APHA’s Georges Benjamin writes a letter on health workers in Syria

APHA Executive Director Georges Benjamin has written a letter to the members of the UN Security Council to enforce a resolution to end attacks targeting health care workers in Syria. You can read the text below.


Dear United Nations Security Council members:

On behalf of the American Public Health Association, a diverse community of public health professionals who champion the health of all people and communities, I write to call on the United Nations Security Council to enforce resolution 2139 to put an end to the attacks on health workers and facilities in Syria.

In over four and a half years of conflict in Syria, nearly 700 health workers have been killed and more than 300 medical facilities have been attacked. According to well-documented reports, the Syrian government is responsible for over 90 percent of these assaults. The disruption of health services is being used as a weapon of war. This year, by the end of October, attacks on medical facilities in Syria had already surpassed the number of attacks for any other year since the conflict began in 2011.

The attacks have decimated the country’s health system. In Aleppo, only 10 hospitals remain of the 33 hospitals that were functioning in 2010. About 95 percent of doctors have been detained, killed or have fled leaving one doctor for every 7,000 residents. There are shortages of medicine and necessities such as clean water and electricity. Hospitals are overwhelmed with patients needing emergency care for conflict-related injuries and patients are dying from treatable conditions.

In February 2014, the United Nations Security Council unanimously passed resolution 2139 demanding that all parties immediately end all forms of violence. The resolution strongly condemned attacks on hospitals and demanded that all parties respect the principle of medical neutrality, and that medical personnel, facilities and transport must be respected and protected. Passing the resolution was a critical first step, but now almost two years have passed since it was adopted and the attacks have continued. We urge the Security Council to take immediate steps to ensure that the resolution translates into meaningful progress to protect health workers and their patients in Syria.

Sincerely,

Georges C. Benjamin, MD
Executive Director

At least one Congressman is being reasonable about Syrian refugees

In response to an online petition, Dr. Amy Hagopian, our Section’s Nominations Committee Chair, received the below thoughtful reply from her Congressman, Adam Smith (D-WA). The petition asked that U.S. welcome refugees from Syria, despite opposition from xenophobic governors around the country. Here’s a link to a petition YOU can sign!


Dear Amy,

Thank you for contacting me with your concerns regarding the situation in Syria. I appreciate hearing your thoughts on this important issue.

The civil war in Syria is a highly complex struggle between Bashar al-Assad’s authoritarian regime and the fragmented groups that oppose it. As the conflict in Syria has become more violent and protracted, radical elements that directly and seriously threaten our and our allies’ security have become more powerful. It has also become an enormous humanitarian catastrophe. Since the unrest and violence began in 2011, the number of Syrians seeking refuge in neighboring countries or Europe has increased above 4 million. The United Nations Refugee Agency reports that 12.2 million people inside Syria have been affected by the conflict, with nearly 7.6 million displaced internally.

The tragic terrorist attacks in Paris have complicated the situation even further. Our number one priority must be protecting the United States and the American people from terrorist attacks. In the strongest possible terms, I condemn the cowardly attacks in Paris and send my deepest sympathies to the victims. I also welcome the French government’s increased efforts to combat terrorists in Syria. It is important that as we fight terrorism, we must stay true to the values enshrined in our Constitution, remember that we are a nation of immigrants, and not let terrorist groups define or change who we are.

Amidst the conflict, radical groups – like Jabhat al Nusra and the Islamic State of Iraq and Syria (ISIS) – have established safe havens and where, they have attracted substantial financial resources. The strongest and most violent group, ISIS, has continued a campaign of terror and has launched violent and deadly attacks in Northern and Western Iraq. ISIS victories over the Iraqi armed forces have made them a real and dangerous threat to the government in Baghdad and the region. Additionally, the civil war in Syria has attracted a large number of foreign fighters, including from Europe, many of whom are fighting with forces affiliated with ISIS or al Qaeda. As we have seen, these foreign fighters may eventually return to their home countries or go to others where their new combat skills and increased radicalization can be used to subvert other governments.

The civil war in Syria has devolved into a protracted conflict that is dangerously destabilizing. The increasing flows of refugees to neighboring countries place a real strain on already over-burdened public services. Sectarian tensions are on the rise and can lead to further displacement of refugees as host communities become increasingly frustrated with the length of their stay. The humanitarian crisis is quickly shifting from being a consequence of the Syrian conflict to being a potential driver of conflict itself, threatening regional stability. Additionally, the increased activity of Hezbollah, the Iranian-allied militia within Lebanon, and its involvement in the Syrian conflict has escalated tensions between Lebanon and Israel, presenting a great security risk.

