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"The Mediterranean is a giant watery cemetery."
Working on a search and rescue vessel in the central Mediterranean can be an uplifting experience at times, as exhausted and often traumatised people slowly begin to come back to life after being rescued.
In clinics on board the three ships run by MSF this year, bones are set, wounds treated and babies born. Out on deck a commotion of song and dance often takes place. This contagious release of joyous and relieved energy broke out regularly during my time on board the MV Aquarius.But on far too many occasions there is an altogether more solemn mood on board MSF’s search and rescue ships, which patrol the sea off the coast of Libya. For this has been the deadliest year on record for people fleeing across the Mediterranean.
As we headed due north towards Italy that evening, on deck rested 260 rescued people from across sub-Saharan Africa. Towards the bow lay 22 dead bodies. Under the shadow of the netting put up as protection from the heat of the afternoon sun, and zipped up in body bags, 21 young women and one man lay side by side.
"Frozen in time, the expressions on their faces all displayed the panicked horror of a death by drowning or asphyxiation."
Retrieving their bodies had been tough. One by one, slowly and carefully, the dead were recovered from the bottom of the boat, from the pool of fuel mixed with seawater into which they had slipped. A nightmarish scene, and one which I will never forget. They had succumbed to the toxic mix after inhaling it deep into their lungs during their final gasps for air, while trapped under the weight of a mass of people above.
Unfortunately, the event of 20 July was far from a one-off. In a year when our teams have rescued 19,708 people, at least 5,000 others have drowned or gone missing at sea. This number is likely a massive underestimate, and there are almost certainly many more bodies lying at the bottom of the sea or bobbing around in silent ghost ships that we will never know about.
Horror stories from Libya
On our boats, we speak to everyone who we rescue. Most survivors have a story of hardship in their countries of origin. But what everyone has in common is a horror story from Libya. No matter their reason for being in Libya in the first place, the violence and mistreatment that they suffer there means they simply have to get out.
Men, women and, increasingly, unaccompanied children (some as young as eight years old) living in or travelling through Libya are suffering abuse at the hands of smugglers, armed groups or individuals who exploit the desperation of those fleeing conflict, persecution or poverty.
"The Mediterranean is a giant watery cemetery and it is being filled with people who are dying unnecessarily."
But instead of providing safe and legal alternatives to the sea crossing, or welcoming people in a dignified and humane manner on European soil, the EU and its member states have instead chosen to harden their policy on deterring migrants and refugees."
As long as there are no alternatives to the sea crossing, ever more ruthless smugglers will continue to pack more and more people into worse quality boats, and the number of deaths at sea will grow.
Europe is far from the top destination for the world’s refugees and other migrants. The top hosting countries for refugees, according to the UNHCR, are Turkey, Pakistan, Lebanon, Iran, Ethiopia, Jordan, Kenya, Uganda, Democratic Republic of Congo and Chad, which together provide refuge for more than half of the world’s refugees. Not one of these countries is in Europe. Europe has received only a tiny percentage of the world’s refugees but continues to focus on creative ways to keep people in need out, rather than take them in.
Urgent need for safe passage
We are an organisation of medical professionals who specialise in providing care to people in the world’s conflict zones and responding to epidemics and natural and manmade disasters. We shouldn’t have to be at sea at all – but we cannot sit back, on dry land, while people continue to drown in such numbers.
Safe and legal ways for people to reach a place of protection are urgently needed, as people continue to flee war, persecution and poverty. We’ve been calling for this since the start of our lifesaving work at sea. But, as long as safe and legal ways fail to exist, we will be there, actively patrolling the ‘rescue zone’ north of Libya. We will be there throughout this winter, as the waves get bigger and conditions deteriorate, in an effort to save more lives and prevent more unnecessary deaths.
An edited version of this piece was published in The Irish Times.