http://www.economist.com/printedition/displayStory.cfm?Story_ID=1567131

Iraq's humanitarian needs

If things go badly...
Feb 6th 2003
>From The Economist print edition


The set-up in Iraq renders its civilians particularly vulnerable in war

MANY aspects of the war hanging over Iraq are unpredictable but one is
not: the unusual vulnerability of the civilian population. There are two
reasons for this. First, about 60% of the population, or 16m people, are
100% dependent on the central government for their basic needs; they
survive only because the government provides them with a food ration
each month. Second, after two wars, decades of misgovernment and 12
years of exacting sanctions, there is no fat to rely on.

In last year's Afghan war, as in the 1991 Gulf war, more people died
from the indirect results of the conflict than from the fighting
itself. And Iraqis now are far less able to get by. In 1991, most of
them were in work, enjoyed fair health and had material assets; now,
more than 50% are thought to be unemployed and most people have sold
just about everything they once had (visitors gauge this from the
markets, where the goods for sale are increasingly dilapidated). Though
conditions have improved since the oil-for-food programme was set up in
1996, the report of an International Study Team*, academics and doctors
with mainly Canadian backing, that visited Iraq at the end of last month
found how vulnerable Iraqis still are. Most face grinding poverty, and
children, in particular, are terrified at the prospect of war.

Estimates by Unicef, the UN's childrens' agency, show close to a quarter
of children under five suffering from malnutrition, some of it acute. A
leaked report reveals that the UN is working on the calculation that, in
war, some 5.4m Iraqis will need emergency help from outside, with small
children needing it most. The World Health Organisation's contingency
plans allow for the emergency treatment of 100,000 people injured by
bombing, and for another 400,000 who may need medical aid if they cannot
get food or clean water or shelter. The problems, already vast, would
swell exponentially if the fighting is prolonged and people flee the
cities.

Food is the prime concern. The Iraqi rationing system works very
efficiently (its database also allows the regime to keep tabs on
everybody). In the northern Kurdish enclave, the food.flour, pulses,
cooking oil, milk powder, all of it imported.is distributed by the World
Food Programme (WFP). In the rest of the country, it is distributed
monthly by local merchants.

Since August, the government has been providing an extra month of
rations in advance to allow stockpiling. But supplies are running out,
and people have not even been getting their full ration. Moreover,
there is much anecdotal evidence, particularly in poor areas, of people
selling their extra rations for medicine and other basics. The collapse
of central government could bring distribution to a stop. So could
bombing, if it disrupts transport: for instance, Iraq is trisected by
two rivers that flow north-south, so blown-up bridges would halt all
east-west traffic.

Another danger: if power stations are blown up, it could mean the
collapse of water and wastewater systems, which, in turn, would have
profound consequences for public health. Iraq's water and sewerage
have never fully recovered from the crippling of the electricity
system in 1991, plus neglect and the difficulty in getting spare
parts and chlorine. Some of the water-treatment plants, and the big
hospitals, have standby generators, but only 10% of the sewage-pumping
stations have them. In any event, says Oxfam, a British charity, most
of the generators do not work. Even as things are, the power system
is crumbling, with only 60% of the country's needs being met. Further
destruction could be calamitous.

Both the UN and non-governmental organisations (NGOs) have started
to face up to the crisis, but have difficulty planning for an
emergency that has not yet happened and which nearly all hope can be
averted. Co-ordination has to be low-key. The WFP, already overwhelmed
by the famines in Africa, is pre-positioning food stocks in the region
which it calculates would feed 900,000 people for three months (as with
all UN agencies, its expatriate staff would be pulled out of Iraq once
war started). Appeals for money also have to be low-key. So far, the WFP
has had .informal. pledges for only $7m.

Eclipsing this sort of money are America's multi-billion-dollar schemes
for reconstructing a post-Saddam Iraq. Working with a civilian UN
administrator, America plans to flood the country with food and medicine
and to rebuild the infrastructure it may be about to destroy.much of it
painstakingly rebuilt after the bombing in 1991. The NGOs, which have
been gathering in Jordan as the expected gateway for aid, were this week
given a pep talk by senior American officers. They were told that an
American Humanitarian Operations Centre may be established in Jordan or
Kuwait, and that .safe havens. would be established for NGOs in Iraq.

The agencies were uncertain, calculating the problems of operating under
America's military umbrella. Aid and tanks are uneasy partners, and
they wonder whether they would be allowed to operate outside the safe
havens, In the end, if America occupies Iraq, the agencies will have no
choice, and the dollars will be welcomed. The Americans claim that they
are planning intensively for the short term as well. They had better be
right.

.Our Common Responsibility: The Impact of a New War on Iraqi
Children.. International Study Team, January 30th 2003. (For the
electronic version, see www.warchild.ca).




-- 
"Erik Reuter" <[EMAIL PROTECTED]>       http://www.erikreuter.net/
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