Addressing mental health after deadly floods in Libya

What is it like in hospitals in Derna right now?  

There has been only a limited increase in the number of patients related to the disaster itself. The hospital system is coping well despite the situation. Field hospitals were set up by foreign governments and operational a few days after the storm.  

Primary health care structures have been particularly impacted by the disaster. Some centers have been destroyed by the floods, and many medical and paramedical staff have either died in the flooding or are now mourning relatives or colleagues among the victims. Some primary health care centers are being supported by volunteers who came from all over Libya to help.  

Two weeks in, we can see that a lot of health personnel are still missing or in the process of mourning, and the volunteers who came to help in the first days are starting to leave. 

What is MSF’s role in the flood response? 

MSF started supporting two primary health care centers on September 20. To date, our doctors have already conducted 537 consultations in Embokh and Salem Sassi primary health care centers, and the Oum Al Qura school shelter. The consultations were mainly for non-communicable diseases (such as diabetes and hypertension) for adults and respiratory infections and diarrhea for children. Many patients seen by our doctors were still in shock, and some showed signs of psychological trauma. Some children would refuse to drink water for fear of drowning. Patients complained of flashbacks, of being unable to sleep between 2:30 a.m. to 5 a.m—the precise time the deadly wave engulfed the city in the dark of night on September 10. 

How is MSF treating these invisible wounds?

Our team of psychologists are providing mental health care to people who have lost everything and are now living in temporary shelters as well as medical and paramedical staff and volunteers. People working in health care facilities have sometimes also lost relatives, colleagues, and friends, and on top of that, they are working on the frontlines, providing care to survivors or even helping to evacuate dead bodies, which can be a traumatic experience for volunteers.  

In that context, we have been putting all our efforts toward our mental health activities, including individual consultations and focus groups in shelters and in the two primary health care centers that we support. We are planning to scale up our activities to offer mental health support to anyone who needs it. 

What are the challenges MSF teams are facing in Derna?   

While MSF staff were able to arrive in Derna only three days after the disaster—flying from western Libya, where MSF runs regular projects—our action deployment remains limited by the issuance of visas for international staff, which can sometimes be a long process and could limit our capacity to scale up our activities. However, our collaboration with the authorities and with locally hired teams has been very good. We'll see in the coming days how the structures are going to be organized and review our setup according to the needs and our added value.