Policy Brief Civilians Under Fire
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Sierra Leone, Somalia, Sudan, and Ugandacsome Attracting Intervention from Neighboring Countries
Two Steps Forward, One Step Back? The year saw no seismic shifts for the better for human rights prospects in the continent. But in a relative sense the backdrop improved, thanks principally to the switch from military to civilian rule in Nigeria, and the successful second democratic elections in South Africa. Not surprisingly, the gloom elsewhere in the continent obscured these and a few other positive developments. But in a difficult environment, the changes, especially in Nigeria, which had been on the critical list for so long, gave some comfort. With their governments committed to human rights promotion and working jointly, Nigeria and South AfricaCwhose economic and military power by far outranked any other country in AfricaCcould provide the region with a more coherent vision of the future and a creative surge of political, economic, and cultural activity. Nigeria Back in the Thick of Things Fingers crossed, Nigeria went to the polls between December 1998 and February 1999. Few leaders had to preside over such a critical juncture of a nation=s history as President Olusegun Obasanjo when he was inaugurated as president on May 29. After being sworn into office, President Obasanjo=s first actions included sacking over 150 military officers, ordering a review of all the contracts that his predecessor signed during the year, and setting up an inquiry into human rights abuses. Even some of the fiercest critics of the governments who argued that it had yet to make lasting changes, acknowledged that there was greater individual freedom. At the international level, Nigeria regained credibility in international circles and found a new self-assurance after years of isolation as a pariah state. -
The Reverberating Effects of Explosive Weapon Use in Syria Contents
THE REVERBERATING EFFECTS OF EXPLOSIVE WEAPON USE IN SYRIA CONTENTS Introduction 4 1.1 Timeline 6 1.2 Worst locations 8 1.3 Weapon types 11 1.4 Actors 12 Health 14 Economy 19 Environment 24 Society and Culture 30 Conclusion 36 Recommendations 37 Report by Jennifer Dathan Notes 38 Additional research by Silvia Ffiore, Leo San Laureano, Juliana Suess and George Yaolong Editor Iain Overton Copyright © Action on Armed Violence (January 2019) Cover illustration Syrian children play outside their home in Gaziantep, Turkey by Jennifer Dathan Design and printing Tutaev Design Clarifications or corrections from interested parties are welcome Research and publication funded by the Government of Norway, Ministry of Foreign Affairs 4 | ACTION ON ARMED VIOLENCE REVERBERATING EFFECTS OF EXPLOSIVE WEAPONS IN SYRIA | 5 INTRODUCTION The use of explosive weapons, particularly in populated noticed the following year that, whilst total civilian families from both returning to their homes and using areas, causes wide-spread and long-term harm to casualties (deaths and injuries) were just below that their land. Such impact has devastating and lingering civilians. Action on Armed Violence (AOAV) has been of the previous year, civilian deaths had increased by consequences for communities and cultures. monitoring casualties from the use of explosive 50% (from 5,639 in 2016 to 8,463 in 2017). As the war weapons around the globe since 2010. So extreme continued, injuries were increasingly less likely to be In this report, AOAV seeks to better understand the has such harm been in Syria in recent years that, recorded - particularly in incidents where there were reverberating harms from the explosive violence in by the end of 2017, Syria had overtaken Iraq as the high levels of civilian deaths. -
Medical Neutrality
1�8 Media – Medical Neutrality Chouliaraki, L. (2006) The Spectatorship of Suffering. Sage Publications. Powers, M. (2014) The Structural Organization of ngo Publicity Work: Explaining Divergent Publicity Strategies at Humanitarian and Human Rights Organizations. International Journal of Communication, 8: 90–107. Robinson, P. (2002) The cnn Effect. The Myth of News, Foreign Policy and Intervention. Routledge. Singer, P. (1972) Famine, Affluence, and Morality. Philosophy and Public Affairs, 1(3): 229–243. Medical Neutrality Medical neutrality refers to the principle of non-interference with medical ser- vices during conflicts and other humanitarian crises. The concept of medical neutrality is grounded in statutes in international humanitarian law (ihl) and international human