Displacement presents a unique set of challenges, especially for individuals living with chronic diseases. In this interview, Dr. Assaad A. Eid, the director of “AUB Diabetes” and Chair of the Department of Anatomy, Cell Biology, and Physiological Sciences, discusses the reality of managing chronic diseases in such circumstances.

‘Chronic diseases do not just stop with displacement’ Dr. Eid says. ‘The team of endocrinologists are observing a significant number of people who had to leave their homes within minutes, often without their essential medications’.

A substantial percentage of those displaced have longstanding histories of disease, and in many cases, may be unaware of the specifics of their medications. Many relied on their local pharmacists, healthcare centers, or friends and family to supply the medication they needed in exact dosages.

Community accessibility and support was key for elderly patients to receive care and medication, but now many of them find themselves alone, unclear about the treatments they have been on for years.

‘Blood test results are crucial to determine the exact medication and dosage needed for these chronic illnesses’ Dr. Eid explains, ‘Without access to this information, interruption or mixing treatments can be dangerous.’

A Collaborative Initiative

To tackle these challenges, the “AUB Diabetes”, The Division of Endocrinology and Metabolism in the Department of Internal Medicine, along with the Family Medicine Department, and the School of Nursing, are dispatching their medical teams, and students Volunteer, to assess and medicate displaced people in the nearby schools.  By sending teams including fellows, residents, and attending physicians, they aim to identify patients needing additional medical exams.

Once these patients are identified, professionals will draw blood samples from patients, which will then be transported for analysis. This initiative is financed by “AUB Diabetes”, which is ensuring proper prescription of medication.

This program is currently covering 3 primary health centers, each housing around 350 people.

Achieving Medical Sustainability in Times of Crisis

Following the recurring waves of crises sweeping through Lebanon over the past decade, health care and access to medicine are constantly put on trial with new difficulties rising every day.

‘Digitalization of medical records on a national level is the key’ Dr. Eid reflects. ‘Facilitating the exchange of patient history and information through a unified digital format can improve care in dire and fluid situations like displacement’.

While there have been discussions with the Lebanese Ministry of Public Health, there is still no comprehensive system for entering patient information online, which is crucial during crises.

Hygiene Requirements to Maintain Public Health

Public schools and centers have been established to accommodate as many displaced individuals as possible, yet questions remain about hygiene and basic needs for those still on the streets.

‘Hygiene is part of health, and the living conditions of those in displacement are very wanting Dr. Eid says. He emphasizes that mobile housing and restrooms are vital to maintaining minimum hygiene standards and preventing further medical issues.

The medical community in Lebanon faces significant challenges each day, stepping in where government action is needed during this crisis. With only temporary solutions in place, the gap in a national disaster management plan is felt more than ever.

Tala Nassif

Tala Nassif holds a BA in Economics from the American University of Beirut and an MSc in Development Studies – Labour, Activism, and Global Commodity Chains – from SOAS University of London. Specialized in international development and economic empowerment, Tala currently serves as a Senior Research Assistant at the Asfari Institute for Civil Society and Citizenship at AUB.