Iraq: COVID-19 outbreak in Baghdad is "very alarming"

Despite efforts to control the spread of the virus, the growing number of severe and critical cases has recently overwhelmed Al-Kindy and other health facilities treating people with COVID-19. The RCU in Al-Kindy hospital is made up of 52 beds, all of which are currently full. Given the high number of patients, MSF will open a new COVID-19 ward in Al-Kindy hospital.

“Every moment of every day we’re seeing more and more severe COVID-19 cases in Baghdad,” said Dr. Pedro Serrano Guajardo, a doctor who recently worked with MSF as an intensive care unit specialist. “Many patients stay in the RCU for 15 to 20 days to be treated, meaning that sometimes new patients are put on the waiting list for two, maybe three days, until they can get the treatment they need. By the time we have a free bed, patients are in really bad shape. It is really distressing to watch these people wait for a bed.” The waiting lists and lack of bed capacity are not the only issues in Baghdad. Some people are waiting to come to the hospital when it’s almost too late to seek treatment, said Dr. Guajardo. The teams receive cases in acute respiratory distress, and it is very hard to treat them when they reach that point. 

“Some people in the city do not appreciate the gravity of the situation, and they are not taking prevention measures,” said Dr. Guajardo.

“These people seem to be avoiding treatment due to the heavy social stigma associated with COVID-19 in the community. I think many people sometimes only realize how bad the situation is when they or a loved one is brought to the hospital. They see patients dying, very quickly, every day. Then they realize the reality [of the situation].” 

Iraqi health workers have also been very badly affected, with almost 15,000 cases among this group since the start of the outbreak. This risk to health care workers comes at a time when hospitals in Baghdad are dealing with human resource shortages, further complicating an already critical situation.

 “The most stressful thing is to see a patient dying and know that I don’t have an available ventilator for them,” said Dr. Guajardo.“ When you can see them fade away minute by minute, it is frustrating because I know that if people were taking measures to protect themselves—like wearing a mask when they go out, and washing their hands—or coming to hospital earlier rather than later, then the situation could improve.”

MSF is working across Iraq to help the health system cope with the pandemic. In Mosul, soon after COVID-19 reached Iraq, MSF began supporting the city’s health care system and temporarily transformed part of its 62-bed post-operative care center into a COVID-19 treatment facility.

MSF teams have also been providing training sessions, with a focus on infection prevention control, in various health facilities in Erbil, Dohuk and Ninewa governorates. The organizationhas also set up a 20-bed isolation and treatment facility in Laylan camp in Kirkuk Governorate, in preparation for a potential surge of COVID-19 cases.