More than a hundred people have reportedly died after a shipwreck off the Libyan coast one week ago, survivors told Doctors Without Borders (MSF) teams working in Libya. A group of 276[1] people, among them survivors of the shipwreck, were brought from the sea to the port city of Khoms (120 km east of Tripoli) by the Libyan coast guard on Sunday 2 September. MSF has been providing urgent medical assistance following disembarkation.


Personal account from a shipwreck’s survivor:  

According to the information received by MSF staff, two rubber boats reportedly left the Libyan coast early in the morning on Saturday 1 September. Each boat was carrying more than 160 people of different nationalities such as Sudanese, Malians, Nigerians, Cameroonians, Ghanaians, Libyans, Algerians and Egyptians.

“While the first boat had stopped due to an engine failure, our boat continued to navigate and began deflating around 1pm. We were 165 adults and 20 children on-board, explains a survivor of the shipwreck. At that time, the mobile sat phone showed that we were not far from Maltese coast. We called the Italian coastguard and sent our coordinates, asking for assistance as people started to fall in the water.

"ZWe were told they would send someone. But the boat started sinking. We couldn’t swim and only a few people had life jackets. Those among us who could hold on the boat’s floating hood stayed alive. [European] Rescuers came later by air and threw life rafts but everybody was in the water; the boat had already sunk and capsized.

"Few hours later, other rescuers also came by air, throwing more life rafts. On our boat, only 55 people survived.  Many people died, including families and children. They could have been saved if rescues had come earlier. The children have died, including two 17 months old twins who perished along with their mother and father. The Libyan coastguards also arrived, rescuing first the shipwreck survivors and recovering then the second boat. We were all brought here”. 

Only two bodies were recovered.


MSF, Doctors Without Borders, Libya, Shipwreck
Refugees and migrants detained in this detention centre get rice or pasta for lunch and dinner. For breakfast people receive bread with some cheese.
Meals often have to be shared by many people. Food is prepared in-house and is served in large metal bowls to be shared by five to 10 people. Photo: Sara Creta/MSF

Read: Testimonies from people condemned to drown at sea or be locked up in Libya

MSF emergency response

MSF has treated survivors with chemical burns from the engine petrol spills, “Our medical team worked solidly for several hours to assist survivors with the most serious conditions, says Jai Defranciscis, an MSF nurse working in Misrata, northwest Libya. “We managed to treat 18 urgent cases – among them were nine people suffering from extensive chemical burns (up to 75 percent of the body). We organised a referral to the hospital for a patient in particularly critical condition: without quick access to specialised intensive care, the person would have died.”

Upon disembarkation, the group was transferred to a detention centre under the control of the Libyan authorities. It is common for people returned to Libya from unseaworthy boats to be sent back into a harmful system of arbitrary detention. Between January to August 2018, the EU-supported Libyan Coast Guard already returned 13, 185 refugees and migrants to Libya[2].

As part of its activities in detention centres in and around Khoms, our teams have provided further medical and follow-up care to the group while they remain in detention. Among the group are pregnant women, children and babies, and people with serious medical conditions and chemical burns. MSF teams have also organised six additional referrals to hospital.

MSF, Doctors Without Borders, Libya, Shipwreck
Women and children in detentioncentre. Photo: Sara Creta/MSF

Sick and traumatised people left with no alternative than arbitrary detention

“We are extremely worried for our patients. How can they recover when locked inside cells, in very poor hygiene conditions, and sleeping on blankets or mattresses placed on the floor that cause incredible pain for those suffering from severe burns? Some of them cannot even sit or walk.” says Defranciscis.

“We have started to see patients with severe chest infections like pneumonia, caused by being in the water for such a long time.” Inadequate access to clean drinking water and food is likely to delay or prevent people’s recovery and might instead exacerbate their medical conditions. 

MSF, Doctors Without Borders, Libya, Shipwreck
“We called for help, I was telling to the woman on the phone : “please come and rescue us”. She couldn’t speak Arabic, she was speaking English.
I was repeating: “please there are a lot of children and women”. It was already late. People started to drown. Photo: Sara Creta/MSF

Many of the survivors are mourning the loss of their relatives. On top of the dangers faced during the journey through Libya, they have experienced another very traumatic situation at sea. Instead of receiving the support they need, refugees and migrants are arrested and detained in deplorable living conditions, without basic safeguard, legal recourse or alternative.  

Among those detained, MSF has met asylum seekers and refugees who have been registered or recognised by UNHCR in Libya or another country. Their prospects appear particularly bleak: UNHCR- led mechanisms to evacuate them from Libya to Niger and resettle them in a third country, launched in 2017 in the aftermath of the global outrage sparked by CNN footage, have remained at a standstill for several months. Instead, asylum seekers and refugees face indefinite arbitrary detention and are at risk of being trafficked, as criminal networks are often the only option left for people to continue their journey in search of safety.

MSF, Doctors Without Borders, Libya, Shipwreck
Tap water and jerricans in detentioncentre. Despite MSF effort to improve access to water and sanitation in order to alleviate the
immediate suffering of people while detained, hygiene conditions and access to clean water to wash and drink remain poor,
resulting in the spread of various diseases and infections, including scabies.
Photo: Sara Creta/MSF

Some people also told our teams that they had decided to leave Tripoli to escape the violent clashes and shelling that began on 26 August in the capital.

MSF reiterates its call to end the arbitrary detention of thousands of refugees and migrants across Libya and scale ways to evacuate them to safety out of the country. Specifically, MSF urges:

- UN Refugee Agency (UNHCR) and safe countries to rapidly organise the evacuation of refugees and asylum-seekers from Libya and expedite their resettlement.

- UN Migration Agency (IOM) and countries of origin to expedite the evacuation and repatriation of migrants in Libya who wish to return to their home countries.

- European States and Libyan authorities to stop intercepting people who flee by sea and returning them to Libya as a mean to prevent arrivals to Europe.