rights law, and is informed by ethical codes such as the Hippocratic Oath (Bouchet-Saulnier et al. 2013; Roberts and VanRooyen 2013). It requires three things: (1) the protection of and non-interference with the operations of medical facilities, medical transport, and medical personnel; (2) the provision of the best medical care possible to all who need medical atten- tion, combatants and non-combatants alike, regardless of their political affili- ation or participation in conflicts and politics; and most generally, (3) the man- date that warring factions both protect and refrain from targeting civilians during conflicts. Numerous non-governmental aid and human rights organiza- tions, United Nations agencies, and state signatories to international laws and treaties support and variably enact the principle of medical neutrality. For ex- ample, alongside the International Committee of the Red Cross (icrc), Physi- cians for Human Rights has led many initiatives to define and enforce medical neutrality. -
Understanding and Preventing Attacks on Health Facilities During Armed Conflict in Syria
Risk Management and Healthcare Policy Dovepress open access to scientific and medical research Open Access Full Text Article PERSPECTIVES Understanding and Preventing Attacks on Health Facilities During Armed Conflict in Syria This article was published in the following Dove Press journal: Risk Management and Healthcare Policy Abdulaziz Omar Background: Despite healthcare facilities being deemed untouchable in times of conflict, the war in Syria has seen its government as well as opposition forces, target their people and Institute for Global Health, University College London, London, UK infrastructure as a strategy of war. Violations of medical neutrality and International Humanitarian Law has led to the loss of countless medical personnel, civilians and health care facilities; setting the country back to health levels last seen thirty years ago. It is evident through the strategy of the Syrian and Russian government that healthcare facilities are being deliberately targeted with humanitarian organisations condemning all parties involved for violating the Geneva Conventions. The report examines the impact of the conflict in Syria on its health facilities and looks at the reasons why these services are under attack and the international response to the conflict. The report concludes by looking into plans currently implemented to protect our healthcare infrastructure during times of war whilst comparing it to past strategies. For personal use only. Methods: A literature review was conducted for the study with information and data collected through several search engines including Google Scholar, PubMed, MEDLINE, OVID and searches through Google. The keywords mapped to find relevant literature includes “Syria”, “healthcare”, “health care worker”, “humanitarian aid”, and “volunteer”, “International Humanitarian Law”, “Geneva Convention”. -
Medical Ethics in Peacetime and Wartime: the Case for a Better Understanding
International Review of the Red Cross (2013), 95 (889), 189–213. Violence against health care doi:10.1017/S1816383113000775 Medical ethics in peacetime and wartime: the case for a better understanding Vivienne Nathanson Vivienne Nathanson qualified in medicine at the University of London in 1978. She is Director of Professional Activities at the British Medical Association, and is responsible for public health, human rights, medical ethics, international affairs, medical education, and many other areas. She writes and lectures extensively on ethics, human rights, and public health, contributing chapters to books and e-learning resources on the same areas. She is currently an honorary Professor in the School for Health at the University of Durham. She was recently called as an expert witness to the public enquiry into the death in UK custody of Baha Mousa, and to the public enquiry into the use of contaminated blood products in Scotland (the Penrose Enquiry). Abstract Health-care workers face ethical dilemmas in their decision-making in every clinical intervention they make. In times of armed conflict the decisions may be different, and the circumstances can combine to raise ethical tensions. This article looks at the tensions in peacetime and in times of armed conflict and examines the types of cases that doctors and other health-care workers will face. It also discusses the common ethical decision-making framework and the role of communication within both clinical care and ethical analysis. © icrc 2014 189 V. Nathanson Keywords: ethical dilemma, ethical analysis, decision making, consent, confidentiality, communication, trust. Health-care workers worldwide follow the same ethical codes and principles, developed to protect patients from abuse and to make clear the limits that those professionals will apply to their decision-making. -
