The Invisible War
Note from Allison: Unfortunately, Herbert didn’t include a call to action in his otherwise wonderful column. I feel like people will be profoundly moved after reading his words, and they’ll want to help, or post links to where others can donate money to help Congolese women. Here are some charities that take donations for the Congolese victims:
International Rescue Committee
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Perhaps we’ve heard so little about them because the crimes are so unspeakable, the evil so profound.
For years now, in the Democratic Republic of Congo, marauding bands of soldiers and militias have been waging a war of rape and destruction against women. This sustained campaign of mind-bending atrocities, mostly in the eastern part of the country, has been one of the strategic tools in a wider war that has continued, with varying degrees of intensity, since the 1990s. Millions have been killed.
Women and girls of all ages, from old women to very young children, have been gang-raped, and in many cases their sexual organs have been mutilated. The victims number in the hundreds of thousands. But the world, for the most part, has remained indifferent to their suffering.
“These women are raped in front of their husbands, in front of their children, in front of their parents, in front of their neighbors,” said Dr. Denis Mukwege, a gynecologist who runs a hospital in Bukavu that treats only the women who have sustained the most severe injuries.
In some cases, the rapists have violated their victims with loaded guns and pulled the triggers. Other women have had their organs deliberately destroyed by knives or other weapons. Sons have been forced at gunpoint to rape their mothers. Many women and girls have been abducted and sexually enslaved.
It is as if, in these particular instances, some window to what we think of as our common humanity had been closed. As The Times’s Jeffrey Gettleman, on assignment in Congo, wrote last fall:
“Many of these rapes have been marked by a level of brutality that is shocking even by the twisted standards of a place riven by civil war and haunted by warlords and drug-crazed child soldiers.”
Dr. Mukwege visited me at The Times last week. He was accompanied by the playwright, Eve Ensler, who has been passionate in her efforts to bring attention and assistance to the women of Congo.
I asked Dr. Mukwege to explain how it was in the strategic interest of the various armed groups to rape and otherwise brutalize women. He described some of the ramifications of such atrocities and the ways in which they undermine the entire society in which the women live.
“Once they have raped these women in such a public way,” he said, “sometimes maiming them, destroying their sexual organs — and with everybody watching — the women themselves are destroyed, or virtually destroyed. They are traumatized and humiliated on every level, physical and psychological. That’s the first consequence.
“The second consequence is that the whole family and the entire neighborhood is traumatized by what they have seen. The ordinary sense of family and community is lost after a man has been forced to watch his wife being raped, or parents are forced to watch the rape of their daughters, or children see their mothers raped.
“Neighbors are witnesses to this. Many flee. Families are dislocated. Social relationships are lost. There is no more social network, village network. Not only the victims have been destroyed; the whole village is destroyed.”
The devastating injuries treated by Dr. Mukwege at his hospital can all but stun the imagination. There is no need to detail them further here. AIDS and other sexually transmitted diseases are commonplace. Often the ability to bear children is destroyed. In many other cases, women end up giving birth to the children of their rapists.
“The hospital can take care of 3,600 women every year,” said Dr. Mukwege. “That is our maximum capacity. We can’t take any more.”
He spoke of ambulance teams that would drive into villages and be besieged by rape victims desperately seeking treatment. “It is awful to see 300 women in need of help,” he said, “and you have to take 10 because the ambulance can only take 10.”
Ms. Ensler spoke of her encounter with an 8-year-old girl during one of her trips to Congo. The girl’s father had been killed in an attack, her mother was raped, and the girl herself was abducted. The child was raped by groups of soldiers over a two-week period and then abandoned.
The girl felt too ashamed to allow herself to be held, Ms. Ensler said, because her injuries had left her incontinent. After explaining how she persuaded the child to accept an embrace, to be hugged, Ms. Ensler said, “If we’re living in a century when an 8-year-old girl is incontinent because that many soldiers have raped her, then something has gone terribly wrong.”
Despite the presence in the region of the largest U.N. peacekeeping mission in the world, no one has been able to stop the systematic rape of the Congolese women.
