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Vascular surgeon Dr. Matthew Spreadbury picked up my call as he was finishing a full day of surgery alongside local Tigrayan doctors Dr. Aregawi and Dr. Haymnot. The three gave a sobering rundown of their situation: “There are 3,000 orthopedic patients waiting, 1,000 plastic surgery patients waiting, and 300 neurosurgery cases.”
The war that erupted in November 2020 between Ethiopia’s federal forces, supported by Eritrea, and the Tigray People’s Liberation Front (TPLF) killed hundreds of thousands and devastated Tigray’s health system. Field assessments found that of 106 medical facilities surveyed, nearly 70 percent were looted, more than 30 percent damaged, and only 13 percent remained functional. These conditions left patients without access to surgery, antibiotics, or obstetric care, leading to countless preventable deaths.
Medical groups have documented widespread sexual violence amounting to crimes against humanity, leaving deep trauma and long-term medical needs across Tigray. Hunger persisted even after the ceasefire, with local researchers verifying at least 1,329 starvation deaths in the months that followed. The 2022 Pretoria Agreement halted large-scale fighting but failed to resolve the underlying issues.
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