MSF report bolsters claims of U.S. war crime in Kunduz

The Doctors Without Borders hospital in Kunduz, Afghanistan, after it was destroyed by a U.S. gunship on Oct. 3, 2015.

The Doctors Without Borders hospital in Kunduz, Afghanistan, after it was destroyed by a U.S. gunship on Oct. 3, 2015.

A damning new report released Thursday by Doctors Without Borders (MSF) contains new – and sometimes shocking – details regarding the U.S. airstrike last month on its hospital in Kunduz, Afghanistan. The preliminary report offers a thorough account of the days leading up to the attack and the assault itself, which lasted for approximately an hour, placing the onus on the United States to now refute, clarify or explain the circumstances surrounding the vicious attack by an AC-130 gunship in the early morning hours of Oct. 3, 2015.

In its report, MSF rebuts claims that the hospital had been used as a “Taliban base” and confirms that its strict no-weapons policy was in effect, meaning that none of the occupants inside the trauma center were combatants and therefore had protected status under international humanitarian law.

The charity also reiterates that it had provided the precise coordinates of the hospital to the U.S. military just days before the assault, and that “confirmation of receipt was received from both U.S. Department of Defense and U.S. army representatives, both of whom assured us that the coordinates had been passed on to the appropriate parties.”

before after hospitalIn a previously undisclosed detail, MSF reveals that the United States government had inquired just two days before the strike whether there were any Taliban “holed up” in the facility, to which MSF replied that “the hospital was full of patients including wounded Taliban combatants.” According to MSF, there were approximately 20 Taliban patients in the hospital and three or four wounded government combatants.

Nevertheless, “Not a single MSF staff member reported the presence of armed combatants or fighting in or from the hospital compound prior to or during the airstrikes.”

The harrowing account of the horrific assault carried out on the hospital is enough to make your stomach turn, thinking about the bravery of these medical workers carrying out a vital humanitarian mission, only to be incinerated, decapitated, dismembered and shot down in cold blood by a massive military gunship circling the clearly identified hospital for an hour.

In one passage, MSF describes a grisly scene of death and mayhem as victims were gunned down by the U.S. warplane as they attempted to flee for safety:

Many staff describe seeing people being shot, most likely from the plane, as people tried to flee the main hospital building that was being hit with each airstrike. Some accounts mention shooting that appears to follow the movement of people on the run. MSF doctors and other medical staff were shot while running to reach safety in a different part of the compound.

One MSF staff member described a patient in a wheelchair attempting to escape from the inpatient department when he was killed by shrapnel from a blast. An MSF doctor suffered a traumatic amputation to the leg in one of the blasts.  He was later operated on by the MSF team on a make-shift operating table on an office desk where he died. Other MSF staff describe seeing people running while on fire and then falling unconscious on the ground. One MSF staff was decapitated by shrapnel in the airstrikes.

Another passage describes an MSF nurse who was covered from head to toe in debris and blood “with his left arm hanging from a small piece of tissue after having suffered a traumatic amputation in the blast.”

The group also provides a detailed timeline of their real-time communications with the United States military and other relevant actors as the carnage unfolded, imploring them to call off the attack, all to no avail. MSF reveals that they communicated with their U.S. military contacts in Kabul and Washington no fewer than six times during the course of the assault, all the while bombs just kept landing on their hospital:

Summary phone log of contacts MSF made during the US airstrikes

MSF made multiple calls and SMS contacts in an attempt to stop the airstrikes:

– At 2.19am, a call was made from MSF representative in Kabul to Resolute Support in Afghanistan informing them that the hospital had been hit in an airstrike

– At 2.20am, a call was made from MSF representative in Kabul to ICRC informing them that the hospital had been hit in an airstrike

– At 2.32am a call was made from MSF Kabul to OCHA Civil Military (CivMil) liaison in Afghanistan to inform of the ongoing strikes

– At 2.32am a call was made by MSF in New York to US Department of Defense contact in Washington informing of the airstrikes

– At 2.45am an SMS was received from OCHA CivMil in Afghanistan to MSF in Kabul confirming that the information had been passed through “several channels”

– At 2.47am, an SMS was sent from MSF in Kabul to Resolute Support in Afghanistan informing that one staff was confirmed dead and many were unaccounted for

– At 2.50am MSF in Kabul informed Afghan Ministry of Interior at Kabul level of the airstrikes. Afghan Ministry of Interior replied that he would contact ground forces

– At 2.52am a reply was received by MSF in Kabul from Resolute Support stating “I’m sorry to hear that, I still do not know what happened”

– At 2.56am an SMS was sent from MSF in Kabul to Resolute Support insisting that the airstrikes stop and informing that we suspected heavy casualties

– At 2.59am an SMS reply was received by MSF in Kabul from Resolute Support saying ”I’ll do my best, praying for you all”

– At 3.04am an SMS was sent to Resolute Support from MSF in Kabul that the hospital was on fire

– At 3.07am an SMS was sent from MSF in Kabul to OCHA CivMil that the hospital was on fire

– At 3.09am an SMS was received by MSF in Kabul from OCHA CivMil asking if the incoming had stopped

– At 3.10am and again at 3.14am, follow up calls were made from MSF New York to the US Department of Defense contact in Washington regarding the ongoing airstrikes

– At 3.13am an SMS was sent from MSF in Kabul to OCHA CivMil saying that incoming had stopped

– At 3.15am an SMS was received from CivMil OCHA stating that information had been passed to Resolute Support in the North and CJOC in Kabul as well as ANA in Kabul and the North

– At 3.18am an SMS was sent from MSF in New York to US Department of Defence contact in Washington that one staff was confirmed dead and many were unaccounted for

As this blog has previously pointed out, it stretches credulity that the U.S. was unaware that the target was a hospital before launching the attack. Giving the U.S. the benefit of the doubt, however, that the initial strike may have been the result of some sort of bureaucratic snafu, the fact that U.S. and Afghan military officials were again informed after staff at the hospital became aware of the bombardment, and yet continued to bomb for another half-hour, should put to rest the notion that the attack was just a “mistake.”

The MSF report issued yesterday provides further circumstantial evidence that this was indeed a premeditated war crime, providing an obvious motive of the United States – the elimination of the 20 Taliban patients inside the hospital and the denial of future medical care to enemy combatants. MSF is fairly straightforwardly asking the United States, in fact, whether 151 years of international law still applies in this conflict, or whether hospitals and medical workers are now considered “fair game” by the U.S. military.

As MSF President Joanne Lieu wrote in the introduction to the report, “The attack on our hospital in Kunduz destroyed our ability to treat patients at a time when we were needed the most. We need a clear commitment that the act of providing medical care will never make us a target. We need to know whether the rules of war still apply.”

It is now up to the United States to provide answers, and if the answer is “yes, the rules of war apply,” then the natural follow up should be to place under arrest whoever was responsible in the chain of command for ordering, authorizing and carrying out this heinous war crime. To add your name to a petition demanding that President Obama allow an independent investigation to take place, click here.

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