Haiti: Clashes force temporary closure of MSF hospital

MSF provides care in other neighborhoods of Port-au-Prince as fighting spreads across the city

3 March 2023 - Elevated number of bullet wounded patients at Turgeau

Haiti 2023 © MSF/Alexandre Marcou

Port-au-Prince, March 8, 2023—Faced with intolerable risks, the international medical organization Doctors Without Borders/Médecins Sans Frontières (MSF) has been forced to close its hospital in the Cité Soleil area of the Haitian capital as a temporary measure.

Violence has been spreading throughout Port-au-Prince since February 28, leaving those caught in the crossfire with no choice but to flee. With clashes between heavily armed groups taking place just meters from the Cité Soleil hospital compound, MSF is no longer able to guarantee the safety of its patients or staff there.

"We are looking at a war scene just meters from our hospital," said Vincent Harris, MSF medical advisor. "While the hospital has not been targeted, we are a collateral victim of the fighting since the hospital is right on the front line of the fighting. We realize that closing the hospital will have a serious impact on the people of Cité Soleil, but our teams cannot work until security conditions are guaranteed.”

Large numbers of stray bullets have entered the hospital compound, while reaching the hospital is currently almost impossible for the sick and wounded, some of whom have been injured in the battles nearby. MSF, whose teams have worked in Haiti for more than 30 years, has called for fighting around the hospital to stop and for medical activities to be respected so that staff can restart their work as soon as possible and continue providing health care to the people of Cité Soleil.

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White flag with red logo of Doctors Without Borders/Médecins Sans Frontières (MSF) against sunny blue sky

MSF is also concerned that the current upsurge of violence in the Haitian capital is happening while local people face ever greater humanitarian and health needs. Patient numbers have increased significantly at MSF’s emergency center in Turgeau, in central Port-au-Prince, about 10 kilometers from Cité Soleil. In recent days, MSF teams have admitted up to 10 times the usual number of people with gunshot wounds.

"Since the fighting resumed in the neighborhood of Bel Air on February 28, we have received many children, women and elderly people,” said Dr. Frandy Samson, MSF medical activity manager. “It's terrible to see the number of collateral victims of these clashes. It’s hard to tell how many people are wounded in total across the city because many people are too terrified to leave their neighborhoods.”

MSF teams are running mobile clinics in areas affected by the recent violence and have witnessed the armed clashes firsthand, forcing them to abruptly end their medical consultations. Many people have fled the fighting and sought shelter in informal sites, which have quickly become overcrowded. MSF teams carried out assessments in neighborhoods in the city center and observed the critical needs of a large number of displaced people at risk of being hit by stray bullets, living in dire conditions and with limited access to clean drinking water.

As fighting between armed groups spreads to every neighborhood in Port-au-Prince, the capital’s entire population faces an extremely difficult situation.

“The violence is getting closer and closer,” said a local MSF staff member who preferred to remain anonymous. “They are shooting at our house—my upstairs neighbors found a stray bullet in the stairs. Many people are evacuating the area. We have seen people of all ages leaving. I myself was forced to leave with my family and take refuge at a friend's house.”

Despite the temporary closure of its hospital in Cité Soleil and the deteriorating security situation in the capital, MSF teams remain committed to assisting the Haitian people, the principal victims of the violence that has been tearing the country apart for years. Our teams continue to treat victims of violence and burns in our hospital in Tabarre, victims of sexual violence in Delmas 33, and in Haiti's Artibonite region, victims of serious accidents in the emergency center in Turgeau, pregnant women and their infants in Haiti's South Department, and people affected by violence through mobile clinics in Port-au-Prince.

In 2022, in collaboration with the Haitian ministry of health, MSF teams carried out more than 4,600 surgical interventions, provided 34,200 emergency consultations, treated 2,600 patients with gunshot wounds, treated 370 burns victims, provided 17,800 medical consultations in mobile clinics, provided care to 2,300 survivors of sexual violence and provided care during 700 births. Since late September 2022, MSF teams have also treated more than 19,000 people for cholera symptoms.