If these are not war crimes, crimes against humanity, then nothing is.
Zimbabwe Is Dying

A woman suffering from the symptoms of cholera is taken in a wheelbarrow to a clinic in Harare December 12, 2008. REUTERS/Philimon Bulawayo
If you want to see hell on earth, go to Zimbabwe where the madman Robert Mugabe has brought the country to such a state of ruin that medical care for most of the inhabitants has all but ceased to exist.
Life expectancy in Zimbabwe is now the lowest in the world: 37 years for men and 34 for women. A cholera epidemic is raging. People have become ill with anthrax after eating the decaying flesh of animals that had died from the disease. Power was lost to the morgue in the capital city of Harare, leaving the corpses to rot.
Most of the world is ignoring the agony of Zimbabwe, a once prosperous and medically advanced nation in southern Africa that is suffering from political and economic turmoil — and the brutality of Mugabe’s long and tyrannical reign.
The decline in health services over the past year has been staggering. An international team of doctors that conducted an “emergency assessment” of the state of medical care last month seemed stunned by the catastrophe they witnessed. The team was sponsored by Physicians for Human Rights. In their report, released this week, the doctors said:
“The collapse of Zimbabwe’s health system in 2008 is unprecedented in scale and scope. Public-sector hospitals have been shuttered since November 2008. The basic infrastructure for the maintenance of public health, particularly water and sanitation services, have abruptly deteriorated in the worsening political and economic climate.”
Doctors and nurses are trying to do what they can under the most harrowing of circumstances: facilities with no water, no functioning toilets and barely any medicine or supplies. The report quoted the director of a mission hospital:
“A major problem is the loss of life and fetal wastage we are seeing with obstetric patients. They come so late, the fetuses are already dead. We see women with eclampsia who have been seizing for 12 hours. There is no intensive care unit here, and now there is no intensive care in Harare.
“If we had intensive care, we know it would be immediately full of critically ill patients. As it is, they just die.”
Mugabe’s corrupt, violent and profoundly destructive reign has left Zim-babwe in shambles. It’s a nation overwhelmed by poverty, the H.I.V./AIDS pandemic and hyperinflation. Once considered the “breadbasket” of Africa, Zimbabwe is now a country that cannot feed its own people. The unemployment rate is higher than 80 percent. Malnutrition is widespread, as is fear.
A nurse told the Physicians for Human Rights team: “We are not supposed to have hunger in Zimbabwe. So even though we do see it, we cannot report it.”
Mugabe signed a power-sharing agreement a few months ago with a political opponent, Morgan Tsvangirai, who out-polled Mugabe in an election last March but did not win a majority of the votes. But continuing turmoil, including violent attacks by Mugabe’s supporters and allegations that Mugabe forces have engaged in torture, have prevented the agreement from taking effect.
The widespread skepticism that greeted Mugabe’s alleged willingness to share power only increased when he ranted, just last month: “I will never, never, never surrender … Zimbabwe is mine.”
Meanwhile, health care in Zimbabwe has fallen into the abyss. “This emergency is so grave that some entity needs to step in there and take over the health delivery system,” said Susannah Sirkin, the deputy director of Physicians for Human Rights.
In November, the primary public referral hospital in Harare, Parirenyatwa Hospital, shut down. Its medical school closed with it. The nightmare that forced the closings was spelled out in the report:
“The hospital had no running water since August of 2008. Toilets were overflowing, and patients and staff had nowhere to void — soon making the hospital uninhabitable. Parirenyatwa Hospital was closed four months into the cholera epidemic, arguably the worst of all possible times to have shut down public hospital access. Successful cholera care, treatment and control are impossible, however, in a facility without clean water and functioning toilets.”
The hospital’s surgical wards were closed in September. A doctor described the heartbreaking dilemma of having children in his care who he knew would die without surgery. “I have no pain medication,” he said, “some antibiotics, but no nurses … If I don’t operate, the patient will die. But if I do the surgery, the child will die also.”
What’s documented in the Physicians for Human Rights report is evidence of a shocking medical and human rights disaster that warrants a much wider public spotlight, and an intensified effort to mount an international humanitarian intervention.
