The report details systematic and coordinated attacks against medical personnel, as a result of their efforts to provide unbiased care for wounded protestors. These attacks violate the principle of “medical neutrality” and are grave breaches of international law which dictates noninterference with medical services in times of civil unrest. Included in the violations were targeted kidnappings, beatings, and threats of rape and killing by security officials. These attacks extended to the patients of medical personnel created an atmosphere of fear which dissuaded patients from seeking care.

The report concludes with policy recommendations for Bahrain, the Unites States and the international community. Among other calls for action, PHR demands for Bahrain to immediately cease and desist all attacks on medical personnel and facilities. PHR also calls on the Obama Administration to lead an international effort to appoint a Special Rapporteur on Violations of Medical Neutrality through the United Nations Human Rights Council.

Email President Obama today and tell him to join the Mine Ban Treaty.

PHR shared the 1997 Nobel Peace Prize for our work to ban landmines. Since then, 156 countries have signed onto the treaty, which bans the use, trade, production and stockpiling of antipersonnel mines.

However, the US has refused to join. President Obama now has the opportunity to partner with every member of NATO—and every country in the Western Hemisphere, save Cuba—in supporting this critical treaty. Tell him to take action today.

Landmines kill thousands of people a year, with millions more affected by the agricultural, economic and psychological impact of the device. While landmines are a weapon of war, most casualties are civilians: indeed, UNICEF estimates that 30-40% of landmine victims are children. And landmines don’t just kill in conflict zones: there are millions of landmines and unexploded ordinances in more than 80 countries worldwide.

These indiscriminate weapons maim and kill, and destroy families and communities. The US has not used landmines since the 1991 Gulf War; it is time for us to promise never to use them again. Tell Obama to join the Mine Ban Treaty today.

68 Senators co-signed a letter to President Obama in May, showing their support for the Mine Ban Treaty. Now Obama needs to hear from you. Email him today, and ask 6 friends to do the same. PHR members have been advocating to ban landmines for more than 15 years. This is our best chance to join the Mine Ban Treaty in years, and we need your support.

Take action today!

Want to do more? We are asking major US health professional associations to sign a letter to the Administration against the use of landmines. If you have any contacts at health professional associations who might be able to help, please email Gina at gcoplon-newfield[at]phrusa[dot]org.

Injury and Death:

• The International Campaign to Ban Landmines (ICBL) estimates that 15,000-20,000 people are maimed or killed by landmines yearly, with millions more affected by the agricultural, economic and psychological impact of the weapon.
• UNICEF estimates that 30-40% of mine victims are children under 15 years old.
• Landmines are responsible for the injury and death of thousands of US and allied troops in all US-fought conflicts since World War II, including dozens in Iraq and Afghanistan. In the 1991 Gulf War, landmines caused 34% of US casualties.
• At the beginning of the 20th century, nearly 80% of landmine victims were military personnel. Today, 90% of landmine victims are civilians.

The Economic and Social Cost:

• The ICBL estimates that there are millions of landmines and other unexploded ordnance in the ground in over 80 countries.
• Landmines cost as little as $3 to produce and up to $1,000 per mine to clear.
• Most kinds of landmines last forever. Mines laid during WWII are still killing and maiming civilians.
• It costs $100 to $3,000 to provide an artificial limb to a landmine survivor. Adults require a prosthesis replacement every two to three years and a child must have a new one every six months to a year.
• Landmines cause environmental damage in the forms of soil degradation, deforestation, and the pollution of water resources with heavy metals. Subsistence farmers are unable to work the land in mined areas.
• Landmines affect all aspects of human life, including the ability of refugees to return home. A report from the United Nations High Commissioner for Refugees (UNHCR) published in 1997 stated that 13.2 million refugees, 4.9 million internally displaced people and 3.3 million returnees were at risk from landmines.

The US and Landmines:

• The United States is one of only 39 countries that have not yet joined the Mine Ban Treaty; in the Western Hemisphere, only the U.S and Cuba are non-signatories.
• The US has the third largest mine arsenal in the world—a stockpile of 11 million Anti-Personnel Landmines (APLs)—despite not using landmines since 1991 or producing them since 1997. Enormous amounts of taxpayer money are used to maintain these weapons.
• The United States is one of only 13 countries that refuse to halt production of APLs.
• The Bush Administration’s landmine policy, announced in February 2004, represented a major rollback of US progress on the landmine issue. The policy increased funding for mines, permitted indefinite US use of self-destructing mines, and refused to phase out long-lived mines until 2010. The Obama Administration has yet to revise the Bush policy.

