SOLLIMS Sampler Volume 8, Issue 1 - Page 23

Respiratory infections, diarrhea, and leishmaniasis have been the primary diseases circulating in DC camps. 50 However, trauma patients have stressed health services more than any infectious disease outbreak has. In December 2016, DC health services were overwhelmed with trauma patients due to gunshot, improvised explosive device, and IDF wounds. 51 Challenges in treating trauma patients included lack of trauma stabilization points near front lines, transportation to hospitals, and hospital capacity in the area. 52,53 To adapt to the high volume of trauma patients, IOs and NGOs added several trauma stabilization points and field hospitals, including one field hospital located only 8 miles outside of Mosul. 53,54 An ISF field hospital set up within Mosul was also overwhelmed with civilian trauma patients in December. 55 The ISF’s ability to refer or transfer civilian patients to civilian health facilities may have been limited since all facilities in the area were struggling with the same challenges. As of 24 Jan 2017 (at which point the ISF had effectively recaptured eastern Mosul), 56 IOM estimated that out of 730,000 residents of eastern Mosul, 180,000 (25%) had dislocated, whereas 550,000 (75%) stayed in place. 25 Another UN source estimated that out of a total 1,075,000 civilians, 190,000 (18%) had been dislocated and 885,000 (82%) stayed in place, noting that dislocation to date was much less severe than the worst case estimates. 21 As of 12 Feb, out of a cumulative 217,764 people dislocated at any time over the course of the Mosul campaign, 57,462 had already returned to their homes. 57 Soon after Mosul operations began, IOM created a Mosul-specific Displacem