Tag Archives: medicine

Article: Emerging transnational spaces of care between Libya and Tunisia

A new article, the first to do so, examines the phenomenon of Libyan patients seeking medical care outside of Libya, in this case in Tunisia in the years after the revolution:

Betty Rouland & Mounir Jarraya, 2019, “From medical tourism to regionalism from the bottom up: emerging transnational spaces of care between Libya and Tunisia”, Journal of Ethnic and Migration Studies (Special Issue: Transnational medical travel: Patient mobility, shifting health system entitlements and attachments).

This paper analyses the emergence of transnational care through the case study of Libyan patients seeking care in the Tunisian city of Sfax as a result of changes triggered by the 2011 Arab uprisings. Deconstructing categories of ‘medical tourist’ and ‘medical traveller’, we examine how the evolving geopolitical context produced specific migratory profiles (diasporic, traveller, cross-border, war-wounded and transnational patients) and spaces (cross-border, (intra)regional and transnational spaces of care) between Libya and Tunisia. Given a lack of data on the topic in North Africa, we developed a study on health mobilities and circulations from a South-South perspective. Based on a survey amongst Libyan patients (n = 205) in four private clinics and nine semi-structured interviews with health professionals in Sfax, we identified, how four key geopolitical periods shaped medical travel to this city: (1) initial diasporic exchanges facilitated by bilateral agreements; (2) an emerging medical tourism industry within private health services arising from the UN embargo on Libya; (3) the 2011 political crisis and arrival of war-wounded; and (4) therapeutic circulations and emerging transnational spaces of care resulting from the context of war.

A report on the 1874 plague in Benghazi

pesteI recently came across a small, old pamphlet entitled, in French, “Essai sur la peste de Benghazi en 1874” (Essay on the 1874 plague of Benghazi) written by a certain Dr. Léonard Arnaud (a “médécin sanitaire au service Ottomane”) and published by the Ottoman Health Administration in Constantinople in 1875.

The report deals with an interesting and practically unknown episode of eastern Libyan history: an outbreak of the plague in ‘Benghazi’—then used to indicate the eastern part of modern-day Libya in general—which followed an earlier outbreak in the same region in 1858. This particular outbreak occurred in the encampments of several groups of nomadic Bedouin in the plateaus between Benghazi and al-Merj. Of concern to the Ottoman officials, no doubt, was that Dr. Arnaud identified the disease as the same as the plague which had been occurring in the Levant (according to a report made in London, the Ottoman health service was apparently dealing with a number of plague outbreaks in their Middle Eastern provinces). A quick search for the author reveals that he seems to have been a specialist in dealing with the plague and other epidemics in various territories of the Ottoman empire.

Are there any other sources for this episode of history, Ottoman, Arabic, or European?