The United States has not turned a blind eye to the hurt and suffering of the Syrian people and has been the largest contributor of humanitarian assistance to the crisis, providing over $4.1 billion between Fiscal Years 2012 and 2015. These funds have been used to provide critical, lifesaving services for internally displaced populations within Syria and refugees in neighboring countries, including Jordan, Iraq, Lebanon, Turkey, and Egypt. Channeled through United Nations (UN) agencies and non-governmental organizations, U.S. emergency assistance provides Syrian families with food, medical care and supplies, shelter, and funding for water, sanitation, and hygiene projects.

Due to the worsening refugee situation and immediate need for increased assistance, on July 31, 2015, the U.S. Agency of International Development (USAID) announced an additional $65 million in emergency food assistance. These funds are for the UN World Food Program (WFP), which serves approximately 4 million people inside Syria and 1.6 million refugees in neighboring countries every month.

To help address the refugee crisis, I have taken a number of steps. I supported increased funding for refugee-related program in Fiscal Year 2016 so that resettlement agencies have the resources necessary to help these refugees. I believe that helping our partners in the region and European allies cope with this stressful and destabilizing situation is in our national interest and ultimately helps keep this crisis from devolving into further chaos. I also joined a letter to Secretary of State John Kerry and Secretary of Homeland Security Johnson asking them to increase the number of people eligible to apply for refugee status. I have also called for the Department of State and Homeland Security (DHS) to improve coordination of the lengthy security check process for those applying for asylum, as well as informing families when some but not all of their members have been cleared. Finally, I have joined other members in advocating for the U.S. to increase the number of refugees we are admitting through our resettlement program from 70,000 to 85,000 per year.

To date, of the millions of law-abiding Syrian refugees, less than 1,800 have been resettled in the United States. Applicants for refugee status are held to the highest level of security screening through which we evaluate travelers or immigrants to the United States. If as a result of the security process, U.S. security agencies cannot verify details of a potential refugee’s story to that agency’s satisfaction, that individual cannot enter the United States. I will continue to pursue ways to make sure our vetting process is effective, without unduly burdening bona fide refugees fleeing the terrible situation in Syria and Iraq.

To be very clear, the United States thoroughly vets all refugees. Refugees are subjected to an in-depth interagency vetting process that includes health checks, verifications of biometric information to confirm identity, and multiple layers of biographical and background checks. Moreover, applicants get interviewed in-person. Members of the interagency team includes the FBI’s Terrorist Screening Center, the State Department, DHS, the National Counterterrorism Center, and the Department of Defense. The background check process takes between 18-24 months, happens before an application is approved; and occurs long before a refugee would be able to enter the United States.

The American SAFE Act of 2015, H.R. 4038, which was brought to the House floor for a vote by House Republicans on November 19, 2015, would effectively shut down resettlement of refugees from the Syria and Iraq region. It is wrong to deny asylum to refugees on the basis of inaccurate assumptions, fear, and prejudice, and that is why I voted against it. We must continue to stand strong as an international community and remember that refugees are fleeing terrible conditions and persecution. As we move forward, let us unite to use the tools at our disposal – diplomatic, military, intelligence, and development – to defeat extremism and the terrorism it breeds.

I have also heard several concerns regarding U.S. military involvement in Syria. I am acutely aware of the great cost we incur in both blood and treasure when we ask our men and women in uniform to secure our interests abroad. I share your concerns about becoming militarily involved in another costly conflict in the Middle East. Any consideration of the use of U.S. military force is not one to be taken lightly – especially considering our experiences in Iraq and Afghanistan and the limited ability to affect certain outcomes in those countries. Ultimately, this is a fight between the Syrian people about who will control the future of their country.

The best way to protect ourselves and our allies in the region from the chaos in Syria is by building the Syrian moderate opposition’s capacity so they can stand their ground and fight this war. There is no easy way to identify those elements in the opposition that we can work with, although we have some developed some local allies, such as the Iraqi and Syrian Kurds and some local Sunni allies and are working to identify additional such forces that we can support. By helping those who are fighting ISIL, the U.S. can ensure moderate elements have a chance at playing a role in the creation of an inclusive transitional government, if a peace deal were to be reached in the future.

