Maura R. O'Connor, for the Pulitzer Center
Below image courtesy of a doctor in northern Sri Lanka.
During the last two months, over 7,000 wounded civilians have been evacuated to the port city of Trincomalee from the front lines of the ongoing battle between government forces and the Liberation Tigers of Tamil Ealam (LTTE). Those who have arrived in Trincomalee have been trapped in the north for months with an estimated 150 to 190,000 other civilians in the shrinking conflict zone. They represent the most desperate cases among thousands of people being wounded by mortar attacks exchanged between the two sides.
The situation facing these civilians is desperate. “Many patients need to have a limb amputated because of a shrapnel injury,” described a surgeon for the International Committee of the Red Cross (ICRC) who is working in Trincomalee. “We also treat injuries to other parts of the body, sometimes to remove shrapnel. I have seen many patients with heavily infected wounds, sometimes in the area where the amputation is required. Infections set in rapidly when a wound is not treated with antibiotics or a dressing cannot be changed. On some patients arriving here, strips of sarong or tee-shirts have been used instead of dressings. Pieces of wood are often used as splinters to immobilize a fracture and spare the person a lot of pain.”
In a letter sent on March 16 to the Sri Lankan Ministry of Health Care and Nutrition, medical personnel located in the north said, “As the ongoing battle becomes more and more intense and destructive since the last months of last year, the number of war wounded has been steadily increasing with a proportionate increase in the demand for essential medicines, especially anesthetic, antibiotics, analgesic, and IV fluids.”


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