Prague Center for Global Health, Institute of Hygiene and Epidemiology, First Faculty of Medicine, Charles University, Studnickova 7, 121 00, Praha, Czech Republic.
Al Jamhouri Hospital, Ministry of Health of Iraq, World Health Organization (WHO) Field Hospital, Hammam Al-Alil, Nineveh Province, Iraq.
Global Health. 2018 Mar 6;14(1):27. doi: 10.1186/s12992-018-0346-9.
This short letter from the field is offered as a rapid communiqué of the emergency medical situation in Mosul and surrounding areas on the eve of the final onslaught to liberate the city. This letter is based on emergency medical work at two World Health Organization (WHO) and Ministry of Health (MoH) Iraq lead Role II+ Field Hospital facilities south of Mosul City from April to June 2017; these facilities are currently and temporarily managed and administered by private medical industry until full handover to MoH Iraq, with WHO support and expert facilitation. The prominence of non-state actors in the conflict, using hybrid warfare tactics that maximize casualties, makes health security a particular challenge for the global community. This challenge requires health leaders and other actors in the region to set clear strategic goals that support public health of the many millions displaced, maimed and affected by the war. Whether in clinical medicine, development, peace and stability operations, or global health diplomacy, the shared values and conviction to best serve vulnerable communities and mitigate morbidity must embrace the lessons of evidenced based practice derived from military medical experience. WHO is leading the charge in disaster response for the conflict in Iraq, and many challenges remain. This might also include developing a new process in emergency medical response that utilizes private contracting to improve efficiency in delivery and overall sustainability.
这封来自现场的短信是在对该市进行最后解放攻势前夕，对摩苏尔及周边地区紧急医疗状况的快速通报。这封信基于 2017 年 4 月至 6 月在摩苏尔市以南由世界卫生组织（WHO）和伊拉克卫生部（MoH）领导的两个 Role II+现场医院设施的紧急医疗工作；这些设施目前由私营医疗行业临时管理和运营，直到完全移交给伊拉克卫生部，同时得到世卫组织的支持和专家协助。在冲突中，非国家行为者突出，采用最大限度造成人员伤亡的混合战争策略，使卫生安全成为全球社会的一个特殊挑战。这一挑战要求该地区的卫生领导人和其他行为体设定明确的战略目标，为因战争而流离失所、致残和受影响的数百万人的公共卫生提供支持。无论是在临床医学、发展、和平与稳定行动，还是全球卫生外交领域，为弱势社区提供最佳服务和减轻发病率的共同价值观和信念都必须借鉴军事医疗经验得出的循证实践教训。世卫组织在伊拉克冲突的救灾工作中处于领先地位，但仍面临许多挑战。这可能还包括制定一个新的紧急医疗应对程序，利用私人承包来提高交付效率和整体可持续性。
