OFF THE CUFF is a participative blog run by the Crash. Its purpose is to expose the diversity of experiences and opinions that exist among humanitarian aid practitioners. Online comments as well as direct contributions are more than welcome.
Views expressed on this blog are those of their authors and do not necessarily reflect the official positions of Médecins Sans Frontières
Rebecca Grais, Research Director at Epicentre, MSF’s epidemiology arm, and Pierre Mendiharat, Deputy Director of Operations for MSF-France, offer their insights on the Ebola outbreak in North Kivu Province in the eastern Democratic Republic of the Congo (DRC). This joint interview in four parts (the outbreak, social context, treatments, and vaccination) aims to show how science and practice interact around each outbreak.
As an MSF nurse, François-Xavier Daoudal returned at the end of June after spending three weeks on board the Aquarius. During his time on the ship, 629 people were rescued. However, immediately after the rescue operation, the Italian and Maltese authorities refused the ship permission to dock, triggering a huge political and media furor. The Aquarius was left stranded at sea for several days before being able to transfer some of the rescued migrants to two Italian navy ships. All passengers were finally disembarked in Spanish port Valencia. What can be drawn from such an experience? Read on to see what F-X had to say during an interview on the political implications, life on board the Aquarius and the issue of people smuggling. He also shared with us what the migrants themselves had to say.
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.
The crude mortality rate (CMR) is one of the most widely used indicators at MSF and the humanitarian sector to evaluate the severity of a health crisis within a given population. It is widely recognized that a CMR equal to or greater than one death per 10,000 persons a day signifies an emergency situation requiring an immediate response. However, the usage of the standard emergency threshold as “1/10,000/day” is very questionable: it goes against the official recommendations endorsed by humanitarian organizations and ignores the worldwide decline in mortality rates over the last 30 years.
Thanks to the migrant crisis, or the reception crisis as it would be more appropriate to call it, the issue of hospitality is back in the forefront. On 17 May, the Maison des Métallos organised a conference with two social science researchers - Michel Agier and Benjamin Boudou - and an NGO manager Cécile Poletti to discuss existing tensions between private hospitality and public hospitality.
An article entitled "Médecines du corps noir" [Medicine and the black body], published on the La vie des idées website on 27 April, discusses three American history books on the origins of medicine in the United States in the context of slavery in the 18th and 19th centuries. Between experimentation and resistance, the history of relationships between race and health illustrates the decisive role played by African slaves.
The publication of the journalist Judi Rever’s book, In Praise of Blood, on the crimes committed by the Rwandan Patriotic Front’s armed rebellion has rekindled discussion over the existence of a “double genocide”, one committed against the Tutsis under the orders of Rwanda’s interim government which took power in April 1994 following the assassination of President Habyarimana, and the other against the Hutus by the Rwandan Patriotic Front (RPF) which seized power in July 1994. There is little or no controversy about the reality of the genocide of the Tutsis in the world of Rwandan studies, but the claim that the Hutus were in turn victims of genocide sparks reactions as violent as they are confused. The cause of this confusion can be found in the different definitions of a term used in at least three fields: history, law and politics.
Rony Brauman has just published “Guerres humanitaires ? Mensonges et intox”. This book, a collection of interviews co-authored with Régis Meyran, explores a number of recent armed interventions that have all shared the goal of saving lives. Reviewing conflicts in Somalia, Libya, Kosovo, Afghanistan and Iraq, Brauman discusses the reasons advanced for justifying these wars and the accompanying lies.