Respiratory infections, diarrhea, and leishmaniasis have been the primary
diseases circulating in DC camps. 50 However, trauma patients have stressed
health services more than any infectious disease outbreak has. In December
2016, DC health services were overwhelmed with trauma patients due to
gunshot, improvised explosive device, and IDF wounds. 51 Challenges in treating
trauma patients included lack of trauma stabilization points near front lines,
transportation to hospitals, and hospital capacity in the area. 52,53 To adapt to the
high volume of trauma patients, IOs and NGOs added several trauma
stabilization points and field hospitals, including one field hospital located only 8
miles outside of Mosul. 53,54 An ISF field hospital set up within Mosul was also
overwhelmed with civilian trauma patients in December. 55 The ISF’s ability to
refer or transfer civilian patients to civilian health facilities may have been limited
since all facilities in the area were struggling with the same challenges.
As of 24 Jan 2017 (at which point the ISF had effectively recaptured eastern
Mosul), 56 IOM estimated that out of 730,000 residents of eastern Mosul, 180,000
(25%) had dislocated, whereas 550,000 (75%) stayed in place. 25 Another UN
source estimated that out of a total 1,075,000 civilians, 190,000 (18%) had been
dislocated and 885,000 (82%) stayed in place, noting that dislocation to date was
much less severe than the worst case estimates. 21 As of 12 Feb, out of a
cumulative 217,764 people dislocated at any time over the course of the Mosul
campaign, 57,462 had already returned to their homes. 57
Soon after Mosul operations began, IOM created a Mosul-specific Displacem