Menu of Indicators to Measure the Reverberating Effects on Civilians from the Use of Explosive Weapons in Populated Areas
REFERENCE FRAMEWORK: MENU OF INDICATORS TO MEASURE THE REVERBERATING EFFECTS ON CIVILIANS FROM THE USE OF EXPLOSIVE WEAPONS IN POPULATED AREAS CHRISTINA WILLE & ALFREDO MALARET BALDO VERSION 1 ABOUT UNIDIR This reference framework should be considered a working document subject to changes, The United Nations Institute for Disarmament Research (UNIDIR) is a voluntarily additions, editions and corrections. The authors may revise and correct the text, without funded, autonomous institute within the United Nations. One of the few policy announcing the edits or issuing a formal erratum. As such, users are encouraged to use the most institutes worldwide focusing on disarmament, UNIDIR generates knowledge and updated version of this research framework, as posted on the unidir.org site. promotes dialogue and action on disarmament and security. Based in Geneva, UNIDIR UNIDIR welcomes and encourages all feedback on improving the present menu of indicators and assists the international community to develop the practical, innovative ideas needed building on it for future iterations. This is a UNIDIR Tool, designed to contribute to ongoing efforts to find solutions to critical security problems. to protect civilians in conflict and attain the Sustainable Development Goals. ACKNOWLEDGEMENTS Please share comments and feedback with [email protected]. Support from UNIDIR core funders provides the foundation for all the Institute’s unidir.org | © UNIDIR 2020 activities. This research area of the Conventional Arms Programme is supported by For best viewing: go to View > Page Display > Two Page View the Government of Germany. CONTRIBUTORS This research framework recognizes the important work of the International Committee of the Red Cross, Insecurity Insight, the Office of the United Nations High Commissioner for Human Rights, the United Nations Office for the Coordination of Humanitarian Affairs, the United Nations Office for Disarmament Affairs, and the World Health Organization, on which this product is grounded. -
Terrorism in Afghanistan: a Joint Threat Assessment
Terrorism in Afghanistan: A Joint Threat Assessment Terrorism in Afghanistan: A Joint Threat Assessment Introduction 7 Chapter I: Afghanistan’s Security Situation and Peace Process: Comparing U.S. and Russian Perspectives (Barnett R. Rubin) 9 Chapter II: Militant Terrorist Groups in, and Connected to, Afghanistan (Ekaterina Stepanova and Javid Ahmad) 24 Chapter III: Afghanistan in the Regional Security Interplay Context (Andrey Kazantsev and Thomas F. Lynch III) 41 Major Findings and Conclusions 67 Appendix A: Protecting Afghanistan’s Borders: U.S. and Russia to Lead in a Regional Counterterrorism Effort (George Gavrilis) 72 Appendix B: Arms Supplies for Afghan Militants and Terrorists (Vadim Kozyulin) 75 Appendix C: Terrorism Financing: Understanding Afghanistan’s Specifics (Konstantin Sorokin and Vladimir Ivanov) 79 Acronyms 83 Terrorism in Afghanistan Joint U.S.-Russia Working Group on Counterterrorism in Afghanistan Working Group Experts: Javid Ahmad1 Senior Fellow, Atlantic Council Sher Jan Ahmadzai Director, Center for Afghanistan Studies, University of Nebraska at Omaha Robert Finn Former Ambassador of the United States to Afghanistan George Gavrilis Fellow, Center for Democracy, Toleration, and Religion, University of California, Berkeley Andrey Kazantsev Director, Center for Central Asian and Afghan Studies, Moscow State Institute of International Relations (MGIMO University) Kirill Koktysh Associate Professor, Moscow State Institute of International Relations (MGIMO University) Member, Expert Council, State Duma Committee of Nationalities Mikhail Konarovsky Former Ambassador of the Russian Federation to Afghanistan Col. (Ret.) Oleg V. Kulakov* Professor of Area Studies, Military University, Ministry of Defence of the Russian Federation Vadim Kozyulin Member, PIR Center Executive Board Researcher, Diplomatic Academy, Ministry of Foreign Affairs of the Russian Federation Thomas F. -
Preventing Gender-Based Violence Through Arms Control: Tools And