These indiscriminate weapons maim and kill, and destroy families and communities. President Obama is currently reviewing US landmine policy. We need your voice to tell the President to ban mines now! The US has not used landmines since the 1991 Gulf War. It is time for us to promise never to use them again.

Take action today: email Obama and tell him to join the Mine Ban Treaty!

Over the next few months, we’ll be updating you on the treaty via a new blog series (this is blog #1) and asking for your help to urge President Obama to join the Mine Ban Treaty.

One immediate action item: We are asking the presidents of major US health professional associations to sign a letter to the Administration showing the unity of the medical, public health and nursing community against the use of landmines. If you have any contacts at major health professional associations who might be able to help, please email Gina Coplon-Newfield at gcoplon-newfield[at]phrusa[dot]org as soon as possible.

As you may know, PHR is a founding member of the International Campaign to Ban Landmines (ICBL), a grassroots movement that brought the international community together to form the 1997 Mine Ban Treaty, which bans the use, trade, production, and stockpiling of antipersonnel mines. PHR and the other ICBL founding groups were awarded the Nobel Peace Prize for their work toward achieving the treaty, which 156 countries have signed.

As with many international human rights treaties, the US has refused to sign, arguing that US soldiers are exposed to risk if the country can’t use landmines as a deterrent weapon. The United States’ position sets us apart from most other countries: Indeed, all other member countries of NATO are signatories to the treaty (Poland plans to ratify the treaty in 2012). By refusing to sign, the US joins China, Russia, Cuba, India and Pakistan among the countries that have not committed to stop using landmines. The US has not used landmines since the 1991 Gulf War, yet previous administrations have chosen to keep the weapon available, just in case.

Early in his tenure, it appeared President Obama had made the same decision. In November 2009, a White House spokesman stated that after reviewing the matter, the Obama Administration had decided not to sign the Mine Ban Treaty. The announcement prompted public outcry among human rights groups, and the following day, the White House insisted the issue was still under review. The current review is headed by Samantha Power and Barry Pavel at the National Security Council.

We expect the Obama Administration to make a decision in the next few months, making it critically important that the President hear from health professionals and human rights activists about how harmful landmines are to humanity. We will soon send out an action alert, which will give you the chance to email Obama and urge him to sign onto the Mine Ban Treaty. Please take action, and urge friends and family to do the same.

Congress is joining in the advocacy too. On May 22, Senator Patrick Leahy of Vermont sent a letter co-signed by 68 senators (including 10 Republicans) to President Obama, encouraging him to develop a plan to overcome any obstacles to joining the Convention. 68 is a magic number: international treaties must be approved by a 2/3 majority in the Senate, so if Obama decides to sign onto the treaty, 68 Senators would be enough to accede to it (of course, though this letter is a good indication of potential votes, it’s not a guarantee).

PHR members have been advocating to ban landmines for more than 15 years, and we need your help again at this critical juncture. Keep an eye out for more actions alerts and blogs. And spread the word—this is our best chance to join the Mine Ban Treaty in years, and we need your voice!

Women refugees in Farchana Camp in eastern Chad drew up a groundbreaking, one-page women’s empowerment document known as the Farchana Manifesto, which outlines the needs and challenges women face in the camp, along with demands for participation and accountability in shared decision-making.

The document was written in June 2008, after seven women suffered torture and public humiliation. They were bound, whipped and beaten with thorny sticks of firewood because they worked outside of the camp to earn money for their families. Shamed as prostitutes, these women had their goods, money and food ration cards taken away by force. Though there is no proof, it is likely that at least some of these women became pregnant as a result of rape.

In response, eight Darfuri women authored a one-page document in Arabic to shed light on the plight of women refugees and open a dialogue with the world. This document made its way from the Farchana camp into the hands of Physicians for Human Rights and is published on PHR’s site DarfuriWomen.org, along with a video about the Farchana Manifesto.

