The Reach of War: Chronicling a Day With Doctors Without Borders

4 minute read

In late 2013, the medical humanitarian organizationDoctors Without Borders/Médecins Sans Frontières (MSF) sent four photographers and videographers—Kate Brooks, Ton Koene, Moises Saman and Yuri Kozyrev—to outposts in Iraq, Lebanon and Jordan, where MSF provides help to Syrian refugees. The project, shot over a single day, chronicles the Syrian war’s reach beyond the country’s borders. Phil Zabriskie, Doctors Without Borders’ managing editor, speaks to TIME LightBox.


LightBox: Why did MSF decide to pursue this project?

Phil Zabriskie: Syria has been hard for us and for many others to talk about. It’s so complex and there are no easy delineations between right and wrong, good or bad, or any of the other distinctions people prefer to employ to make sense of these things. If anything, it’s gotten more convoluted over time—as we are now seeing in several different places at once.

But we thought if we could capture the activities that go on in a single day, at a number of our sites with Syrian refugees, we could at least suggest the scope of the medical needs that exist because of this war, many of which continue to go unaddressed, and bring some of the personal stories to life. We could not send photographers into, or bring images out of, Syria itself due to security considerations, but the people [arriving] at MSF projects in neighboring countries have injuries, stories and experiences that speak volumes. And in many cases, our staff working with them have been touched personally by this conflict—or past conflicts—as well.

LB: How did the shoots take place?

PZ: We very much wanted to document a single day, so there were a lot of logistics involved to make sure the photographers and videographers who took part were available at the same time and that our [outposts] had the ability to host them, given the tempo at which they’ve been working. Eventually it came together, though, and then we put our faith in the teams to capture what they saw and the people they met—MSF staff and patients, alike.

LB: How did you choose these photographers?

PZ: Moises, Kate and Yuri are all true professionals. They are not only great photographers with distinct styles, but they also know how to handle themselves in environments like these, where patients and the work being done have to be respected. The same goes for the videographers, Daniel Etter, Pierre Yves-Bernard, and Benoit Finck [the latter two of whom work with MSF]. These are refugee projects, and we can’t always provide the sorts of facilities people in the U.S. or western Europe might be accustomed to. But we can always aspire to maintain the dignity and humanity of the patients, even in the worst of circumstances, and we felt comfortable that these professionals could do that. And Ton Koene has actually worked in the field for MSF, so he brings a special insight into the nature of the projects, and he’s been able to convey that in the work he’s done with us—in this case in Ramtha, Jordan, but in the past in places ranging from Pakistan to the Central African Republic and numerous points between.

In the end, they all got a very close-up, intimate look at the wide range of needs that exist and some of the very real human drama that plays out constantly—sometimes tragically, sometimes triumphantly—in these sorts of programs.

LB: Will the project be updated?

PZ: The project will be released in, eventually, nine different languages over the next two weeks. What happens in the weeks and months after its release remains to be seen. But we will continue trying to find ways to work with terrific storytellers, like those we were lucky to work with here, in order to show what we’re doing—and to be candid about what we are not able to do—in the places we work.


Doctors Without Borders’ Reach of War is available online.


