Yemen: Dealing with the COVID-19 Pandemic alongside the World’s Worst Humanitarian Crisis.

Abstract

There is an emerging impetus to improve emergency medicine (EM) in Yemen, beginning with the ongoing expansion of emergency medicine residency training, to the establishment of a professional association of emergency medicine and disaster preparedness and management named the Yemeni Association of Emergency Medicine and Disasters (YAEMD). However, over the past few decades, Yemen faced many difficulties that created further challenges in the development of an effective emergency medical care. This article explores the multiple factors that have led to the current crisis in which, the already depleted Yemeni medical sector is battling the COVID-19 pandemic, on top of many other existing challenges. The paper examines the distinctive challenges that faces Yemen’s emergency departments, including epidemic diseases such cholera, diphtheria, dengue, and measles; the geopolitical impact of the ongoing civil war; and the daily threats of violence and homicide against emergency healthcare workers. Potential solutions are explored, including national and international efforts to properly allocate government funds and to implement universal health insurance plans. Further research is needed to investigate possible solutions for evaluating effective change in emergency medical services in Yemen.

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“…The fallout of this conflict has been disastrous, dealing a severe blow to the economy, infrastructure, and social cohesion of the country. The estimated economic losses from the destruction of infrastructure and commerce interruptions stand at a staggering $89 billion [5]. Further, the conflict has disrupted the provision of basic amenities such as healthcare, education, water, and sanitation, escalating the problem of food scarcity, malnutrition, and disease.…”