In November 2008, PHR sent a team of four experts — three doctors and one human rights researcher — into the camp to report on the lives and needs of the women living there.

The team discovered that out of the 88 women interviewed, 32 had experienced sexual violence. Many who shared their stories had never previously spoken about the attacks for fear of isolation, stigmatization or retaliatory violence.

“The women of the Farchana Refugee Camp have confronted and continue to suffer from violence,” said Niemat Ahmadi, a genocide survivor and liaison to the Darfuri diaspora community at the Save Darfur Coalition.

These women have greatly amplified the courageous voices of victims of sexual violence in the camps.  Despite the suffering, they remain determined to seek justice for themselves and for women around the globe.

For each of the next 16 days, the coalition’s campaign will honor a leader in the fight to empower, protect and uplift Sudanese women and promote a corresponding action. The campaign will conclude on December 10 (International Human Rights Day).

The Save Darfur Coalition is asking that activists observe the 1st day of the campaign by reading and sharing the Farchana Manifesto with their networks.

(Cross-posted on DarfuriWomen.org)

The team from PHR met with General Gration’s office, and with the office of the Ambassador for Global Women’s Issues on Friday, to present the letter and advocate for the inclusion of SGV programs in the Sudan Policy benchmarks.

The elimination of SGV services in Sudan is a perfect storm of collateral damage: when the 16 international humanitarian organizations and NGOs were expelled, these programs — and equally importantly, the network of SGV-focused personnel and leadership — disappeared. In a climate where remaining staff and organizations were afraid to rebuild or renegotiate their contracts for fear of Government of Sudan retribution, services for survivors of sexual violence in Darfur collapsed.

Despite this, and despite the fine work of the State department on a number of gender-based violence issues, the issue of sexual violence was not explicitly recognized in the administration’s Sudan Policy review, nor was it included in the details of US strategic objective #1, which deals with the humanitarian situation in Darfur. It was, however, recognized by the UN panel of experts in the recent report released on the humanitarian situation in Darfur, and has been a key sticking point for activists in the US at the recent Pledge to Protect conference.

Today — just in time for the International Day to Eliminate Violence Against Women on November 25 — PHR has launched  a congressional action for advocates and activists to urge Senators and Representatives to join us in our call to the State department on this issue. Partnering with our co-signatories, Human Rights Watch, Amnesty International USA, the Arab Coalition for Darfur, the Enough Project, Save Darfur Coalition and others, we continue to advocate for the restoration of services as basic as emergency assistance for injuries, documentation of injuries sustained during these brutal attacks, access to HIV/AIDS prophylaxis treatment, pregnancy testing and psychological and social support. We ask Hillary Rodham Clinton and General Gration not only to include SGV programs as a benchmark in the Sudan policy, but also:

• To ensure that renegotiation of technical agreements between humanitarian organizations and the Government of Sudan takes place, so that international humanitarian organizations and NGOs can incorporate or SGV programs into their authorized operations in Sudan.
• To monitor Government of Sudan obstruction of SGV services in Khartoum and on the ground: SGV services must be restored and made available to all IDP populations, including West and South Darfur, where humanitarian operations have historically functioned at a lower level than in North Darfur state.
• To support and facilitate coordination between aid agencies, camp residents and UNAMID gender desk officers. The recruitment of gender desk officers must involve camp residents, and the work of gender experts should fully utilize the expertise and resources of aid agencies as well as camp residents, to ensure the establishment of culturally competent services.

We need action to protect the rights of survivors in Darfur: please let your US Senators and Representative know.

(Cross-posted on DarfuriWomen.org)

As reported by PHR investigators in Nowhere to Turn: Failure to Protect, Support, and Assure Justice for Darfuri Women, Darfuri refugees in the Farchana Camp in eastern Chad are entirely reliant on the aid provided by UN and humanitarian agencies and face daily threats to their health and security. A September report from Amnesty International supported PHR’s findings at Camp Farchana and further spoke to the volatile security situation in eastern Chad, where more than 50 armed attacks on humanitarian workers have taken place during 2009. Armed banditry has been a persistent security threat, and is cited as the biggest danger facing Darfuri women and girls when they leave UNHCR camps to collect water and firewood.