Some organizations are already on the case, including Doctors Without Borders and Unicef. But Zimbabwe is dying, and much more is needed.
Help Is On The Way
With so much attention understandably focused on the economy and the incoming administration, the struggles being faced by G.I.’s coming home from combat overseas are receding even further from the public’s consciousness.
If you’re in your late teens or early 20s and your energies have been directed for a year or more toward dodging roadside bombs and ambushes, caring for horribly wounded comrades and, in general, killing before being killed, it can be difficult to readjust to a world of shopping malls, speed limits and polite conversation.
Bryan Adams is the face of a sophisticated new advertising campaign that is trying to get troubled veterans to come in from the cold and piercingly lonely environment of post-wartime stress.
Bryan, now 24, was an Army sniper in Iraq from February 2004 to February 2005. At an age when many youngsters go to college or line up that first significant job, he and his squad-mates were prowling Tikrit with high-powered weapons, looking for bad guys.
He was shot in the leg and hand during a firefight, and he saw and did things that he was less than anxious to talk about when he came home.
“I wanted to go to college,” he told me. “I had all these plans, but I couldn’t seem to make them happen. I couldn’t focus. I would get, like, depressive thoughts.”
He said that he would party a lot. “Party” was a euphemism for drinking.
The drinking made him more depressed, and then he would get angry that he was “partying but not having a good time.”
Bryan said he would “flip out,” and friends began to shun him. “I just didn’t care what I did or who I affected with my actions. I would break stuff. I’d break, like appliances. It was bad.”
Returning to civilian life from combat is almost always a hard road to run. Studies have shown that a third or more of G.I.’s returning from the combat zones of Iraq and Afghanistan — more than 300,000 men and women — have endured mental health difficulties.
Many have experienced the agony of deep depression, and alarming numbers have tried or succeeded in committing suicide.
A CBS News study found that veterans aged 20 to 24 were two to four times as likely to commit suicide as non-veterans the same age.
The advertising campaign, initiated by the advocacy group Iraq and Afghanistan Veterans of America, was designed to increase the number of veterans seeking treatment for their mental health difficulties. Many are embarrassed to speak about their problems or are unaware that help is available, or even that they need help.
As Bryan Adams told me, “I didn’t know anything about these symptoms. I didn’t know what post-traumatic stress disorder was.”
To get the word out, IAVA hooked up with the advertising giant BBDO and the nonprofit Ad Council, which is famous for such public service slogans as, “Only you can prevent forest fires,” “A mind is a terrible thing to waste” and “Friends don’t let friends drive drunk.”
This campaign is titled, “Alone,” and focuses on the sense of isolation so many veterans feel when they come home. The television and print ads encourage the veterans to visit a Web site,CommunityOfVeterans.org, as a place where they can share their experiences with other vets.
IAVA tells veterans in its promotional material: “Just listen in or share your experiences in a judgment-free environment.”
The site is filled with features and news updates on many topics and information on a wide range of mental health resources.
The ads are powerful.
In one, a somber Bryan Adams is shown, in camouflage fatigues, standing alone in an airport, then riding an otherwise passenger-less subway train, and then walking through empty streets in Manhattan. He is eerily and absolutely alone. There is not another soul in sight, until a marine in civilian clothes walks up to him, extends his hand, and says: “Welcome home, man.”
The ad then flashes the message: “If you’re a veteran of Iraq or Afghanistan, you’re not alone.”
Bryan, who lives in Palmyra, N.J., is a real-life example of what the timely intervention of mental health counseling and treatment can do. At his family’s urging, he enrolled in a treatment program at a V.A. hospital in Boston. It turned his life around, and he is now back in college.
This ad campaign, if disseminated widely enough (it is depending on donated media), will reduce the heartache of G.I.’s and their families, and will save lives.
The need for more attention to this issue is tremendous. Combat does terrible things to people. As Paul Reickhoff, IAVA’s executive director, put it:
“Nobody can cross this river without getting wet.”
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If you are a veteran, or know someone who is, send them to Communityofveterans.org.
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