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Libya: Human suffering in detention centres
Médecins Sans Frontières (MSF) is calling for an end to the arbitrary detention of refugees, asylum-seekers and migrants in Libya. For more than a year, the international humanitarian organisation has been providing medical care to people held inside Tripoli detention centres in conditions that are neither humane nor dignified.
Neither humane nor dignified
“Detainees are stripped of any human dignity, suffer ill treatment and lack access to medical care” said Dr Sibylle Sang, a medical advisor for Médecins Sans Frontières. “Every day we see how much unnecessary harm is being caused by detaining people in these conditions but there is only so much we can do to ease the suffering.”
Medical teams treat more than a thousand detainees every month for respiratory tract infections, acute watery diarrhoea, infestations of scabies and lice, and urinary tract infections. These diseases are directly caused or aggravated by detention conditions. Many detention centres are dangerously overcrowded with the amount of space per detainee so limited that people are unable to stretch out at night and there is little natural light or ventilation. Food shortages have led to adults suffering from acute malnutrition, with some patients needing urgent hospitalisation.
No rule of law
With no rule of law in Libya, the detention system is harmful and exploitative. There is a disturbing lack of oversight and regulation. Basic legal and procedural safeguards to prevent torture and ill-treatment are not respected. With no formal registration or proper record-keeping in place, once people are inside a detention centre there is no way to track what happens to them. This makes close monitoring and follow-up of patients extremely difficult.
"We are treating more than a thousand detainees a month for diseases as a result of their detention, including at least one adult per week for acute malnutrition".
From one day to the next, people can be transferred between different detention centres or moved to undisclosed locations. Some patients simply disappear without a trace. The medical care Médecins Sans Frontières is able to provide in these circumstances is extremely limited.
"We are treating more than a thousand detainees a month for diseases a result of their detention, including at least one adult per week for acute malnutrition,” said Sam Taylor, Director of Médecins Sans Frontières in Ireland.
Once inside detention centres, medics do not have unhindered access to people held there. They are not always given the full freedom to triage patients or decide independently which patients should be seen and treated.
Close monitoring of patients in detention is extremely difficult with people being transferred between different detention centres from one day to the next, moved to undisclosed locations or disappearing without a trace. The medical care Médecins Sans Frontières is able to provide in these circumstances is extremely limited.
Access to the detention centres is restricted when clashes take place between heavily armed militias in Tripoli. In addition, the management of the detention centres can change overnight and access to patients held inside has to be renegotiated. There are other detention centres that remain inaccessible for Médecins Sans Frontières due to ongoing violence and insecurity.
An end to detention
Increased funding alone is not the solution to alleviating the suffering of refugees and migrants being held in detention centres.
A narrow focus on improving conditions of detention, while turning a blind eye to the complex reality of the current situation in Libya risks legitimising and perpetuating a system in which people are detained arbitrarily, without recourse to the law, and are exposed to harm and exploitation.
Many patients simply vanish without a trace. People are detained without any way to access legal or consular support or knowing if and when their detention will end.
Médecins Sans Frontières calls for an end to the arbitrary detention of refugees, asylum-seekers and migrants in Libya.