PREVENTING GENDER-BASED VIOLENCE THROUGH ARMS CONTROL Tools and guidelines to implement the Arms Trade Treaty and UN Programme of Action © 2016 Reaching Critical Will of the Women’s International Thanks to Maria Butler, Mia Gandenberger, María Muñoz League for Peace and Freedom Maraver, and Sofia Tuvestad for reviewing this paper and providing comments and suggestions. APRIL 2016 PREVENTING GENDER-BASED VIOLENCE THROUGH Thanks to Christer Ahlström, Emma Bjertén-Günther, Mark ARMS CONTROL - Tools and guidelines to implement the Bromley, Dongmo Feugap, Hardy Giezendanner, Maribel Arms Trade Treaty and UN Programme of Action Hernández, Paul Holtom, Martin Krueger, Justine Kwachu, Manuel Martínez, Patrick McCarthy, Ramon Muro Martinez, 1st edition Jasmin Nario-Galace, Sarah Parker, Cédric Poitevin, Martha 68 pp. Quintero, Mike Reilly, Katherine Ronderos, Nauris Rumpe, Rachel Stohl, Leonard Tettey, Faman A. Toure, and Stelios Permission is granted for non-commercial reproduction, Zachariou for taking the time to answer questions and copying, distribution, and transmission of this publication or provide information and assistance, Also, thank you to Marc parts thereof so long as full credit is given to the coordinating Finaud of the Geneva Center for Security Policy for providing project and organization, editor, and relevant authors; the information and assistance during the preparatory process. text is not altered, transformed, or built upon; and for any reuse or distribution, these terms are made clear to others. Written by Rebecca Gerome -
Stand up for Medical Neutrality in War Zones, International Community Urged 22 November 2016
Stand up for medical neutrality in war zones, international community urged 22 November 2016 The international community needs to stand up for have lost their lives. medical neutrality in war zones, and mandate the UN Security Council to act in the face of persistent The impact of these attacks is "enormous," say the and blatant breaches of the Geneva Convention, authors, outlining the psychological trauma for the urge global health experts in an editorial in the survivors and the erosion of preventive healthcare, online journal BMJ Global Health. such as vaccinations and infectious disease control . Some 196 countries ratified the International Humanitarian Law, which specifically promotes "The [International Humanitarian Law] is explicit medical neutrality and protection of medical and provides for the protection of patients, health services for people in war zones, as set out in the facilities, health personnel and patients in times of four Geneva Conventions of 1949.Breaches of the war as long as they are not directly involved in law, which was modified in 1977 and 2005 to hostilities," they write. strengthen it further, are regarded as war crimes, because of their impact on civilians and medical "The international community needs to rise to the staff who have a duty of care to those wounded in occasion and match action with words by war-torn countries. mandating the United Nations Security Council to provide protection for health facilities in war zones "But over the years, war crimes have persisted and enter into dialogue with government and with little or no definitive action by the international warring groups to respect the principles of medical community to stem the tide," insist the authors, Drs neutrality in conflict areas," they urge. -
A DECADE of EXPLOSIVE VIOLENCE HARM Report by Jennifer Dathan
A DECADE OF EXPLOSIVE VIOLENCE HARM Report by Jennifer Dathan Additional research by Sabah Hussain, Joseph Keenan, Ludovica Longo, Elliot Smith, and Matt Williams Editor Iain Overton Copyright © Action on Armed Violence (2021) Cover illustration Two siblings walk in an area near Mosul’s front line, in areas that were retaken from ISIS. Photo: EU/ECHO/Peter Biro. 2017 (CC BY-NC-ND 2.0) Design and printing Tutaev Design Clarifications or corrections from interested parties are welcome. Research and publication funded by the Government of Norway, Ministry of Foreign Affairs. Contents Introduction 1 Key findings 3 Key terms 7 Decade Overview 9 Worst impacted countries 12 Regional overview 18 Perpetrators of explosive violence 30 Explosive weapons in populated areas 31 Explosive weapon types 35 Air-launched explosive weapons 36 Ground-launched explosive weapons 38 Improvised explosive devices (IEDs) 40 Conclusion 44 Recommendations 45 Methodology 46 Notes 49 1 | ACTION ON ARMED VIOLENCE Introduction Bombing and shelling damages and destroys civilians lives and livelihoods. But explosive weapons do not only affect