PHR and other groups have long called for the implementation of firewood patrols around UNHCR camps in eastern Chad, where women and girls have to travel up to 30 kilometers away from camp to collect firewood for cooking, water to supplement the inadequate rations available in the camps and hay or straw to feed animals they raise for milk and meat. Forced to leave the camp in order to satisfy basic human needs of themselves and of their family members, Darfuri refugees plead with peacekeepers assigned to their protection, with little effect. The MINURCAT peacekeeping force and Détachement intégré de Sécurité (DIS) police units fail to provide for the security needs of the refugees; as reported in the September Amnesty International report, refugees report rebukes by DIS, telling refugees to take up their issues with camp administrators.

It is clear from events in recent weeks that the security situation in eastern Chad is insufficient for humanitarian access: aid agencies providing life-saving assistance to Darfuri refugees must be assured security for their convoys and for their international and Chadian employees. The UN should immediately review MINURCAT operationality and renew calls to donor governments to ensure full deployment of MINURCAT uniformed personnel to protect Darfuri refugees and humanitarians in Chad, along with all necessary military and other material, including military helicopters.

PHR continues to encourage all troop contributing countries and police contributing countries to recruit female officers for protection units trained to address sexual and gender-based violence and to increase funding of humanitarian operations in Chad and Sudan, to ensure the provision of healthcare services to survivors of gender-based violence.

In meetings held with members of Congress in Washington, DC last week, PHR doctors briefed co-Chairs from the House Commission on Human Rights, Congressional Women’s Caucus and Congressional Caucus on Sudan on the urgent health, food and security needs in Camp Farchana. The camp was the site of PHR’s 2008 investigation into the impact of sexual violence on survivors of the Darfur conflict (see the report here), which found high levels of malnourishment, lack of healthcare, insufficient sanitation and lack of protection for women and girls in the face of daily risk of attack.

The food security issues and the health needs are closely linked — and an integrated strategy between UN agencies and aid organizations on the ground is desperately needed — on both sides of the Sudan/Chad border. Although the World Food Program (WFP) target caloric intake of 2,100 kilocalories is formally being provided to the refugees by WFP rations, the type and quantities of food apparently are seriously inadequate.

WFP rations consist of only five items (sorghum, oil, salt, sugar, corn-soy blend) and the sorghum rations are distributed in an un-ground form, which means that the refugees themselves have to pay the cost of grinding the grain.

The lack of milk, meat or vegetables has consequences for the health needs of refugees, particularly vulnerable groups like children and pregnant women. Even where fortunate refugees receive the target caloric intake, they don’t receive sufficient nutrients because of the limited diet.

We must commit to reducing child malnutrition by providing milk and meat to pregnant women and children. PHR has been working to encouraging UN agencies to coordinate sufficiently so that refugees themselves can be involved in the solution to this issue.

Currently, women are forced to sell their meager sorghum rations for milk or meat, travelling to a local market where they receive a vastly reduced price for their sorghum due to market saturation. However, if UN peacekeepers would provide protection for women and girls outside the camps, they could collect the necessary hay and water and raise livestock around the camp. This would give them a supply of milk and meat to add to their diet, and also provide them with the opportunity to provide for their family’s livelihood.

In his briefing yesterday, Abdur Rab also mentioned that international donors need to increase their support for fragile health services in Sudan, with special attention to secondary and tertiary care centres. Next week PHR will be doing more work on the issue of Sexual and Gender-based Violence (SGV) programming, and the need to provide emergency assistance for injuries, documentation of injuries, access to HIV/AIDS prophylactic treatment, pregnancy testing, psychological and social support — none of which are currently being provided to women and girls in Darfur.

PHR welcomed the renewed sense of urgency in the policy but took a skeptical position on the Khartoum genocidal regime’s ability to fulfill the role of trusted partner envisioned in the new policy.

The new policy relies heavily on offering incentives to the Bashir regime to improve the situation on the ground. PHR urged the Administration and international community to build strong multilateral pressure on the regime and give a higher priority to the accountability for genocide and atrocities.

As an independent medical organization which has documented, from 2004 to 2009, the Sudan government’s mass killing and rape, pillage, forced displacement and destruction of all means of survival for hundreds of thousands of Darfuri civilians, PHR has repeatedly called for an end to impunity for this genocidal campaign.

