Yemen: “That evening we had around 30 casualties, both wounded and dead.”
Christopher McAleer is just back from Taiz, Yemen's third-largest city, on the frontline of the war.
"Taiz has seen some of the heaviest fighting in the recent conflict. There are airstrikes going on, and constant indiscriminate shellfire, both into and out of the city. The shelling often hits civilian areas and people's homes, as well as hospitals. There are a lot of snipers, and many areas have been landmined. There isn't just one risk – there are many.
I was based in MSF's mother and child hospital in Al Houban. My job as a logistician was to make sure that everything was running smoothly, and that the medics could do their work as well as possible. While I was there, there were a number of mass casualty events, so I also had to set up a temporary morgue and put people in body bags.
One of the worst moments was on 17 November, when the frontline shifted by as much as 2 kilometres and there was a big increase in fighting within the city. At 7.30pm, we were upstairs in our living quarters above the hospital, when we heard reports that a blast had hit a busy market nearby that was crowded with evening shoppers.
Immediately we tried to find out if there was ongoing shelling. As soon as we were sure it had stopped, we sent ambulances to the location and alerted both our trauma centre and our mother and child hospital to receive 'hot cases'.
Then we went downstairs to prepare ourselves as best we could. That evening we had around 30 casualties, both wounded and dead. They arrived in ambulances, in the back of pick-up trucks, in minibuses and in little cars.
We organised triage, dividing them into green, orange and red cases, according to the severity of their injuries, and trying to give dignity to those who had been killed.
It was at this point that we learned that one of our staff – a watchman in our trauma centre – had been killed. He was brought into the trauma centre and was dead on arrival. That really hit home. It was very tough for the staff to get through that, seeing one of their own colleagues brought in dead.
With the frontline shifting so quickly, some of our staff couldn't get back to their own homes – they had to sleep in the hospital because they had nowhere else to go.
MSF works on both sides of the frontline in Taiz, supporting four hospitals inside an enclave besieged by the Houthis, and running a trauma centre and the mother and child hospital in the Houthi-controlled area of Al Houban.
In the middle of a conflict, people's day-to-day medical needs can often be overlooked. We are mostly looking after women and children, but we also provide support for all those injured in the war. Our team in the mother and child hospital helps to deliver about 400 babies a month, as well as treating children for malnutrition.
Because the health system in Taiz has slowly collapsed, a lot of people have nowhere else to go for medical care. We are one of the few medical facilities still functioning in Taiz.
At the height of the fighting, there was outgoing shelling from near the hospital both day and night. At the same time, there were airstrikes targeting these artillery positions. It is very scary, because you simply don't know what will happen.
As hospital staff you always have to act normal but, in the back of your mind, you're always scared. You don't know if someone will arrive at the hospital with a weapon; you don't know if you'll get hit by a shell or an accidental airstrike. You're there with the Yemeni staff and the local people, sharing that risk with them. For me that was one of the most powerful things: to be able to say, 'Whatever the situation is like, we are here with you guys and we’re not going anywhere'.
People in Taiz have immense needs for food, medical care, water and sanitation and shelter. The situation is very bad, but what struck me most was the strength and commitment of our Yemeni staff. Every day they come to work, despite the sniper fire and shelling. They are committed to trying to save the lives of the people of Taiz. Although the situation is bad, people are not helpless in terms of their desire to help people – that spirit has not died in Yemen."