents gather near Sayyida Zeinab, a Shia Muslim shrine in Damascus, following a suicide bombing on Jan. 31, 2016. (credit:LOUAI BESHARA/AFP/Getty Images)
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Civil defense team members try to clear the debris of a building after a Russian airstrike on Anadan, a city in the Aleppo Governate, on Feb. 2, 2016. (credit:Anadolu Agency via Getty Images)
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People search through the debris of collapsed buildings following a Russian airstrike on in Atarib, a district in the Aleppo Governate, on Jan. 31, 2016. (credit:Ahmed Hasan Ubeyd/Anadolu Agency/Getty Images)
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Smoke rises in Anadan following Russian air strikes on Feb. 2, 2016. (credit:Muhammed Kurab/Anadolu Agency/Getty Images)
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Members of Syria's Civil Defense search for people who may have been buried under the wreckage following Russian airstrikes on Aleppo on Feb. 2, 2016. (credit:Muhammed Kurab/Anadolu Agency/Getty Images)
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People search through the wreckage of collapsed buildings following Russian airstrikes in Aleppo on Jan. 31, 2016. (credit:Ahmed Hasan Ubeyd/Anadolu Agency/Getty Images)
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Civil defense team members clear the debris of a building following airstrikes on residential areas in Anadan on Feb. 2, 2016. (credit:Beha El-Halebi/Anadolu Agency/Getty Images)
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Children carry Islamist flags as they pose with a man for photos during an anti-government protest in the rebel-controlled city of Idlib, Syria March 25, 2016. (credit:Ammar Abdullah / Reuters)
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A boy runs near damaged buildings in the town of Marat Numan in Idlib province, Syria, March 23, 2016. (credit:Khalil Ashawi / Reuters)
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Boys play near rubble of damaged buildings in the rebel-held besieged town of Douma, eastern Damascus suburb of Ghouta, Syria March 19, 2016. (credit:Bassam Khabieh / Reuters)
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A damaged building is pictured in the rebel-controlled area of Jobar, a suburb of Damascus, Syria March 23, 2016. (credit:Bassam Khabieh / Reuters)
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A member of forces loyal to Syria's President Bashar al-Assad takes a position inside a palace complex on March 24, 2016. (credit:Sana Sana / Reuters)
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Residents take part in an anti-government protest against Syria's President Bashar al-Assad in the town of Marat Numan in Idlib province, Syria March 24, 2016. (credit:Khalil Ashawi / Reuters)
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A girl walks near rubble of damaged buildings in the rebel held besieged town of Douma, eastern Damascus suburb of Ghouta, Syria March 19, 2016. (credit:Bassam Khabieh / Reuters)
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Rebel fighters from Jaysh al-Sunna stand in Tel Mamo village, in the southern countryside of Aleppo, Syria March 13, 2016. (credit:Khalil Ashawi / Reuters)
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A general view shows damaged buildings as seen from the rebel held Qaboun neighborhood of Damascus, Syria March 13, 2016. Picture taken March 13, 2016. (credit:Bassam Khabieh / Reuters)
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Kurdish People's Protection Units (YPG) fighters carry their weapons while riding on the back of a pick-up truck in Qamishli, Syria, March 11, 2016. (credit:Rodi Said / Reuters)
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A man reacts for the loss of family members after an air strike on the rebel held al-Saliheen district in Aleppo, Syria, March 11, 2016. (credit:Abdalrhman Ismail / Reuters)
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A boy inspects a damaged house in the rebel held besieged city of Douma, a suburb of Damascus, Syria February 27, 2016. (credit:Bassam Khabieh / Reuters)
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A boy plays with a dog in the rebel-controlled area of Jobar, a suburb of Damascus, Syria March 3, 2016. (credit:Bassam Khabieh / Reuters)
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Protesters carry Free Syrian Army flags and chant slogans during an anti-government protest in the town of Marat Numan in Idlib province, Syria March 4, 2016. (credit:Khalil Ashawi / Reuters)
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A broken frame with a picture lies on the ground of a damaged house in the rebel-controlled area of Jobar, a suburb of Damascus, Syria March 3, 2016. (credit:Bassam Khabieh / Reuters)
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Syria Democratic Forces fighters carry their weapons in a village on the outskirts of al-Shadadi town, Hasaka countryside, Syria February 19, 2016. (credit:Rodi Said / Reuters)
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A woman inspects damage at a camp for internally displaced people after it was hit by shelling in Jabal al-Turkman, Latakia province January 31, 2016. (credit:Ammar Abdullah / Reuters)
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A boy reacts in a site hit by what activists said were airstrikes carried out by the Russian air force in the town of Douma, eastern Ghouta in Damascus, Syria January 10, 2016. (credit:Bassam Khabieh / Reuters)
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Women mourn the death of a relative killed by Islamic State fighter in Mteahh village near al-Shadadi town, Hasaka countryside Syria February 18, 2016. (credit:Rodi Said / Reuters)
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A damaged building is seen in Hraytan city, Northern Aleppo countryside, Syria February 3, 2016. (credit:Abdalrhman Ismail / Reuters)
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A member of the Free Syrian Army rests on a metal top of an underground tunnel in Aleppo, Syria August 3, 2015. (credit:Abdalrhman Ismail / Reuters)