An immediate goal for US policy which is not explicitly addressed in the new comprehensive approach is an end to the gender-based violence occurring inside and outside camps in Chad and Darfur and an end to impunity for the crime of rape.

In line with US Strategic Objective #1, “a definitive end to conflict, gross human rights abuses and genocide in Darfur,” UNAMID and all UN agencies must be tasked with specific reporting on the problem of gender-based violence and must be free to report without obstruction by local authorities. The current system, which discourages women from reporting rape and seeking justice, must be reformed and existing rape laws must be strengthened.

The US and UN must also immediately demand a commitment from the Government of Sudan to cease impeding support programs for victims of gender-based violence and remove any obstacles to gender-based violence programming in technical agreements between the government and humanitarian NGOs. It is essential that the US monitor the ongoing situation on the ground in Darfur and not allow Omar al-Bashir’s government the opportunity to further deceive the international community over human rights abuses. The Government of Sudan must accept an independent fact-finding mission to assess the human rights situation in Darfur, and the State Department should immediately encourage a high-level congressional delegation to perform this role.

As the US engages with the Government of Sudan and international partners to attempt to reinvigorate the peace process, US policy must remain committed to safely return refugees in Chad and displaced in Darfur to their homes and rebuilding of their villages and livelihoods. This goal should not be lost in efforts to achieve short-term forward progress in the peace process and immediate improvements in humanitarian assistance to the millions of displaced Darfuris.

The renewed commitment by the Obama Administration to end the conflict in Darfur and move forward with implementation of the North-South Comprehensive Peace Agreement must not deter the US from supporting the UN Security Council and the ICC in pursuit of justice by enforcing the arrest warrant for President Bashir.

More soon: PHR briefing on rape and sexual violence in Sudan/Chad in DC this Wednesday (Oct 28)!

PHR welcomed the renewed sense of urgency in the policy but took a skeptical position on the Khartoum genocidal regime’s ability to fulfill the role of trusted partner envisioned in the new policy.

The new policy relies heavily on offering incentives to the Bashir regime to improve the situation on the ground. PHR urged the Administration and international community to build strong multilateral pressure on the regime and give a higher priority to the accountability for genocide and atrocities.

As an independent medical organization which has documented, from 2004 to 2009, the Sudan government’s mass killing and rape, pillage, forced displacement and destruction of all means of survival for hundreds of thousands of Darfuri civilians, PHR has repeatedly called for an end to impunity for this genocidal campaign.

An immediate goal for US policy which is not explicitly addressed in the new comprehensive approach is an end to the gender-based violence occurring inside and outside camps in Chad and Darfur and an end to impunity for the crime of rape.

In line with US Strategic Objective #1, “a definitive end to conflict, gross human rights abuses and genocide in Darfur,” UNAMID and all UN agencies must be tasked with specific reporting on the problem of gender-based violence and must be free to report without obstruction by local authorities. The current system, which discourages women from reporting rape and seeking justice, must be reformed and existing rape laws must be strengthened.

The US and UN must also immediately demand a commitment from the Government of Sudan to cease impeding support programs for victims of gender-based violence and remove any obstacles to gender-based violence programming in technical agreements between the government and humanitarian NGOs. It is essential that the US monitor the ongoing situation on the ground in Darfur and not allow Omar al-Bashir’s government the opportunity to further deceive the international community over human rights abuses. The Government of Sudan must accept an independent fact-finding mission to assess the human rights situation in Darfur, and the State Department should immediately encourage a high-level congressional delegation to perform this role.

As the US engages with the Government of Sudan and international partners to attempt to reinvigorate the peace process, US policy must remain committed to safely return refugees in Chad and displaced in Darfur to their homes and rebuilding of their villages and livelihoods. This goal should not be lost in efforts to achieve short-term forward progress in the peace process and immediate improvements in humanitarian assistance to the millions of displaced Darfuris.

The renewed commitment by the Obama Administration to end the conflict in Darfur and move forward with implementation of the North-South Comprehensive Peace Agreement must not deter the US from supporting the UN Security Council and the ICC in pursuit of justice by enforcing the arrest warrant for President Bashir.

More soon: PHR briefing on rape and sexual violence in Sudan/Chad in DC this Wendesday!