Abstract

Lebanon is a country that has endured significant political tension since its establishment in 1920. As a result of recurrent conflicts, medical sectors have had to adapt and strengthen their internal capacity for emergency response. All the while, a national disaster plan has yet to be adopted, despite persistent advocacy by experts and physicians. Lack of formal preparedness and chain of command resulted in significant strain of the healthcare sector following the Beirut explosion of August 4th 2020. Since its occurrence, governmental action and accountability have been absent, and the medical sector continues to suffer through the COVID-19 pandemic, and the recent waves of healthcare staff out-migration from Lebanon. Through a series of key informant interviews and a review of available literature, we will explore the historical complexities and governmental shortcomings that impacted the medical response capacities. We will then consider the specific current events, namely the economic crisis and global pandemic, that forced responders into unchartered territories.

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