MSF is continuing to provide medical care, including for    trauma, and mother and child care, in areas throughout northern    Iraq.  
    Mosul  
    Inside Mosul city  
    MSF opened a 15-bed, 24/7 free-of-charge maternity hospital in    Karama, in east Mosul, on the 19 March. Since then, the MSF    team made up of both expat and Iraqi midwives and obstetricians    has assisted 200 women to give birth safely.  
    MSF opened a 24/7 emergency room in Al Taheel hospital on 26    March. The team has also set up a surgical unit (with one    operating theatre currently running, but a second will soon be    online), and a 32-bed post-operative ward in order to provide    medium-term care to those suffering from violent trauma    injuries in and around Mosul. People with older injuries in    need of surgical care, surgical follow up, and other types of    surgical issues are also treated in this facility. Since    opening, over 330 patients have been received in the emergency    room, and 30 surgical interventions have been carried out.  
    In north-east Mosul, MSF works in a hospital set up inside a    former retirement home. The ER opened in February, and has been    running 24/7 since 1 March providing emergency, surgery, and    maternity services (including caesarean sections), and an    in-patient department (IPD) with 50 beds. Since the opening of    the hospital until early May, the MSF team has treated 4,376    patients, over half of whom (2,286) were urgent cases, and 93    caesarean sections were performed since the maternity unit    opened. As the level of access to healthcare is improving in    East Mosul, the hospital has seen a drop in activities in the    past weeks, especially in terms of lifesaving medical care. As    a result, MSF is re-evaluating the project strategy.  
    Outside Mosul city  
    Hammam al-Alil is the closest internally-displaced persons    (IDP) camp to the south of Mosul, and is located around 30km    south of the current frontline. The town has received a big    influx of IDPs from western Mosul since start of the military    offensive, with more people arriving every day and settling in    different camps in the area, or are sent elsewhere after they    are screened by security forces.  
    MSF opened a field trauma hospital with emergency room, two    operating theatres, an ICU/recovery room, and IPD on 16    February; for more than one month this hospital was the closest    surgical facility to West Mosul. The emergency room received    2,689 patients from 19 February to 19 May, with more than half    of them women and children, and more than two-thirds were    war-wounded. So far the team has performed 245 major surgical    procedures and 56 minor procedures.  
    Since 15 April, MSF has been supporting the local Department of    Healths primary healthcare centre (PHCC) in Hamman al-Alil,    and had already carried out a total of 12,232 consultations by    19 May for both the local population and the IDPs hosted in the    community. In the PHCC we perform dressings for wounded    patients, including those still being followed up after being    discharged from our trauma centre. In Hammam al-Alil, MSF also    runs an ambulatory therapeutic feeding centre for children    suffering from malnutrition, with a rapidly increasing cohort    made up primarily of small babies aged less than six months  
    MSF is providing long-term post-operative care with    rehabilitation and psychosocial support in Al Hamdaniya    hospital, in collaboration with Handicap International.    Activities started on 15 March and to date, MSF has admitted    189 patients, nearly half of whom were women and children. The    facility now has 40 beds in order to respond to the huge need    for post-operative care and is almost constantly full,    receiving new patients who need post-operative follow-up as    soon as those who complete their follow-up are discharged.  
    In December, MSF opened a 32-bed hospital in Quayyarah, 60 km    south of Mosul, with an ER and an operating theatre to provide    surgical and emergency medical care. The facility has now been    extended to cater for the growing and diversifying needs. The    team has treated 6,000 patients in the ER as of 1 May, around    10% of whom were admitted to the in-patient department which    currently has a 50 bed capacity. A total of 1,130 surgical    interventions have been performed since December 2016 until 1    May. A four-bed intermediate care unit was opened in mid-April    to provide care to patients in critical condition, and seven    observational beds and two resuscitation beds are also now    available.  
