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<blockquote type="cite" cite><font face="Times" size="+3"><b>Report
from Iraq</b></font><x-tab>
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</x-tab><font face="Arial" size="+1"><b>by Charlie
Clements</b></font><x-tab>
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<blockquote type="cite" cite><font face="Arial" size="-1"><b>February
13, 2003</b></font><x-tab>
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<blockquote><font face="Arial" size="-1">I am a public health
physician and a human rights advocate. I have just returned from a
10-day emergency mission to Iraq with other public health experts to
assess the vulnerability of the civilian population to another war.
I'm also a distinguished graduate of the USAF Academy and a Vietnam
veteran, so I have some sense of the potential consequences of the air
war we are about to unleash on Iraq as a prelude to the introduction
of American troops.</font><br>
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<blockquote><font face="Arial" size="-1">The population of Iraq has
been reduced to the status of refugees. Nearly 60 percent of Iraqis,
or almost 14 million people, depend entirely on a government- provided
food ration that, by international standards, represents the minimum
for human sustenance. Unemployment is greater than 50 percent, and the
majority of those who are employed make between $4 and $8 a month.
(The latter figure is the salary of a physician that works in a
primary health center.) Most families are without economic resources,
having sold off their possessions over the last decade to get
by.</font><br>
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<blockquote><font face="Arial" size="-1">Hospital wards are filled
with severely malnourished children, and much of the population has a
marginal nutritional status. While visiting a children's hospital, we
were told about newly emerging diseases that had previously been
controlled when pesticides were available. (Current sanctions prohibit
their importation.) Later I saw a mother who had traveled 200 km with
her young daughter, who suffered from leschmaniais, or "kala
azar" as it is known there. She came to the hospital because she
heard it had a supply of Pentostam, the medicine needed to treat the
disease. The pediatrician told her there was none. Then he turned to
me and, in English, said, "It would be kinder to shoot her here
rather than let her go home and die the lingering death that awaits
her". Our interpreter, by instinct, translated the doctor's
comments into Arabic for the mother, whose eyes instantly overflowed
with tears.</font><br>
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<blockquote><font face="Arial" size="-1">The food distribution program
funded by the U.N., Oil- for-Food, is the world's largest and is
heavily dependent upon the transportation system, which will be one of
the first targets of the war, as the U.S. will attempt to sever
transport routes to prevent Iraqi troop movements and interrupt
military supplies. Yet even before the transportation system is hit,
U.S. aircraft will spread millions of graphite filaments in
wind-dispersed munitions that will cause a complete paralysis of the
nation's electrical grids. Already literally held together with
bailing wire because the country has been unable to obtain spare parts
due to sanctions, the poorly functioning electrical system is
essential to the public health infrastructure.</font><br>
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<blockquote><font face="Arial" size="-1">The water treatment system,
too, has been a victim of sanctions. Unable to import chlorine and
aluminum sulfate (alum) to purify water, Iraq has already seen a 1000%
increase in the incidence of some waterborne diseases. Typhoid cases,
for instance, have increased from 2,200 in 1990 to more than 27,000 in
1999. In the aftermath of an air assault, Iraqis will not have potable
water in their homes, and they will not have water to flush their
toilets.</font><br>
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<blockquote><font face="Arial" size="-1">The sanitation system, which
frequently backs up sewage ankle deep in Baghdad neighborhoods when
the ailing pumps fail, will stop working entirely in the aftermath of
the air attack. There will be epidemics as water treatment and water
pumping will come to a halt. Even though it is against the Geneva
Conventions to target infrastructure elements that primarily serve
civilians, this prohibition did not give us pause in Gulf War I --
and, based upon current Bush administration threats, will not this
time. Pregnant women, malnourished children, and the elderly will be
the first to succumb. UNICEF estimates that 500,000 more children died
in Iraq in the decade following the Gulf War than died in the previous
decade. These children are part of the "collateral damage"
from the last war.</font></blockquote>
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<blockquote><font face="Arial" size="-1">How many civilians will die
in the next war? That is hard to say. One estimate for the last Gulf
War was that 10,000 perished, mostly during the bombing campaign that
led up to the invasion. That figure will surely climb because our
government has promised that a cruise missile will strike Iraq every
five minutes for the first 48 hours the war. These missiles will seek
out military, intelligence, and security-force targets around highly
populated areas like Baghdad, Basra, and Mosul, Iraq's largest cities,
where "collateral damage" is unavoidable. Unable to meet the
acute medical needs of the country's population now, the health care
system of Iraq will be overwhelmed by such an assault.</font><br>
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<blockquote><font face="Arial" size="-1">This scenario is
conservative. I have not taken into account any use of weapons of mass
destruction, or the possibility that the war will set loose massive
civil disorder and bloodshed, as various groups within the country
battle for power or revenge. I have also ignored what would happen if
we became bogged down in house-to-house fighting in Baghdad, which
could easily become another Mogidishu or Jenin.</font><br>
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<blockquote><font face="Arial" size="-1">There was a lot that made me
angry on that trip. I have worked in war zones before and I have been
with civilians as they were bombed by U.S.-supplied aircraft, but I
don't think I've experienced anything on the magnitude of the
catastrophe that awaits our attack in Iraq. Still, as deeply troubling
as this looming human disaster is, another issue troubles me far more.
If the U.S. pursues this war without the backing of the U.N. Security
Council, it will undermine a half-century of efforts by the world
community to establish a foundation of humanitarian and human rights
law. Such an act on our part would also violate the U.N. Charter and
make a mockery of the very institution we have helped to fashion in
the hopes it would help prevent crimes against humanity. Many might
define the consequences of such an attack on the population of Iraq as
just that.</font><br>
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<blockquote><font face="Arial" size="-1">Saddam is a monster, there is
no doubt about that. He needs to be contained. Yet many former U.N.
weapons inspectors feel he has been "defanged". His
neighbors do not fear him any longer. There are many Iraqis who want
him removed, but not by a war. Against the short- term gain of
removing Saddam, we must take into account that idea that we may well
unleash forces of hatred and resentment that will haunt us for decades
to come in every corner of the world. I can just hear Osama Bin Laden
saying now, "Please President Bush, attack Iraq. There's nothing
better you could do to help the cause of Al Qaeda!"</font><br>
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<blockquote><font face="Arial" size="-1">Letter from Charlie Clements
<</font><a href="mailto:clclements@aol.com"><font face="Arial"
size="-1">clclements@aol.com</font></a><font face="Arial"
size="-1">>,</font><br>
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<blockquote><font face="Arial" size="-1">Charlie Clements, a public
health physician, has spent much of his professional experience
dealing with issues of war, human rights, and the humanitarian needs
of refugees. He is the co-founder of the International Medical Relief
Fund (IMRF) and was president during the 16 years it functioned
(1982-1998). From 1984-1986 he served as the Director of Human Rights
Education of the Unitarian Universalist Service Committee (UUSC). He
has served on the board of Physicians for Human Rights (PHR) from 1987
to the present and is currently its past president. PHR was one of the
founders and leaders of the International Campaign to Ban Landmines.
Clements represented PHR at both the signing of the Treaty to Ban
Landmines in Ottawa, Canada and the next week at the 1997 Nobel Peace
Prize ceremony in Oslo, Norway. He is also the founder of the
International Commission on Medical Neutrality, which has focused
attention on the need to extend the protections afforded military
physicians and patients by the Gen</font><br>
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