Patients at the MSF health clinic in the Domiz refugee camp in northeast Iraq, November 6, 2013. The clinic provides primary health services to the camp's approximately 60,000 refugees from Syria. Domiz Refugee Camp was established by local authorities back on in April 2012 to host the Syrian Kurds. The camp located 20 kms southeast of Dohuk city, in Iraqi Kurdistan and some 60 km from Syria/Iraq border. So far the total number of Syrian refugees in Kurdistan region is 60,151.
Patients at the Doctors Without Borders health clinic in the Domiz refugee camp in northeast Iraq, November 6, 2013. The clinic provides primary health services to the camp's approximately 60,000 refugees from Syria. Yuri Kozyrev / Noor for Doctors Without Borders
Patients at the MSF health clinic in the Domiz refugee camp in northeast Iraq, November 6, 2013. The clinic provides primary health services to the camp's approximately 60,000 refugees from Syria. Domiz Refugee Camp was established by local authorities back on in April 2012 to host the Syrian Kurds. The camp located 20 kms southeast of Dohuk city, in Iraqi Kurdistan and some 60 km from Syria/Iraq border. So far the total number of Syrian refugees in Kurdistan region is 60,151.
Patients at the Doctors Without Borders health clinic in the Domiz refugee camp in northeast Iraq, November 6, 2013. The clinic provides primary health services to the camp's approximately 60,000 refugees from Syria. Yuri Kozyrev / Noor for Doctors Without Borders
Dr. Mustapha Khalil, medical coordinator at the MSF health clinic in the Domiz refugee camp in northeast Iraq, tends to an ill patient, November 6, 2013. The clinic provides primary health services to the camp's approximately 60,000 refugees from Syria. Domiz Refugee Camp was established by local authorities back on in April 2012 to host the Syrian Kurds. The camp located 20 kms southeast of Dohuk city, in Iraqi Kurdistan and some 60 km from Syria/Iraq border. So far the total number of Syrian refugees in Kurdistan region is 60,151.
Dr. Mustapha Khalil, medical coordinator at the Doctors Without Borders health clinic in the Domiz refugee camp in northeast Iraq, tends to an ill patient, November 6, 2013. Yuri Kozyrev / Noor for Doctors Without Borders
Domiz Refugee Camp was established by local authorities back on in April 2012 to host the Syrian Kurds. The camp located 20 kms southeast of Dohuk city, in Iraqi Kurdistan and some 60 km from Syria/Iraq border.    So far the total number of Syrian refugees in Kurdistan region is 60,151.
Domiz Refugee Camp was established by local authorities back in April 2012 to host the Syrian Kurds. The camp located 12 miles southeast of Dohuk city, in Iraqi Kurdistan and some 40 miles from the Syria/Iraq border. So far the total number of Syrian refugees in Kurdistan region is 60,151.Yuri Kozyrev / Noor for Doctors Without Borders
Domiz Refugee Camp was established by local authorities back on in April 2012 to host the Syrian Kurds. The camp located 20 kms southeast of Dohuk city, in Iraqi Kurdistan and some 60 km from Syria/Iraq border.    So far the total number of Syrian refugees in Kurdistan region is 60,151.
Domiz Refugee Camp was established by local authorities back in April 2012 to host the Syrian Kurds. The camp located 12 miles southeast of Dohuk city, in Iraqi Kurdistan and some 40 miles from the Syria/Iraq border. So far the total number of Syrian refugees in Kurdistan region is 60,151.Yuri Kozyrev / Noor for Doctors Without Borders
Majdal Anjar, Bekaa Valley, Lebanon. November 7, 2013.Syrian refugees in the waiting room of a MSF clinic in the village of Majdal Anjar, in Lebanon's Bekaa Valley.(Photo by Moises Saman/MAGNUM)
Majdal Anjar, Bekaa Valley, Lebanon. November 7, 2013. Syrian refugees in the waiting room of a MSF clinic in the village of Majdal Anjar, in Lebanon's Bekaa Valley. (Photo by Moises Saman/MAGNUM)Moises Saman / Magnum Photos
Arsal, Lebanon. November 6, 2013.A Syrian refugee on her way to fetch drinking water in the village of Arsal, Lebanon.(Photo by Moises Saman/MAGNUM)
A Syrian refugee on her way to fetch drinking water in the village of Arsal, Lebanon.Moises Saman / Magnum Photos
A Syrian refugee is treated by Doctors Without Borders' staffKate Brooks
Maria, 8, from Sana,was injured when she was 3 months old.  Her cradle caught on fire.
Maria, 8, from Sana, was injured when she was three months old. Her cradle caught on fire.Kate Brooks
MSF staff working in Ramtha hospital (jordan, near the syrian border) where war wounded patients from Syria are being treated. MSF medical staff is doing rounds in the wards. Surgeon Hayder Alwash (beige shirt) at work.
MSF staff working in the Ramtha hospital in Jordan, where war wounded patients from Syria are being treated. Doctors Without Borders medical staff is doing rounds in the wards.Ton Koene
MSF staff working in Ramtha hospital (jordan, near the syrian border) where war wounded patients from Syria are being treated. MSF medical staff is operating a patient in the operation theater (OT).
MSF staff working in the Ramtha hospital in Jordan, where war wounded patients from Syria are being treated. Doctors Without Borders' medical staff is operating a patient in the operation theater.Ton Koene

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