2025-06-29-世界卫生组织-Public_Health_Situation_Analysis_-_Libya_21页_727kb

Libya Public Health Situation Analysis Summary

• Conflict Context: Decades of civil conflict have devastated Libya's infrastructure, economy, and health systems. The 2020 ceasefire holds but insecurity remains high, driven by political instability, factionalism, and weak state institutions.

• Key Health Threats:

  • Waterborne Diseases: Cholera risk increases due to damaged health systems and influx of Sudanese refugees from ongoing outbreaks.
  • Vaccine-Preventable Diseases: Outbreaks of measles, rubella, and acute flaccid paralysis (AFP) are prevalent due to vaccination gaps and surveillance weakness.
  • Non-Communicable Diseases (NCDs): High prevalence of ischemic heart disease, stroke, diabetes, and hypertension.
  • Mental Health: High rates of PTSD among refugees and migrants due to violence and trauma.

• Vulnerable Groups:

  • Migrants/Refugees: Face insecurity, exploitation, lack of access to healthcare, and poor living conditions.
  • Women/Girls: At high risk of gender-based violence (GBV) and discrimination.
  • Children: Vulnerable to malnutrition, child labor, and lack of immunization.

• Food and Nutrition Security: Food insecurity driven by conflict, low agricultural output, high food prices, and malnutrition prevalence, especially among Sudanese refugees.

• Humanitarian Response:

  • A 2025 appeal seeks $106.6 million to support Sudanese refugees, host communities, and third-country nationals.
  • Humanitarian access is severely constrained by bureaucratic delays, security incidents, and logistical challenges.

• Health System Status: Health infrastructure is largely dysfunctional, with shortages of staff, medicines, and equipment. Health facilities are damaged, particularly after Storm Daniel (2023) and recent floods.

• Other Determinants of Health: Conflict has exacerbated climate vulnerabilities, leading to flooding, waterborne diseases, and mine/ERW risks. Socioeconomic challenges include high poverty, unemployment, and weak governance.

• WHO Contacts:

  • Health Information Focal Point (Country): Fatma Giha (gihaf@who.int), Rmadhan Mohamed Osman (osmanr@who.int)

### Key Dates and Sources for Reference:
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- **Date of Analysis**: 20 March 2025  
- **Data Sources**: WHO, UNICEF, UNHCR, IOM, OCHA