Due to the extremely concerning developments in Syria and Iraq, the President has taken a number of actions. First, the United States has conducted literally thousands of airstrikes intended to degrade ISIS in Syria and Iraq, reduce their ability to raise money, and to support the local allies we have identified. We are also currently retraining and equipping a number of brigades in the Iraqi Army and Congress has provided over $1 billion for this process. The President also decided that training and equipping moderate elements of the opposition was necessary in Syria. On June 26, 2014, he requested $500 million as part of a supplement to the budget request known as “overseas contingency operations.” These funds would be used to train and equip vetted elements of the Syrian armed opposition to help then fight against the Assad regime. As you may know, this training program did not meet expectations nor objectives and the training portion has been suspended. Since that time, however, the approach has transitioned to equipping moderate elements in hopes of empowering them in this fluid situation, and the President has announced that fewer than 50 U.S. Special Forces will be deployed to Syria to help accomplish this goal. I will continue to monitor developments in the region, understanding that there are always risks involved in conflict and I do not take them lightly.

Moreover, I support the Obama Administration’s diplomatic efforts to find a political solution to the situation in Syria that respects the rights of people. While those efforts have not yet produced any sort of agreement that would lead to an end of the war in Syria, I believe that it is helpful to have the major international countries that are involved in the conflict in Syria discussing possible ways to bring about a political transition and end to the civil war. Hopefully, such a course forward would also address the underlying causes of the refugee crisis. Until a solution can be found, we must continue to help those seeking refuge. We cannot let what happened in Paris cloud our judgement, drive policy or destroy the fabric of what America stands for. We need to be strong and smart to fight terrorism. If we turn our backs on refugees, then we risk making ISIS stronger.

Again, thank you for contacting me with your concerns regarding these important issues.. Rest assured that I will closely follow the continuing developments as they arise. Should you have any additional questions or concerns, please do not hesitate to contact me again.

Sincerely,

Adam Smith
Member of Congress

#APHA2015 Governing Council Report

The following summary of the Governing Council session at this year’s Annual Meeting in Chicago was compiled by Carol Dabbs, the Section’s Whip for this year. We look forward to next year’s summary by Governing Counselor and 2016 Whip Caroline Kingori.


Seven members of the IH Section represent us on the APHA Governing Council (GC); the number of representatives is based on the number of primary members in the section. State affiliates and the other sections also are represented on the GC. Each year, we meet on Saturday afternoon and again all day on Tuesday. Many items are introduced during the Saturday session, with votes being taken on Tuesday. This provides an opportunity for GC members share the status of the agenda and options to be decided with the rest of the section during the Sunday afternoon and Monday morning IH Section meetings.

GC conducts the basic business of the Association, including setting bylaws; electing the President, Executive Board members, and Nominating Committee members; and approving APHA Policies. Because of the importance of these matters to the Association, serving as a GC member is rewarding for those who have patience with large meetings following strict parliamentary procedure. We also receive reports from the Executive Director, the Executive Board, and many APHA-wide Committees.

This year’s agenda was fairly typical. The following decisions were taken by the GC this year:

  • As discussed on our conference call in June, we approved revisions to the SPIG policy, which allow new SPIGS to have sufficient time to identify those who would join the SPIG if formed, and also a new policy regarding sections which details the process for a SPIG to become a section.
  • The Program Emphasis for the 2017 Annual Meeting will be Climate Change. Further refinement of the exact wording will be done in a smaller body. (Wordsmithing in a group of over 200 is not considered a good use of time!)
  • The proposed dues increase of 10% for each category, rounded to the nearest $5 was approved by a majority of 68%.
  • Bylaws changes to increase student representation on GC, and to improve wording concerning the editor of the AJPH and women’s issues were approved.
  • Proposals for archiving of older policies were approved, except for those relating to civil rights, which were instead approved to be reviewed for updating during the next year. Such updated policy proposals would be considered at the 2016 Annual Meeting.
  • Fifteen policy proposals were approved as part of a consent agenda recommended by the Joint Policy Committee. Two proposals were removed from the consent agenda at the request of GC members, for discussion during this meeting along with the two late breaking proposals. These were as follow:
    • B8: Cancer Prevention. The Joint Policy Committee (JPC) advised against passage of this policy for several reasons; it failed by a wide margin.
    • D4: Role of Health Educators. Amendments were offered and passed regarding the definition of Clinical Social Workers (CHW) and the relationships between Health Educators and CHW. The policy passed as amended.
    • LB1: Leveraging Community Development Investments to Improve Health. This passed with 96% of the vote.
    • LB2: Negative HIV Test as a Condition of Employment for Foreign Nationals. This proposed policy, developed by our own Jessica Keralis, passed with 95% of the vote. As with all approved late breaking policy statements, it will be considered (possibly in amended or refined form) for approval as a permanent policy at next year’s Annual Meeting.
  • The president-elect is Thomas Quade.
  • Elena Ong, Benjamin Hernandez, and Marc Guest were elected to Executive Board. The new chair will be Lynn Bethune.

