Team supporting beleaguered Libyan medical staff A 12-person Médecins Sans Frontières (MSF) team is working in Kasr Ahmed Hospital, in the besieged village of Misrata, setting up medical and surgical activities and providing support to Al Hikma Hospital.

An MSF team arrived in Misrata on April 28, to strengthen the three-person team that had been there for the previous 10 days assessing local needs. The nine-person new team – including two surgeons, two anesthetists, three nurses, a doctor and a logistician – left Malta on a ship carrying 12 tonnes of medicine and medical supplies. One of the MSF surgeons on the team is now working at Al Hikma Hospital in Misrata, the referral facility for complicated surgery, to support the Libyan medical team that has been working around the clock for several weeks. The rest of the team is preparing to launch its activities at Kasr Ahmed Hospital, located in the eastern part of the city. Initially, the team will make improvements to the hospital's premises, restoring the operating room and organizing recovery and hospitalization rooms.  

The goal is to provide medical and surgical care to the people of Misrata, the vast majority of whom have sought refuge in this part of the city after fleeing violent fighting in the central and southern areas, as well as care to the African and Asian immigrants isolated around the port and waiting for a boat to transport them back home.

Libya © Tristan Pfund/MSF
A patient being loaded onto an MSF medical evacuation boat in Misrata on April 15. Medical facilities, medicine and supplies all lacking
In addition to emergency medical, surgical and pediatric care, which should be available in the coming days, MSF plans to increase bed capacity at Kasr Ahmed Hospital from the current 12 to approximately 50 beds and to restore the operating room. According to our teams on site, the Misrata hospitals have extremely limited capacity – approximately 100 beds – and resources for a population of around 300,000.
In the area of maternal and pediatric care, MSF will increase access to emergency care for children and pregnant women by installing a second operating room and increasing the number of beds. MSF is currently the only international medical nongovernmental organization in the city.

On April 30, a boat carrying five international workers left Benghazi for Misrata. They will join the other MSF staff already on site.  This team will focus on emergency obstetric and gynaecological care as well as pediatric and neonatology care at the Tubah clinic. The team is composed of a midwife, two nurses, a logistician and a psychologist. It will also include five more international workers (a gynecologist, an anesthetist, a medical manager, an operating room nurse and a pediatrician) who will leave Malta on May 4 for Misrata on a cargo ship transporting 7.5 tonnes of supplies.

Conditions still unstable at Tunisian border
On April 27, government armed forces' bombs damaged the hospital in Zintan, located south of the Libya-Tunisia border. Following those attacks, the MSF teams evacuated 18 patients by ambulance from the area and provided them first aid and stabilization.  

Gaddafi's troops trapped the opposition's armed groups between the Tunisian border and Dehiba. Confrontations continue. Most of the people who found refuge on the other side of the border are women and children, as the men returned to Libya either to protect their houses or take part in the fighting. Because medical needs are increasing in southern Dehiba, MSF staff are helping the medical centres provide stabilization, surgery and general medical care to the wounded. MSF is also providing mental health care in the camp housing Libyan refugees and in the host communities.

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