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What's happening in Lebanon?

Learn how intensified fighting, airstrikes, and bombardment by Israeli forces are impacting people in Lebanon, where an already-overburdened health system is struggling to respond.

Smoke billowing over the Bekaa valley in Lebanon

Smoke seen in Lebanon's Bekaa valley following bombings. | Lebanon 2024 © MSF

Throughout the past year of war in Gaza, a separate yet related conflict has been brewing 180 miles away along Israel’s border with Lebanon. After months of exchanging fire over the border, Israeli forces launched a military offensive against the Lebanese armed group Hezbollah in September. Here’s what that means for people in Lebanon and how Doctors Without Borders/Médecins Sans Frontières (MSF) is responding to the growing health and humanitarian needs. 

Where is Lebanon?

Lebanon is a small Middle Eastern country on the Mediterranean coast, bordering Israel to the south and Syria to the north and east. It has a population of 5.2 million people, including 400,000 Palestinian refugees and 1.5 million Syrian refugees.

Where is the conflict taking place?

The conflict between Israeli forces and the Lebanese group Hezbollah is mostly concentrated in southern Lebanon, however Israeli strikes have also hit the Bekaa valley and the southern suburbs of Beirut, the country’s capital, and surrounding areas. 

Map of Lebanon

Lebanon at a glance

5.2 million

total population

1.9 million

refugees

100,000+

internally displaced

What are the medical needs in Lebanon?

 

In addition to hundreds killed by Israeli bombardment, thousands have been left with severe injuries, often requiring surgical care. Many people are traumatized from losing their homes and loved ones, affecting their mental health. MSF staff have seen an increase in depression and anxiety disorders among displaced people in recent months, especially among those who have been displaced for prolonged periods of time.

"People are really good at coping with short-term stress, but what we see here is families who have been displaced from their homes for over five months and are living with a lot of uncertainty around when—and even if—they might be able to go back," said Felicitas Steinhoff, MSF's mental health activity manager.

In addition to medical and mental health care, displaced people are in need of basic supplies like mattresses and hygiene products, as the shelters and schools currently housing them are not prepared to accommodate so many people.

Why is what’s happening in Lebanon important?

 

MSF is gravely concerned about Israel’s bombing campaign in Lebanon, much of which is taking place in densely populated urban areas. The conflict’s potential to expand across the region, and the large number of vulnerable refugees in the crossfire, makes an immediate de-escalation of hostilities even more critical to prevent further suffering, injury, and loss of life.  

"People who left their homes need all kinds of support," said Maram Sukkariyeh, a health promotion supervisor with MSF. "Everyone is scared and worried and no one knows where to seek safety. With every strike, people are losing their lives, including children. The future is unknown and deciding what to do is very difficult. Everyone seeks safety for their families and children." 

Hala Hussein, MSF dispenser, receives patients after their consultations to give them their prescribed medications.
MSF staff unload medical supplies in Lebanon.

Hala Hussein, MSF dispenser, receives patients after their consultations to give them their prescribed medications (left); MSF teams unload medical supplies and other essential items to support the needs of people affected by the escalation of violence. Lebanon 2024 © Salam Daoud/MSF

What’s happening in Lebanon right now?

 

Clashes at the border with Israel have escalated

Since the war in Gaza began in October 2023, Hezbollah and Israeli forces have been exchanging fire across the border between southern Lebanon and northern Israel. The violence escalated dramatically when Israel launched coordinated pager and walkie-talkie explosions in Beirut and other parts of Lebanon on September 18 and 19, before launching a full-scale military assault on September 23. To date, more than 700 people have been killed and thousands wounded.

Mass displacement in the south

The recent escalation of violence has displaced more than 104,000 people, according to Lebanon’s disaster risk management unit, adding to more than 112,000 people displaced by fighting in the months prior. Many have fled their homes without any possessions and are struggling to access basic needs such as food and blankets in shelters, including makeshift shelters like schools. In the border town of Al-Merouaniye, dozens of families are sheltering in an abandoned hotel.

Years of economic crisis

Lebanon was already in the midst of a dire humanitarian and economic crisis before the escalation began, with two out of three people living in poverty and an overburdened and overstretched health care system facing increasing pressure. For many, health services are out of reach due to the cost of transportation and the cost of care. Refugees face an additional barrier to accessing care: fear of deportation

Clothes hang from the balconies of the Montana Hotel.
MSF mental health manager addresses a group of women.

An abandoned hotel in Al-Marouaniye, about 37 miles from the border, where displaced families have taken shelter earlier this year (left); a group of displaced women in a mental health session with MSF mental health manager Felicitas Steinhoff (right). Lebanon 2024 © Maryam Srour/MSF

How is MSF responding in Lebanon?

 

To help fill some of the gaps, MSF teams are distributing supplies, running mobile health clinics, and stepping up mental health efforts. MSF mobile clinics recently visited two locations in Mount Lebanon where displaced people have taken shelter to provide medical and mental health consultations. MSF also donated essential items including mattresses, blankets, and hygiene kits to displaced people in eight sites in Saida and Tripoli. Additionally, after being forced to halt activities on September 23 due to the immense and sudden deterioration of the security situation, MSF reopened its clinic in Baalbek-Hermel to provide patients with much-needed medications for chronic conditions. Mental health helplines run by MSF are receiving over 60 calls a day from people experiencing rising mental health needs. 

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