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Africa: An Attack On Healthcare Every Six Hours, and No One Held to Account


Across the world, healthcare has suffered more than 10,000 attacks in the past eight years, including during the brutal conflict in Ukraine and efforts to contain the current Ebola outbreak spreading rapidly in the eastern Democratic Republic of the Congo (DRC).

That information comes from the World Health Organization (WHO) which on Friday reiterated that the critical sector must not be targeted.

The UN agency maintains a surveillance system for attacks on healthcare, which includes hospitals and other facilities, personnel and patients, ambulances and other transport, as well as warehouses and supplies.

Since 2018, more than 10,400 attacks have been reported across 29 countries and territories, resulting in approximately 5,700 deaths and over 8,000 injuries. To date, no one has been held accountable.


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Death, destruction and psychological violence

Between January and August of this year alone, WHO recorded more than 900 attacks resulting in at least 900 deaths and more than 1,400 injuries – a rate of more than four attacks a day.

Most incidents occurred in Ukraine, Lebanon and the occupied Palestinian territory, but other locations include Myanmar, Iran, Sudan, the DRC, South Sudan, Russia, Syria and Nigeria.

What we are witnessing are multiple forms of violence,” said Altaf Musani, WHO Director for Humanitarian and Disaster Management, briefing journalists in Geneva.

Heavy weapons were the most frequently reported means of attack in 2026, he said, followed by destruction of healthcare “and then, of course, the psychosocial violence”.

Lingering impacts

Additionally, 44 reported incidents involving the abduction, arrest or detainment of healthcare workers and patients were recorded during this period. Detention of healthcare workers accounted for most cases, with 94 people affected.

Mr. Musani stressed that while these numbers matter, they do not tell the whole story.

“When a hospital is attacked, the impact is not only on the people inside the hospital that day,” he explained.

“It is the patient who cannot receive healthcare tomorrow. It is the ambulance that cannot make the next referral. It is the healthcare worker who cannot return to work, or medicine supply that can no longer reach facilities.”

Hospitals damaged, care reduced

The fact that attacks have wide-reaching and long-ranging consequences is supported by hard evidence.

Mr. Musani cited a study of 69 attacks in northwest Syria which found that outpatient consultations fell by 51 per cent the following day, with the reduction continuing for up to 37 days.