Featured Global Health Sessions at the Annual Meeting

Attention, APHA Annual Meeting Attendees! Vina HuLamm, APHA’s Global Health Manager, has asked us to highlight several sessions and invite you all to attend. The global health diplomacy and women leaders in global health sessions will be of particular interest. You can view the entire Global Health program for the meeting here.


Monday, November 2, 2015
8:30 a.m.-10:00 a.m.

3014.0 U.S. – Mexico Border Health: Challenges and Opportunities

10:30 a.m.-12:00 p.m.
3129.0 Public Health Associations: a voice for global public health

12:30 p.m.-2:00 p.m.
3232.0 Applied Global Health Diplomacy – Linking communities with government for better health policy and population health

2:30 p.m.-4:00 p.m.
3334.0 Alliance of Public Health Associations in the Americas: A new vehicle for improving population health and health equity in our hemisphere

Tuesday, November 3, 2015
8:30 a.m.-10:00 a.m.
4013.0 Non-communicable Diseases and Mental Health: A challenge for health systems

10:30 a.m.-12:00 p.m.
4108.0 Sustainable Development Goals and Health in All Policies

2:30 p.m.-4:00 p.m.
4294.0 Raising Stories and Voices in Health & Development
4294.1 Who runs the world? The role of women leadership in the new global Sustainable Development Goals

4:30 p.m.-6:00 p.m.
4397.2 Building Health Systems through the Faith-Based and Public Sectors to Advance Universal Health Coverage in Low-Resource and Post-Conflict Settings

Wednesday, November 4, 2015
8:30 a.m.-10:00 a.m.
5031.0 Diabetes Prevention Treatment and Care in Cuba – implications for US Public Health

IH Section Activities at the APHA Annual Meeting – Please join us!

Attention, APHA Annual Meeting Attendees! The IH Section leaders and members are looking forward to next week’s meeting and invite registered Section members (as well as those interested in becoming Section members) to attend the our meetings and networking events. Below please find a short summary of our activities, including several specifically geared toward students and early career professionals who want to get involved and learn more about careers in global health. We look forward to seeing you in Chicago next week!


IH Section Business Meeting 1 will give new and renewed members a chance to meet colleagues and learn about how to get involved in the many committees and activities.  Session 235.0
When: Sunday, November 1, 2-3:30 pm
Where: W190a McCormick Place CC

Visit the IH Section Booth in the Exhibit Hall, Booth #1429-7B

All are welcome to attend the following IH Section Committee meetings:

Global Health Students Committee. Session 281.0
A great opportunity for students to meet and get the most out of APHA membership.
When: Sunday November 1, 4–5:30 pm
Where: W184bc McCormick Place CC
Contact: Neil Patel/ Hannah Elsevier <apha.ihsc@gmail.com>

International Maternal Child Health Working GroupSession 282.0
When: Sunday November 1, 4–5:30 pm
Where:  W196a McCormick Place CC
Contact: Laura Altobelli <laura@future.edu>

Community-Based Primary Health Care Working GroupSession 355.0
When: Monday November 2, 6:30–8 pm
Where: W185a McCormick Place CC
Contact: Laura Parajon <lauraparajon@amoshealth.org>

International Health Advocacy and Policy Committee. Session 356.0
When: Monday November 2, 6:30–8 pm
Where: W470a McCormick Place CC
Contact: Kevin Sykes <kjsykes13@gmail.com>

Global Health Connections Working Group
Join our group of young international health professionals.
When: Wednesday November 4, 6:30–8 am
Where: W470a McCormick Place CC
Contact: Theresa Majeski <theresa.majeski@gmail.com>

Don’t miss the IH Section Reception and Awards Ceremony.  Session: 425.0
There will be a student networking activity, opportunities to talk with fellow section members, and much more.
When: Tuesday November 3, 6–9 pm
Where: W185d McCormick Place CC

For the complete listing of IH Section Sessions please see:  https://apha.confex.com/apha/143am/webprogram/IH.html

Sign up on APHA Connect to receive regular information about IH Section activities during the year.  Go to http://connect.apha.org to create an account and set up your profile.