Lesbos Update
29 February 2016 | Dr. Bill Dienst
I landed here on the Northern shore of the Greek Island of Lesvos on 26 February. Lesvos is the third largest of the Greek Islands, and is the closest to the Turkish coast, separated on its Northern Coast by only 6 miles (10 km). For this reason, it has been the main crossing point for refugees.
It has been very quiet since I came here 3 days ago in terms of refugee boat arrivals on the Northern Coast. The current political situation of the Turkish Government, the Greek Government, the European Union and NATO is an elaborate dance of Cat-and-Mouse with the human smugglers and refugees from Syria, Iraq, Afghanistan and other locations.
The refugees are intermittently stranded on the Turkish Side. Their goal is to land in Greece, thereby entering the European Union, then making their way to the Greek mainland. From there, they try to travel overland through Macedonia, Serbia, Slovenia and Austria to Germany and other locations in Northern Europe.
There are bottlenecks and various hardships along the way, (e.g. Macedonia just started building a fence). There is a lot of uncertainty: hurry up, then wait, then hurry up again. For us rescuers, there is a need for flexibility and improvisation. During the past few months, there have been periods of working too hard, and then periods of hardly working. We are currently experiencing the latter, which gives me opportunity to write about this overall situation.
The goals of the Powers That Be are convoluted and confused: on the one hand they are trying their best to come to grips compassionately with the humanitarian catastrophe that endless wars have created in the host countries from whence the current refugees are fleeing. On the other hand, they must deal with the chaos and personal consequences experienced by their own citizens from their host countries, whose lives and economic well being are also being affected.
Here on Lesvos, the economy is based largely on agriculture, fishing and tourism. The tourist season usually starts in the late spring, and lasts through September. The effects of the current refugee crisis have been tumultuous on the local economy. There have been both winners and losers, but the current overall perception among the local Greeks is that the overall effect on the economy will be a loss. Bookings for this summer?s upcoming tourist season are down 80%. Tourists do not seem to want their restful summer escape from their hectic lives in the North of Europe to be interrupted by dead refugees washing ashore on the beach.
On the plus side, hotels and restaurants, usually moribund during the winter months, are currently fairly active, as they are being utilized by humanitarians and health care workers currently here to help the refugees. But these humanitarians do not spend their money as freely as the tourists. Some of the younger ones have been known to misbehave at times as well.
The refugees began arriving in large numbers this past October. Since then, various Non-Government-Organizations have arrived and infrastructures have evolved to provide services to refugees arriving from Turkey. They are based on the Northern and Eastern coasts of Lesvos. These have included the UN High Commission for Refugees (UNHCR), the International Rescue Committee (IRC), Medecins San Frontieres (MSF) or Doctors Without Borders, and many others.
Here in the Northern shore of Lesvos, we are divided into 4 zones of responsibility. I will be working in Zone 1 with a Seattle based NGO called Salaam Cultural Museum (SCM). We are comprised of both health care workers and humanitarians. Our members arrive for a week or longer assignments. I have decided to stay here for 2 and a half months.
Our health care workers are aligned with a Norwegian group of Emergency Medical Technicians (EMT?s and Paramedics) known as Medics Bergen. Our mission is largely pre-hospital care, triage and acute/urgent care. We receive refugees at local docks, where they have usually been rescued at sea by the Greek Coast Guard or Frontex, the Border Control service of the European Union.
There is an Italian group called Group Mission, who are currently in negotiations with the Greek government, so that they can deploy a mobile Intensive Care Unit. This would be helpful, as there are currently no hospital services on this end of the Island. There is only a clinic staffed part time by one Greek general practitioner a few days a week about 10 kilometers away in the town called Petra. The nearest hospital is a one and a half hour drive away in Mytilene, the capital city of Lesvos. Medecin Sans Frontieres has 2 ambulance services in our area if we have unstable patients who need transport to the hospital.
In my next article, I will try to explain how the local system of receiving refugees on shore works.
Dr. Bill Dienst is a rural family and emergency room physician from North Central Washington. He has extensive experience in medical exchange programs in Veracruz, Mexico and in the West Bank and Gaza Strip. He is currently on assignment in Lesvos, Greece








































Your home country is all that you know — it’s where you were raised, where you’ve loved, and where you’ve lived all your years. So what happens when one day, without warning, or without cause, that sense of security is ripped from you? War, violence, persecution for who you are or what you believe; your home has become the crucible for your greatest fears, a place you no longer recognize. You’re afraid for your life, for your family — you don’t know where to go but you know you can’t stay. You and your family are forced to flee into an unknown future and the unknown peril it may hold.
We had food drives in Jan, April, July and Oct that fed up to 1000 people each. The food was distributed in packages containing food staples such as cooking oil, rice, beans, cheese, salt, tea, sugar, etc. The cost of this package is $31 and could feed a family of four for one month. You can still donate to this program as we will continue it in 2016.
During the winter months we worked with IHR in Lebanon and helped them purchase oil heaters and fuel and firewood to distribute to the refugees in the Arsal region. This is the very mountainous region near the border with Syria. We will do so again this year and into 2016.
The island of Lesbos is receiving about 3,000 refugees per day. At the beginning we were fighting with the local government, trying to make things easier for the people arriving, but it was hard work. Basil Sawalha, SCM’s Regional Manager in Jordan, was brought in to set up the arrangements and make the needed contacts with the locals. His son Jamal soon joined him and was in charge of logistics – transportation, getting the people off the boats and into clinics and to the camps, and whatever help was needed. For the last two and a half months they have been there with our teams and have seen the tragedy unfold before their eyes, including the deaths of numerous refugees from capsizing boats, including children. They have also seen the smiles on the face of the refugees as they arrive and are welcomed by the volunteers. These missions have been very hard on everyone that is there, and they never return home the same.
My first few days here have been a mix of emotions. I’ve learned a tremendous amount about the ongoing crisis and am witnessing firsthand the struggles that the refugees are enduring every step of the way.
Every single person that I helped was grateful. They were hugging me and kissing me and sending me prayers and love. The language barrier has been an obstacle, but once I smile and say Salam, a level of trust if built and they become attached just as much as I do. All of the children are beautiful with smiles that melt your heart. Their giggles ring in my ear as they player with the local cats, or from excitement from the toys or lollipops we gave out. Mothers and father and grandparents hug and kiss you like your own when you help them or their family. The teenagers wanted to take selfies and keep in touch via Facebook. There is an indescribable bond.