    In March, MSF set-up a 12-bed intensive therapeutic feeding    centre (ITFC) in Quayyarah to provide care to children recently    displaced from west Mosul or Shirkat region, as well as those    from IDP camps in Hammam al-Alil and Quayyarah. The majority of    the patients in the ITFC are less than six months old. The    centre regularly works over capacity and during one week in    late May had three babies per bed.  
    Since February, MSF has been running a mental health clinic for    patients admitted to the hospital, as well as for patients    referred from Quayyarah camps. The team includes a    psychiatrist, two psychologists, and two psychosocial    counsellors.  
    Camps for displaced people  
    Following the offensive launched into West Mosul in    mid-February, the total population of the four camps west of    Erbil hosting internally displaced people from Mosul sharply    increased to 80,000 people by the end of March. Soon after, the    displaced people started leaving the camps to move in with    relatives, or rent houses in retaken areas of East Mosul, and    the overall population decreased to approximately 70,000.  
    Today, mobile MSF teams are providing primary health care,    treatment for chronic diseases (mainly diabetes and    hypertension), as well as psychological and psychiatric care in    two of these camps, Chamakor and M2. Activities in M2 are    currently more focused on care for non- communicable diseases,    with MSF planning to handover primary health care activities by    the end of May. MSF has already handed over the treatment of    non-communicable diseases in Debaga camp, given the number of    IDPs leaving and starting to return to their homes or moving in    with relatives in East Mosul.  
    A team of a psychiatrist, psychologists, and counsellors is    also providing health care to those suffering from moderate to    severe mental health conditions. Activities include    psychological and psychiatric consultations, group therapy,    psychosocial counselling, and child therapy. MSF teams    currently provide mental health care across 14 sites, and are    always extremely busy.  
    Since the beginning of the year, the team has carried out more    than 15,000 medical consultations and 9,000 mental health    consultations in the IDP camps near Mosul.  
    Hawija  
    Hawija District, one of the four districts of Kirkuk    governorate, remains the second largest territory controlled by    Islamic State (IS) in Iraq, but the timeline leading to the    military intervention to retake the area is not yet known.    Hawija is surrounded by more than 200 rural villages and the    entire district combined had an estimated population of 288,000    in June 2014, but a large proportion has now reportedly fled.  
    In late 2015, increasing numbers of civilians began fleeing the    hardship of life under IS and in June 2016, a militia group cut    the last trade road, isolating the district from other IS-held    territories and from the rest of Iraq. Since then, living    conditions have become dire for the estimated 70,000 people    remaining in Hawija district. Due to the siege, food is scarce    and prices have skyrocketed. Health facilities have been    damaged by airstrikes and local looting, and both health    workers and medical supplies (drugs, equipment, and materials)    are drastically lacking. It is expected that the military    offensive will further disrupt access to basic services and    worsen the already critical humanitarian situation.  
    Of the estimated 88,000 IDPs that have reportedly left Hawija    since August 2016, around half are displaced within Kirkuk    Governorate, where the vast majority live in Kirkuks six IDP    camps. A further 30,000 have fled to neighbouring Salah Al-Din    governorate. People reported that the main reason for leaving    is the lack of food and drinking water.  
    Since November 2016, MSF has been operating two mobile clinics    at Maktab Khalid checkpoint and at Debes screening site to    respond to the immediate needs of those fleeing Hawija. Primary    health care, first aid, psychological trauma care, and    referrals to Kirkuk hospital ER are being provided. MSF has    also renovated the water and sanitation facilities in the two    sites and distributes water. In Daquq IDP Camp, MSF runs a    non-communicable diseases clinic and mental health activities.    MSF also supports the emergency rooms of the two main Kirkuk    hospitals and has conducted emergency response workshops    including specific training on how to deal with injuries to the    abdomen and chest, as well as on advanced trauma responses in    preparation for mass casualties which may arrive as a result of    any future Hawija offensive.  
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Iraq: Crisis Update  northern Iraq, June 2017 - ReliefWeb