individuals. They can ruin towns and cities, impact entire communities, destroy our homes, schools, hospitals, roads and bridges. You have the power to help stop this. States in this room can stop harming civilians by agreeing not to use heavy explosive weapons in towns and cities. Ms. Mahpekay Sidiqi, Kabul Orthopedic Organization on behalf of the International Network on Explosive Weapons (INEW). Statement to the UN General Assembly’s First Committee on International Security and Disarmament, New York, 13 Oct 2020.1 In this report, Action on Armed Violence (AOAV) This pattern of harm has been constant throughout presents‘‘ the findings from ten years’ worth of data AOAV’s monitoring, as shown in our annual findings. -
The Right to Practice Medicine Without Repercussions: Ethical Issues in Times of Political Strife Leith Hathout
Hathout Philosophy, Ethics, and Humanities in Medicine 2012, 7:11 http://www.peh-med.com/content/7/1/11 COMMENTARY Open Access The right to practice medicine without repercussions: ethical issues in times of political strife Leith Hathout Abstract This commentary examines the incursion on the neutrality of medical personnel now taking place as part of the human rights crises in Bahrain and Syria, and the ethical dilemmas which these incursions place not only in front of physicians practicing in those nations, but in front of the international community as a whole. In Bahrain, physicians have recently received harsh prison terms, apparently for treating demonstrators who clashed with government forces. In Syria, physicians are under the same political pressure to avoid treating political demonstrators or to act as informants against their own patients, turning them in to government authorities. This pressure has been severe, to the point that some physicians have become complicit in the abuse of patients who were also political demonstrators. This paper posits that physicians in certain countries in the Middle East during the “Arab Spring,” specifically Syria and Bahrain, are being used as both political pawns and political weapons in clear violation of Geneva Convention and World Medical Association guidelines, and that this puts them into the most extreme sort of “dual loyalty” dilemma. They are being forced to choose between their own safety and well-being and that of their patients – a negative sum scenario wherein there is no optimal choice. As such, an international call for a United Nations inquiry must be made in order to protect the neutrality of medical care and personnel during times of armed conflict. -
Medical Neutrality and the Right to Health
Through evidence, Physicians for Human Rights change is possible. 256 West 38th Street 9th Floor New York, NY 10018 +1.646.564.3720 phr.org Medical Neutrality and the Right to Health Effective protections for health care workers under international human rights law Medical neutrality requires: 1. the protection of medical personnel, patients, facilities, and transport from attack or interference; 2. unhindered access to medical care and treatment; and 3. nondiscriminatory treatment of the sick and injured.1 The principles of medical neutrality and medical ethics remain unchanged during times of conflict, civil unrest, or state emergencies. Under international human rights law, states are obligated to ensure effective protection for health care workers at all times, and to provide unencumbered access to emergency health care for all. These obligations remain in force regardless of any context of conflict, civil unrest, emergency, or alleged criminal activity. Interference by a third party, including punishment or harassment of health care professionals for providing medical treatment in accordance with international medical ethics, is prohibited by international law. This is also known as the principle of medical neutrality. Where medical neutrality is undermined or attacked, international law requires authorities to investigate. Although the principles of medical neutrality are often discussed in the context of the Geneva Conventions and the laws of war, protection of medical neutrality is also a state obligation during peacetime and situations of violence not rising to the level of an armed conflict. In situations of violence other than armed conflict, international human rights law applies and provides the foundation for the protection of health care, and those who provide it, at all times through the provisions on the right to life, health, and freedom from torture and other cruel, inhuman, and degrading treatment.