Mortalité : révisons les seuils d’alerte
Le taux brut de mortalité (TBR) est l’un des indicateurs les plus couramment utilisés à MSF et dans le milieu humanitaire pour évaluer le degré de gravité d’une crise sanitaire au sein d’une population donnée. Il est communément admis qu’un taux supérieur ou égal à un mort pour dix mille personnes et par jour caractérise une situation d’urgence nécessitant une réponse immédiate. Or l’usage du « seuil d’urgence standard de 1/10 000/jour » est très discutable : il contrevient aux recommandations que se sont données les organisations humanitaires et ne tient pas compte de la baisse de la mortalité observée dans l’ensemble du monde au cours des 30 dernières années.
Humanitarian organisations coming to the rescue of migrants in the Mediterranean Sea are kindly required either to watch them drown or to hand them over to human traffickers and torturers. We have seen countless political statements, opinion polls and editorials on the need to take a harder line against African migrants and accusing NGOs of being the accomplices of “smugglers”. We have even heard it said that these NGOs are organising the departures of those aspiring to migrate to Europe coincide with the presence of a rescue ship, making relief workers conscious actors in a criminal enterprise.
Humanitarian aid organisations carrying out rescues at sea were made into the accomplices of human traffickers. This accusation is as absurd as it is unacceptable. Not only do rescue operations at sea save people from drowning, but they evacuate people in situations of immediate danger in Libya, MSF recalls.
Rony Brauman takes a critical look at "humanitarian wars" and argues for political solutions that could include Islamists. He recently published "Humanitarian Wars? Lies and intox "(Textuel, 2018). This interview was published on July 03, 2018 in l'Opinion.
Tomorrow’s war? Bertrand Badie is pessimistic given the extremely high tension in the Middle East. Modern conflicts in the region are defined by their uncertain, composite and heterogeneous nature, as well as by their permanence, as there are no winners and no losers. The situation can be interpreted vertically as a “superposition of logics of conflict” and horizontally as an “aggregate of logics of coalition”. Bertrand Badie explained that a conflict situation is really dangerous when it combines several logics of conflict and several logics of alliance, making it virtually impossible to reach a compromise. Today, we can distinguish fives layers of conflict in the Middle East, a level of superposition never previously attained, according to this specialist in international relations.
Philippe Lançon works as a journalist for the French satirical magazine, Charlie Hebdo, and Libération newspaper. His book, Le lambeau was published in April. As the author and subject of his narrative, he relates his experience as a hospital patient after surviving the terrorist attack against Charlie Hebdo during its editorial meeting on 7 January 2015. Although a “novice" when it comes to hospitals and operating theatres, he is a seasoned journalist. He is currently writing for Libération’s culture page, but previously reported on armed conflicts (Iraq and Somalia). So he’s no novice when it comes to casualties of war. In 2015, he became a reporter reporting on himself and on hospital surgery.