Three familiar sounds

Chris receives the long-awaited keys to the hotel/shopping-centre building MSF were to convert into a Mother and Child Hospital, where all services would be provided free of charge. Work begins the very next day to establish the hospital , then 3 weeks later it opens to its first out-patients. Read on..

This post was written by Chris in late-2015

A little after 19:00 on 19 October 2015, a man named Nawaf, neatly dressed in a white ankle-length robe and smart suit jacket, arrived at our office in Taiz, Yemen, bearing a flimsy brown cardboard box. Around his waist he wore a large, finely crafted and highly stylised leather belt, which held in place the sheath of his traditional dagger. Nawaf had left the dagger itself outside on his car seat, because he knew the rules: MSF facilities have a strict no-weapons policy. He handed me the box which contained 62 jagged pieces of metal, not one of which was labelled, while I struggled to contain my excitement. These were the long-awaited keys to the hotel/shopping-centre building we were to convert into a Mother and Child Hospital, where all services would be provided free of charge.


The very next day, we commenced the logistical works required for establishing the hospital: erecting internal walls to create rooms, installing electrical and diesel generator system, setting up a medical warehouse and receiving more than 40 tonnes of medical supplies and equipment, installing fencing for access control, assembling hospital furniture, and much more.

The MSF team in Yemen

Less than three weeks later, on 7 November, we opened the front doors of the hospital to accept our first outpatients. Even though we hadn’t announced the opening, so many patients arrived on that first morning that we had to close at midday! The following week, we opened the nutrition programme. Two weeks after that, we opened the emergency department and had our first baby born, a beautiful baby girl.

One of the most common complaints of people coming to the hospital was scabies. Our medical team determined that a large community of people in Taiz, displaced by the war and thus forced to live in cramped and often unhygienic conditions, was in the midst of a scabies outbreak. Rather than treat these people in our hospital, the team suggested it would be better to address the problem at its source, in the community. So the MSF Taiz team planned a special mobile clinic, met with representatives of the community, organised supplies of benzyl benzoate, set up a large white MSF tent near where many of the displaced people were living, and began treating them on 1 December.

The following day – Wednesday, 2 December – I arrived at the MSF Mother and Child Hospital to check the work of various contractors who were, respectively: installing workbenches and a filtered water system for the new laboratory to be opened the next day, welding an intermediate steel burner for waste incineration, installing doors for the staff’s rooftop sleeping quarters, and finishing the masonry for the hospital waste-zone pits.

Hospital waste-zone pit

I had also planned to spend an hour with the medical storekeeper, with whom I'd been working closely, to complete a full physical stock count of our enormous 315 m² central medical warehouse.

Inside the medical warehouse

We arrived at the hospital around 14:00, and I was still standing outside behind the building, speaking with my colleague when, at 14:08 we heard a jet come in low overhead. It's an all-too familiar sound, one usually followed by two other familiar sounds. I stretched my arm up toward the sky and pointed at the plane with my index finger, tracking its path as it moved northwest of our location. Within fractions of a second, we heard the second familiar sound: a bomb screaming downward from the sky, toward its target.

With my index finger, I continued following the sound of the bomb, which I couldn't see, until my arm was horizontal and my finger was pointing straight toward the horizon, at which moment we heard the last of the three familiar sounds: the airstrike hitting its target.

There was a loud bang, followed by a pressure wave that shook us as it flexed the glass window panes of our five-storey hospital building. A column of brown smoke arose from the spot I'd been pointing at, just a few hundred metres away from us.

After chatting briefly with nearby staff about the airstrike and how close this one had been, I returned to my work, comfortable in the belief that the airstrike couldn’t have affected our nearby tented clinic. After all, the Saudi-led coalition, which was responsible for these airstrikes, knew the exact GPS coordinates of our tent, just as they know the coordinates of our Mother and Child Hospital.

Smoke billows after a Saudi-led coalition airstrike

I had been talking for just a few minutes with an engineer about the next steps for our hospital waste zone, when I received a phone call from our Project Coordinator. He wanted us to return to the office promptly. Our tented clinic had been hit, he said, and several people had been injured – two were in critical condition.

Sadly, the following day, one of these two succumbed to his injuries. As our Head of Mission in Yemen says, “The health structure's GPS coordinates were regularly shared with the Saudi-led coalition, most recently on 29 November, when we informed them about this specific activity in Al Houban. There is no way that the Saudi-led coalition could have been unaware of the presence of MSF activities in this location.”

Several airstrikes in the morning, only 2km from our mobile clinic, had shaken our staff, so MSF had called the coalition to remind them again of our mobile clinic activity, just to be on the safe side. We had set the clinic up in a large white tent that sported a huge MSF flag spread flat on its roof. The bright red MSF logo was easily visible from the sky, the coalition was told multiple times about the mobile clinic and its location and yet, because of this Saudi-led coalition airstrike, several people in the clinic were injured and one is now dead.

This is the second MSF facility in Yemen to be hit by airstrikes from the Saudi-led coalition, which is supported by the United States, United Kingdom, Jordan, and other major players. The other, an MSF-supported hospital in Haydan, was turned into a pile of rubble in late October by a series of airstrikes.

While this airstrike affected our activities in the Houthi-controlled area of Taiz, the Houthis have continued to block MSF from delivering life-saving medical supplies to hospitals across the frontline in the besieged city centre, an enclave controlled by a variety of groups opposed to the Houthis, where hospitals have been hit multiple times by indiscriminate shelling. Back in October, MSF spoke out about our inability to provide this urgent medical support.

One after-effect of this airstrike is a temporary reduction of staff in Taiz. I, among others, was relocated to the capital, Sana’a. As I had nearly completed the term of my contract, there was too little time for me to return to Taiz before I was due to leave Yemen, so I returned home to Canada a few days early. It’s unfortunate, as I’d hoped to complete some of the remaining works at the hospital, into which I had put so much thought and energy. Still, in the few weeks since the keys were handed over to us, we worked full-tilt to get the MSF Taiz Mother and Child Hospital up-and-running, and I’m confident this hospital will continue to grow and serve the community for a long time to come.