As winter approaches in northwest Syria, the already harsh living conditions of more than two million displaced people are becoming even more difficult to manage. People living in camps across the region face the prospect of leaking tents, mud-filled streets and freezing temperatures.
For many of those living in Syria’s camps, it won't be their first winter in such conditions. Over the past years, northwest Syria has seen multiple waves of displacement, the latest in early 2020, when fighting in the region resulted in close to one million people fleeing to safer areas.
“Life is tragic here, especially in winter,” says Chahine Ziadeh, a resident of Fan Al-Shemali camp in Idlib governorate who fled his hometown in 2016 due to heavy shelling. “The tent can’t keep us safe from the cold and the water.”
When it rains, the roads in the camp become rivers of mud, making it difficult for people to leave their tents to buy groceries, get to work or see a doctor. The muddy, flooded roads can also make it hard for aid workers to reach the camp.
Teams from Médecins Sans Frontières/Doctors Without Borders (MSF) have started distributing ‘winter kits’ of warm clothes, tarpaulins, mattresses and blankets to around 14,500 families living in more than 70 camps for displaced people across the region, to help improve their living conditions over the coming winter.
“We are mainly distributing these relief items to protect families from heavy rain, because many tents already have worn-out sheeting,” says MSF logistician Abdulrahman. “We are also worried about winter approaching because, over the past two years, we have seen lots of scary floods in the camps.”
MSF teams have also started rehabilitating 2,275 tents in six camps west of Idlib. This involves installing flooring in and around the tents, improving the tents’ thermal insulation and building brick barriers to protect them from flooding. Our teams hope that, in addition to improving people’s general living conditions, the rehabilitated shelters will also help prevent an increase in seasonal diseases.
We cannot turn a blind eye to living conditions and their impact on the population’s health
“Although this intervention on its own is not purely medical, it’s difficult to draw a line between what is medical and what isn’t in a protracted conflict and displacement situation such as in Syria,” says Dr Chen Lim, coordinator of MSF’s medical activities in northwest Syria. “We cannot turn a blind eye to living conditions and their impact on the population’s health.”
Every winter, MSF medical teams in these crowded camps see an increase in respiratory diseases, problems related to smoke inhalation, burns, waterborne diseases and frostbite. To reinforce its prevention activities, MSF has deployed health promotion teams to camps to spread health awareness messages about common winter diseases, assess people’s health needs and daily challenges and tell them about MSF’s mobile clinic services.
This year, another concern for people in northwest Syria is the COVID-19 pandemic, which continues to have a considerable impact in the region. So far, more than 17,000 confirmed cases have been registered and some fear that the number of infections will increase significantly over the winter period.
“In the coming winter, it will also become more complicated for health workers to distinguish between people with symptoms of a cold and people with COVID-19 symptoms,” says Dr Lim. “In that sense, winter is going to bring additional challenges for everyone to the already critical situation in northwest Syria.”